Ambulatory Nursing Certification (ANCC) Exam 2026/2027 Update |
Accurate Questions & Answers | Graded A+
Karposi Sarcoma - 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 nare - ANSWER Foreign body
Retinal Detachment - 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 turbinates - ANSWER Cocaine use
Aphthous ulcer - 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. Aphthous ulcers can also affect the genitalia in males and females.
GERD first line tx - ANSWER h2 then ppi if doesnt work
Maxillary Sinusitis - ANSWER Dental pain
Kasmaul Triangle - ANSWER Anterior epitaxis
Roseola infantum - ANSWER H. fever => small pink dots pink or raised body rash => arms
Acne Roscaca - 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 Flagyl
AV Nicking - ANSWER HTN, arteries crossing veins
,Blepharitis - 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.
Hordelum - ANSWER Painful stye it hurts
chalazion - ANSWER Non painful lesion to eyelid
Cotton Wool - 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 axoplasmic material within the nerve fiber layer.
Systemic HTN, DM
Herpes Zoster - 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 Aclovir
Retinoblastoma (Rb) - 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) - 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 - ANSWER A seborrhoeic keratosis is a harmless warty spot that appears during
adult life as a common sign of skin aging. ... Seborrhoeic keratosis (or seborrheic keratosis, using
American spelling) is also called SK, basal cell papilloma, senile wart, brown wart or barnacle.
Cupping of disc - ANSWER Intracranial pressure
,subconjunctival haemorrhage - 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) - ANSWER A condition where a calcified
mass or sialolith forms within a salivary gland, usually in the duct of the submandibular gland (also
termed "Wharton's duct").
Honey Crusted lesions - ANSWER Impetigo is a bacterial infection that involves the superficial
skin.The most common presentation is yellowish crusts on 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 pyogenes. 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 fusidic acid. Antibiotics by mouth, such as
cephalexin, may be used if large areas are affected. Antibiotic-resistant forms have been found.
Mild acne - ANSWER Skin wash retinol benzol
moderate acne - ANSWER retinol plus tetracylines oral abx
Retinol reaction - ANSWER decrease to 3 times a day
Well demarcated cellulitis - 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 rheumatica - 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 - 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 - 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 - ANSWER ESR CRP Biopsy
Temporal arteritis - 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 - ANSWER Most common form
Accurate Questions & Answers | Graded A+
Karposi Sarcoma - 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 nare - ANSWER Foreign body
Retinal Detachment - 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 turbinates - ANSWER Cocaine use
Aphthous ulcer - 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. Aphthous ulcers can also affect the genitalia in males and females.
GERD first line tx - ANSWER h2 then ppi if doesnt work
Maxillary Sinusitis - ANSWER Dental pain
Kasmaul Triangle - ANSWER Anterior epitaxis
Roseola infantum - ANSWER H. fever => small pink dots pink or raised body rash => arms
Acne Roscaca - 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 Flagyl
AV Nicking - ANSWER HTN, arteries crossing veins
,Blepharitis - 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.
Hordelum - ANSWER Painful stye it hurts
chalazion - ANSWER Non painful lesion to eyelid
Cotton Wool - 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 axoplasmic material within the nerve fiber layer.
Systemic HTN, DM
Herpes Zoster - 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 Aclovir
Retinoblastoma (Rb) - 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) - 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 - ANSWER A seborrhoeic keratosis is a harmless warty spot that appears during
adult life as a common sign of skin aging. ... Seborrhoeic keratosis (or seborrheic keratosis, using
American spelling) is also called SK, basal cell papilloma, senile wart, brown wart or barnacle.
Cupping of disc - ANSWER Intracranial pressure
,subconjunctival haemorrhage - 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) - ANSWER A condition where a calcified
mass or sialolith forms within a salivary gland, usually in the duct of the submandibular gland (also
termed "Wharton's duct").
Honey Crusted lesions - ANSWER Impetigo is a bacterial infection that involves the superficial
skin.The most common presentation is yellowish crusts on 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 pyogenes. 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 fusidic acid. Antibiotics by mouth, such as
cephalexin, may be used if large areas are affected. Antibiotic-resistant forms have been found.
Mild acne - ANSWER Skin wash retinol benzol
moderate acne - ANSWER retinol plus tetracylines oral abx
Retinol reaction - ANSWER decrease to 3 times a day
Well demarcated cellulitis - 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 rheumatica - 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 - 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 - 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 - ANSWER ESR CRP Biopsy
Temporal arteritis - 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 - ANSWER Most common form
