2026 COMPLETE 230 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+ ANCC FAMILY NURSING
PRACTITIONER 2026
1. What causes oral hairy leukoplakia?
Answer: EBV
2. Koplik's spot
Answer: Clusters of small red papules with white centers located on the buccal mucosa by the lower
molars (looks like kopliks). Prodromic viral of measles appears 2-3 days before the rash.
3. Geographic tongue
Answer: Inflammatory disorder that usually appears on top and side of the tongue. Multiple fissures
and irregular smoother areas on its surface that make it look like a topographic map.
4. Cheilosis
Answer: Painful inflammation and cracking of the corners of the mouth.
5. Peritonsillar abscess
Answer: Severe sore throat, difficulty swallowing, trismus, and muffled "hot potato" voice. Abscess
displaces the uvula.
6. Pharyngitis
Answer: Acute infection of the pharynx. Stuffy nose, rhinitis with clear mucus, and watery eyes.
,7. Allergic rhinitis
Answer: Inflammatory changes of the nasal mucosa due to an allergy response. Most common sign:
transverse nasal crease (allergic salute).
8. Tonsillitis
Answer: Inflammation of the tonsils. Sore throat, difficulty swallowing, tender lymph nodes.
9. 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.
10. Bullous Myringitis
Answer: Small, fluid-filled blisters form on the eardrum.
11. First permanent teeth to erupt
Answer: First molars at about 6 years of age.
12. Viral keratoconjunctivitis
Answer: Pink eye. Treatment: symptomatic (cold compresses and slightly chilled artificial tears). Avoid
touching eyes, sharing towels, frequent eye washing. Children should not attend school until symptoms
resolve.
13. What causes viral keratoconjunctivitis?
Answer: Adenovirus. Contagious for 10-12 days. Self-limiting.
14. 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 to the
cerebral cortex auditory center. 5. Sound is interpreted by the cerebral cortex.
, 15. Treatment for otitis media
Answer: 1st line - amoxicillin.
16. Blepharitis
Answer: Chronic condition caused by inflammation of the eyelids.
17. Contact lens keratitis
Answer: Eye pain, redness, excessive tearing, lesion on the cornea. 1st line - topical antibiotics.
18. Primary angle-closure glaucoma
Answer: Sudden blockage of the aqueous humor. Increased intraocular pressure. Emergency.
19. Acute Rhinosinusitis
Answer: Inflammation of the mucosal lining of nasal passages, lasting up to 4 weeks, caused by
allergens.
20. Acute Bacterial Rhinosinusitis (ABRS)
Answer: Secondary bacterial infection, usually following viral URI.
21. Diseases caused by S. pneumoniae (COMPS)
Answer: Conjunctivitis, Otitis media, Meningitis, Pneumonia, Sinusitis.
22. Diseases caused by H. influenza (COMPS)
Answer: Conjunctivitis, Otitis media, Meningitis, Pneumonia, Sinusitis.
23. 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 treatment is best.