UPDATED 2023–2024 ANCC FAMILY NURSE
PRACTITIONER EXAM | 200+ QUESTIONS &
VERIFIED ANSWERS
◉ 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)".
◉ 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
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
PRACTITIONER EXAM | 200+ QUESTIONS &
VERIFIED ANSWERS
◉ 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)".
◉ 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
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
