ESTUDYR
ANCC FNP EXAM UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED
SUCCESS WITH DETAILED RATIONALES
1. Which is the first-line treatment for mild allergic conjunctivitis?
A. Topical NSAIDs
B. Topical corticosteroids
C. Topical antihistamine/mast-cell stabilizer
D. Oral antihistamines only
Rationale: Topical antihistamine/mast-cell stabilizers provide targeted relief and are first-line.
Topical corticosteroids and NSAIDs are not first-line due to side effects. Oral antihistamines can
worsen dry eye.
2. Oral hairy leukoplakia is best described as:
A. Painful deep ulcer on the tongue
B. Elongated, white, corrugated papillae on the lateral tongue
C. Multiple small erosions on the buccal mucosa
D. Areas of depapillation on the dorsal tongue
Rationale: Oral hairy leukoplakia presents as elongated, white, corrugated lesions on the lateral
tongue, often associated with EBV in immunocompromised patients.
3. Which virus most commonly causes oral hairy leukoplakia?
A. Herpes simplex virus (HSV)
B. Human papillomavirus (HPV)
C. Cytomegalovirus (CMV)
, ESTUDYR
D. Epstein–Barr virus (EBV)
Rationale: Oral hairy leukoplakia is caused by EBV reactivation, especially in
immunocompromised hosts.
4. Koplik spots are classic early findings of which disease?
A. Rubella
B. Scarlet fever
C. Measles (rubeola)
D. Mumps
Rationale: Koplik spots—small red papules with white centers on the buccal mucosa—are
pathognomonic prodromal signs of measles (rubeola) 2–3 days before rash.
5. Geographic tongue is characterized by:
A. Painful vesicles on the lateral tongue
B. Irregular, smooth, map-like patches on the dorsal and lateral tongue
C. White curd-like patches that scrape off
D. Fissuring only at the tongue tip
Rationale: Geographic tongue shows irregular depapillated areas resembling a topographic
map, usually on the dorsum and sides of the tongue.
6. Cheilosis refers to:
A. A fungal infection of the tongue
B. A bacterial infection of the lip
C. Painful inflammation and cracking at the corners of the mouth
D. Vesicular eruption on the vermilion border
ANCC FNP EXAM UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED
SUCCESS WITH DETAILED RATIONALES
1. Which is the first-line treatment for mild allergic conjunctivitis?
A. Topical NSAIDs
B. Topical corticosteroids
C. Topical antihistamine/mast-cell stabilizer
D. Oral antihistamines only
Rationale: Topical antihistamine/mast-cell stabilizers provide targeted relief and are first-line.
Topical corticosteroids and NSAIDs are not first-line due to side effects. Oral antihistamines can
worsen dry eye.
2. Oral hairy leukoplakia is best described as:
A. Painful deep ulcer on the tongue
B. Elongated, white, corrugated papillae on the lateral tongue
C. Multiple small erosions on the buccal mucosa
D. Areas of depapillation on the dorsal tongue
Rationale: Oral hairy leukoplakia presents as elongated, white, corrugated lesions on the lateral
tongue, often associated with EBV in immunocompromised patients.
3. Which virus most commonly causes oral hairy leukoplakia?
A. Herpes simplex virus (HSV)
B. Human papillomavirus (HPV)
C. Cytomegalovirus (CMV)
, ESTUDYR
D. Epstein–Barr virus (EBV)
Rationale: Oral hairy leukoplakia is caused by EBV reactivation, especially in
immunocompromised hosts.
4. Koplik spots are classic early findings of which disease?
A. Rubella
B. Scarlet fever
C. Measles (rubeola)
D. Mumps
Rationale: Koplik spots—small red papules with white centers on the buccal mucosa—are
pathognomonic prodromal signs of measles (rubeola) 2–3 days before rash.
5. Geographic tongue is characterized by:
A. Painful vesicles on the lateral tongue
B. Irregular, smooth, map-like patches on the dorsal and lateral tongue
C. White curd-like patches that scrape off
D. Fissuring only at the tongue tip
Rationale: Geographic tongue shows irregular depapillated areas resembling a topographic
map, usually on the dorsum and sides of the tongue.
6. Cheilosis refers to:
A. A fungal infection of the tongue
B. A bacterial infection of the lip
C. Painful inflammation and cracking at the corners of the mouth
D. Vesicular eruption on the vermilion border
