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ANCC Family Nurse Practitioner (FNP-BC) — 2026–2027 Study Exam Set — Practice Questions with Correct Answers

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This study set is designed around the ANCC Family Nurse Practitioner certification exam domains, including assessment, diagnosis, planning, implementation, and evaluation. The current ANCC outline specifies 175 questions, with 150 scored and 25 pretest questions; implementation carries the largest share of the scored content at 29%. The following are original practice questions, not leaked or purported real ANCC exam questions. ANCC itself provides sample questions and a readiness test for preparation.

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ANCC FNP STUDY 2026 EXAM SET QUESTIONS
WITH CORRECT ANSWERS GRADED A+ 2026-
2027




1

,What causes oral hairy leukoplakia? ANSWER > EBV


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


2

,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



3

, 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


treatment- symptomatic

4

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