ANCC NURSE EXECUTIVE CERTIFICATION EXAM PREP 2026/2027
UPDATE | QUESTIONS AND VERIFIED ANSWERS | GRADED A+
What causes oral hairy leukoplakia? - ANSWER EBV
Koplik's spot - 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 - 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 look like a topographic
map
Cheilosis - ANSWER painful inflammation and cracking of the corners of the mouth
Peritonsillar abscess - ANSWER severe sore throat, difficulty swallowing, trismus, and muffled "hot
potato" voice
abscess displaces the uvula
pterygium - ANSWER yellow, triangular thickening of the conjunctiva that extends across the cornea
on the nasal side
Pinguecula - ANSWER yellowish, raised growth on the conjunctiva next to the cornea
Chalazion - ANSWER chronic inflammation of the meibomian gland
hordeolum (stye) - ANSWER stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby - ANSWER HEARS
Hyperbilirubinemia
Ear infection frequency
,low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
diabetic retinopathy - ANSWER cotton wool spots
Normal intraocular pressure - ANSWER 8-21mm Hg
Intermittent Esotropia - ANSWER common in infants younger than 20 weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease - ANSWER high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
pharyngitis - ANSWER acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis - ANSWER inflammatory changes of the nasal mucosa due to an allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis - ANSWER inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa - ANSWER Use aluminum acetate solution PRN (provides soothing,
effective relief of minor skin irritations and inflammation)
keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and/or ofloxacin drops
Bullous Myringitis - ANSWER small, fluid-filled blisters form on the eardrum
,First permanent teeth to erupt - ANSWER first molars at about 6 years of age
viral keratoconjunctivitis - ANSWER pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
what causes viral keratoconjunctivits? - ANSWER adenovirus
contagious for 10-12 days
self limiting
Transmission of sound through the ear - 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 - ANSWER screening a patient for colour blindness
Tx for otitis media - ANSWER 1st line- amoxicillin
blepharitis - ANSWER chronic condition caused by inflammation of the eyelids
contact lens keratitis - ANSWER eye pain, redness, excessive tearing, lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma - ANSWER sudden blockage of the aqueous humor
increased intraocular pressure
, Acute Rhinosinusitis - ANSWER inflammation of the mucosal lining of nasal passages, lasting up to 4
weeks, caused by allergens
Acute Bacterial Rhinosinusitis - ANSWER secondary bacterial infection, usually following viral URI
Diseases caused by S. pneumoniae - ANSWER COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza - ANSWER COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Common features of ABRS - ANSWER fever and symptoms duration of more than 10 days
maxillary toothache
initial symptom improvement and then worsening of symptoms (double sickening)
cacosmia (sense of bad odor in the nose)
unilateral facial pain
7 day tx is the best
Tx for ABRS in adults - ANSWER Initial therapy: amoxicillin or amox-clav
Beta-lactam allergy:
No anaphylaxis (cefdinir, cefpodoxime, cefuroxime)
anaphylaxis (levo, moxi, doxycycline)
UPDATE | QUESTIONS AND VERIFIED ANSWERS | GRADED A+
What causes oral hairy leukoplakia? - ANSWER EBV
Koplik's spot - 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 - 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 look like a topographic
map
Cheilosis - ANSWER painful inflammation and cracking of the corners of the mouth
Peritonsillar abscess - ANSWER severe sore throat, difficulty swallowing, trismus, and muffled "hot
potato" voice
abscess displaces the uvula
pterygium - ANSWER yellow, triangular thickening of the conjunctiva that extends across the cornea
on the nasal side
Pinguecula - ANSWER yellowish, raised growth on the conjunctiva next to the cornea
Chalazion - ANSWER chronic inflammation of the meibomian gland
hordeolum (stye) - ANSWER stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby - ANSWER HEARS
Hyperbilirubinemia
Ear infection frequency
,low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
diabetic retinopathy - ANSWER cotton wool spots
Normal intraocular pressure - ANSWER 8-21mm Hg
Intermittent Esotropia - ANSWER common in infants younger than 20 weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease - ANSWER high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
pharyngitis - ANSWER acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis - ANSWER inflammatory changes of the nasal mucosa due to an allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis - ANSWER inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa - ANSWER Use aluminum acetate solution PRN (provides soothing,
effective relief of minor skin irritations and inflammation)
keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and/or ofloxacin drops
Bullous Myringitis - ANSWER small, fluid-filled blisters form on the eardrum
,First permanent teeth to erupt - ANSWER first molars at about 6 years of age
viral keratoconjunctivitis - ANSWER pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
what causes viral keratoconjunctivits? - ANSWER adenovirus
contagious for 10-12 days
self limiting
Transmission of sound through the ear - 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 - ANSWER screening a patient for colour blindness
Tx for otitis media - ANSWER 1st line- amoxicillin
blepharitis - ANSWER chronic condition caused by inflammation of the eyelids
contact lens keratitis - ANSWER eye pain, redness, excessive tearing, lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma - ANSWER sudden blockage of the aqueous humor
increased intraocular pressure
, Acute Rhinosinusitis - ANSWER inflammation of the mucosal lining of nasal passages, lasting up to 4
weeks, caused by allergens
Acute Bacterial Rhinosinusitis - ANSWER secondary bacterial infection, usually following viral URI
Diseases caused by S. pneumoniae - ANSWER COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza - ANSWER COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Common features of ABRS - ANSWER fever and symptoms duration of more than 10 days
maxillary toothache
initial symptom improvement and then worsening of symptoms (double sickening)
cacosmia (sense of bad odor in the nose)
unilateral facial pain
7 day tx is the best
Tx for ABRS in adults - ANSWER Initial therapy: amoxicillin or amox-clav
Beta-lactam allergy:
No anaphylaxis (cefdinir, cefpodoxime, cefuroxime)
anaphylaxis (levo, moxi, doxycycline)
