Page |1
ANCC FNP Board Questions Questions
and Correct Answers/ Latest Update /
Already Graded
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?
Ans: 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 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.
All rights reserved © 2025/ 2026 |
, Page |2
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 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?
Ans: 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.
________________________________________
All rights reserved © 2025/ 2026 |
, Page |3
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 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?
Ans: 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 -
All rights reserved © 2025/ 2026 |
, Page |4
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 auditory canal by cerumen, foreign
bodies, debris from otitis externa, and large exocytosis and
osteomas.
Sensorineural hearing loss involves difficulty converting
mechanical vibrations to electrical potential in the cochlea or in
auditory nerve transmission to the brain. It is mostly caused by
permanent damage in the organ of Corti. It can be caused by
age-related hearing loss, noise trauma, medications,
autoimmune diseases, mechanical trauma, Meniere disease,
infection, and neoplasm (acoustic neuroma).
Approximately one-third of older adults between the ages of 61
and 70 years have hearing loss. More than 90% of adults older
than 85 years of age have hearing loss. The most common type
of hearing loss is age-related and sensorineural. All adults older
All rights reserved © 2025/ 2026 |
ANCC FNP Board Questions Questions
and Correct Answers/ Latest Update /
Already Graded
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?
Ans: 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 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.
All rights reserved © 2025/ 2026 |
, Page |2
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 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?
Ans: 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.
________________________________________
All rights reserved © 2025/ 2026 |
, Page |3
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 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?
Ans: 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 -
All rights reserved © 2025/ 2026 |
, Page |4
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 auditory canal by cerumen, foreign
bodies, debris from otitis externa, and large exocytosis and
osteomas.
Sensorineural hearing loss involves difficulty converting
mechanical vibrations to electrical potential in the cochlea or in
auditory nerve transmission to the brain. It is mostly caused by
permanent damage in the organ of Corti. It can be caused by
age-related hearing loss, noise trauma, medications,
autoimmune diseases, mechanical trauma, Meniere disease,
infection, and neoplasm (acoustic neuroma).
Approximately one-third of older adults between the ages of 61
and 70 years have hearing loss. More than 90% of adults older
than 85 years of age have hearing loss. The most common type
of hearing loss is age-related and sensorineural. All adults older
All rights reserved © 2025/ 2026 |
