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FNP ANCC boards Exam Study Guide
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FNP ANCC boards Exam Study Guide Dose of Tetanus Immune Globulin (TIG) - Answer-250 units IM How many doses of Tdap or Td IM needed for protection after clean minor wounds. - Answer-Three doses needed. If <3, unknown, or >10 years since last dose give dose of Tdap or Td for clean minor wo...

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  • October 15, 2024
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  • 2024/2025
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RESERVED. FIRST PUBLISH OCTOBER, 2024



FNP ANCC boards Exam Study Guide

Dose of Tetanus Immune Globulin (TIG) - Answer✔✔-250 units IM


How many doses of Tdap or Td IM needed for protection after clean minor wounds. -

Answer✔✔-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 wounds given both of these if unknown tetanus hx or <3 doses of Tdap/Td. -

Answer✔✔-Tdap or Td IM & TIG


Dirty wounds (puncture, crush injury, soil, saliva, feces, dirt, avulsions, missiles, burns, frostbite)

- Answer✔✔-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 - Answer✔✔-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. - Answer✔✔-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)? -

Answer✔✔-IPV, MMR, varicella


A person with a hx of anaphylaxis to neomycin should avoid which immunizations (IZ)? -

Answer✔✔-IPV, vaccinia (smallpox)


A person with a hx of anaphylaxis to bakers yeast should avoid which immunizations (IZ)? -

Answer✔✔-Hepatitis B


A person with a hx of anaphylaxis to gelatin should avoid which immunizations (IZ)? -

Answer✔✔-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? - Answer✔✔-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



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H1/H2 blocker po (diphenhydramine, ranitidine)




IV access for fluids, Oxygen.




Anticipate ED might give glucagon (if on beta blocker), systemic corticosteroids, bronchodilators


s/s anaphylaxis - Answer✔✔-Skin: pruritus, urticaria, angioedema




Resp: dyspnea, wheezing (bronchospasm), stridor




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


PCV-13 - Answer✔✔-Prevnar. Greater protection, Narrower coverage. Pneumococcal conjugate.


PCV23 - Answer✔✔-lesser protection, broader coverage


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

Answer✔✔-conjugate (example: prevnar)




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