FNP ANCC boards / FNP ANCC BOARDS EXAM ACTUAL QUESTIONS AND ANSWERS GRADED A+

FNP ANCC boards / FNP ANCC BOARDS EXAM ACTUAL QUESTIONS AND ANSWERS GRADED A+ What percentage of intussusception cases present without the full classic triad of symptoms? - ANS-⅓ of patients do not pass blood or mucus or develop abdominal mass Name and quantify GINA's 4 clinical classifications of asthma severity - ANS-intermittent= FEV1 80% predicted mild persistent = FEV180% predicted moderate persist=FEV1 60-80% predict severe persist= FEV1 60% predicted MTTS - ANS-Medial Tibial Stress syndrome/fracture AKA shin splints; common in run/jump sports. Typically correlates with sudden increase in training. Focal pain and tenderness @ the medial tibia present with both. Tx: RICE. Pain at rest = likely fracture; get an MRI as plain film will not show stress fx. Refer to ortho if fx present. span of normal adult liver in cm - ANS-6 to 15 cm in midclavicular line. Typically 12cm in MDL but up to 15cm is normal. Next steps for pregnant primigravida with low AFP, low estriol and high hCG - ANS-Order ultrasound to eval for down's syndrome as these are classic findings. Dose of Tetanus Immune Globulin (TIG) - ANS-250 units IM How many doses of Tdap or Td IM needed for protection after clean minor wounds. - ANS-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. - ANS-Tdap or Td IM & TIG Dirty wounds (puncture, crush injury, soil, saliva, feces, dirt, avulsions, missiles, burns, frostbite) - ANS-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 - ANS-Age 7 or given Tdap