1|Page
ANCC FNP Board EXAM ||VERIFIED EXAM!!|| MOST
RECENT EXAM ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM!!!
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 progressive
scarring.
,2|Page
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.
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
,3|Page
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.
, 4|Page
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
auditory canal by cerumen, foreign bodies, debris from
otitis externa, and large exocytosis and osteomas.
ANCC FNP Board EXAM ||VERIFIED EXAM!!|| MOST
RECENT EXAM ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM!!!
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 progressive
scarring.
,2|Page
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.
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
,3|Page
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.
, 4|Page
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
auditory canal by cerumen, foreign bodies, debris from
otitis externa, and large exocytosis and osteomas.
