ANCC FNP Board EXAM 2026 ACTUAL EXAM 100 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+ NR 667 -
Chamberlain University-Illinois
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.
,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?
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.
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 than 60 years of age should be screened for hearing loss
at periodic health examinations.
,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.
, Your patient has a superficial skin lesion that is elevated. It is less than 1 cm
in diameter and it is filled with serous fluid. Which of the following skin
lesions is this?
vesicle
The nurse practitioner will need to be aware of infectious diseases and
the concerns regarding the recognition and management of them. Which
of the following is important regarding the professional role related to
infectious disease recognition and management?
Be alert to endemic diseases.
Be alert to diseases that may be the result of bioterrorism.
Know the local health department guidelines for reporting communicable
diseases.
****All of the above
In which quadrant of the abdomen would you find the body of the pancreas?
Left Upper Quad
A 35-year-old female patient tells you that she has not had a period in
over 3 months. She tells you that until now she has been quite regular with
her periods. This condition is which of the following?
secondary amenorrhea
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+ NR 667 -
Chamberlain University-Illinois
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.
,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?
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.
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 than 60 years of age should be screened for hearing loss
at periodic health examinations.
,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.
, Your patient has a superficial skin lesion that is elevated. It is less than 1 cm
in diameter and it is filled with serous fluid. Which of the following skin
lesions is this?
vesicle
The nurse practitioner will need to be aware of infectious diseases and
the concerns regarding the recognition and management of them. Which
of the following is important regarding the professional role related to
infectious disease recognition and management?
Be alert to endemic diseases.
Be alert to diseases that may be the result of bioterrorism.
Know the local health department guidelines for reporting communicable
diseases.
****All of the above
In which quadrant of the abdomen would you find the body of the pancreas?
Left Upper Quad
A 35-year-old female patient tells you that she has not had a period in
over 3 months. She tells you that until now she has been quite regular with
her periods. This condition is which of the following?
secondary amenorrhea
