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ANCC FNP Board Questions and Verified Answers (2024 / 2025) 100% Guarantee Pass

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ANCC FNP Board Questions and Verified Answers (2024 / 2025) 100% Guarantee Pass 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...

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Uploaded on October 25, 2024
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ancc fnp board questions and verified answers

Institution ANCC FNP
Course ANCC FNP

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ANCC FNP Board Questions.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/ANCC%20FNP

ANCC FNP Board Questions & Answers Verified

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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

Answer 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 pro- gressive scarring.

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Arthropathy associated with hidradenitis may be present. Typical presentation in- cludes

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 con- sidered.

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 fe- males) or dapsone (Aczone)

may be considered by a dermatologist. In patients with moderate to severe hidradenitis

suppurativa, adalimumab (Humira) may possibly be considered.

2. 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.

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An understanding of different cultural preferences leads to cultural competence in healthcare.

Some patients may value traditional culture and preferences as it relates

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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.

3. 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

Answer 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

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