Family Nurse Practitioner Exam ANCC – American Nurses
Credentialing Center FNP Certification – Comprehensive Practice
Questions and Exam Preparation Material
Kaposi Sarcoma - Correct Answer -Characteristic purple areas on the nose in an HIV-
positive female. A type of cancer that can form in the skin, lymph nodes, or other
organs. The skin lesions are usually purple in color.
Malodorous single nares - Correct Answer -Foreign body
Retinal Detachment - Correct Answer -the retina separates from the layer
underneath. Symptoms include an increase in the number of floaters, flashes of light,
and worsening of the outer part of the visual field.
Adolescent with friable nasal turbinate’s - Correct Answer -Cocaine use
Aphtha’s ulcer - Correct Answer -a recurrent round or oval sore or ulcer inside the
mouth on an area where the skin is not tightly bound to the underlying bone, such as
on the inside of the lips and cheeks or underneath the tongue. Aphtha’s ulcers can
also affect the genitalia in males and females.
GERD first line TX - Correct Answer -h2 then pip if doesn’t work
Maxillary Sinusitis - Correct Answer -Dental pain
Kamal Triangle - Correct Answer -Anterior epitaxies
Roseola infant - Correct Answer -H. fever => small pink dots pink or raised body rash
=> arms
Acne Rosacea - Correct Answer -"adult acne." most often in adults (30-50 years of
age). Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically does
not resolve after puberty. Rosacea strikes both sexes and potentially all ages. It tends
to be more frequent in women but more severe in men. It is very uncommon in
children, and it is less frequent in people with dark skin. TX with Flagel
AV Nicking - Correct Answer -HTN, arteries crossing veins
Blepharitis - Correct Answer -commonly occurs when the tiny oil glands of the inner
eyelid become inflamed. It often occurs along with other skin conditions or allergies.
Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes also
are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating
underlying conditions. However, blepharitis tends to come back.
1
, Hoodlum - Correct Answer -Painful style it hurts
chelation - Correct Answer -Non painful lesion to eyelid
Cotton Wool - Correct Answer -Cotton wool spots are an abnormal finding on
funduscopic exam of the retina of the eye. They appear as fluffy white patches on the
retina. They are caused by damage to nerve fibers and are a result of accumulations
of exoplasmic material within the nerve fiber layer. Systemic HTN, DM
Herpes Zoster - Correct Answer -Early signs of shingles include a burning sensation
or stabbing pain and tingling or itching on the skin. After a few days, a rash or blisters
appear usually on one side of the body or face. When the rash is at its peak,
symptoms can range from mild itching to extreme and debilitating pain. TX within 72
hours Clover
Retinoblastoma (Rib) - Correct Answer -Absence of light reflex, it is a rare form of
cancer that rapidly develops from the immature cells of a retina, the light-detecting
tissue of the eye. It is the most common primary malignant intraocular cancer in
children, and it is almost exclusively found in young children.
Seborrheic dermatitis (Dandruff) - Correct Answer -commonly involves portions of
the scalp, brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it to
affect the skin of infants and young children where it often involves the scalp (cradle
cap) and the diaper area. Seborrheic dermatitis is also known as seborrhea.
Seborrheic Keratosis - Correct Answer -A seborrheic keratosis is a harmless warty
spot that appears during adult life as a common sign of skin aging. ... Seborrheic
keratosis (or seborrheic keratosis, using American spelling) is also called SK, basal cell
papilloma, senile wart, brown wart or barnacle.
Cupping of disc - Correct Answer -Intracranial pressure
Sub conjunctival hemorrhage - Correct Answer -is bleeding underneath the
conjunctiva. It can occur after a sudden or severe sneeze or cough, heavy lifting,
straining, vomiting or even rubbing one's eyes too roughly. It can also occur as a side
effect of eye surgery or blood thinners.
The main symptom is a bright red patch in the eye that may spread and then become
green or yellow, much like a bruise. Usually it disappears within two weeks.
In most cases, no treatment is required for this condition.
Sialolithiasis (also termed salivary calculi, or salivary stones) - Correct Answer -A
condition where a calcified mass or sailcloth forms within a salivary gland, usually in
the duct of the submandibular gland (also termed "Wharton's duct").
