ANCC FNP Study 2026 questions and answers
2026\2027 A+ Grade
What causes oral hairy leukoplakia?
- correct answer EBV
Koplik's spot
- correct 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
- correct 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
- correct answer painful inflammation and cracking of the corners of the mouth
Peritonsillar abscess
- correct answer severe sore throat, difficulty swallowing, trismus, and muffled "hot potato" voice
abscess displaces the uvula
pterygium
- correct answer yellow, triangular thickening of the conjunctiva that extends across the cornea on the
nasal side
Pinguecula
- correct answer yellowish, raised growth on the conjunctiva next to the cornea
,Chalazion
- correct answer chronic inflammation of the meibomian gland
hordeolum (stye)
- correct answer stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby
- correct answer HEARS
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
diabetic retinopathy
- correct answer cotton wool spots
Normal intraocular pressure
- correct answer 8-21mm Hg
Intermittent Esotropia
- correct answer common in infants younger than 20 weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease
- correct answer high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
,pharyngitis
- correct answer acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis
- correct answer inflammatory changes of the nasal mucosa due to an allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis
- correct answer inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa
- correct 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
- correct answer small, fluid-filled blisters form on the eardrum
First permanent teeth to erupt
- correct answer first molars at about 6 years of age
viral keratoconjunctivitis
- correct answer 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
, what causes viral keratoconjunctivits?
- correct answer adenovirus
contagious for 10-12 days
self limiting
Transmission of sound through the ear
- correct 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 of the cerebral cortex auditory center
5.sound is interpreted by the cerebral cortex
Ishihara chart
- correct answer screening a patient for colour blindness
Tx for otitis media
- correct answer 1st line- amoxicillin
blepharitis
- correct answer chronic condition caused by inflammation of the eyelids
contact lens keratitis
- correct answer eye pain, redness, excessive tearing, lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma
- correct answer sudden blockage of the aqueous humor
increased intraocular pressure
Acute Rhinosinusitis
- correct answer inflammation of the mucosal lining of nasal passages, lasting up to 4 weeks, caused by
allergens
2026\2027 A+ Grade
What causes oral hairy leukoplakia?
- correct answer EBV
Koplik's spot
- correct 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
- correct 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
- correct answer painful inflammation and cracking of the corners of the mouth
Peritonsillar abscess
- correct answer severe sore throat, difficulty swallowing, trismus, and muffled "hot potato" voice
abscess displaces the uvula
pterygium
- correct answer yellow, triangular thickening of the conjunctiva that extends across the cornea on the
nasal side
Pinguecula
- correct answer yellowish, raised growth on the conjunctiva next to the cornea
,Chalazion
- correct answer chronic inflammation of the meibomian gland
hordeolum (stye)
- correct answer stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby
- correct answer HEARS
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
diabetic retinopathy
- correct answer cotton wool spots
Normal intraocular pressure
- correct answer 8-21mm Hg
Intermittent Esotropia
- correct answer common in infants younger than 20 weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease
- correct answer high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
,pharyngitis
- correct answer acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis
- correct answer inflammatory changes of the nasal mucosa due to an allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis
- correct answer inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa
- correct 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
- correct answer small, fluid-filled blisters form on the eardrum
First permanent teeth to erupt
- correct answer first molars at about 6 years of age
viral keratoconjunctivitis
- correct answer 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
, what causes viral keratoconjunctivits?
- correct answer adenovirus
contagious for 10-12 days
self limiting
Transmission of sound through the ear
- correct 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 of the cerebral cortex auditory center
5.sound is interpreted by the cerebral cortex
Ishihara chart
- correct answer screening a patient for colour blindness
Tx for otitis media
- correct answer 1st line- amoxicillin
blepharitis
- correct answer chronic condition caused by inflammation of the eyelids
contact lens keratitis
- correct answer eye pain, redness, excessive tearing, lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma
- correct answer sudden blockage of the aqueous humor
increased intraocular pressure
Acute Rhinosinusitis
- correct answer inflammation of the mucosal lining of nasal passages, lasting up to 4 weeks, caused by
allergens
