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ANCC Exam Review Questions and Answers 100% Solved

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ANCC Exam Review Questions and Answers 100% Solved Metformin - rare risk of lactic acidosis, often occures w/ impaired renal fx, hypovolemia, low perfusion, advanced age. hold during surgery or imaging w/ radiocontrast the day of and 48 hrs post. lisinopril - cat d drug in pregnancy teenager ...

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  • October 20, 2024
  • 129
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Ancc
  • Ancc
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JOSHCLAY
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

ANCC Exam Review Questions and

Answers 100% Solved


Metformin - ✔✔rare risk of lactic acidosis, often occures w/ impaired renal

fx, hypovolemia, low perfusion, advanced age. hold during surgery or

imaging w/ radiocontrast the day of and 48 hrs post.

lisinopril - ✔✔cat d drug in pregnancy

teenager w/ menorrhagia who cant insert tampons - ✔✔mirena IUD best

choice



(copper increases bleeding, implant increases bleeding)

tension headaches - ✔✔bilateral. moderate pressing pain, recurring. no

photophobia or nausea.



prevent recurrence - TCAs (SE weight gain, drowsiness, dry mouth)

LNG-IUD - ✔✔casues endometrial atrophy, 50% of users have amenorrhea

by end of 2 years. fertility returns soon after removal. progestin conrtibutes

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

to thickening og cervical mucus. minimizes upper reproductive rtact

infections. atrophy prevents impantation of ovum.

COCs - ✔✔reduce menstrual volume by 60%

copper IUD - ✔✔increases menstrual bleeding and may contribute to

increase in upper reproductive rtact infections.

BPH. which tests to assess degree of voiding dysfunction - ✔✔residual

volume and urine flow rates- non invasive so immediate testing.



rectal US - prostate size and weight



cystography and retrograde and voiding urethrography - eval of bladder or

urethral diverticula



cytourethroscopy - confirm presence and effects of bladder neck

obstruction d/t BPH

urethral stricture - ✔✔c/o urinary dribbling after voiding, urge incontinence,

hx of STI

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

can result from infection, injuries (falling off bike), post surgical procedures.

more common in men <45.



pelvic floor weakness - stress incontinence



detrusor overactivity and UTI - urge incontinence

prilosec - ✔✔can decrease mg

Meningitis - ✔✔brudzinski sign

kernig sign

appendicitis - ✔✔McBurney's Point - point bt umbilicus and anteriosuperior

iliac spine (find maximal amount of tenderness)



Obturator sign - pain w/ passive flexion and internal rotation of the right hip,

indicative of peritoneal irritation



Psoas sign - pain on passive extension of the right hip, illicit by having pt

lay straight and raise right leg against resistance



Rovsing's sign - pain elicited by palpating LLQ

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.


CT best dx tool

MCL - ✔✔Valgus stress test (gum, push knee in)

LCL - ✔✔varus stress test

ACL - ✔✔lachman and anterior drawer



audible pop at injury

Meniscus - ✔✔mcmurray, thessaly, apley



rotational pain



hip flexed, knee externally rotated as knee is moved from full flexion to

extension. snap heard or felt suggests tear.

Thessaly test



(meniscus) - ✔✔•pt standing and facing dr while holding hands/shoulders

to stablize them

•stand on one leg, initially have knee relaxed (*this is about 5° of flexion*)

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