ANCC FNP BOARD (COMPLETED) EXAM / 150+
QUESTIONS AND CORRECT ANSWERS 2023/2024 /
GRADED A+
,ANCC FNP BOARD (COMPLETED) EXAM / 150+
QUESTIONS AND CORRECT ANSWERS 2023/2024 /
GRADED A+
A middle-age female patient presents to the clinic with a recurrence
of mild hidradenitis suppurativa after topical therapies failed. Which
first-line treatment is recommended? - answer-Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the recommended
first-line treatment for hidradenitis suppurativa.
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Hidradenitis suppurativa is a disorder of the terminal follicular
epithelium in apocrine gland-bearing skin. It is a chronic, disabling
disorder that progresses, often causing keloids, contractures, and
immobility. It is characterized by comedone-like follicular occlusion,
chronic and relapsing inflammation, mucopurulent discharge, and
progressive scarring.
Arthropathy associated with hidradenitis may be present. Typical
presentation includes nodules and sinus tracts (inflamed or
noninflamed), abscesses, and scarring found in the axilla,
genitofemoral area, perineum, gluteal area, and inframammary area
in women.
Recommended treatments include antibiotics, steroids, retinoids,
dapsone, and anti-tumor necrosis factor agents. A dermatology
consultation should also be considered.
First-line treatment is a 12‑week course of an oral tetracycline
(Sumycin) such as doxycycline. For patients who do not respond to
doxycycline, the next recommended step is a combination of twice-
daily clindamycin (Cleocin) and rifampicin (Rifadin) for 10-12 weeks. If
,ANCC FNP BOARD (COMPLETED) EXAM / 150+
QUESTIONS AND CORRECT ANSWERS 2023/2024 /
GRADED A+
treatment fails, acitretin (Soriatane, for males and nonfertile females)
or dapsone (Aczone) may be considered by a dermatologist. In
patients with moderate to severe hidradenitis suppurativa,
adalimumab (Humira) may possibly be considered.
When providing culturally competent health care services to an
American Indian elder, the nurse practitioner understands which is
traditionally true? - answer-The "Medicine Wheel" is used by many
for the purpose of health and healing
The "Medicine Wheel" is traditionally used and contains four
directions; north, south, east, and west. Traditionally each tribe has
different meanings for each direction and they may represent the
season of the year or stage of life. It is aimed at providing a holistic
view of life.
________________________________________
An understanding of different cultural preferences leads to cultural
competence in healthcare. Some patients may value traditional
culture and preferences as it relates to healthcare. These individual
preferences should be included in the interview and treatment plan
for patients.
Traditionally, the American Indian culture values a holistic approach
to health care integrating the person, lifestyle, environment, family,
and religion. Patients adhering to these traditional cultural practices
often feel that illness is due to a lack of harmony with the physical
, ANCC FNP BOARD (COMPLETED) EXAM / 150+
QUESTIONS AND CORRECT ANSWERS 2023/2024 /
GRADED A+
body, mind, spirit, and emotions. Patients may seek care from
western medicine for specific ailments while also consulting with
traditional healers for spiritual guidance.
Healthcare providers should seek to understand relevant cultural
factors and assess each individual's healthcare literacy in order to
provide culturally competent care.
The nurse practitioner sees an older adult patient in the clinic with
the primary report of hearing loss and a sensation of fullness in the
right ear. The nurse practitioner suspects conductive hearing loss.
Which could contribute to this? - answer-Cerumen, commonly called
earwax, is a combination of secretions and sloughed epithelial cells
that protects the ears from infection, water, and insects. It is
normally expelled from the ear canal through natural jaw movement.
When this self-cleaning process fails, cerumen can become impacted.
Cerumen impaction occludes the ear canal and can press against the
tympanic membrane, resulting in conductive hearing loss.
_________________________________________
Conductive hearing is the transition of sound from the external and
middle ear to the inner ear. Conductive hearing loss is caused by
problems in the external and middle ear that interfere with the
transmission of sound and its conversion to mechanical vibration.
Causes of conductive hearing loss include obstruction of the external
