1
ANCC FNP Exam 2024/2025 With Correct
Answers Graded A
1. Treatment for mild allergic conjunctivits
Topical antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate amount of tears (oral
antihistamines may induce dry eye syndrome)
2. Oral hairy leukoplakia
elongated papilla of the lateral aspect on the tongue
3. What causes oral hairy leukoplakia?
EBV
4. Koplik's spot
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
5. Geographic tongue
, 2
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
6. Cheilosis
painful inflammation and cracking of the corners of the mouth
7. Peritonsillar abscess
severe sore throat, difficulty swallowing, trismus, and muffled "hot potato" voice
abscess displaces the uvula
8. pterygium
yellow, triangular thickening of the conjunctiva that extends across the cornea on the
nasal side
9. Pinguecula
yellowish, raised growth on the conjunctiva next to the cornea
10. Chalazion
chronic inflammation of the meibomian gland
11. hordeolum (stye)
stye
abscess of a hair follicle and sebaceous gland on the eyelid
12. High risk factors for hearing loss in premature baby
HEARS
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
, 3
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
13. diabetic retinopathy
cotton wool spots
14. Normal intraocular pressure
8-21mm Hg
15. Intermittent Esotropia
common in infants younger than 20 weeks
resolves spontaneously
refer if present after 20 weeks
16. Kawasaki Disease
high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
17. pharyngitis
acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
18. allergic rhinitis
inflammatory changes of the nasal mucosa due to an allergy response
most common sign: transverse nasal crease (allergic salute)
19. tonsillitis
inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
, 4
20. Treatment for otitis externa
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
21. Bullous Myringitis
small, fluid-filled blisters form on the eardrum
22. First permanent teeth to erupt
first molars at about 6 years of age
23. viral keratoconjunctivitis
pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
24. what causes viral keratoconjunctivits?
adenovirus
contagious for 10-12 days
self limiting
25. Transmission of sound through the ear
1. sound waves are collected in the pinna
2. transmission of vibrations through the hammer, anvil and stirrup
ANCC FNP Exam 2024/2025 With Correct
Answers Graded A
1. Treatment for mild allergic conjunctivits
Topical antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate amount of tears (oral
antihistamines may induce dry eye syndrome)
2. Oral hairy leukoplakia
elongated papilla of the lateral aspect on the tongue
3. What causes oral hairy leukoplakia?
EBV
4. Koplik's spot
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
5. Geographic tongue
, 2
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
6. Cheilosis
painful inflammation and cracking of the corners of the mouth
7. Peritonsillar abscess
severe sore throat, difficulty swallowing, trismus, and muffled "hot potato" voice
abscess displaces the uvula
8. pterygium
yellow, triangular thickening of the conjunctiva that extends across the cornea on the
nasal side
9. Pinguecula
yellowish, raised growth on the conjunctiva next to the cornea
10. Chalazion
chronic inflammation of the meibomian gland
11. hordeolum (stye)
stye
abscess of a hair follicle and sebaceous gland on the eyelid
12. High risk factors for hearing loss in premature baby
HEARS
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
, 3
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
13. diabetic retinopathy
cotton wool spots
14. Normal intraocular pressure
8-21mm Hg
15. Intermittent Esotropia
common in infants younger than 20 weeks
resolves spontaneously
refer if present after 20 weeks
16. Kawasaki Disease
high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
17. pharyngitis
acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
18. allergic rhinitis
inflammatory changes of the nasal mucosa due to an allergy response
most common sign: transverse nasal crease (allergic salute)
19. tonsillitis
inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
, 4
20. Treatment for otitis externa
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
21. Bullous Myringitis
small, fluid-filled blisters form on the eardrum
22. First permanent teeth to erupt
first molars at about 6 years of age
23. viral keratoconjunctivitis
pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
24. what causes viral keratoconjunctivits?
adenovirus
contagious for 10-12 days
self limiting
25. Transmission of sound through the ear
1. sound waves are collected in the pinna
2. transmission of vibrations through the hammer, anvil and stirrup
