WHNP NCC EXAM QUESTIONS AND
ANSWERS. VERIFIED 2026.
Tympany - ANS loud, high pitched, "drum" sound heard on percussion
- heard over abdomen (except for organs/masses)
Resonance - ANS loud, low pitched, hollow sound heard on percussion
Hyperresonance - ANS very loud, low pitch, "boom" sound heard on percussion
40 - ANS Waist circumference has little value if BMI is >/= ______
35 in - ANS waist circumference >____ in a woman = inc. risks
Snellen chart - ANS tests visual acuity; central vision (i.e. 20/20)
Rosenbaum card - ANS tests visual acuity; near vision
Presbyopia - ANS Near vision is impaired (Farsighted)
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Myopia - ANS Far vision is impaired (Nearsighted)
Confrontation test - ANS Tests peripheral vision/estimates visual fields
Extraocular muscle function - ANS symmetrical movement to the 6 cardinal fields of gaze test
what?
Normal opthalmoscopic exam - ANS - Red reflex present
- Yellow to pink optic disc w/ distinct margins
- Light red arterioles (2/3 diameter of veins) w/ bright light reflex
- Veins dark red
- No venous tapering at AV crossings
Weber test - ANS - Stem of a vibrating tuning fork on the midline of the head, patient
indicates in which ear the tone is heard
- Lateralization of sound through bone conduction
- Unilateral conductive loss - sound lateralizes toward affected ear
Unilateral sensorineural loss - sound lateralizes to the normal or better-hearing side.
Rinne test - ANS - Vibrating tuning fork 1st placed on mastoid process, then in front of
external auditory canal to test bone vs air conduction of sound (AC:BC = 2:1)
- Test of conductive hearing loss
AC:BC = 2:1 - ANS Normal results of Rinne test
Sensorineural hearing loss - ANS caused by defect in inner ear distorting sound, age, trauma
from loud noises, genetics
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Conductive hearing loss - ANS impaired through external/middle ear; caused by fluid, object,
swelling, ruptured eardrum, ear wax
Normal otoscopic exam - ANS Tympanic membrane intact, pearly gray, translucent, with cone
light at 5-7:00
Acute otitis media - ANS infx of middle ear; often preceded by URI or allergies/smoke
Full/bulging tympanic membrane with no/obscured bony landmarks, distorted light reflex, post-
auricular cervical lymphadenopaty
tx: amoxicillin (augmentin, azith, trimethoprim-sulfamethoxazole)
Malignant melanoma - ANS - Asymmetry
- Borders irregular
- Color blue or black
- Diameter > 6 mm
- Elevation
Leukoplakia - ANS thickened, white, leathery patch in mouth/tongue can develop into
squamous cell carcinoma
Pharyngitis - ANS Erythematous pharynx, tonsils 3+, white exudate, enlarged tender anterior
cervical nodes
tx:
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, GABHS - PCN PO/benzathine PCN IM (erythromycin if allergy)
Normal breath sounds - ANS Vesicular; bronchial over trachea, bronchovesicular near main
bronchus
Resonant - ANS Normal sound of lung percussion
< - ANS Respiratory: Normal = AP diameter (> / <) transverse
Decreased - ANS Tactile fremitus is (increased/decreased) with emphysema, asthma, and
pleural effusion
Increased - ANS Tactile fremitus is (increased/decreased) with global pneumonia and
pulmonary edema
Vocal resonance - ANS This is usually muffled/indistinct; if it is not = fluid/solid mass in lungs
Crackles - ANS Air flowing by fluid; sign of early heart failure, pneumonia, or bronchitis
Fine crackles - ANS Heard at end of inspiration, high pitch, popping, short duration
Coarse crackle - ANS - Heard during inspiration (may be during exp), low pitch, loud,
bubbling, longer duration
- Does not disappear with coughing
Rhonchi - ANS - Air passing over solid/thick secretions in large airways
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ANSWERS. VERIFIED 2026.
Tympany - ANS loud, high pitched, "drum" sound heard on percussion
- heard over abdomen (except for organs/masses)
Resonance - ANS loud, low pitched, hollow sound heard on percussion
Hyperresonance - ANS very loud, low pitch, "boom" sound heard on percussion
40 - ANS Waist circumference has little value if BMI is >/= ______
35 in - ANS waist circumference >____ in a woman = inc. risks
Snellen chart - ANS tests visual acuity; central vision (i.e. 20/20)
Rosenbaum card - ANS tests visual acuity; near vision
Presbyopia - ANS Near vision is impaired (Farsighted)
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Myopia - ANS Far vision is impaired (Nearsighted)
Confrontation test - ANS Tests peripheral vision/estimates visual fields
Extraocular muscle function - ANS symmetrical movement to the 6 cardinal fields of gaze test
what?
Normal opthalmoscopic exam - ANS - Red reflex present
- Yellow to pink optic disc w/ distinct margins
- Light red arterioles (2/3 diameter of veins) w/ bright light reflex
- Veins dark red
- No venous tapering at AV crossings
Weber test - ANS - Stem of a vibrating tuning fork on the midline of the head, patient
indicates in which ear the tone is heard
- Lateralization of sound through bone conduction
- Unilateral conductive loss - sound lateralizes toward affected ear
Unilateral sensorineural loss - sound lateralizes to the normal or better-hearing side.
Rinne test - ANS - Vibrating tuning fork 1st placed on mastoid process, then in front of
external auditory canal to test bone vs air conduction of sound (AC:BC = 2:1)
- Test of conductive hearing loss
AC:BC = 2:1 - ANS Normal results of Rinne test
Sensorineural hearing loss - ANS caused by defect in inner ear distorting sound, age, trauma
from loud noises, genetics
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Conductive hearing loss - ANS impaired through external/middle ear; caused by fluid, object,
swelling, ruptured eardrum, ear wax
Normal otoscopic exam - ANS Tympanic membrane intact, pearly gray, translucent, with cone
light at 5-7:00
Acute otitis media - ANS infx of middle ear; often preceded by URI or allergies/smoke
Full/bulging tympanic membrane with no/obscured bony landmarks, distorted light reflex, post-
auricular cervical lymphadenopaty
tx: amoxicillin (augmentin, azith, trimethoprim-sulfamethoxazole)
Malignant melanoma - ANS - Asymmetry
- Borders irregular
- Color blue or black
- Diameter > 6 mm
- Elevation
Leukoplakia - ANS thickened, white, leathery patch in mouth/tongue can develop into
squamous cell carcinoma
Pharyngitis - ANS Erythematous pharynx, tonsils 3+, white exudate, enlarged tender anterior
cervical nodes
tx:
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, GABHS - PCN PO/benzathine PCN IM (erythromycin if allergy)
Normal breath sounds - ANS Vesicular; bronchial over trachea, bronchovesicular near main
bronchus
Resonant - ANS Normal sound of lung percussion
< - ANS Respiratory: Normal = AP diameter (> / <) transverse
Decreased - ANS Tactile fremitus is (increased/decreased) with emphysema, asthma, and
pleural effusion
Increased - ANS Tactile fremitus is (increased/decreased) with global pneumonia and
pulmonary edema
Vocal resonance - ANS This is usually muffled/indistinct; if it is not = fluid/solid mass in lungs
Crackles - ANS Air flowing by fluid; sign of early heart failure, pneumonia, or bronchitis
Fine crackles - ANS Heard at end of inspiration, high pitch, popping, short duration
Coarse crackle - ANS - Heard during inspiration (may be during exp), low pitch, loud,
bubbling, longer duration
- Does not disappear with coughing
Rhonchi - ANS - Air passing over solid/thick secretions in large airways
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
