ANCC FNP EXAM QUESTIONS WITH
CORRECT ANSWERS 2025
Treatment for mild allergic conjunctivits - CORRECT ANSWER -Topical antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate amount of tears (oral antihistamines may induce
dry eye syndrome)
Oral hairy leukoplakia - CORRECT ANSWER -elongated papilla of the lateral aspect on the tongue
What causes oral hairy leukoplakia? - CORRECT ANSWER -EBV
Koplik's spot - CORRECT ANSWER -
clusters of small red papules with white centers located on the buccal mucosa by the lower molars (o =
kopliks)
Prodromic viral of measles appears 2-3 days before the rash
Geographic tongue - CORRECT ANSWER -
inflammatory disorder that usually appears on top and side of the tongue
multiple fissures and irreregular smoother areas on its surface that make it lookBlike a topographic map
Cheilosis - CORRECT ANSWER -painful inflammation and cracking of the corners of the mouth
Peritonsillar abscess - CORRECT ANSWER -
severe sore throat, difficulty swallowing, trismus, and muffled "hot potato" voice
abscess displacesBthe uvula
pterygium - CORRECT ANSWER -
yellow, triangular thickening of the conjunctiva that extends across the cornea on the nasal side
Pinguecula - CORRECT ANSWER -yellowish, raised growth on the conjunctiva next to the cornea
,Chalazion - CORRECT ANSWER -chronic inflammation of the meibomian gland
Hordeolum - CORRECT ANSWER -stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby - CORRECT ANSWER -HEARSB
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
diabetic retinopathy - CORRECT ANSWER -cotton wool spots
Normal intraocular pressure - CORRECT ANSWER -8-21mm Hg
Intermittent Esotropia -BCORRECT ANSWER -common in infants younger than 20 weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease - CORRECT ANSWER -
high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
pharyngitis - CORRECT ANSWER -acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
,allergic rhinitis - CORRECT ANSWER -
inflammatory changes of the nasal mucosa due to an allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis - CORRECT ANSWER -inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa - CORRECT ANSWER -
Use aluminum acetate solution PRN (provides soothing, effective relief of minor skin irritations and infla
mmation)
keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and/or ofloxacin drops
Bullous Myringitis - CORRECT ANSWER -small, fluid-filled blisters form on the eardrum
First permanent teeth to erupt - CORRECT ANSWER -first molars at about 6 years of age
viral keratoconjunctivitis - CORRECT ANSWER -pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haringBtowels, frequent eye washing
children should not attend school until symptoms resolve
what causes viral keratoconjunctivits? - CORRECT ANSWER -adenovirus
contagious for 10-12 days
self limiting
Transmission of sound through the ear - CORRECT ANSWER -1. sound waves are collected in the pinna
2. transmission of vibrations through the hammer, anvil and stirrup
3. nerve impulses stimulate in the inner ear
, 4. vibrations are transmitted of the cerebral cortex auditory center
5. sound is interpreted by the cerebral cortex
Ishihara chart - CORRECT ANSWER -screening a patient for colour blindness
Tx for otitis media - CORRECT ANSWER -1st line- amoxicillin
blepharitis - CORRECT ANSWER -chronic condition caused by inflammation of the eyelids
contact lens keratitis - CORRECT ANSWER -eye pain, redness, excessive tearing, lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma - CORRECT ANSWER -sudden blockage of the aqueous humor
increased intraocular pressure
Acute Rhinosinusitis - CORRECT ANSWER -
inflammation of the mucosal lining of nasal passages, lasting up to 4 weeks, caused by allergens
Acute Bacterial Rhinosinusitis - CORRECT ANSWER -
secondary bacterial infection, usually following viral URI
Diseases caused by S. pneumoniae - CORRECT ANSWER -COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza - CORRECT ANSWER -COMPS
CORRECT ANSWERS 2025
Treatment for mild allergic conjunctivits - CORRECT ANSWER -Topical antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate amount of tears (oral antihistamines may induce
dry eye syndrome)
Oral hairy leukoplakia - CORRECT ANSWER -elongated papilla of the lateral aspect on the tongue
What causes oral hairy leukoplakia? - CORRECT ANSWER -EBV
Koplik's spot - CORRECT ANSWER -
clusters of small red papules with white centers located on the buccal mucosa by the lower molars (o =
kopliks)
Prodromic viral of measles appears 2-3 days before the rash
Geographic tongue - CORRECT ANSWER -
inflammatory disorder that usually appears on top and side of the tongue
multiple fissures and irreregular smoother areas on its surface that make it lookBlike a topographic map
Cheilosis - CORRECT ANSWER -painful inflammation and cracking of the corners of the mouth
Peritonsillar abscess - CORRECT ANSWER -
severe sore throat, difficulty swallowing, trismus, and muffled "hot potato" voice
abscess displacesBthe uvula
pterygium - CORRECT ANSWER -
yellow, triangular thickening of the conjunctiva that extends across the cornea on the nasal side
Pinguecula - CORRECT ANSWER -yellowish, raised growth on the conjunctiva next to the cornea
,Chalazion - CORRECT ANSWER -chronic inflammation of the meibomian gland
Hordeolum - CORRECT ANSWER -stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby - CORRECT ANSWER -HEARSB
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
diabetic retinopathy - CORRECT ANSWER -cotton wool spots
Normal intraocular pressure - CORRECT ANSWER -8-21mm Hg
Intermittent Esotropia -BCORRECT ANSWER -common in infants younger than 20 weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease - CORRECT ANSWER -
high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
pharyngitis - CORRECT ANSWER -acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
,allergic rhinitis - CORRECT ANSWER -
inflammatory changes of the nasal mucosa due to an allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis - CORRECT ANSWER -inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa - CORRECT ANSWER -
Use aluminum acetate solution PRN (provides soothing, effective relief of minor skin irritations and infla
mmation)
keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and/or ofloxacin drops
Bullous Myringitis - CORRECT ANSWER -small, fluid-filled blisters form on the eardrum
First permanent teeth to erupt - CORRECT ANSWER -first molars at about 6 years of age
viral keratoconjunctivitis - CORRECT ANSWER -pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haringBtowels, frequent eye washing
children should not attend school until symptoms resolve
what causes viral keratoconjunctivits? - CORRECT ANSWER -adenovirus
contagious for 10-12 days
self limiting
Transmission of sound through the ear - CORRECT ANSWER -1. sound waves are collected in the pinna
2. transmission of vibrations through the hammer, anvil and stirrup
3. nerve impulses stimulate in the inner ear
, 4. vibrations are transmitted of the cerebral cortex auditory center
5. sound is interpreted by the cerebral cortex
Ishihara chart - CORRECT ANSWER -screening a patient for colour blindness
Tx for otitis media - CORRECT ANSWER -1st line- amoxicillin
blepharitis - CORRECT ANSWER -chronic condition caused by inflammation of the eyelids
contact lens keratitis - CORRECT ANSWER -eye pain, redness, excessive tearing, lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma - CORRECT ANSWER -sudden blockage of the aqueous humor
increased intraocular pressure
Acute Rhinosinusitis - CORRECT ANSWER -
inflammation of the mucosal lining of nasal passages, lasting up to 4 weeks, caused by allergens
Acute Bacterial Rhinosinusitis - CORRECT ANSWER -
secondary bacterial infection, usually following viral URI
Diseases caused by S. pneumoniae - CORRECT ANSWER -COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza - CORRECT ANSWER -COMPS
