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ANCC FNP Board questions and answers 2024/2025
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ANCC FNP Board Questions1.A center-age lady affected person gives to the hospital with a recurrence of mild hidradenitis
suppurativa after topical remedies failed. Which first-line treatment is recommended? -ANS-
Tetracycline
2.Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line remedy for
hidradenitis suppurativa.
__________________________________________________
Hidradenitis suppurativa is a disease of the terminal follicular epithelium in apocrine
gland-bearing skin. It is a chronic, disabling disease that progresses, often inflicting keloids,
contractures, and immobility. It is characterized through comedone-like follicular occlusion,
chronic and relapsing inflammation, mucopurulent discharge, and progressive scarring.
Arthropathy associated with hidradenitis can be present. Typical presentation consists of
nodules and sinus tracts (infected or noninflamed), abscesses, and scarring observed inside the
axilla, genitofemoral place, perineum, gluteal vicinity, and inframammary place in women.
Recommended treatments consist of antibiotics, steroids, retinoids, dapsone, and anti-tumor
necrosis factor marketers. A dermatology consultation have to also be considered.
First-line remedy is a 12‑week course of an oral tetracycline (Sumycin) which includes
doxycycline. For patients who do no longer respond to doxycycline, the following recommended
step is a aggregate of two times-day by day clindamycin (Cleocin) and rifampicin (Rifadin) for
10-12 weeks. If treatment fails, acitretin (Soriatane, for males and nonfertile women) or dapsone
(Aczone) can be considered by way of a dermatologist. In patients with moderate to intense
hidradenitis suppurativa, adalimumab (Humira) may additionally in all likelihood be considered.
3.When presenting culturally able health care offerings to an American Indian elder, the nurse
practitioner is familiar with that's traditionally proper? - ANS-The "Medicine Wheel" is utilized by
many for the reason of fitness and restoration
4.The "Medicine Wheel" is traditionally used and consists of four guidelines; north, south, east,
and west. Traditionally every tribe has specific meanings for each course and they will constitute
the season of the 12 months or level of life. It is aimed toward offering a holistic view of
existence.
________________________________________
An information of different cultural possibilities leads to cultural competence in healthcare. Some
patients can also cost conventional way of life and possibilities because it relates to healthcare.
These man or woman preferences need to be blanketed within the interview and remedy plan
for sufferers.
Traditionally, the American Indian subculture values a holistic technique to fitness care
integrating the individual, way of life, environment, own family, and religion. Patients adhering to
,these conventional cultural practices regularly experience that infection is due to a loss of
concord with the bodily frame, thoughts, spirit, and emotions. Patients can also are seeking for
care from western medication for precise illnesses even as also consulting with traditional
healers for religious guidance.
Healthcare vendors must are looking for to understand applicable cultural elements and
determine every character's healthcare literacy in an effort to provide culturally ready care.
The nurse practitioner sees an older person affected person within the health center with the
number one report of listening to loss and a sensation of fullness within the right ear. The nurse
practitioner suspects conductive hearing loss. Which could contribute to this? - ANSCerumen,
commonly referred to as earwax, is a aggregate of secretions and sloughed epithelial cells that
protects the ears from infection, water, and insects. It is typically expelled from the ear canal thru
natural jaw motion. When this self-cleansing manner fails, cerumen can end up impacted.
Cerumen impaction occludes the ear canal and can press in opposition to the tympanic
membrane, ensuing in conductive listening to loss.
_________________________________________
Conductive listening to is the transition of sound from the outside and center ear to the internal
ear. Conductive hearing loss is because of troubles within the outside and middle ear that
intervene with the transmission of sound and its conversion to mechanical vibration. Causes of
conductive listening to loss encompass obstruction of the outside auditory canal by cerumen,
overseas bodies, particles from otitis externa, and huge exocytosis and osteomas.
Sensorineural listening to loss involves problem converting mechanical vibrations to electric
capacity in the cochlea or in auditory nerve transmission to the mind. It is mainly caused by
permanent damage in the organ of Corti. It may be due to age-associated listening to loss,
noise trauma, medicinal drugs, autoimmune diseases, mechanical trauma, Meniere disorder,
infection, and neoplasm (acoustic neuroma).
Approximately one-0.33 of older adults between the ages of 61 and 70 years have hearing loss.
More than 90% of adults older than eighty five years of age have listening to loss. The most not
unusual form of listening to loss is age-associated and sensorineural. All adults older than 60
years of age must be screened for hearing loss at periodic health examinations.
An in any other case healthy adult patient offers to the hospital with a prognosis of
community-obtained pneumonia and no recent antibiotic therapy. Which is the first-rate option
for remedy? - ANSAmoxicillin
High-dose amoxicillin (Amoxil) or doxycycline are encouraged as first-line therapy for adults
without comorbidities.
_____________________________________________
Community-acquired pneumonia (CAP) is pneumonia not obtained in a health facility or
long-time period care facility. Patients with suspected CAP must get hold of a chest X-ray for
, diagnosis. The Pneumonia Severity Index ought to be used to assist in selections concerning
the need for hospitalization in sufferers with CAP.
According to the American Thoracic Society (ATS) and the Infectious Diseases Society of
America (IDSA) 2019 guidelines, the initial remedy of CAP for maximum patients is amoxicillin
or doxycycline. Macrolides are an choice for remedy, but are now not endorsed robotically as
first-line treatment, given extended macrolide resistance. This is a change from the 2007
ATS/IDSA hints. Respiratory fluoroquinolones and amoxicillin/clavulanate must be utilized in
sufferers who fail first-line medicines, have massive comorbidities, have had recent antibiotic
remedy, are allergic to alternative sellers, or have a documented contamination with relatively
drug-resistant pneumococci.
A patient presents to the clinic for thought counseling. She recently stopped taking oral
contraceptives and would love to turn out to be pregnant. Which statement about concept safety
after stopping oral contraceptives is correct? - ANS
You have a 35-yr-old lady patient who is complaining of wrist ache. She is an administrative
assistant who does a wonderful deal of computer work in her activity. You will check her for
carpal tunnel syndrome. When you tap at the volar floor of the wrist you're appearing which of
the following exams? - ANSTinel's signal
A gastrinoma placed on the pancreas or the stomach which secretes gastrin, stimulating
excessive stages of acid manufacturing within the stomach is which of the subsequent? -
ANSZollinger-Ellison syndrome
A 16-year-vintage male is within the office. He has a insect bite on his left forearm and you
observed a brown recluse spider chunk. What medical control might you provide? - ANSice
percent and elevation of the region
In addition to being obese, the American Diabetes Association recommends type 2 diabetes
mellitus checking out in adults who: - ANShave an HDL level of < 35 mg/dL
Which of the following found on an ECG would confirm atrial fibrillation? - ANS-absent P waves
-irregular ventricular rate
As an FNP you understand that all of the following statements about chronic heart failure are
accurate EXCEPT: - ANS-The preponderance is in females until the age of 75, then there is
equal occurrence in males and females.
-Patients who are underweight have a greater risk of CHF.
The FNP has a 45-year-old male patient with BPH who has poison ivy. The FNP plans to
prescribe Benadryl for this. What is a possible adverse effect with the use of Benadryl for this
patient? - ANSurinary retention
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