Honey Crusted lesions - Correct Answer -Impetigo is a bacterial infection that
involves the superficial skin. The most common presentation is yellowish crusts on
2
, the face, arms, or legs. Less commonly there may be large blisters which affect the
groin or armpits. The lesions may be painful or itchy. Fever is uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus pyogenic. Risk
factors include attending day care, crowding, poor nutrition, diabetes mellitus,
contact sports, and breaks in the skin such as from mosquito bites, eczema, scabies,
or herpes. With contact it can spread around or between people. Diagnosis is
typically based on the symptoms.
Prevention is by hand washing, avoiding people who are infected, and cleaning
injuries. Treatment is typically with antibiotic creams such as mupirocin or fluidic
acid. Antibiotics by mouth, such as cephalexin, may be used if large areas are
affected. Antibiotic-resistant forms have been found.
Mild acne - Correct Answer -Skin wash retinol benzoyl
moderate acne - Correct Answer -retinol plus tetracycline’s oral ax
Retinol reaction - Correct Answer -decrease to 3 times a day
Well demarcated cellulitis - Correct Answer -erysipelas affects the dermis, most
commonly on the legs, and tends to be sharply demarcated. Cellulitis, which typically
affects the lower legs, involves the subcutaneous fat and is often less well
demarcated. ... The diagnosis of cellulitis or erysipelas is usually clinical.
Polymyalgia rheumatic - Correct Answer -you feel pain and stiffness in the muscles in
your shoulders and upper arms (shoulder girdle) and hips (pelvic girdle). This feeling
often comes after you've spent time resting, and is most severe upon wakening from
sleep.
Fibromyalgia - Correct Answer -can also cause muscle pain in the same parts of the
body. But it's more wide-spread and the pain is more severe. People with
fibromyalgia tend to experience other symptoms as well, including:
tiredness
trouble sleeping
memory problems
bowel and bladder problems
Temporal arteritis - Correct Answer -is a condition in which the temporal arteries,
which supply blood to the head and brain, become inflamed or damaged. It is also
known as cranial arteritis or giant cell arteritis. Although this condition usually occurs
in the temporal arteries, it can occur in almost any medium to large artery in the
body.
Temporal arteritis - Correct Answer -ESR CRP Biopsy
3
, Temporal arteritis - Correct Answer -S/SX double vision
sudden, permanent loss of vision in one eye
a throbbing headache that's usually in the temples
fatigue
weakness
loss of appetite
jaw pain, which sometimes can occur with chewing
fever
unintentional weight loss
shoulder pain, hip pain, and stiffness
tenderness in the scalp and temple areas
Basal Cell carcinoma - Correct Answer -Most common form
herpes keratosis - Correct Answer -acute onset, photophobia, blurred vision
refer to ophthalmologist
Pinworms - Correct Answer -itching at rectum, worst at no, scotch tape, also known
as enterobiasis
Cellulitis worsening - Correct Answer -Suspect DVD
Millie - Correct Answer -white spots on mouth w/ infants
Kawasaki Disease - Correct Answer -Redeye, strawberry pharynx, rash on body,
edema hands and feet
T most common in infants and young children.
Early stages include a rash and fever. Symptoms include high fever and peeling skin.
In late stages, there may be inflammation of medium-sized blood vessels (vasculitis).
It also affects lymph nodes, skin and mucous membranes, such as inside the mouth.
Kawasaki disease is usually treatable. Initial treatments include aspirin and
intravenous immunoglobulin therapy given in a medical facility.
Critical: consult a doctor for medical advice
varicella - Correct Answer -chicken pox rash crusted "vesicles"
Herald Patch - Correct Answer -Pityriasis rose is a viral rash which lasts about 6-12
weeks. It is characterized by a herald patch followed by similar, smaller oval red
patches that are located mainly on the chest and back.
