ANCC FNP EXAM SCRIPT VERIFIED
QUESTIONS AND SOLUTIONS COMPLETE
REVIEW MATERIAL
●● 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
QUESTIONS AND SOLUTIONS COMPLETE
REVIEW MATERIAL
●● 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
