ANCC Questions And Answers

What is the first line treatment for temporal arteritis? – High-dose steroids because it's an inflammatory response Why is an anecdotal or expert opinion lowest on the research hierarchy? – Can be a single person or a group of experts giving an opinion, but there is no research What is the screening test for temporal arteritis? – Elevated ESR and CRP as well Which condition causes bilateral stiffness lasting 30 minutes or more located in the shoulders, neck, hips, and torso; more common in women 50 and closely related to temporal arteritis? – Polymyalgia rheumatica (PMR) Are routine eye exams covered by Medicare part B? – No In trigeminal neuralgia, which cranial nerve is affected? – V What is the treatment for trigeminal neuralgia? – Anticonvulsants (phenytoin) and muscle relaxants (gabapentin, topiramate) Who monitors and disciplines the nurse practitioners? – BON What presents as an abrupt onset of facial paralysis due to dysfunction of the motor branch of the facial nerve (7)? – Bell's Palsy - Additional sx: Tear production on the affected side stops - Causes: viral, autoimmune, pressure from tumor or vessel What presents as idiopathic and severe one-sided headache marked by recurrent, brief, lacerating pain behind one eye accompanied by tearing and clear rhinitis? – Cluster Headache - Presents in males 30-40 yrs of age - Higher rate of suicide r/t intense pain - Tx: high dose 100% Oxygen 12L/min for 15 minutes, sumatriptan by intranasal or IM