ANCC FNP Board EXAM 2025 ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS|100% GUARANTEED TO PASS
CONCEPTS|ALREADY GRADED A+ UPDATED FOR 2026 -2027
When providing culturally competent health care services to an American Indian
elder, the nurse practitioner understands which is traditionally true?
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 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.
,An otherwise healthy adult patient presents to the clinic with a diagnosis of
community- acquired pneumonia and no recent antibiotic therapy. Which is the
best option for treatment?
Amoxicillin
High-dose amoxicillin (Amoxil) or doxycycline are recommended as first-line
therapy for adults without comorbidities.
_____________________________________________
Community-acquired pneumonia (CAP) is pneumonia not acquired in a hospital
or long- term care facility. Patients with suspected CAP should receive a
chest X-ray for diagnosis. The Pneumonia Severity Index should be used to
assist in decisions regarding the need for hospitalization in patients with CAP.
According to the American Thoracic Society (ATS) and the Infectious Diseases
Society of America (IDSA) 2019 guidelines, the initial treatment of CAP for
most patients is amoxicillin or doxycycline. Macrolides are an option for
treatment, but are no longer recommended routinely as first-line treatment,
given increased macrolide resistance.
This is a change from the 2007 ATS/IDSA guidelines. Respiratory
fluoroquinolones and amoxicillin/clavulanate should be used in patients who
fail first-line medications, have significant comorbidities, have had recent
antibiotic therapy, are allergic to alternative agents, or have a documented
infection with highly drug-resistant pneumococci.
You have a 35-year-old female patient who is complaining of wrist pain. She is
an administrative assistant who does a great deal of computer work in her job.
You will test her for carpal tunnel syndrome. When you tap at the volar surface
of the wrist you are performing which of the following tests?
Tinel's sign
,A gastrinoma located on the pancreas or the stomach which secretes gastrin,
stimulating high levels of acid production in the stomach is which of the
following?
Zollinger-Ellison syndrome
A 16-year-old male is in the office. He has a insect bite on his left forearm and
you suspect a brown recluse spider bite. What medical management would you
provide?
ice pack and elevation of the area
In addition to being overweight, the American Diabetes Association recommends
type 2 diabetes mellitus testing in adults who:
have an HDL level of < 35 mg/dL
Which of the following found on an ECG would confirm atrial fibrillation?
-absent P waves
-irregular ventricular rate
As an FNP you understand that all of the following statements about chronic
heart failure are accurate EXCEPT:
-The preponderance is in females until the age of 75, then there is equal
occurrence in males and females.
-Patients who are underweight have a greater risk of CHF.
, 3/21/26, 4:34 PM ANCC FNP Board Questions
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?
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.
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.
/ 4/34
CORRECT VERIFIED ANSWERS|100% GUARANTEED TO PASS
CONCEPTS|ALREADY GRADED A+ UPDATED FOR 2026 -2027
When providing culturally competent health care services to an American Indian
elder, the nurse practitioner understands which is traditionally true?
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 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.
,An otherwise healthy adult patient presents to the clinic with a diagnosis of
community- acquired pneumonia and no recent antibiotic therapy. Which is the
best option for treatment?
Amoxicillin
High-dose amoxicillin (Amoxil) or doxycycline are recommended as first-line
therapy for adults without comorbidities.
_____________________________________________
Community-acquired pneumonia (CAP) is pneumonia not acquired in a hospital
or long- term care facility. Patients with suspected CAP should receive a
chest X-ray for diagnosis. The Pneumonia Severity Index should be used to
assist in decisions regarding the need for hospitalization in patients with CAP.
According to the American Thoracic Society (ATS) and the Infectious Diseases
Society of America (IDSA) 2019 guidelines, the initial treatment of CAP for
most patients is amoxicillin or doxycycline. Macrolides are an option for
treatment, but are no longer recommended routinely as first-line treatment,
given increased macrolide resistance.
This is a change from the 2007 ATS/IDSA guidelines. Respiratory
fluoroquinolones and amoxicillin/clavulanate should be used in patients who
fail first-line medications, have significant comorbidities, have had recent
antibiotic therapy, are allergic to alternative agents, or have a documented
infection with highly drug-resistant pneumococci.
You have a 35-year-old female patient who is complaining of wrist pain. She is
an administrative assistant who does a great deal of computer work in her job.
You will test her for carpal tunnel syndrome. When you tap at the volar surface
of the wrist you are performing which of the following tests?
Tinel's sign
,A gastrinoma located on the pancreas or the stomach which secretes gastrin,
stimulating high levels of acid production in the stomach is which of the
following?
Zollinger-Ellison syndrome
A 16-year-old male is in the office. He has a insect bite on his left forearm and
you suspect a brown recluse spider bite. What medical management would you
provide?
ice pack and elevation of the area
In addition to being overweight, the American Diabetes Association recommends
type 2 diabetes mellitus testing in adults who:
have an HDL level of < 35 mg/dL
Which of the following found on an ECG would confirm atrial fibrillation?
-absent P waves
-irregular ventricular rate
As an FNP you understand that all of the following statements about chronic
heart failure are accurate EXCEPT:
-The preponderance is in females until the age of 75, then there is equal
occurrence in males and females.
-Patients who are underweight have a greater risk of CHF.
, 3/21/26, 4:34 PM ANCC FNP Board Questions
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?
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.
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.
/ 4/34
