ANCC Exam with 100% correct answers
2024/2025
Types of prevention - answer-primary- car restraints, bicycle
helmets, immunizations
secondary- prevent for those with RF-pap, mammo
tertiary-mgmt of established disease- meds, lifestyle
Primary - answer-Preventing the health problem, most cost
effective form of healthcare **IMMUNIZATIONS, ensuring
adequate illumination at home (preventing falls)
Secondary - answer-Detecting disease in early asymptomatic
stages, screenings
-Early cause finding of asymptomatic disease via the use of a
screening test
Ex. highly abnormal mammo not final word
Tertiary - answer-Minimizing negative disease induced
outcomes, potentially viewed as a failure of primary prevention
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Ex- rehab, PT, OT
Who should not receive influenza vaccine - answer-4 mon old
born at 32 weeks gestation
receive flu- 6 mon and older
can give during pregnancy/lactation
give children 2x- 4 months apart
MMR - answer-preggers can't receive (no varicella, or zoster,
smallpox, flu mist, rotavirus), but lactation OK!
its live but weakened
give again to those born after 1957
Give to 6-11 month who are travelling outside US
May treat and have an innocent flat pink rash
2 doses ( at 12-15 mon and 4-6 years)
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Tetanus - answer-can get from soil, a depth of the wound is
important
Preggers- get a tdap in her thirst trimester to pass onto the
unborn child (pertusis is a bad outcome!), family members need
to be up to date- can cause lockjaw
T-dap- 1 at 11-64 and then booster every 10
dTap-five doses
Pertussis- uncontrollable cough, vomitting, fatigue, dx:
nasopharyngeal culture and PCR testing
tx: Azithromycin
No pap smear - answer-prior to 21 or in elderly
Benadryl - answer-older, cross BBB, can cause sedation,
urinary retention (bad for BPH)
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herpes zoster - answer-stronger chickenpox vaccine-zoster
vaccine
post-herpetic neuralgia- persists after 1 month
Herpes keratitis is damage to the corneal epithelium caused by
the herpes virus, commonly shingles. The patient usually has
acute onset of eye pain, photophobia, and blurred vision in the
affected eye.
primary open angle glaucoma - answer-peripheral vision loss,
elevated intraocular pressure, deep-cupping of optic disc, tx
with beta-adrenergic antag (Timolol), alpha agonists,
prostaglandin analogues
Glaucoma screening test- Tonometry
Normative aging - answer-Need for increased illumination
Macular degeneration - answer-central vision loss, common
cause of new onset blindness in elderly
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