ANCC Boards 2023 Exam Questions With All Correct Answers

ANCC Boards 2023 Exam Questions With All Correct Answers Influenza vaccine contraindicated for When should it begin to be administered - CORRECT ANSWER egg allergy No greater than 6 months Flu mist age range for administration - CORRECT ANSWER 2-49 Hepatitis B vaccine allergy contraindication - CORRECT ANSWER Bakers yeast Neomycin allergy avoid - CORRECT ANSWER IPV, MMR, varicella Streptomycin allergy avoid - CORRECT ANSWER IPV and smallpox Treatment for anthrax - CORRECT ANSWER FluroQuinolone Treatment for stress incontinence 1st line drug and others - CORRECT ANSWER Pessary, Kegel Exercise, Pseudoephidrine Treatment for urge incontinence 1st line drug and others - CORRECT ANSWER Ditropan (others: Detrol, and Trofinil Which is the most common incontinence in elderly - CORRECT ANSWER urge incontinence How do you diagnose fibromyalgia - CORRECT ANSWER It is a diagnosis of exclusion no specific test can diagnose it. Patient can present with Live vaccines to avoid in pregnancy - CORRECT ANSWER Flu mist, MMR, varicella, Rotavirus, Zostavirus Normal vital signs for children - CORRECT ANSWER Vaginal condition would be considered the only one that would have an alkaline pH on the exam? Treatment Appearance on a smear - CORRECT ANSWER BV alkaine ph greater than 4.5 clue cells with bacteria on cell walls white discharge with fishy odor Treatment with Flagyl for days Amine Odor KOH + Vaginal condition that is considered an STD? What would the smear show Treatment - CORRECT ANSWER Trichomonias flagallea unicellular ph greater than 4 Flagyl for Migraine headache with aura Treatment preventive vs abortive options - CORRECT ANSWER unilateral N& V, photophobia, phonophobia last 4 hours Abortive:::: TRIPTANS (1st line) EROGOT NSAIDS Preventive TCA's Beta Blockers (1st line Propanolol) Four Ps of marketing the NP role. - CORRECT ANSWER product, price, place, and promotion. Alzheimer's disease. The three A's include: - CORRECT ANSWER aphasia (difficulty verbalizing); apraxia (difficulty with gross motor movements such as walking); and agnosia (inability to recognize familiar objects and people). Stages of Change - CORRECT ANSWER Precontemplation: patient is not interested in change and not aware there is a problem or minimizes it. Contemplation: Patient considering change and looking at the positive and negative. Feels stuck. Preparation: Patient has some change behaviors or thoughts. Action: Patient is ready to change and makes concrete steps. May be inconsistent Maintenance/relapse: Patient learns to continue with change and embraced a healthier habit but may relapse. Five A'a of intervention for smokers - CORRECT ANSWER Ask(Do you smoke), Advice (urge to quit) Assess (is the pt ready) Assist (counselng and pharmtherapy) Arrange (followup within first week after quit date) Number of Deaths for Leading Causes in Adults top 3 New Cases Which cancer has the highest rate uterine/endometrial or ovarian Most common skin and most malignant - CORRECT ANSWER 1.Heart Disease 2. Cancer ;;; Lung both Prostate males, Lung CA Breast Females, Lung CA Skin cancer most common Basal Cell most malignant melanoma 3. Chronic lower respiratory diseases Uterine/endometrial most common When should a colorectal cancer screen begin When should a PAP test begin How often for prostate When women are younger than 20 breast exam indicated When women are 30 breast exam indicated Mammogram Endometrial screening - CORRECT ANSWER Age 50 with FOBT and colonoscopy if result is positive or risk Age 21 and every three years if negative until age 65 for PAP (if hysterectomy total including cervix removal cervical screening can stop unless sx done for treatment of cancer No routine for prostate unless risk start at 40 At 20 at periodic exam and or monthly BSE At 20-30 Clinical breast exam every 3 years At 40 every year CBE Mammogram at age 40 every 1-2 years up to age 85 ENDO screening at menopause if there are risk and any abnormal vaginal bleeding Blood loss from acute hemorhage how much loss before drop in H and H - CORRECT ANSWER 1 liter RBC reduction causes - CORRECT ANSWER B12, folic acid and iron deficiency Anemia of chronic disease Bone marrow suppression Drugs like metformin and PPI use chronic Reduced RBC production (chronic renal failure) Hemolysis decreased RBC life norm 90-120 days LOW H & H values Normal MCV Normal MCH Normal RDW Normal Reticulocytes - CORRECT ANSWER Hemoglobin less than 10