ANCC FNP BOARD QUESTIONS WITH
COMPLETE ANSWERS { GRADED A+}
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.
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
COMPLETE ANSWERS { GRADED A+}
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.
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
