FNP ANCC boards Questions and Correct Answers the Latest Update and Recommended Version
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Course
FNP ANCC
Institution
FNP ANCC
Dose of Tetanus Immune Globulin (TIG)
250 units IM
How many doses of Tdap or Td IM needed for protection after clean minor wounds.
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 wo...
✓ 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
✓ 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.
✓ 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)".
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A person with a hx of anaphylaxis to neomycin should avoid which immunizations (IZ)?
✓ IPV, MMR, varicella
A person with a hx of anaphylaxis to neomycin should avoid which immunizations (IZ)?
✓ IPV, vaccinia (smallpox)
A person with a hx of anaphylaxis to bakers yeast should avoid which immunizations (IZ)?
✓ Hepatitis B
A person with a hx of anaphylaxis to gelatin should avoid which immunizations (IZ)?
✓ 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?
✓ 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
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