ANCC FNP ACTUAL EXAM NEWEST 2025 & 2026
COMPLETE 350 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ ANCC FAMILY NURSING
PRACTITIONER 2026
What causes oral hairy leukoplakia? - CORRECT ANSWERS EBV
Koplik's spot - CORRECT ANSWERS 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 ANSWERS 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 - CORRECT ANSWERS painful inflammation and cracking of the
corners of the mouth
Peritonsillar abscess - CORRECT ANSWERS severe sore throat, difficulty
swallowing, trismus, and muffled "hot potato" voice
abscess displaces the uvula
pterygium - CORRECT ANSWERS yellow, triangular thickening of the
conjunctiva that extends across the cornea on the nasal side
Pinguecula - CORRECT ANSWERS yellowish, raised growth on the
conjunctiva next to the cornea
Chalazion - CORRECT ANSWERS chronic inflammation of the meibomian
gland
hordeolum (stye) - CORRECT ANSWERS stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby - CORRECT ANSWERS
HEARS
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
,Seizures
diabetic retinopathy - CORRECT ANSWERS cotton wool spots
Normal intraocular pressure - CORRECT ANSWERS 8-21mm Hg
Intermittent Esotropia - CORRECT ANSWERS common in infants younger
than 20 weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease - CORRECT ANSWERS high fever, enlarged lymph
nodes, conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
pharyngitis - CORRECT ANSWERS acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis - CORRECT ANSWERS inflammatory changes of the nasal
mucosa due to an allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis - CORRECT ANSWERS inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa - CORRECT ANSWERS 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 - CORRECT ANSWERS small, fluid-filled blisters form on
the eardrum
First permanent teeth to erupt - CORRECT ANSWERS first molars at about
6 years of age
viral keratoconjunctivitis - CORRECT ANSWERS 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? - CORRECT ANSWERS adenovirus
,contagious for 10-12 days
self limiting
Transmission of sound through the ear - CORRECT ANSWERS 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 ANSWERS screening a patient for colour
blindness
Tx for otitis media - CORRECT ANSWERS 1st line- amoxicillin
blepharitis - CORRECT ANSWERS chronic condition caused by
inflammation of the eyelids
contact lens keratitis - CORRECT ANSWERS eye pain, redness, excessive
tearing, lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma - CORRECT ANSWERS sudden blockage
of the aqueous humor
increased intraocular pressure
Acute Rhinosinusitis - CORRECT ANSWERS inflammation of the mucosal
lining of nasal passages, lasting up to 4 weeks, caused by allergens
Acute Bacterial Rhinosinusitis - CORRECT ANSWERS secondary bacterial
infection, usually following viral URI
Diseases caused by S. pneumoniae - CORRECT ANSWERS COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza - CORRECT ANSWERS COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
, Common features of ABRS - CORRECT ANSWERS 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 - CORRECT ANSWERS Initial therapy: amoxicillin or
amox-clav
Beta-lactam allergy:
No anaphylaxis (cefdinir, cefpodoxime, cefuroxime)
anaphylaxis (levo, moxi, doxycycline)
*macrolide abx (azithro, clarithro, erythro) and TMX-SMX (Bactrim) not recommended in
ABRS tx
Doxycycline - CORRECT ANSWERS pregnancy risk: Cat D
Resp fluroquinolones - CORRECT ANSWERS pregnancy risk: Cat C
Normal hearing - CORRECT ANSWERS no lateralization
AC>BC
Sensorineural hearing loss - CORRECT ANSWERS lateralization to good
ear (sound is heard louder in the normal ear)
AC>BC
Conductive hearing loss - CORRECT ANSWERS lateralization to bad ear
(sound is heard louder in the bad ear)
BC>AC
Allergic rhinitis - CORRECT ANSWERS inflammatory, IgE mediated
disease due to genetic and environmental interactions and characterized by nasal
congestion, rhinorrhea, sneezing, intraocular and/or nasal itching
Allergic rhinitis treatment - CORRECT ANSWERS 1st line- avoid allergen
controller
- intranasal corticosteroids (fluticasone propionate (flonase), triamcinolone)- number of
days prior to symptom relief
- intranasal antihistamine (azelastine)- rapid symptom relief
Reliever therapy
- 2nd gen PO antihistamine (loratadine (clairtin), cetirizine (zyrtec)
- ocular antihistamines- helpful in managing allergic conjunctivitis signs and symptoms
