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ANCC FNP BOARD EXAM LATEST
REAL EXAM 200+ QUEST IONS AND
CORRECT ANSWER S WITH
RATIONALES|ALREDY GR ADED
A+
Question : 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 ANSWER : Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line treatment for hidradenitis suppurativa.
Question : 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.
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CORRECT ANSWER: This describes Hidradenitis
suppurativa.
Question : Arthropathy associated with hidradenitis may
be present.
CORRECT ANSWER : This describes a potential
comorbidity of hidradenitis suppurativa.
Question : 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.
CORRECT ANSWER : This describes the typical
presentation of hidradenitis suppurativa.
Question : Recommended treatments include antibiotics,
steroids, retinoids, dapsone, and anti-tumor necrosis factor agents. A dermatology consultation should also be considered.
CORRECT ANSWER : These are recommended
treatments for hidradenitis suppurativa.
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Question : 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.
CORRECT ANSWER : This describes the treatment
progression for hidradenitis suppurativa.
Question : When providing culturally competent health
care services to an American Indian elder, the nurse practitioner understands which is traditionally true?
CORRECT 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
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they may represent the season of the year or stage of life.It is aimed at providing a holistic view of life.
Question : 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.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.
CORRECT ANSWER : This describes cultural
considerations in healthcare for American Indian patients.