ANCC Exam Questions and Answers
Graded A+
Types of prevention - Correct answer-primary- car restraints, bicycle helmets,
immunizations
secondary- prevent for those with RF-pap, mammo
tertiary-mgmt of established disease- meds, lifestyle
Primary - Correct answer-Preventing the health problem, most cost effective form
of healthcare **IMMUNIZATIONS, ensuring adequate illumination at home
(preventing falls)
Secondary - Correct 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 - Correct answer-Minimizing negative disease induced outcomes,
potentially viewed as a failure of primary prevention
,Ex- rehab, PT, OT
Who should not receive influenza vaccine - Correct 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 - Correct 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)
Tetanus - Correct 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 - Correct answer-prior to 21 or in elderly
Benadryl - Correct answer-older, cross BBB, can cause sedation, urinary retention
(bad for BPH)
herpes zoster - Correct 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 - Correct 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 - Correct answer-Need for increased illumination
Macular degeneration - Correct answer-central vision loss, common cause of new
onset blindness in elderly
More females
Screening tests- Amsler grid test
Meniere's disease (idio) vs. Meniere's syndrome (secondary) - Correct answer-
dizziness, tinnitius, nystagmus, vertigo RF: ototoxic drugs, tx: benzos for rest and
corticosteroids for anti-inflam
Graded A+
Types of prevention - Correct answer-primary- car restraints, bicycle helmets,
immunizations
secondary- prevent for those with RF-pap, mammo
tertiary-mgmt of established disease- meds, lifestyle
Primary - Correct answer-Preventing the health problem, most cost effective form
of healthcare **IMMUNIZATIONS, ensuring adequate illumination at home
(preventing falls)
Secondary - Correct 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 - Correct answer-Minimizing negative disease induced outcomes,
potentially viewed as a failure of primary prevention
,Ex- rehab, PT, OT
Who should not receive influenza vaccine - Correct 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 - Correct 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)
Tetanus - Correct 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 - Correct answer-prior to 21 or in elderly
Benadryl - Correct answer-older, cross BBB, can cause sedation, urinary retention
(bad for BPH)
herpes zoster - Correct 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 - Correct 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 - Correct answer-Need for increased illumination
Macular degeneration - Correct answer-central vision loss, common cause of new
onset blindness in elderly
More females
Screening tests- Amsler grid test
Meniere's disease (idio) vs. Meniere's syndrome (secondary) - Correct answer-
dizziness, tinnitius, nystagmus, vertigo RF: ototoxic drugs, tx: benzos for rest and
corticosteroids for anti-inflam
