2026 COMPLETE 350 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+ ANCC
FAMILY NURSING PRACTITIONER 2026
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 strawberry
tongue most cases under 5 years of age pharyngitis -
,ANSWER//acute infection of the pharynx stuffy nose,
rhinitis with clear mucus, and watery eyes allergic
rhinitis - ANSWER//inflammatory changes of the nasal
mucosa due to an allergy response most common sign:
transverse nasal crease (allergic salute) tonsillitis -
ANSWER//inflammation of the tonsils sore throat,
difficulty swallowing, tender lymph nodes Treatment for
otitis externa - 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 - ANSWER//small, fluid-filled
blisters form on the eardrum First permanent teeth to
erupt - ANSWER//first molars at about 6 years of age
viral keratoconjunctivitis - 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? - ANSWER//adenovirus contagious
for 10-12 days self limiting Transmission of sound
through the ear - 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 -
ANSWER//screening a patient for colour blindness Tx
for otitis media - ANSWER//1st line- amoxicillin
blepharitis - ANSWER//chronic condition caused by
inflammation of the eyelids contact lens keratitis -
ANSWER//eye pain, redness, excessive tearing, lesion
,on the cornea 1st line- topical abx primary angle-closure
glaucoma - ANSWER//sudden blockage of the aqueous
humor increased intraocular pressure Acute
Rhinosinusitis - ANSWER//inflammation of the mucosal
lining of nasal passages, lasting up to 4 weeks, caused by
allergens Acute Bacterial Rhinosinusitis -
ANSWER//secondary bacterial infection, usually
following viral URI Diseases caused by S. pneumoniae -
ANSWER//COMPS Conjunctivitis Otitis media
Meningitis Pneumonia Sinusitis Diseases caused by H.
influenza - ANSWER//COMPS Conjunctivitis Otitis
media Meningitis Pneumonia Sinusitis Common features
of ABRS - ANSWER//fever and symptoms duration of
more than 10 days maxillary toothache initial symptom
improvement and then worsening of symptoms (double
sickening) cacosmia (sense of bad odor in the nose)
unilateral facial pain 7 day tx is the best Tx for ABRS in
adults - ANSWER//Initial therapy: amoxicillin or amox-
clav Beta-lactam allergy: No anaphylaxis (cefdinir,
cefpodoxime, cefuroxime) anaphylaxis (levo, moxi,
doxycycline) *macrolide abx (azithro, clarithro, erythro)
and TMX-SMX (Bactrim) not recommended in ABRS tx
Doxycycline - ANSWER//pregnancy risk: Cat D Resp
fluroquinolones - ANSWER//pregnancy risk: Cat C
Normal hearing - ANSWER//no lateralization AC>BC
Sensorineural hearing loss - ANSWER//lateralization to
good ear (sound is heard louder in the normal ear)
AC>BC Conductive hearing loss -
ANSWER//lateralization to bad ear (sound is heard
louder in the bad ear) BC>AC Allergic rhinitis -
ANSWER//inflammatory, IgE mediated disease due to
genetic and environmental interactions and characterized
by nasal congestion, rhinorrhea, sneezing, intraocular
, and/or nasal itching Allergic rhinitis treatment -
ANSWER//1st line- avoid allergen controller - intranasal
corticosteroids (fluticasone propionate (flonase),
triamcinolone)- number of days prior to symptom relief -
intranasal antihistamine (azelastine)- rapid symptom
relief Reliever therapy - 2nd gen PO antihistamine
(loratadine (clairtin), cetirizine (zyrtec) - ocular
antihistamines- helpful in managing allergic
conjunctivitis signs and symptoms (olopatadine,
azelastine) Sinus present at birth - ANSWER//ethmoid
and maxillary Sinus develop at 5 years of age -
ANSWER//Frontal Sinus develop at 12 years of age -
ANSWER//Sphenoid Oral Cancer - ANSWER//most
cases involve squamous cell carcinomas of the tongue
and mouth floor Risk factor for SCC oral cancer -
ANSWER//More potent - longstanding HPV infection,
especially HPV-16, tobacco use, alcohol misuse Less
potent - male gender, advancing age (2/3 of individuals
age >55 years at time of diagnosis) Risk reduction for
SCC oral cancer - ANSWER//HPV-9 immunization
avoidance/cessation of tobacco use Presentation of SCC
oral cancer - ANSWER//painless, ulcerating oral lesions,
usually presents for many months prior to presenting
clinically adjacent lymphadenopathy= immobile,
nontender nodes usually >1 cm in diameter Macular
degeneration - ANSWER//thickening, sclerotic changes
in retinal basement membrane complex painless vision
changes including distortion of central vision
fundoscopic exam- drusen (soft yellow deposits in the
macular region) often visible risk factors - light eye-
colour, age, women, smoker Test for macular
degeneration - ANSWER//abnormal Amsler grid test
presbyopia - ANSWER//impaired vision as a result of