ANCC FNP BOARD QUESTIONS EXAM QUESTIONS WITH
COMPLETE VERIFIED ANSWERS 2026/2027 LATEST UPDATE
1/31
,3/25/26, 12:47 PM
A middle-age female patient presents to the clinic with a Tetracycline
recurrence of mild hidradenitis suppurativa after topical Twelve weeks of oral tetracycline
(Sumycin) is the recommended first-line treatment for therapies failed. Which first-line treatment is
recommended? 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
2/31
,3/25/26, 12:47 PM
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.
3/31
, 3/25/26, 12:47 PM
When providing culturally competent health care services to The "Medicine Wheel" is used by many for
the purpose of health and healing
an American Indian elder, the nurse practitioner understands The "Medicine Wheel" is
traditionally used and contains four directions; north, south, east, which is traditionally true? 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.
4/31