ANCC LATEST 2026 STUDY GUIDE QUESTIONS AND
SOLUTIONS GUARANTEE A+
✔✔check DM patients urine for? - ✔✔microalbuminuria
✔✔what DM drug is best for homeless patient - ✔✔metformin
no weight gain
no hypogylcemia
✔✔what dm drugs are contraindicated in CHF - ✔✔tzd/actos
✔✔diagnose DM: what what hgbaic - ✔✔>6.5 on two occasions
✔✔What is the HgbA1c goal for adults? - ✔✔7
✔✔Sulfonylureas MOA - ✔✔Increase insulin secretion from pancreatic beta cells
✔✔ganglion cyst - ✔✔Fluid-filled cyst that forms on top of a joint or tendon; usually wrist
benign
✔✔varicose veins treatment - ✔✔Compression stocking and elevation - mild
refer to vascular surgery if severe
✔✔venous ulcers - ✔✔
✔✔macular degeneration: how to give pt information - ✔✔in big letters
✔✔hiking on mountain; what will happen to hgb/hct - ✔✔will increase- air is thinner-
hypoxia
✔✔Pap smear guidelines - ✔✔ages 21-29 pap every 3 years
ages 30-65 cotesting every 5 years or pap alone every 3
>65 none unless diagnosed with CIN II or III: pap every 5 years for 20 years after
diagnosis
✔✔most common std in teen - ✔✔chlamydia
✔✔positive titer - ✔✔means patient is immune
✔✔pregnant mother: negative hep b titer. when do you give hep b vaccine - ✔✔can
give now
, ✔✔Live vaccines are contraindicated in a patient who: - ✔✔is immunocompromised
✔✔at what age do you give flu and pneumonia vaccine - ✔✔>65
✔✔DTaP vaccine schedule - ✔✔2,4,6 mos, 15-18 mos, 4-6 years (5 before 5)
✔✔Tdap vaccine - ✔✔give at 11-12 once; if never gotten can give as a replacement to
TD booster once.
pregnant women should get this with every pregnancy
✔✔MMR vaccine schedule - ✔✔12-15 months, 4-6 yrs second dose
✔✔PAD : - ✔✔Shiny extremity
no hair
intermittent claudication
feels better when feet is dangled
ABI <0.9 - If not it isn't PAD
✔✔PAD ABI - ✔✔<0.9
✔✔Normal ABI range - ✔✔0.9-1.3
✔✔Scarlet fever - ✔✔Streptococcus pyogenes
fever
strawberry tongue
sandpaper rash
strep throat
(3 s)
✔✔Kawasaki disease - ✔✔(inflammation of blood vessles, hence the strawberry
tongue) causes coronary artery aneurysms. Form of vasculitis.
strawberry tongue
fever > 5 days
hand/feet desquamation
✔✔Tx Kawasaki disease - ✔✔IV Immunoglobulin and high dose aspirin
✔✔infective endocarditis - ✔✔inflammation of endothelium that lines heart and cardiac
valves. most commonly damages mitral valve
SOLUTIONS GUARANTEE A+
✔✔check DM patients urine for? - ✔✔microalbuminuria
✔✔what DM drug is best for homeless patient - ✔✔metformin
no weight gain
no hypogylcemia
✔✔what dm drugs are contraindicated in CHF - ✔✔tzd/actos
✔✔diagnose DM: what what hgbaic - ✔✔>6.5 on two occasions
✔✔What is the HgbA1c goal for adults? - ✔✔7
✔✔Sulfonylureas MOA - ✔✔Increase insulin secretion from pancreatic beta cells
✔✔ganglion cyst - ✔✔Fluid-filled cyst that forms on top of a joint or tendon; usually wrist
benign
✔✔varicose veins treatment - ✔✔Compression stocking and elevation - mild
refer to vascular surgery if severe
✔✔venous ulcers - ✔✔
✔✔macular degeneration: how to give pt information - ✔✔in big letters
✔✔hiking on mountain; what will happen to hgb/hct - ✔✔will increase- air is thinner-
hypoxia
✔✔Pap smear guidelines - ✔✔ages 21-29 pap every 3 years
ages 30-65 cotesting every 5 years or pap alone every 3
>65 none unless diagnosed with CIN II or III: pap every 5 years for 20 years after
diagnosis
✔✔most common std in teen - ✔✔chlamydia
✔✔positive titer - ✔✔means patient is immune
✔✔pregnant mother: negative hep b titer. when do you give hep b vaccine - ✔✔can
give now
, ✔✔Live vaccines are contraindicated in a patient who: - ✔✔is immunocompromised
✔✔at what age do you give flu and pneumonia vaccine - ✔✔>65
✔✔DTaP vaccine schedule - ✔✔2,4,6 mos, 15-18 mos, 4-6 years (5 before 5)
✔✔Tdap vaccine - ✔✔give at 11-12 once; if never gotten can give as a replacement to
TD booster once.
pregnant women should get this with every pregnancy
✔✔MMR vaccine schedule - ✔✔12-15 months, 4-6 yrs second dose
✔✔PAD : - ✔✔Shiny extremity
no hair
intermittent claudication
feels better when feet is dangled
ABI <0.9 - If not it isn't PAD
✔✔PAD ABI - ✔✔<0.9
✔✔Normal ABI range - ✔✔0.9-1.3
✔✔Scarlet fever - ✔✔Streptococcus pyogenes
fever
strawberry tongue
sandpaper rash
strep throat
(3 s)
✔✔Kawasaki disease - ✔✔(inflammation of blood vessles, hence the strawberry
tongue) causes coronary artery aneurysms. Form of vasculitis.
strawberry tongue
fever > 5 days
hand/feet desquamation
✔✔Tx Kawasaki disease - ✔✔IV Immunoglobulin and high dose aspirin
✔✔infective endocarditis - ✔✔inflammation of endothelium that lines heart and cardiac
valves. most commonly damages mitral valve
