ANCC FNP BOARD QUESTIONS EXAM
WITH CORRECT QUESTIONS AND
ANSWERS 2025
1. 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?
CORRECT-ANSWERSTetracycline
2. Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line treatment for
hidradenitis suppurativa.
3. __________________________________________________
4. 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.
5. 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.
6. Recommended treatments include antibiotics, steroids, retinoids, dapsone, and anti-tumor
necrosis factor agents. A dermatology consultation should also be considered.
,7. 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.
8. When providing culturally competent health care services to an American Indian elder,
the nurse practitioner understands which is traditionally true?CORRECT-ANSWERSThe
"Medicine Wheel" is used by many for the purpose of health and healing
9. 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.
10. ________________________________________
11. 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.
12. 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.
13. Healthcare providers should seek to understand relevant cultural factors and assess each
individual's healthcare literacy in order to provide culturally competent care.
14. 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?CORRECT-
ANSWERSCerumen, 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.
15. _________________________________________
16. 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.
WITH CORRECT QUESTIONS AND
ANSWERS 2025
1. 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?
CORRECT-ANSWERSTetracycline
2. Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line treatment for
hidradenitis suppurativa.
3. __________________________________________________
4. 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.
5. 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.
6. Recommended treatments include antibiotics, steroids, retinoids, dapsone, and anti-tumor
necrosis factor agents. A dermatology consultation should also be considered.
,7. 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.
8. When providing culturally competent health care services to an American Indian elder,
the nurse practitioner understands which is traditionally true?CORRECT-ANSWERSThe
"Medicine Wheel" is used by many for the purpose of health and healing
9. 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.
10. ________________________________________
11. 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.
12. 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.
13. Healthcare providers should seek to understand relevant cultural factors and assess each
individual's healthcare literacy in order to provide culturally competent care.
14. 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?CORRECT-
ANSWERSCerumen, 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.
15. _________________________________________
16. 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.
