100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
UPDATED ANCC FNP BOARD EXAM STUDY GUIDE PART QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+ $15.49   Add to cart

Exam (elaborations)

UPDATED ANCC FNP BOARD EXAM STUDY GUIDE PART QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+

 1 view  0 purchase
  • Course
  • ANCC FNP
  • Institution
  • ANCC FNP

1. Treatment for chronic bronchitis: -Chronic bronchitis is a type of COPD that is characterized by inflammation of the bronchi, causing excess mucus; characteristics of chronic bronchitis include diagnosis after age 35, obesity, copious amounts of purulent sputum, elevated Hct level -Treat with S...

[Show more]

Preview 4 out of 31  pages

  • December 3, 2023
  • 31
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • ANCC FNP
  • ANCC FNP
avatar-seller
ACELEARNERS
ANCC FNP BOARD EXAM STUDY GUIDE PART 1 2023-2024
100 QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+

1. Treatment for chronic bronchitis: -Chronic bronchitis is a type of COPD that is
characterized by inflammation of the bronchi, causing excess mucus; characteristics of chronic

bronchitis include diagnosis after age 35, obesity, copious amounts of purulent sputum,

elevated Hct level

-Treat with SABA (albuterol), inhaled anticholinergics (ipratropium)

-Normal Findings of Lungs: Lower lobes vesicular breath sounds (soft and low) Upper lobes;

Bronchial breath sounds louder

2. Actinic keratosis: -Older to elderly fair-skinned adults
-numerous dry, round, pink to red-colored, slow-growing lesions that do not heal

-lesions common on sun-exposed areas (cheeks, nose, face, arms, back)

-precancerous precursor of squamous cell carcinoma

-frequent sunburns as child places person at higher risk

-diagnosed with biopsy

-treat with cryotherapy (small number) or 5-FU(5% fluorouracil) cream (large num- ber)

follow up with derm.

3. Seborrheic keratosis: -soft, round, wart-like fleshy growths on trunk (mostly on back)
-can range in color from light tan to black

-appear to be pasted on

-asymptomatic

-benign

4. Fingernail hematoma treatment: -Trephination - make hole in nail through

,ANCC FNP BOARD EXAM STUDY GUIDE PART 1 2023-2024
100 QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+
drilling or piercing and allow blood to drain

5. Hypothyroid: -Primary - elevated TSH; low T4; low or normal T3
-Subclinical - elevated TSH; normal T4; normal T3

-Common cause is Hashimoto's (autoimmune) - Hashimoto and Hypo both have O

-Symptoms are variable - may include fatigue

-Treatment - levothyroxine (Synthroid) daily in AM on empty stomach

-Starting dose of levothyroxine (Synthroid) is 25-50mcg

-Check TSH every 6-8 weeks to monitor treatment

6. Hyperthyroid: -Primary - low TSH; high T4; normal or high T3
-Subclinical - low TSH; normal T4; normal T3

-Most common cause is Grave's Disease (autoimmune) - Grave and Hyper both have R

-Common symptoms - female; rapid weight loss; increased heart rate; tremors; sweating;

irritability; anxiety; hyperactivity; insomnia; diarrhea; amenorrhea; hyper- tension;

exophthalmos; heat intolerance; goiter

-Treatment - Propylthiouracil (PTU); Methimazole (Tapazole); Radioactive iodine

,ANCC FNP BOARD EXAM STUDY GUIDE PART 1 2023-2024
100 QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+



(causes hypothyroid for life, contraindicated in pregnancy)

-Thyroid Storm (thyrotoxicosis) - acute worsening of symptoms; may be caused by stress or

infection; look for LOC, fever, abdominal pain; life-threatening; immediate hospitalization

needed

7. Increased risk of ectopic pregnancy: -Risk factors - previous ectopic, salpingi- tis,
tubal surgery, current IUD use, previous cervicitis, history of PID

-Symptoms - abdominal pain (worsens when supine or with jarring), vaginal bleed- ing,

amenorrhea, low grade fever, pain referred to right shoulder (may indicate rupture)

8. Hypertension Meds Part 1: -African-American with or without diabetes - initial
choices include thiazide diuretic or CCB

-Non-Black with or without diabetes - initial choices include thiazide diuretic, CCB, ACE, or

ARB

-Thiazide diuretic - "ide"; excellent synergist; avoid in sulfa allergy; favorable in

osteopenia/osteoporosis; side effects include hyperglycemia (caution in diabetics),

hyperuricemia (gout attack), hypertriglyceridemia and hypercholesteremia (check lipid profile)

hypokalemia (potentiates digoxin toxicity and increases risk for arrhyth- mia), hyponatremia

(hold diuretic, restrict fluid, replace K+); lowers BP only 2-8 points

-ACE inhibitor - "pril" and ARB - "sartan" - use in high renin states; drug of choice in diabetics

(protects kidneys); pregnancy category C/D; side effects include dry/hack- ing cough (more with

ACE), hyperkalemia, angioedema (rare, life-threatening); contraindicated in moderate to

, ANCC FNP BOARD EXAM STUDY GUIDE PART 1 2023-2024
100 QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+
severe kidney disease; do not use ACE and ARB together.

9. Hypertension Meds Part 2: -Beta blocker - "lol"; good as add-on medication, not
uncomplicated HTN; avoid abrupt discontinuation, wean slowly to avoid rebound HTN;

contraindications include asthma, COPD, chronic bronchitis, emphysema, second and third-

degree heart block (okay with 1st degree), sinus bradycardia; do not use Propranolol for HTN

-Calcium channel blocker - "pine"; first choice for ISH (isolated systolic HTN); side effects

include headaches (vasodilation), ankle edema (vasodilation, benign), heart block/bradycardia

(depresses cardiac muscle and AV node), reflex tachycardia (nifedipine); contraindicated in

2nd and 3rd degree heart block, bradycardia, CHF

10. Hypertension Meds Part 3: -Heart Failure: ACEI or ARB as first-line, plus BB, plus
diuretic

-DM: ACE/ARB first line, IF African American, can start with CCB or Thiazide

-CKD: ACE/ARB first line, can add CCB or Thiazide

-Stroke Hx: ACE/ARB first line, add CCb or Thiazide as second-line drugs.

-African American even with DM Thiazides and CCBs.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ACELEARNERS. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67096 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$15.49
  • (0)
  Add to cart