FNP ANCC boards / FNP ANCC
BOARDS EXAM 2023-2025
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 = FEV1>80% 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
, A woman becomes pregnant and received Tdap during her
last pregnancy 1 year ago. When should she receive her next
dose. - ANS-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)? - ANS-IPV, MMR, varicella
A person with a hx of anaphylaxis to neomycin should avoid
which immunizations (IZ)? - ANS-IPV, vaccinia (smallpox)
A person with a hx of anaphylaxis to bakers yeast should
avoid which immunizations (IZ)? - ANS-Hepatitis B
A person with a hx of anaphylaxis to gelatin should avoid
which immunizations (IZ)? - ANS-varicella zoster (zostavax)
and MMR
Epinephrine needs to be on hand for potential anaphylaxis
r/t immunization rxn. What other interventions/meds should
BOARDS EXAM 2023-2025
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 = FEV1>80% 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
, A woman becomes pregnant and received Tdap during her
last pregnancy 1 year ago. When should she receive her next
dose. - ANS-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)? - ANS-IPV, MMR, varicella
A person with a hx of anaphylaxis to neomycin should avoid
which immunizations (IZ)? - ANS-IPV, vaccinia (smallpox)
A person with a hx of anaphylaxis to bakers yeast should
avoid which immunizations (IZ)? - ANS-Hepatitis B
A person with a hx of anaphylaxis to gelatin should avoid
which immunizations (IZ)? - ANS-varicella zoster (zostavax)
and MMR
Epinephrine needs to be on hand for potential anaphylaxis
r/t immunization rxn. What other interventions/meds should
