ANCC FNP EXAM QUESTIONS AND
ANSWERS 2025 NEW UPDATE
Treatment for mild allergic conjunctivitis − answer−Topical antihistamines/mast
cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate number of tears (oral
antihistamines may induce dry eye syndrome)
Oral hairy leukoplakia − answer−elongated papilla of the lateral aspect on
the tongue
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
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
hv
,strawberry tongue rhv
most cases under 5 years of age
rhv rhv rhv rhv rhv r hv
pharyngitis − answer−acute infection of the pharynx
rhv rhv rhv rhv rhv rhv
rhv stuffy nose, rhinitis with clear mucus, and watery
rhv rhv rhv rhv rhv rhv rhv
rhv eyes
allergic rhinitis − answer−inflammatory changes of the nasal mucosa
rhv rhv rhv rhv rhv rhv rhv rhv
due to an allergy response
rhv rhv rhv rhv rhv
most common sign: transverse nasal crease (allergic salute)
rhv rhv rhv rhv rhv rhv rhv
tonsillitis − answer−inflammation of the tonsils
rhv rhv rhv rhv rhv
sore throat, difficulty swallowing, tender lymph nodes
rhv rhv rhv rhv rhv rhv
Treatment for otitis externa − answer−Use aluminum acetate solution PRN
rhv rhv rhv rhv rhv rhv rhv rhv rhv
(provides soothing, effective relief of minor skin irritations and
rhv rhv rhv rhv rhv rhv rhv rhv rhv
inflammation)
rhv
keep water out of the ear
rhv rhv rhv r hv rhv
Polymyxin B−neomycin−hydrocortisone suspension drops QID x 7 days and/or
rhv rhv rhv rhv rhv rhv rhv rhv
ofloxacin drops
rhv rhv
Bullous Myringitis − answer−small, fluid−filled blisters form on the eardrum
rhv rhv rhv rhv rhv rhv rhv rhv rhv
First permanent teeth to erupt − answer−first molars at about 6 years of age
rhv rhv rhv rhv rhv rhv rhv rhv rhv rhv rhv rhv rhv
viral keratoconjunctivitis − answer−pink
rhv rhv rhv
eye treatment− symptomatic
rhv rhv rhv
cold compresses and slightly chilled artificial tears
rhv rhv rhv rhv rhv rhv
, avoid touching eyes, haring towels, frequent eye
rhv rhv rhv rhv rhv rhv
rhv washing children should not attend school until
rhv rhv rhv rhv rhv rhv
rhv symptoms resolverhv
ANSWERS 2025 NEW UPDATE
Treatment for mild allergic conjunctivitis − answer−Topical antihistamines/mast
cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate number of tears (oral
antihistamines may induce dry eye syndrome)
Oral hairy leukoplakia − answer−elongated papilla of the lateral aspect on
the tongue
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
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
hv
,strawberry tongue rhv
most cases under 5 years of age
rhv rhv rhv rhv rhv r hv
pharyngitis − answer−acute infection of the pharynx
rhv rhv rhv rhv rhv rhv
rhv stuffy nose, rhinitis with clear mucus, and watery
rhv rhv rhv rhv rhv rhv rhv
rhv eyes
allergic rhinitis − answer−inflammatory changes of the nasal mucosa
rhv rhv rhv rhv rhv rhv rhv rhv
due to an allergy response
rhv rhv rhv rhv rhv
most common sign: transverse nasal crease (allergic salute)
rhv rhv rhv rhv rhv rhv rhv
tonsillitis − answer−inflammation of the tonsils
rhv rhv rhv rhv rhv
sore throat, difficulty swallowing, tender lymph nodes
rhv rhv rhv rhv rhv rhv
Treatment for otitis externa − answer−Use aluminum acetate solution PRN
rhv rhv rhv rhv rhv rhv rhv rhv rhv
(provides soothing, effective relief of minor skin irritations and
rhv rhv rhv rhv rhv rhv rhv rhv rhv
inflammation)
rhv
keep water out of the ear
rhv rhv rhv r hv rhv
Polymyxin B−neomycin−hydrocortisone suspension drops QID x 7 days and/or
rhv rhv rhv rhv rhv rhv rhv rhv
ofloxacin drops
rhv rhv
Bullous Myringitis − answer−small, fluid−filled blisters form on the eardrum
rhv rhv rhv rhv rhv rhv rhv rhv rhv
First permanent teeth to erupt − answer−first molars at about 6 years of age
rhv rhv rhv rhv rhv rhv rhv rhv rhv rhv rhv rhv rhv
viral keratoconjunctivitis − answer−pink
rhv rhv rhv
eye treatment− symptomatic
rhv rhv rhv
cold compresses and slightly chilled artificial tears
rhv rhv rhv rhv rhv rhv
, avoid touching eyes, haring towels, frequent eye
rhv rhv rhv rhv rhv rhv
rhv washing children should not attend school until
rhv rhv rhv rhv rhv rhv
rhv symptoms resolverhv
