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ANCC Exam with 100% correct answers Latest Update 2024
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ANCC Exam with 100% correct answers Latest Update 2024
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ANCC Exam with 100% correctanswers Latest Update 2024
Types of prevention - answer-primary- car restraints, bicycle helmets,
immunizations
secondary- prevent for those with RF-pap, mammo
tertiary-mgmt of established disease- meds, lifestyle
Primary - answer-Preventing the health problem, most cost effective
form of healthcare **IMMUNIZATIONS, ensuring adequate
illumination at home (preventing falls)
Secondary - answer-Detecting disease in early asymptomatic stages,
screenings
-Early cause finding of asymptomatic disease via the use of a
screening test
Ex. highly abnormal mammo not final word
Tertiary - answer-Minimizing negative disease induced outcomes,
potentially viewed as a failure of primary prevention
Ex- rehab, PT, OT
Who should not receive influenza vaccine - answer-4 mon old born at
32 weeks gestation
receive flu- 6 mon and older
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,can give during pregnancy/lactation
give children 2x- 4 months apart
MMR - answer-preggers can't receive (no varicella, or zoster,
smallpox, flu mist, rotavirus), but lactation OK!
its live but weakened
give again to those born after 1957
Give to 6-11 month who are travelling outside US
May treat and have an innocent flat pink rash
2 doses ( at 12-15 mon and 4-6 years)
Tetanus - answer-can get from soil, a depth of the wound is
important
Preggers- get a tdap in her thirst trimester to pass onto the unborn
child (pertusis is a bad outcome!), family members need to be up to
date- can cause lockjaw
T-dap- 1 at 11-64 and then booster every 10
dTap-five doses
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,Pertussis- uncontrollable cough, vomitting, fatigue, dx:
nasopharyngeal culture and PCR testing
tx: Azithromycin
No pap smear - answer-prior to 21 or in elderly
Benadryl - answer-older, cross BBB, can cause sedation, urinary
retention (bad for BPH)
herpes zoster - answer-stronger chickenpox vaccine-zoster vaccine
post-herpetic neuralgia- persists after 1 month
Herpes keratitis is damage to the corneal epithelium caused by the
herpes virus, commonly shingles. The patient usually has acute onset
of eye pain, photophobia, and blurred vision in the affected eye.
primary open angle glaucoma - answer-peripheral vision loss,
elevated intraocular pressure, deep-cupping of optic disc, tx with
beta-adrenergic antag (Timolol), alpha agonists, prostaglandin
analogues
Glaucoma screening test- Tonometry
Normative aging - answer-Need for increased illumination
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, Macular degeneration - answer-central vision loss, common cause of
new onset blindness in elderly
More females
Screening tests- Amsler grid test
Meniere's disease (idio) vs. Meniere's syndrome (secondary) -
answer-dizziness, tinnitius, nystagmus, vertigo RF: ototoxic drugs, tx:
benzos for rest and corticosteroids for anti-inflam
oral cancer - answer-ulcerated lesion with indurated margins, most
common SCC, RF: HPV 16, screening at dental visits
beta lacatams with allergic reactions - answer-penecillins,
cephalosporins, carbapenems
rashes with Epstein Barr
Otitis externa - answer-Caused by fungus- Candidia or Aspergillus/P.
aeruginosa
hallmark is pain on palpating tragus
Tx--> fluoroquinolone
AOM - answer-S.penumoniae (gram pos)-40-50%, tx with
amox/cephalo, macrolides, resistance protein binding sites
H.influenza (gram neg)- can produce beta-lactamase
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