WHNP FINAL PAPER 2026 COMPLETE
QUESTIONS AND DETAILED ANSWERS
GRADED A+
◉ When can you treat a minor without parental consent? Answer:
pregnant and consents to treatment related to pregnancy, other than
abortion
consent to diagnosis and treatment of STDS that must be reported to
Texas Dept of health
consent to examination or treatment for chemical addiction, dependency,
or any other condition related to chemical use
consent for counseling for suicide prevention, chemical addiction or
dependency, pr for sexual, physical or emotional abuse
***Parental consent is not required for minors to receive information
about family planning. Texas laws require minors to get parental
permission to receive contraception. When parental consent is required
the parent must sign both the general consent for treatment and method
specific consent for for a prescription method of contraception.
,Under federal law, minors may give consent and receive confidential
family planning services if the funding source is Medicaid or Title
Family Planning Program
◉ MVP S&S. Answer: CO usually uncompromised - usually goes
unnoticed by patient
TYPICALLY BENIGN
tugging chest pain, dyspnea if severe regurge, can have tachycardia or
palpitations
◉ Cardiac exam in MVP. Answer: presence of a Grade I-III/IV mid to
late systolic crescendo murmur with honking quality during peak
pressure, which is the middle of systole
Normal PMI
◉ Best indicator for asthma flare. Answer: FEV
◉ Necessary for diagnosis of HTN. Answer: >2 abnormal readings on
>2 occasions
◉ highest to lowest level of research. Answer: meta analysis
systemic reviews
RCTs
Cohort studies
,case-controlled studies
case series, case reports
editorial, expert opinion
◉ Definition of primary prevention. Answer: preventing the health
problem, the most cost-effective from of healthcare
◉ examples of primary prevention. Answer: immunizations, counseling,
helmet, seat belt, condom
◉ Definition of secondary prevention. Answer: Detecting disease in
early asymptomatic, or preclinical state
◉ examples of secondary prevention. Answer: screening tests - BP,
mammo, colonoscopy, pap smear, skin survey
◉ definition of tertiary prevention. Answer: minimizing negative disease
induced outcomes; a failure of primary prevention
◉ examples of tertiary prevention. Answer: adjusting therapy to avoid
further target damage
◉ congenital rubella. Answer: extremely teratogenic can lead to
developmental disability, blindness, hearing loss
, ◉ Should immunization be deferred in presence of minor illness.
Answer: no, immunization should be deferred only in the presence of a
moderate to severe illness with or without fever
◉ What should be available if administering vaccines. Answer:
telephone to call 911 and epipen
◉ When are babies fully vaccinated against pertussis. Answer: 6 months
◉ contraindicatons to live vaccines. Answer: pregnancy, immune
suppression (HIV)
◉ Examples of live vaccines. Answer: MMR, varicella, zoster,
intranasal influenza
◉ expected side effects of all vaccines. Answer: discomfort, erythema at
immunization site
◉ CAGE questionnaire. Answer: provides very accurate information
related to alcohol abuse, 2 or greater response = + screen
Cut down on drinking
Annoyed you by criticizing your drinking
Guilty about your drinking
QUESTIONS AND DETAILED ANSWERS
GRADED A+
◉ When can you treat a minor without parental consent? Answer:
pregnant and consents to treatment related to pregnancy, other than
abortion
consent to diagnosis and treatment of STDS that must be reported to
Texas Dept of health
consent to examination or treatment for chemical addiction, dependency,
or any other condition related to chemical use
consent for counseling for suicide prevention, chemical addiction or
dependency, pr for sexual, physical or emotional abuse
***Parental consent is not required for minors to receive information
about family planning. Texas laws require minors to get parental
permission to receive contraception. When parental consent is required
the parent must sign both the general consent for treatment and method
specific consent for for a prescription method of contraception.
,Under federal law, minors may give consent and receive confidential
family planning services if the funding source is Medicaid or Title
Family Planning Program
◉ MVP S&S. Answer: CO usually uncompromised - usually goes
unnoticed by patient
TYPICALLY BENIGN
tugging chest pain, dyspnea if severe regurge, can have tachycardia or
palpitations
◉ Cardiac exam in MVP. Answer: presence of a Grade I-III/IV mid to
late systolic crescendo murmur with honking quality during peak
pressure, which is the middle of systole
Normal PMI
◉ Best indicator for asthma flare. Answer: FEV
◉ Necessary for diagnosis of HTN. Answer: >2 abnormal readings on
>2 occasions
◉ highest to lowest level of research. Answer: meta analysis
systemic reviews
RCTs
Cohort studies
,case-controlled studies
case series, case reports
editorial, expert opinion
◉ Definition of primary prevention. Answer: preventing the health
problem, the most cost-effective from of healthcare
◉ examples of primary prevention. Answer: immunizations, counseling,
helmet, seat belt, condom
◉ Definition of secondary prevention. Answer: Detecting disease in
early asymptomatic, or preclinical state
◉ examples of secondary prevention. Answer: screening tests - BP,
mammo, colonoscopy, pap smear, skin survey
◉ definition of tertiary prevention. Answer: minimizing negative disease
induced outcomes; a failure of primary prevention
◉ examples of tertiary prevention. Answer: adjusting therapy to avoid
further target damage
◉ congenital rubella. Answer: extremely teratogenic can lead to
developmental disability, blindness, hearing loss
, ◉ Should immunization be deferred in presence of minor illness.
Answer: no, immunization should be deferred only in the presence of a
moderate to severe illness with or without fever
◉ What should be available if administering vaccines. Answer:
telephone to call 911 and epipen
◉ When are babies fully vaccinated against pertussis. Answer: 6 months
◉ contraindicatons to live vaccines. Answer: pregnancy, immune
suppression (HIV)
◉ Examples of live vaccines. Answer: MMR, varicella, zoster,
intranasal influenza
◉ expected side effects of all vaccines. Answer: discomfort, erythema at
immunization site
◉ CAGE questionnaire. Answer: provides very accurate information
related to alcohol abuse, 2 or greater response = + screen
Cut down on drinking
Annoyed you by criticizing your drinking
Guilty about your drinking
