ANCC FNP BOARD EXAM LATEST REAL EXAM 100+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES ALREDY GRADED A+ How many doses of Tdap or Td IM needed for protection after clean minor wounds. - ANSWER>>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. - ANSWER>>Tdap or Td IM & TIG Dirty wounds (puncture, crush injury, soil, saliva, feces, dirt, avulsions, missiles, burns, frostbite) - ANSWER>>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 - ANSWER>>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. - ANSWER>>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)? - ANSWER>>IPV, MMR, varicella A person with a hx of anaphylaxis to neomycin should avoid which immunizations (IZ)? - ANSWER>>IPV, vaccinia (smallpox) A person with a hx of anaphylaxis to bakers yeast should avoid which immunizations (IZ)? - ANSWER>>Hepatitis B A person with a hx of anaphylaxis to gelatin should avoid which immunizations (IZ)? - ANSWER>>varicella zoster (zostavax) and MMR