FNP ANCC BOARDS EXAM 2023-2024 ACTUAL QUESTIONS
AND ANSWERS GRADED A
You have a 50-year-old female patient who is complaining of vision loss. You tell
... [Show More] her
that there is a certain amount of normal vision loss associated with aging. This type of
vision loss is known as which of the following? - ANSWER-presbyopia
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.
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? -
ANSWER-Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line treatment for
hidradenitis suppurativa.
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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 antitumor 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? - ANSWER-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. [Show Less]