1
ANCC FNP BOARDS EXAM REVIEW (2023- 2025)
QUESTIONS AND VERIFIED ANSWERS
• Epinephrine needs to be on hand for potential anaphylaxis r/t
immunization rxn. What other interventions/meds should be considered
during anaphylaxis?
~ Answer: 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
~ H1/h2 blocker po (diphenhydramine, ranitidine)
~ Iv access for fluids, oxygen.
Anticipate ed might give glucagon (if on beta blocker),
systemic cortic osteroids, bronchodilators
• Alzheimer'sIdiseaseIpathophysiology, s/s, most commonly
prescribed meds
~ Answer: lackIofIacetylcholine
~ Aphasia, apraxia,Iagnosia.
~ Donepezil (aricept)IisIapproved to treat all stages ofIthe
disease. It's ta kenIonceIaIday asIa pill.
~ GalantamineI(razadyne) is approved to treat mild to
moderate alzheim er's. ...
~ Rivastigmine (exelon) is approved for mild to moderate
alzheimer's dis ease.
• The philadelphia chromosome is associated with what disease?
~ Answer: philadelphia chromosome (ph): the chromosome
abnormality that causes chronic myeloid leukemia (cml).
,2
• Dm ii criteria
~ Answer: 2 hr post ogtt 75gm load blood glucose
>/=200mg/dl, rando m plasma glucose >/=200mg/dl, fasting
plasma glucose >/=126mg/dl, hga1c >/= 6.5%
Independent variable
~ Answer: being manipulated in theIstudy; it is not affected by
the other variables in the study.
• Dependent variable
~ Answer: theIvariableIthatIchanges depending on the
manipulation ofIt he independentIvariableIinIaIstudy
• Name the triadIofIintussusception
~ Answer: currantIjelly stools, sausage-like mass, pain.
• WhatIpercentage ofIintussusception cases present without the full classic
triad o fIsymptoms?
~ Answer: ⅓ ofIpatients do not pass blood or mucus or
develop abdomi nal mass
,3
• Name and quantify gina's 4 clinical classifications ofIasthma severity
~ Answer: intermittent= fev1 >80% predicted
~ Mild persistent = fev1>80% predicted
~ Moderate persist=fev1 60-80% predict
~ Severe persist= fev1 <60% predicted
• Mtts
~ Answer: medial tibial stress syndrome/fracture aka shin
splints; comm on in run/jump sports. Typically correlates
withIsudden increase in trai ning. Focal pain and tenderness
@Ithe 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 ifIfxIpresent.
, 4
• S/s anaphylaxis
~ Answer: skin: pruritus,Iurticaria,Iangioedema
~ Resp: dyspnea, wheezing (bronchospasm),Istridor
~ End-organ dysfunction: hypotension,
collapse,Isyncope,Iincontinence
• Pcv-13
~ Answer: prevnar.IGreaterIprotection, narrower coverage.
Pneumococca l conjugate.
• Pcv23
~ Answer: lesser protection, broader coverage
• Which type ofIvaccine boosts immune response better? Conjugate vs.
Polysaccharide
~ Answer: conjugate (example: prevnar)
• Live attenuated (weaned) vaccines
ANCC FNP BOARDS EXAM REVIEW (2023- 2025)
QUESTIONS AND VERIFIED ANSWERS
• Epinephrine needs to be on hand for potential anaphylaxis r/t
immunization rxn. What other interventions/meds should be considered
during anaphylaxis?
~ Answer: 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
~ H1/h2 blocker po (diphenhydramine, ranitidine)
~ Iv access for fluids, oxygen.
Anticipate ed might give glucagon (if on beta blocker),
systemic cortic osteroids, bronchodilators
• Alzheimer'sIdiseaseIpathophysiology, s/s, most commonly
prescribed meds
~ Answer: lackIofIacetylcholine
~ Aphasia, apraxia,Iagnosia.
~ Donepezil (aricept)IisIapproved to treat all stages ofIthe
disease. It's ta kenIonceIaIday asIa pill.
~ GalantamineI(razadyne) is approved to treat mild to
moderate alzheim er's. ...
~ Rivastigmine (exelon) is approved for mild to moderate
alzheimer's dis ease.
• The philadelphia chromosome is associated with what disease?
~ Answer: philadelphia chromosome (ph): the chromosome
abnormality that causes chronic myeloid leukemia (cml).
,2
• Dm ii criteria
~ Answer: 2 hr post ogtt 75gm load blood glucose
>/=200mg/dl, rando m plasma glucose >/=200mg/dl, fasting
plasma glucose >/=126mg/dl, hga1c >/= 6.5%
Independent variable
~ Answer: being manipulated in theIstudy; it is not affected by
the other variables in the study.
• Dependent variable
~ Answer: theIvariableIthatIchanges depending on the
manipulation ofIt he independentIvariableIinIaIstudy
• Name the triadIofIintussusception
~ Answer: currantIjelly stools, sausage-like mass, pain.
• WhatIpercentage ofIintussusception cases present without the full classic
triad o fIsymptoms?
~ Answer: ⅓ ofIpatients do not pass blood or mucus or
develop abdomi nal mass
,3
• Name and quantify gina's 4 clinical classifications ofIasthma severity
~ Answer: intermittent= fev1 >80% predicted
~ Mild persistent = fev1>80% predicted
~ Moderate persist=fev1 60-80% predict
~ Severe persist= fev1 <60% predicted
• Mtts
~ Answer: medial tibial stress syndrome/fracture aka shin
splints; comm on in run/jump sports. Typically correlates
withIsudden increase in trai ning. Focal pain and tenderness
@Ithe 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 ifIfxIpresent.
, 4
• S/s anaphylaxis
~ Answer: skin: pruritus,Iurticaria,Iangioedema
~ Resp: dyspnea, wheezing (bronchospasm),Istridor
~ End-organ dysfunction: hypotension,
collapse,Isyncope,Iincontinence
• Pcv-13
~ Answer: prevnar.IGreaterIprotection, narrower coverage.
Pneumococca l conjugate.
• Pcv23
~ Answer: lesser protection, broader coverage
• Which type ofIvaccine boosts immune response better? Conjugate vs.
Polysaccharide
~ Answer: conjugate (example: prevnar)
• Live attenuated (weaned) vaccines
