Page 1 of 190
ANCC EXAM PREP NEWEST 2025 ACTUAL EXAM TEST
BANK| COMPLETE 700 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (MOST RECENT!!)
Types of prevention .....ANSWER..... primary- car restraints,
bicycle helmets, immunizations
secondary- prevent for those with RF-pap, mammo
tertiary-mgmt of established disease- meds, lifestyle
Primary .....ANSWER..... Preventing the health problem, most cost
effective form of healthcare **IMMUNIZATIONS, ensuring
adequate illumination at home (preventing falls)
Secondary .....ANSWER..... Detecting disease in early
asymptomatic stages, screenings
-Early cause finding of asymptomatic disease via the use of a
screening test
,Page 2 of 190
Ex. highly abnormal mammo not final word
Tertiary .....ANSWER..... Minimizing negative disease induced
outcomes, potentially viewed as a failure of primary prevention
Ex- rehab, PT, OT
Who should not receive influenza vaccine .....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 .....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
,Page 3 of 190
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 .....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
, Page 4 of 190
Pertussis- uncontrollable cough, vomitting, fatigue, dx:
nasopharyngeal culture and PCR testing
tx: Azithromycin
No pap smear .....ANSWER..... prior to 21 or in elderly
Benadryl .....ANSWER..... older, cross BBB, can cause sedation,
urinary retention (bad for BPH)
herpes zoster .....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.
ANCC EXAM PREP NEWEST 2025 ACTUAL EXAM TEST
BANK| COMPLETE 700 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (MOST RECENT!!)
Types of prevention .....ANSWER..... primary- car restraints,
bicycle helmets, immunizations
secondary- prevent for those with RF-pap, mammo
tertiary-mgmt of established disease- meds, lifestyle
Primary .....ANSWER..... Preventing the health problem, most cost
effective form of healthcare **IMMUNIZATIONS, ensuring
adequate illumination at home (preventing falls)
Secondary .....ANSWER..... Detecting disease in early
asymptomatic stages, screenings
-Early cause finding of asymptomatic disease via the use of a
screening test
,Page 2 of 190
Ex. highly abnormal mammo not final word
Tertiary .....ANSWER..... Minimizing negative disease induced
outcomes, potentially viewed as a failure of primary prevention
Ex- rehab, PT, OT
Who should not receive influenza vaccine .....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 .....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
,Page 3 of 190
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 .....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
, Page 4 of 190
Pertussis- uncontrollable cough, vomitting, fatigue, dx:
nasopharyngeal culture and PCR testing
tx: Azithromycin
No pap smear .....ANSWER..... prior to 21 or in elderly
Benadryl .....ANSWER..... older, cross BBB, can cause sedation,
urinary retention (bad for BPH)
herpes zoster .....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.
