FNP ANCC boards Exam Questions With All Correct Answers
6 views 0 purchase
Course
FNP ANCC boards
Institution
FNP ANCC Boards
FNP ANCC boards Exam Questions With All Correct Answers
Dose of Tetanus Immune Globulin (TIG) - Answer-250 units IM
/.How many doses of Tdap or Td IM needed for protection after clean minor wounds. - Answer-Three doses needed. If <3, unknown, or >10 years since last dose give dose of Td...
Dose of Tetanus Immune Globulin (TIG) - Answer-250 units IM
/.How many doses of Tdap or Td IM needed for protection after clean minor wounds. -
Answer-Three doses needed. If <3, unknown, or >10 years since last dose give dose of
Tdap or Td for clean minor wounds. No need to give TIG.
/.Non-"clean" minor wounds given both of these if unknown tetanus hx or <3 doses of
Tdap/Td. - Answer-Tdap or Td IM & TIG
/.Dirty wounds (puncture, crush injury, soil, saliva, feces, dirt, avulsions, missiles, burns,
frostbite) - Answer-If <3 doses Tdap or Td give both Tdap and TIG 250 units. If 3 doses
in past, but none in the last 5 years then given Tdap or Td. No need to give TIG If 3 or >
doses in the past
/.When to switch from DTap to Tdap in children - Answer-Age 7 or > given Tdap
/.A woman becomes pregnant and received Tdap during her last pregnancy 1 year ago.
When should she receive her next dose. - Answer-Tdap is recommended for each
pregnancy.
"Getting Tdap between 27 through 36 weeks of pregnancy is 78% more effective at
preventing whooping cough in babies younger than 2 months old (CDC)".
/.A person with a hx of anaphylaxis to neomycin should avoid which immunizations (IZ)?
- Answer-IPV, MMR, varicella
/.A person with a hx of anaphylaxis to neomycin should avoid which immunizations (IZ)?
- Answer-IPV, vaccinia (smallpox)
/.A person with a hx of anaphylaxis to bakers yeast should avoid which immunizations
(IZ)? - Answer-Hepatitis B
/.A person with a hx of anaphylaxis to gelatin should avoid which immunizations (IZ)? -
Answer-varicella zoster (zostavax) and MMR
/.Epinephrine needs to be on hand for potential anaphylaxis r/t immunization rxn. What
other interventions/meds should be considered during anaphylaxis? - Answer-Supine,
911, give epinephrine:
7.5-15kg: give 0.1 mg IM x1
15 to <30 kg: give 0.15mg IM; may repeat in 5-15 min x1
, >30 kg or Adult: Epipen 0.3mg/0.3mL IM; may repeat in 5-15 min
H1/H2 blocker po (diphenhydramine, ranitidine)
IV access for fluids, Oxygen.
Anticipate ED might give glucagon (if on beta blocker), systemic corticosteroids,
bronchodilators
/.Which type of vaccine boosts immune response better? conjugate vs. polysaccharide -
Answer-conjugate (example: prevnar)
/.Live attenuated (weaned) vaccines - Answer-MMR, Varicella and intranasal Flu-mist.
Zostavax is also live. Shingrix is NOT live.
/.When is rotavirus vaccine contraindicated? - Answer-SCID (severe combined
immunodeficiency) or hx intussusception
/.Precautions after rotavirus - Answer-hand washing!; viral shed in stool in first week
post-vaccination
/.Shingrix: timing and dosing - Answer-=/> 50 y/o, 2 doses, 2nd dose two to six months
after 1st dose.
Under age 50 y/o gets shingles; think immunocompromise vs. stress.
/.What month does the CDC release a new vaccination schedule each year? - Answer-
Feb
/.What s/s are associated with leukemia? - Answer-fever, wt loss, fatigue, bone pain,
bleeding, bruising.
/.What bloodwork should be obtained in suspected leukemia? - Answer-WBCs >20,000
(think through common causes of leukocytosis: infection, stress, inflammation) --> get a
peripheral smear (AKA manual diff)
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 kartelodoc. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
