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ANCC FNP Certification Exam Questions & Answers | Family Nurse Practitioner Study Guide 2026/2027

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ANCC FNP Certification Exam Questions & Answers | Family Nurse Practitioner Study Guide 2026/2027

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ANCC FNP Exam Questions and Correct
Answers the Latest Update and
Recommended Version
Treatment for mild allergic conjunctivits

✓ 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

✓ elongated papilla of the lateral aspect on the tongue


What causes oral hairy leukoplakia?

✓ EBV


Koplik's spot

✓ 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

✓ 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



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✓ painful inflammation and cracking of the corners of the mouth


Peritonsillar abscess

✓ severe sore throat, difficulty swallowing, trismus, and muffled "hot potato" voice
✓ abscess displaces the uvula


pterygium

✓ yellow, triangular thickening of the conjunctiva that extends across the cornea on the
nasal side


Pinguecula

✓ yellowish, raised growth on the conjunctiva next to the cornea


Chalazion

✓ chronic inflammation of the meibomian gland


hordeolum (stye)

✓ stye
✓ abscess of a hair follicle and sebaceous gland on the eyelid


High risk factors for hearing loss in premature baby




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✓ HEARS
✓ Hyperbilirubinemia
✓ Ear infection frequency
✓ low Apgar scores
✓ exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
✓ Seizures


diabetic retinopathy

✓ cotton wool spots


Normal intraocular pressure

✓ 8-21mm Hg


Intermittent Esotropia

✓ common in infants younger than 20 weeks
✓ resolves spontaneously
✓ refer if present after 20 weeks


Kawasaki Disease

✓ high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
✓ strawberry tongue
✓ most cases under 5 years of age


pharyngitis

✓ acute infection of the pharynx
✓ stuffy nose, rhinitis with clear mucus, and watery eyes




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allergic rhinitis

✓ inflammatory changes of the nasal mucosa due to an allergy response
✓ most common sign: transverse nasal crease (allergic salute)


tonsillitis

✓ inflammation of the tonsils
✓ sore throat, difficulty swallowing, tender lymph nodes


Treatment for otitis externa

✓ 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

✓ small, fluid-filled blisters form on the eardrum


First permanent teeth to erupt

✓ first molars at about 6 years of age


viral keratoconjunctivitis

✓ 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



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