3 types of hand rashes - Correct Answer -Hand mouth, syphilis, RMSD
Bulls eye lesion - Correct Answer -Limes Disease, Doxy x 21 days
Hand Foot Mouth - Correct Answer -Cossack virus
4
Credentialing Center FNP Certification – Comprehensive Practice
Questions and Exam Preparation Material
Kaposi Sarcoma - Correct Answer -Characteristic purple areas on the nose in an HIV-
positive female. A type of cancer that can form in the skin, lymph nodes, or other
organs. The skin lesions are usually purple in color.
Malodorous single nares - Correct Answer -Foreign body
Retinal Detachment - Correct Answer -the retina separates from the layer
underneath. Symptoms include an increase in the number of floaters, flashes of light,
and worsening of the outer part of the visual field.
Adolescent with friable nasal turbinate’s - Correct Answer -Cocaine use
Aphtha’s ulcer - Correct Answer -a recurrent round or oval sore or ulcer inside the
mouth on an area where the skin is not tightly bound to the underlying bone, such as
on the inside of the lips and cheeks or underneath the tongue. Aphtha’s ulcers can
also affect the genitalia in males and females.
GERD first line TX - Correct Answer -h2 then pip if doesn’t work
Maxillary Sinusitis - Correct Answer -Dental pain
Kamal Triangle - Correct Answer -Anterior epitaxies
Roseola infant - Correct Answer -H. fever => small pink dots pink or raised body rash
=> arms
Acne Rosacea - Correct Answer -"adult acne." most often in adults (30-50 years of
age). Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically does
not resolve after puberty. Rosacea strikes both sexes and potentially all ages. It tends
to be more frequent in women but more severe in men. It is very uncommon in
children, and it is less frequent in people with dark skin. TX with Flagel
AV Nicking - Correct Answer -HTN, arteries crossing veins
Blepharitis - Correct Answer -commonly occurs when the tiny oil glands of the inner
eyelid become inflamed. It often occurs along with other skin conditions or allergies.
Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes also
are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating
underlying conditions. However, blepharitis tends to come back.
1
, Hoodlum - Correct Answer -Painful style it hurts
chelation - Correct Answer -Non painful lesion to eyelid
Cotton Wool - Correct Answer -Cotton wool spots are an abnormal finding on
funduscopic exam of the retina of the eye. They appear as fluffy white patches on the
retina. They are caused by damage to nerve fibers and are a result of accumulations
of exoplasmic material within the nerve fiber layer. Systemic HTN, DM
Herpes Zoster - Correct Answer -Early signs of shingles include a burning sensation
or stabbing pain and tingling or itching on the skin. After a few days, a rash or blisters
appear usually on one side of the body or face. When the rash is at its peak,
symptoms can range from mild itching to extreme and debilitating pain. TX within 72
hours Clover
Retinoblastoma (Rib) - Correct Answer -Absence of light reflex, it is a rare form of
cancer that rapidly develops from the immature cells of a retina, the light-detecting
tissue of the eye. It is the most common primary malignant intraocular cancer in
children, and it is almost exclusively found in young children.
Seborrheic dermatitis (Dandruff) - Correct Answer -commonly involves portions of
the scalp, brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it to
affect the skin of infants and young children where it often involves the scalp (cradle
cap) and the diaper area. Seborrheic dermatitis is also known as seborrhea.
Seborrheic Keratosis - Correct Answer -A seborrheic keratosis is a harmless warty
spot that appears during adult life as a common sign of skin aging. ... Seborrheic
keratosis (or seborrheic keratosis, using American spelling) is also called SK, basal cell
papilloma, senile wart, brown wart or barnacle.
Cupping of disc - Correct Answer -Intracranial pressure
Sub conjunctival hemorrhage - Correct Answer -is bleeding underneath the
conjunctiva. It can occur after a sudden or severe sneeze or cough, heavy lifting,
straining, vomiting or even rubbing one's eyes too roughly. It can also occur as a side
effect of eye surgery or blood thinners.
The main symptom is a bright red patch in the eye that may spread and then become
green or yellow, much like a bruise. Usually it disappears within two weeks.
In most cases, no treatment is required for this condition.
Sialolithiasis (also termed salivary calculi, or salivary stones) - Correct Answer -A
condition where a calcified mass or sailcloth forms within a salivary gland, usually in
the duct of the submandibular gland (also termed "Wharton's duct").
