ANCC FNP Board QUESTION AND CORRECT ANSWERS
AS PER MARKING SCHEME \latest update 2025-
2026
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,
A middle-age female chronic and relapsing inflammation, mucopurulent
patient presents to the discharge, and progressive scarring.
clinic with a recurrence of Arthropathy associated with hidradenitis may be
mild hidradenitis present. Typical presentation includes nodules and sinus
suppurativa after topical tracts (inflamed or noninflamed), abscesses, and
therapies failed. Which first- scarring found in the axilla, genitofemoral area,
line treatment is perineum, gluteal area, and inframammary area in
recommended? 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.
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,8/22/25, 3:00 PM ANCC FNP Board QUESTION AND CORRECT ANSWERS AS PER MARKING SCHEME Flashcards | Quizlet
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.
When providing culturally
competent health care ________________________________________
services to an American
An understanding of different cultural preferences leads
Indian elder, the nurse
to cultural competence in healthcare. Some patients
practitioner understands
may value traditional culture and preferences as it
which is traditionally true?
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.
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,8/22/25, 3:00 PM ANCC FNP Board QUESTION AND CORRECT ANSWERS AS PER MARKING SCHEME Flashcards | Quizlet
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.
The nurse practitioner sees
_________________________________________
an older adult patient in the
clinic with the primary
Conductive hearing is the transition of sound from the
report of hearing loss and a
external and middle ear to the inner ear. Conductive
sensation of fullness in the
hearing loss is caused by problems in the external and
right ear. The nurse
middle ear that interfere with the transmission of sound
practitioner suspects
and its conversion to mechanical vibration. Causes of
conductive hearing loss.
conductive hearing loss include obstruction of the
Which could contribute to
external auditory canal by cerumen, foreign bodies,
this?
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.
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, 8/22/25, 3:00 PM ANCC FNP Board QUESTION AND CORRECT ANSWERS AS PER MARKING SCHEME Flashcards | Quizlet
Amoxicillin
High-dose amoxicillin (Amoxil) or doxycycline are
recommended as first-line therapy for adults without
comorbidities.
_____________________________________________
An otherwise healthy adult Community-acquired pneumonia (CAP) is pneumonia
patient presents to the clinic not acquired in a hospital or long-term care facility.
with a diagnosis of Patients with suspected CAP should receive a chest X-
community- acquired ray for diagnosis. The Pneumonia Severity Index should
pneumonia and no recent be used to assist in decisions regarding the need for
antibiotic therapy. Which is hospitalization in patients with CAP.
the best option for According to the American Thoracic Society (ATS)
treatment? 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.
A patient presents to the
clinic for conception
counseling. She recently
stopped taking oral
contraceptives and
would like to become
pregnant. Which
statement about
conception safety after
stopping oral contraceptives is correct?
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