FNP ANCC boards
, Dose of Tetanus Immune Globulin (TIG) - CORRECT ANSWERS-250 units IM
How many doses of Tdap or Td IM needed for protection after clean minor wounds. -
CORRECT ANSWERS-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. - CORRECT ANSWERS-Tdap or Td IM & TIG
Dirty wounds (puncture, crush injury, soil, saliva, feces, dirt, avulsions, missiles, burns,
frostbite) - CORRECT ANSWERS-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 - CORRECT ANSWERS-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. - CORRECT ANSWERS-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)? -
CORRECT ANSWERS-IPV, MMR, varicella
A person with a hx of anaphylaxis to neomycin should avoid which immunizations (IZ)? -
CORRECT ANSWERS-IPV, vaccinia (smallpox)
A person with a hx of anaphylaxis to bakers yeast should avoid which immunizations
(IZ)? - CORRECT ANSWERS-Hepatitis B
A person with a hx of anaphylaxis to gelatin should avoid which immunizations (IZ)? -
CORRECT ANSWERS-varicella zoster (zostavax) and MMR
Epinephrine needs to be on hand for potential anaphylaxis r/t immunization rxn. What
other interventions/meds should be considered during anaphylaxis? - CORRECT
ANSWERS-Supine, 911, give epinephrine:
7.5-15kg: give 0.1 mg IM x1
15 to <30 kg: give 0.15mg IM; may repeat in 5-15 min x1
>30 kg or Adult: Epipen 0.3mg/0.3mL IM; may repeat in 5-15 min
, Dose of Tetanus Immune Globulin (TIG) - CORRECT ANSWERS-250 units IM
How many doses of Tdap or Td IM needed for protection after clean minor wounds. -
CORRECT ANSWERS-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. - CORRECT ANSWERS-Tdap or Td IM & TIG
Dirty wounds (puncture, crush injury, soil, saliva, feces, dirt, avulsions, missiles, burns,
frostbite) - CORRECT ANSWERS-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 - CORRECT ANSWERS-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. - CORRECT ANSWERS-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)? -
CORRECT ANSWERS-IPV, MMR, varicella
A person with a hx of anaphylaxis to neomycin should avoid which immunizations (IZ)? -
CORRECT ANSWERS-IPV, vaccinia (smallpox)
A person with a hx of anaphylaxis to bakers yeast should avoid which immunizations
(IZ)? - CORRECT ANSWERS-Hepatitis B
A person with a hx of anaphylaxis to gelatin should avoid which immunizations (IZ)? -
CORRECT ANSWERS-varicella zoster (zostavax) and MMR
Epinephrine needs to be on hand for potential anaphylaxis r/t immunization rxn. What
other interventions/meds should be considered during anaphylaxis? - CORRECT
ANSWERS-Supine, 911, give epinephrine:
7.5-15kg: give 0.1 mg IM x1
15 to <30 kg: give 0.15mg IM; may repeat in 5-15 min x1
>30 kg or Adult: Epipen 0.3mg/0.3mL IM; may repeat in 5-15 min