(olopatadine, azelastine)
COMPLETE 350 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ ANCC FAMILY NURSING
PRACTITIONER 2026
What causes oral hairy leukoplakia? - CORRECT ANSWERS EBV
Koplik's spot - CORRECT ANSWERS 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 ANSWERS 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 - CORRECT ANSWERS painful inflammation and cracking of the
corners of the mouth
Peritonsillar abscess - CORRECT ANSWERS severe sore throat, difficulty
swallowing, trismus, and muffled "hot potato" voice
abscess displaces the uvula
pterygium - CORRECT ANSWERS yellow, triangular thickening of the
conjunctiva that extends across the cornea on the nasal side
Pinguecula - CORRECT ANSWERS yellowish, raised growth on the
conjunctiva next to the cornea
Chalazion - CORRECT ANSWERS chronic inflammation of the meibomian
gland
hordeolum (stye) - CORRECT ANSWERS stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby - CORRECT ANSWERS
HEARS
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
,Seizures
diabetic retinopathy - CORRECT ANSWERS cotton wool spots
Normal intraocular pressure - CORRECT ANSWERS 8-21mm Hg
Intermittent Esotropia - CORRECT ANSWERS common in infants younger
than 20 weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease - CORRECT ANSWERS high fever, enlarged lymph
nodes, conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
pharyngitis - CORRECT ANSWERS acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis - CORRECT ANSWERS inflammatory changes of the nasal
mucosa due to an allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis - CORRECT ANSWERS inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa - CORRECT ANSWERS 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 - CORRECT ANSWERS small, fluid-filled blisters form on
the eardrum
First permanent teeth to erupt - CORRECT ANSWERS first molars at about
6 years of age
viral keratoconjunctivitis - CORRECT ANSWERS 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? - CORRECT ANSWERS adenovirus
,contagious for 10-12 days
self limiting
Transmission of sound through the ear - CORRECT ANSWERS 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 ANSWERS screening a patient for colour
blindness
Tx for otitis media - CORRECT ANSWERS 1st line- amoxicillin
blepharitis - CORRECT ANSWERS chronic condition caused by
inflammation of the eyelids
contact lens keratitis - CORRECT ANSWERS eye pain, redness, excessive
tearing, lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma - CORRECT ANSWERS sudden blockage
of the aqueous humor
increased intraocular pressure
Acute Rhinosinusitis - CORRECT ANSWERS inflammation of the mucosal
lining of nasal passages, lasting up to 4 weeks, caused by allergens
Acute Bacterial Rhinosinusitis - CORRECT ANSWERS secondary bacterial
infection, usually following viral URI
Diseases caused by S. pneumoniae - CORRECT ANSWERS COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza - CORRECT ANSWERS COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
, Common features of ABRS - CORRECT ANSWERS 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 - CORRECT ANSWERS Initial therapy: amoxicillin or
amox-clav
Beta-lactam allergy:
No anaphylaxis (cefdinir, cefpodoxime, cefuroxime)
anaphylaxis (levo, moxi, doxycycline)
*macrolide abx (azithro, clarithro, erythro) and TMX-SMX (Bactrim) not recommended in
ABRS tx
Doxycycline - CORRECT ANSWERS pregnancy risk: Cat D
Resp fluroquinolones - CORRECT ANSWERS pregnancy risk: Cat C
Normal hearing - CORRECT ANSWERS no lateralization
AC>BC
Sensorineural hearing loss - CORRECT ANSWERS lateralization to good
ear (sound is heard louder in the normal ear)
AC>BC
Conductive hearing loss - CORRECT ANSWERS lateralization to bad ear
(sound is heard louder in the bad ear)
BC>AC
Allergic rhinitis - CORRECT ANSWERS inflammatory, IgE mediated
disease due to genetic and environmental interactions and characterized by nasal
congestion, rhinorrhea, sneezing, intraocular and/or nasal itching
Allergic rhinitis treatment - CORRECT ANSWERS 1st line- avoid allergen
controller
- intranasal corticosteroids (fluticasone propionate (flonase), triamcinolone)- number of
days prior to symptom relief
- intranasal antihistamine (azelastine)- rapid symptom relief
Reliever therapy
- 2nd gen PO antihistamine (loratadine (clairtin), cetirizine (zyrtec)
- ocular antihistamines- helpful in managing allergic conjunctivitis signs and symptoms
(olopatadine, azelastine)
