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ANCC FNP Board Exam questions and answers 2024/2025
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ANCC FNP Board Exam 21.Baby with yellow drainage from eye
-bacterial conjunctivitis
-gonococcal ophthalmia neonatorum
-chlamydial ophthalmia neonatorum (trachoma)
2.Pyloric stenosis
-traditional presentation - four-6 week antique (first born) male with projectile, nonbilious
vomiting; olive-like mass better palpated straight away after vomiting; happens in
three.Five/1000 births
-diagnosis made via ultrasound
-differential diagnoses should include - GERD; milk protein intolerance; intestinal obstruction
-management - refer for surgical correction (laparoscopic pyloromyotomy)
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3.Brainpower
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Rubeola
-measles - due to rubeola virus - measles, rubeola, and Koplik all have one L in them
-symptoms include fever, malaise, and the 3 Cs - conjunctivitis, coryza (runny nostril,
congestion), and cough
,-maculopapular "brick pink" rash; starts offevolved on head and neck; spreads centrifugally to
trunk and extremities
-Koplik spots - enanthem (rash on mucus membrane) associated with rubeola; 1-3mm
white/blue/gray elevations on the buccal mucosa, hard, and smooth palate; resemble grains of
sand; precede rash
3.GERD with Barrett’s esophagus
-Barrett's esophagus is a protracted-term complication of GERD and is a premalignancy to
esophageal cancer
-Barrett's esophagus is identified by way of higher endoscopy with biopsy
-Any affected person with at the least a decade history of continual heartburn have to be stated
GI for endoscopy to rule out Barrett's esophagus
-remedy for Barrett's is PPI BID and H2 blocker qhs
4.Migraine treatment
-triptans are used as abortive treatment for migraines
-prophylactic treatment for migraines consists of - avoid triggers, beta blockers (propranolol),
TCAs (amitriptyline, nortriptyline), anticonvulsants (topiramate), gabapentin
Coombs’ take a look at
-oblique Coombs' test is executed early in pregnancy to determine if there are antibodies to the
Rh issue in the mother's blood
-If pregnant lady is located to be Rh terrible, she will be able to get hold of RhoGam at 28 weeks
gestation and within seventy two hours of delivery
-If pregnant girl is Rh poor and miscarries or terminates the pregnancy, she should nonetheless
get hold of RhoGam
Allergic conjunctivitis in kids
-due to an acute type I hypersensitivity to allergen
-symptoms - itchy eyes, watery or stringy discharge, chemosis (swelling of the conjunctiva),
eyelid edema, rhinitis, and an "allergic shiner"
-commonly happens bilaterally
treatment is oral antihistamine
Otitis externa – “swimmer’s ear”
, -bacterial contamination of the external ear canal
-greater not unusual all through warm, humid weather (summer)
-common organisms - pseudomonas aeruginosa (gram -), staphylococcus aureus (gram +)
-symptoms - external ear ache, swelling, inexperienced purulent discharge typically following
recent swimming
-remedy - cortisporin otic drops QID x 7 days; keep water out of the ear during remedy
Elderly lady with beefy red maceration under breast
-possibly superficial candidiasis - superficial skin yeast infection promoted by way of accelerated
warm temperature and humidity, friction, and reduced immunity; usually takes place in
intertriginous areas (beneath breast, axillae, abdomen, groin, and internet areas between toes)
-remedy - nystatin powder/cream; OTC topical antifungal; hold pores and skin dry and aerated
Patient with records of HTN and stroke now having memory loss; indicative of?
-vascular dementia
Molloscum contagiosum
-small papules (5mm) which are dome-formed with important umbilication and white "plug"
-self-limiting
-contagious, spread by means of pores and skin-to-skin contact
-If located on the genital area of younger children, should improve suspicion of baby sexual
abuse
Gravida 4 affected person, hasn’t given start in 5 years and is producing milk; commonplace
cause of galactorrhea?
-an excessive amount of prolactin is most not unusual purpose
-different causes include certain medicines/tablets (sedatives, antipsychotics, antidepressants,
antihypertensives, opioids, cocaine, marijuana, start manipulate drugs, herbal dietary
supplements); pituitary tumor; hypothyroidism; CKD; immoderate breast stimulation; spinal twine
injury; nerve damage to chest wall
Five-yr-antique baby who changed into potty educated at age 3; has been soiling himself for 3
months
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