{"id":118531,"date":"2023-09-04T23:09:11","date_gmt":"2023-09-04T23:09:11","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118531"},"modified":"2023-09-04T23:09:13","modified_gmt":"2023-09-04T23:09:13","slug":"ancc-fnp-board-exam-complete-guide-2023","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/04\/ancc-fnp-board-exam-complete-guide-2023\/","title":{"rendered":"ANCC FNP Board Exam Complete Guide 2023"},"content":{"rendered":"\n
    \n
  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?: Tetracycline
    Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line treat\u0002ment for hidradenitis suppurativa.<\/li>\n<\/ol>\n\n\n\n
    \n\n\n\n

    Hidradenitis suppurativa is a disorder of the terminal follicular epithelium in apoc\u0002rine 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 infra\u0002mammary area in 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 12week course of an oral tetracycline (Sumycin) such
    as doxycycline. For patients who do not respond to doxycycline, the next recom\u0002mended 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.<\/p>\n\n\n\n

      \n
    1. When providing culturally competent health care services to an American
      Indian elder, the nurse practitioner understands which is traditionally true?-
      : 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.<\/li>\n<\/ol>\n\n\n\n
      \n\n\n\n

      An understanding of different cultural preferences leads to cultural competence
      in healthcare. Some patients may value traditional culture and preferences as<\/p>\n\n\n\n

      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.<\/p>\n\n\n\n

        \n
      1. 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?: 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.<\/li>\n<\/ol>\n\n\n\n
        \n\n\n\n

        Conductive hearing is the transition of sound from the external and middle ear
        to the inner ear. Conductive hearing loss is caused by problems in the external
        and middle ear that interfere with the transmission of sound and its conversion to
        mechanical vibration. Causes of conductive hearing loss include obstruction of the
        external auditory canal by cerumen, foreign bodies, 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.<\/p>\n","protected":false},"excerpt":{"rendered":"

        Hidradenitis suppurativa is a disorder of the terminal follicular epithelium in apoc\u0002rine gland-bearing skin. It is a chronic, disabling disorder that progresses, oftencausing keloids, contractures, and immobility. It is characterized by comedone-likefollicular occlusion, chronic and relapsing inflammation, mucopurulent discharge,and progressive scarring.Arthropathy associated with hidradenitis may be present. Typical presentationincludes nodules and sinus tracts (inflamed or […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118531","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118531","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118531"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118531\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118531"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118531"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118531"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}