ANCC FNP Board Questions.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/ANCC%20FNP
ANCC FNP Board Questions & Answers Verified
Completely
1. 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.
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 pro- gressive scarring.
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Arthropathy associated with hidradenitis may be present. Typical presentation in- cludes
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 con- sidered.
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
treatment fails, acitretin (Soriatane, for males and nonfertile fe- males) or dapsone (Aczone)
may be considered by a dermatologist. In patients with moderate to severe hidradenitis
suppurativa, adalimumab (Humira) may possibly be considered.
2. 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.
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An understanding of different cultural preferences leads to cultural competence in healthcare.
Some patients may value traditional culture and preferences as it relates
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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 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.
3. 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
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