ANCC AGACNP Certification exam with 100% correct answers

ANCC AGACNP Certification exam with 100% correct answers When should adults get the PNA vaccine? -answer Age 19-64: smoker, asthma, COPD, DM, ETOH, is immunocompromised or living in facility Age 65+: PPSV23 AND PCV13 How often should you get a physical exam? -answer Once from 11-14, 15-17, 18-21 Every 5-6 years from ages 20-59 Every 2 years from age 60+ When should you check lipid panel? -answer Starting at age 20 and every 5 years unless 200 mg/dL When should mammography and prostate screening begin? -answer Mammography: starting between 40-50 and continue as long as she has 10+ more years Prostate: At 40 if family hx of AA. At 50 for everyone else When should you have baseline ECG in place? -answer Age 40 When should colorectal screening start? -answer Age 50. Annual FOBT with flex sig q 5 years and colonoscopy q 10 years When should glaucoma testing start? -answer Age 40 and yearly When should herpes zoster be given? -answer Age 50-60 When can Pap smear be discontinued? -answer Age 65-70 with three consecutive normal tests and no abnormal tests in last 10 years Top 4 killers in the US of everyone -answer Heart disease, colorectal cancer, Lowe respiratory disease (COPD, asthma, flu, PNA), CVA stroke Cancer with highest mortality in both men and women? -answer Lung What is the most common cancer in women in the US? -answer Breast What is the most common cancer in men in the US? -answer Prostate Who should get hep A vaccine? -answer Military, travelers, men who have sex with men Who should have hep B vaccine? -answer Healthcare workers and high risk patients What is ginger used for and what should you watch for? -answer Nausea, dyspepsia, constipation, colic INCREASED RISK OF BLEEDING What is ginseng used for and what should you watch for? -answer Increase overall well- being, Lower cholesterol, reduce fatigue, enhance libido INCREASED RISK OF BLEEDING, mania with MAOIs, May inhibit opioids What is St. John's wort used for and what should you watch for? -answer Depression, anxiety, sleep disorders, BPH INCREASED RISK OF CLOTTING, many drug interactions, may increase efficacy of opioids What is echinacea used for and what should you watch for? -answer Common cold Anaphylaxis, hepatotoxicity, nephrotoxicity, increased sedation during anesthesia What is gingko Biloba used for and what should you watch for? -answer Memory and concentration, claudication and glaucoma INCREASED RISK OF BLEEDING, increased blood pressure Black cohosh use and warning -answer Menopausal discomfort INCREASED RISK OF BLEEDING Large amounts may cause seizures, visual changes and bradycardia What is evening primrose used for and what should you watch for? -answer Menopausal discomfort May elevate blood glucose May increase the risk of seizures What is kava kava used for and what should you watch for? -answer Improve relaxation without messing with clar