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Exam (elaborations)

FNP ANCC boards EXAM 2024/2025 Questions And Answers

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FNP ANCC boards EXAM 2024/2025 Questions And AnswersFNP ANCC boards EXAM 2024/2025 Questions And AnswersFNP ANCC boards EXAM 2024/2025 Questions And AnswersFNP ANCC boards EXAM 2024/2025 Questions And AnswersFNP ANCC boards EXAM 2024/2025 Questions And AnswersFNP ANCC boards EXAM 2024/2025 Question...

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  • April 16, 2024
  • 22
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • FNP ANCC
  • FNP ANCC
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DoctorKen
FNP ANCC boards EXAM 2024/2025

Questions And Answers



1. Dose of Tetanus Immune Globulin (TIG)

250 units IM

2. 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.

3. Non-"clean" minor wounds given both of these if unknown tetanus hx or <3

doses of Tdap/Td.

Tdap or Td IM & TIG

4. Dirty wounds (puncture, crush injury, soil, saliva, feces, dirt, avulsions,

missiles, burns, frostbite)

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

5. When to switch from DTap to Tdap in children

Age 7 or > given Tdap

6. 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)".

7. A person with a hx of anaphylaxis to neomycin should avoid which

immunizations (IZ)?

IPV, MMR, varicella

8. A person with a hx of anaphylaxis to neomycin should avoid which

immunizations (IZ)?

IPV, vaccinia (smallpox)

9. A person with a hx of anaphylaxis to bakers yeast should avoid which

immunizations (IZ)?

Hepatitis B

10. A person with a hx of anaphylaxis to gelatin should avoid which

immunizations (IZ)?

varicella zoster (zostavax) and MMR

11. 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

12. s/s anaphylaxis

Skin: pruritus, urticaria, angioedema



Resp: dyspnea, wheezing (bronchospasm), stridor



End-organ dysfunction: hypotension, collapse, syncope, incontinence

13. PCV-13

Prevnar. Greater protection, Narrower coverage. Pneumococcal conjugate.

14. PCV23

lesser protection, broader coverage

15. Which type of vaccine boosts immune response better? conjugate vs.

polysaccharide

conjugate (example: prevnar)

16. Live attenuated (weaned) vaccines

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