ANCC FNP BOARD EXAM LATEST REA L
EXAM 100+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES ALREDY
GRADED A+
Question 1: How many doses of Tdap or Td IM needed
for protection after clean minor wounds.
CORRECT 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.
Question 2: Non-"clean" minor wounds given both of
these if unknown tetanus hx or <3 doses of Tdap/Td.
CORRECT ANSWER: Tdap or Td IM & TIG
Question 3: Dirty wounds (puncture, crush injury, soil,
saliva, feces, dirt, avulsions, missiles, burns, frostbite)
CORRECT 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
Question 4: When to switch from DTap to Tdap in
children
CORRECT ANSWER: Age 7 or > given Tdap
Question 5: A woman becomes pregnant and received
Tdap during her last pregnancy 1 year ago. When should she receive her next dose.
CORRECT 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)".
Question 6: A person with a hx of anaphylaxis to
neomycin should avoid which immunizations (IZ)?
CORRECT ANSWER: IPV, MMR, varicella
Question 7: A person with a hx of anaphylaxis to
neomycin should avoid which immunizations (IZ)?
CORRECT ANSWER: IPV, vaccinia (smallpox)
Question 8: A person with a hx of anaphylaxis to bakers
yeast should avoid which immunizations (IZ)?
CORRECT ANSWER: Hepatitis B
Question 9: A person with a hx of anaphylaxis to gelatin
should avoid which immunizations (IZ)?
CORRECT ANSWER: varicella zoster (zostavax) and
MMR
Question 10: Epinephrine needs to be on hand for
potential anaphylaxis r/t immunization rxn. What other interventions/meds should be considered during anaphylaxis?CORRECT 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 H1/H2 blocker po (diphenhydramine, ranitidine)
IV access for fluids, Oxygen.Anticipate ED might give glucagon (if on beta blocker), systemic corticosteroids, bronchodilators
Question 11: s/s anaphylaxis
CORRECT ANSWER: Skin: pruritus, urticaria, angioedema
Resp: dyspnea, wheezing (bronchospasm), stridor
End-organ dysfunction: hypotension, collapse, syncope,
incontinence
Question 12: Which type of vaccine boosts immune
response better? conjugate vs. polysaccharide CORRECT ANSWER: conjugate (example: prevnar)
Question 13: Live attenuated (weaned) vaccines
CORRECT ANSWER: MMR, Varicella and intranasal
Flu-mist. Zostavax is also live. Shingrix is NOT live.