Honey Crusted lesions - Correct Answer -Impetigo is a bacterial infection that
involves the superficial skin. The most common presentation is yellowish crusts on
2
, the face, arms, or legs. Less commonly there may be large blisters which affect the
groin or armpits. The lesions may be painful or itchy. Fever is uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus pyogenic. Risk
factors include attending day care, crowding, poor nutrition, diabetes mellitus,
contact sports, and breaks in the skin such as from mosquito bites, eczema, scabies,
or herpes. With contact it can spread around or between people. Diagnosis is
typically based on the symptoms.
Prevention is by hand washing, avoiding people who are infected, and cleaning
injuries. Treatment is typically with antibiotic creams such as mupirocin or fluidic
acid. Antibiotics by mouth, such as cephalexin, may be used if large areas are
affected. Antibiotic-resistant forms have been found.
Mild acne - Correct Answer -Skin wash retinol benzoyl
moderate acne - Correct Answer -retinol plus tetracycline’s oral ax
Retinol reaction - Correct Answer -decrease to 3 times a day
Well demarcated cellulitis - Correct Answer -erysipelas affects the dermis, most
commonly on the legs, and tends to be sharply demarcated. Cellulitis, which typically
affects the lower legs, involves the subcutaneous fat and is often less well
demarcated. ... The diagnosis of cellulitis or erysipelas is usually clinical.
Polymyalgia rheumatic - Correct Answer -you feel pain and stiffness in the muscles in
your shoulders and upper arms (shoulder girdle) and hips (pelvic girdle). This feeling
often comes after you've spent time resting, and is most severe upon wakening from
sleep.
Fibromyalgia - Correct Answer -can also cause muscle pain in the same parts of the
body. But it's more wide-spread and the pain is more severe. People with
fibromyalgia tend to experience other symptoms as well, including:
tiredness
trouble sleeping
memory problems
bowel and bladder problems
Temporal arteritis - Correct Answer -is a condition in which the temporal arteries,
which supply blood to the head and brain, become inflamed or damaged. It is also
known as cranial arteritis or giant cell arteritis. Although this condition usually occurs
in the temporal arteries, it can occur in almost any medium to large artery in the
body.
Temporal arteritis - Correct Answer -ESR CRP Biopsy
3
, Temporal arteritis - Correct Answer -S/SX double vision
sudden, permanent loss of vision in one eye
a throbbing headache that's usually in the temples
fatigue
weakness
loss of appetite
jaw pain, which sometimes can occur with chewing
fever
unintentional weight loss
shoulder pain, hip pain, and stiffness
tenderness in the scalp and temple areas
Basal Cell carcinoma - Correct Answer -Most common form
herpes keratosis - Correct Answer -acute onset, photophobia, blurred vision
refer to ophthalmologist
Pinworms - Correct Answer -itching at rectum, worst at no, scotch tape, also known
as enterobiasis
Cellulitis worsening - Correct Answer -Suspect DVD
Millie - Correct Answer -white spots on mouth w/ infants
Kawasaki Disease - Correct Answer -Redeye, strawberry pharynx, rash on body,
edema hands and feet
T most common in infants and young children.
Early stages include a rash and fever. Symptoms include high fever and peeling skin.
In late stages, there may be inflammation of medium-sized blood vessels (vasculitis).
It also affects lymph nodes, skin and mucous membranes, such as inside the mouth.
Kawasaki disease is usually treatable. Initial treatments include aspirin and
intravenous immunoglobulin therapy given in a medical facility.
Critical: consult a doctor for medical advice
varicella - Correct Answer -chicken pox rash crusted "vesicles"
Herald Patch - Correct Answer -Pityriasis rose is a viral rash which lasts about 6-12
weeks. It is characterized by a herald patch followed by similar, smaller oval red
patches that are located mainly on the chest and back.
3 types of hand rashes - Correct Answer -Hand mouth, syphilis, RMSD
Bulls eye lesion - Correct Answer -Limes Disease, Doxy x 21 days
Hand Foot Mouth - Correct Answer -Cossack virus
4
