ANCC exam questions

[cymphilly]

Hi all,

I am preparing for the ANCC NP exam next week. However, still have couples questions dont know the exactly answers. Would you mind giving me some insights? thanks for any responses.

(1) Does a pt with history of MVP require amoxicillin 2gm before dental surgery?

(2) What is the better method for assessing an Alzheimer's pt: obtain history from relatives and pt first, or take the mini-mental exam first?

(3) why does a 20 years old pt who had tetorifice booster 6 years ago still requires to take the booster of Td vaccine again when she has a cut on her hand when she was working in a garden?

(4) does A1C count as one of the acceptable methods in DM diagnosis now?

(5) why does G6PD deficency pt can not take Pneumovax?

(6) why does a pt with MCV 102 fL require to meaure serum ferritin and peripheral smear, rather than meaure serum folate and B12 level?

[nitasarn]

1. No only if pt has prosthetic valve, previous hx of endocarditis or a chd2. I'd say MME3. If it's been more than 5 years then she needs a booster shot4. Yes if greater than 6.5 5 hmm I didn't know that was a contraindication?6. You may want to get the ferritin and the smear to see how bad the anemia is and if it's a true megoblastic large cell anemia

[cymphilly]

Thanks so much, Nitasarn!