ANCC FN1 EXAM SCRIPT COMPLETE QUESTIONS AND ANSWERS
◍ What antigen is strongly associated with DM I? Answer:Human
Leukocyte Antigen
◍ What type of antibodies are found in approximately 90% of
patients with DM I? Answer:Islet cell antibodies
◍ DM Dx: Random Plasma Glucose Answer:> 200 mg/dL + plyuria,
polydipsia and weight loss
◍ DM Dx: Serum fasting blood sugar Answer:> 126 mg/dL on two
separate occasions
◍ DM Dx: oral glucose tolerance test Answer:> 200 mg/dL two hours
post prandial
◍ DM Dx: HgA1C normal Answer:5.5-7%
◍ Impaired Glucose Tolerance: FBG range Answer:100-125 mg/dL
◍ DM Dietary Teaching: Carbohydrates Answer:55-60% otal caloric
intake
, ◍ The general rule of thumb for insulin therapy in patients who
present with ketones (3) Answer:1. 0.5 u/kg/day
2. AM: 2/3 dose
3. PM: 1/3 dose
◍ Conventional Split Dose Mixtures (2) Answer:1. Morning dose of
insulin: 2/3 NPH and 1/3 Regular
2. Evening dose: 1/2 NPH and 1/2 Regular
◍ Diabetes Mellitus I: Intensive Insulin Therapy Answer:reduce or
omit the PM dose and add a portion at bedtime
◍ What is often the first symptom in women who present with DM
II? Answer:Recurrent vaginitis
◍ Syndrome X Components (3) Answer:1. Obesity
2. Hypertension
3. Abnormal lipid profiles (HDL, triglycerides)
◍ Metabolic Syndrome (5) Answer:1. Waist circumference (men > 40
in; women > 35 in)
2. BP > 130/85
3. Triglycerides > 150
4. HDL (men < 40; women < 50)
◍ What antigen is strongly associated with DM I? Answer:Human
Leukocyte Antigen
◍ What type of antibodies are found in approximately 90% of
patients with DM I? Answer:Islet cell antibodies
◍ DM Dx: Random Plasma Glucose Answer:> 200 mg/dL + plyuria,
polydipsia and weight loss
◍ DM Dx: Serum fasting blood sugar Answer:> 126 mg/dL on two
separate occasions
◍ DM Dx: oral glucose tolerance test Answer:> 200 mg/dL two hours
post prandial
◍ DM Dx: HgA1C normal Answer:5.5-7%
◍ Impaired Glucose Tolerance: FBG range Answer:100-125 mg/dL
◍ DM Dietary Teaching: Carbohydrates Answer:55-60% otal caloric
intake
, ◍ The general rule of thumb for insulin therapy in patients who
present with ketones (3) Answer:1. 0.5 u/kg/day
2. AM: 2/3 dose
3. PM: 1/3 dose
◍ Conventional Split Dose Mixtures (2) Answer:1. Morning dose of
insulin: 2/3 NPH and 1/3 Regular
2. Evening dose: 1/2 NPH and 1/2 Regular
◍ Diabetes Mellitus I: Intensive Insulin Therapy Answer:reduce or
omit the PM dose and add a portion at bedtime
◍ What is often the first symptom in women who present with DM
II? Answer:Recurrent vaginitis
◍ Syndrome X Components (3) Answer:1. Obesity
2. Hypertension
3. Abnormal lipid profiles (HDL, triglycerides)
◍ Metabolic Syndrome (5) Answer:1. Waist circumference (men > 40
in; women > 35 in)
2. BP > 130/85
3. Triglycerides > 150
4. HDL (men < 40; women < 50)
