Exam Coverage
Exam coverage for ANCC FNP Board Questions includes the core
knowledge and clinical competencies required for Family Nurse
Practitioner (FNP) certification through the American Nurses
Credentialing Center (ANCC). It focuses on advanced health
assessment, pathophysiology, pharmacology, diagnostic reasoning,
and management of acute and chronic conditions across the lifespan.
The exam also evaluates understanding of evidence-based practice,
patient-centered care, health promotion, disease prevention,
professional and ethical standards, and collaborative practice.
Emphasis is placed on clinical decision-making, prioritization, and
,applying advanced nursing knowledge to provide safe, effective, and
comprehensive care in primary and specialty care settings. 🩺📘💉
,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.
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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
treatment fails, acitretin (Soriatane, for males and nonfertile females)
or dapsone (Aczone) may be considered by a dermatologist. In