ANCC FNP ACTUAL EXAM NEWEST 2025 & 2026 COMPLETE 350 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ ANCC FAMILY NURSING
PRACTITIONER 2026
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
Acute Bacterial Rhinosinusitis - correct answer secondary bacterial infection, usually following
viral URI
Diseases caused by S. pneumoniae - correct answer COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza - correct answer COMPS
Conjunctivitis
Otitis media
Meningitis
, Pneumonia
Sinusitis
Common features of ABRS - correct 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 - correct 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 - correct answer pregnancy risk: Cat D
Resp fluroquinolones - correct answer pregnancy risk: Cat C
Normal hearing - correct answer no lateralization
AC>BC
Sensorineural hearing loss - correct answer lateralization to good ear (sound is heard louder in
the normal ear)
AC>BC
Conductive hearing loss - correct answer lateralization to bad ear (sound is heard louder in the
bad ear)
BC>AC
Allergic rhinitis - correct 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 - correct answer 1st line- avoid allergen
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ ANCC FAMILY NURSING
PRACTITIONER 2026
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
Acute Bacterial Rhinosinusitis - correct answer secondary bacterial infection, usually following
viral URI
Diseases caused by S. pneumoniae - correct answer COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza - correct answer COMPS
Conjunctivitis
Otitis media
Meningitis
, Pneumonia
Sinusitis
Common features of ABRS - correct 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 - correct 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 - correct answer pregnancy risk: Cat D
Resp fluroquinolones - correct answer pregnancy risk: Cat C
Normal hearing - correct answer no lateralization
AC>BC
Sensorineural hearing loss - correct answer lateralization to good ear (sound is heard louder in
the normal ear)
AC>BC
Conductive hearing loss - correct answer lateralization to bad ear (sound is heard louder in the
bad ear)
BC>AC
Allergic rhinitis - correct 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 - correct answer 1st line- avoid allergen
