1
ANCC FNP Board Exam
Study Guide Part 2
Latest Update 2025
Verified Study Guide
ANCC FNP Board Exam
, 2
Baby with yellow drainage from eye
-bacterial conjunctivitis
-gonococcal ophthalmia neonatorum
-chlamydial ophthalmia neonatorum (trachoma)
Pyloric stenosis
-classic presentation - 4-6 week old (first born) male with projectile, nonbilious vomiting; olive-like mass
better palpated immediately after vomiting; occurs in 3.5/1000 births
-diagnosis made by ultrasound
-differential diagnoses should include - GERD; milk protein intolerance; intestinal obstruction
-management - refer for surgical correction (laparoscopic pyloromyotomy)
Rubeola
-measles - caused by rubeola virus - measles, rubeola, and Koplik all have one L in them
-symptoms include fever, malaise, and the 3 Cs - conjunctivitis, coryza (runny nose, congestion), and
cough
-maculopapular "brick red" rash; starts on head and neck; spreads centrifugally to trunk and extremities
-Koplik spots - enanthem (rash on mucus membrane) associated with rubeola; 1-3mm white/blue/gray
elevations on the buccal mucosa, hard, and soft palate; resemble grains of sand; precede rash
GERD with Barrett’s esophagus
, 3
-Barrett's esophagus is a long-term complication of GERD and is a premalignancy to esophageal cancer
-Barrett's esophagus is diagnosed by upper endoscopy with biopsy
-Any patient with at least a decade history of chronic heartburn should be referred to GI for endoscopy
to rule out Barrett's esophagus
-treatment for Barrett's is PPI BID and H2 blocker qhs
Migraine treatment
-triptans are used as abortive treatment for migraines
-prophylactic treatment for migraines includes - avoid triggers, beta blockers (propranolol), TCAs
(amitriptyline, nortriptyline), anticonvulsants (topiramate), gabapentin
Coombs’ test
-indirect Coombs' test is performed early in pregnancy to determine if there are antibodies to the Rh
factor in the mother's blood
-If pregnant woman is found to be Rh negative, she will receive RhoGam at 28 weeks gestation and
within 72 hours of delivery
-If pregnant woman is Rh negative and miscarries or terminates the pregnancy, she should still receive
RhoGam
Allergic conjunctivitis in adolescents
-caused by an acute type I hypersensitivity to allergen
-symptoms - itchy eyes, watery or stringy discharge, chemosis (swelling of the conjunctiva), eyelid
edema, rhinitis, and an "allergic shiner"
-typically occurs bilaterally
treatment is oral antihistamine
ANCC FNP Board Exam
Study Guide Part 2
Latest Update 2025
Verified Study Guide
ANCC FNP Board Exam
, 2
Baby with yellow drainage from eye
-bacterial conjunctivitis
-gonococcal ophthalmia neonatorum
-chlamydial ophthalmia neonatorum (trachoma)
Pyloric stenosis
-classic presentation - 4-6 week old (first born) male with projectile, nonbilious vomiting; olive-like mass
better palpated immediately after vomiting; occurs in 3.5/1000 births
-diagnosis made by ultrasound
-differential diagnoses should include - GERD; milk protein intolerance; intestinal obstruction
-management - refer for surgical correction (laparoscopic pyloromyotomy)
Rubeola
-measles - caused by rubeola virus - measles, rubeola, and Koplik all have one L in them
-symptoms include fever, malaise, and the 3 Cs - conjunctivitis, coryza (runny nose, congestion), and
cough
-maculopapular "brick red" rash; starts on head and neck; spreads centrifugally to trunk and extremities
-Koplik spots - enanthem (rash on mucus membrane) associated with rubeola; 1-3mm white/blue/gray
elevations on the buccal mucosa, hard, and soft palate; resemble grains of sand; precede rash
GERD with Barrett’s esophagus
, 3
-Barrett's esophagus is a long-term complication of GERD and is a premalignancy to esophageal cancer
-Barrett's esophagus is diagnosed by upper endoscopy with biopsy
-Any patient with at least a decade history of chronic heartburn should be referred to GI for endoscopy
to rule out Barrett's esophagus
-treatment for Barrett's is PPI BID and H2 blocker qhs
Migraine treatment
-triptans are used as abortive treatment for migraines
-prophylactic treatment for migraines includes - avoid triggers, beta blockers (propranolol), TCAs
(amitriptyline, nortriptyline), anticonvulsants (topiramate), gabapentin
Coombs’ test
-indirect Coombs' test is performed early in pregnancy to determine if there are antibodies to the Rh
factor in the mother's blood
-If pregnant woman is found to be Rh negative, she will receive RhoGam at 28 weeks gestation and
within 72 hours of delivery
-If pregnant woman is Rh negative and miscarries or terminates the pregnancy, she should still receive
RhoGam
Allergic conjunctivitis in adolescents
-caused by an acute type I hypersensitivity to allergen
-symptoms - itchy eyes, watery or stringy discharge, chemosis (swelling of the conjunctiva), eyelid
edema, rhinitis, and an "allergic shiner"
-typically occurs bilaterally
treatment is oral antihistamine
