WHNP BOARD EXAM 2024 NEWEST ACTUAL EXAM 2
VERSIONS COMPLETE 500 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) / ALREADY GRADED
A+ // BRAND NEW!!
What is EBP? - ANSWER: The delivery of individualized healthcare on the basis of an
awareness of the impact and strength of related scientific evidence
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
Eye opener - drink first thing in the morning or to get rid of hangover
Definition of alcoholic in women - ANSWER: 3 or greater drinks/day
,??drinks per week
How do you calculate pack-year history - ANSWER: PPD x number of years smoked
What are the 5 A's of smoking cessation? - ANSWER: Ask
Advise
Assess
Assist
Arrange
Top 3 cancers in women - ANSWER: Breast, lung and bronchus, colon and rectum
Top 3 Deadly cancers in women - ANSWER: Lung and bronchus, breast, colon and
rectum
Who gets annual screening at age 35 with EMB? - ANSWER: Women who have
hereditary non polyposis colon caner, annual screening should be offered for
endometrial cancer with EMB beginning at age 35
Normal H&H values - ANSWER: 12-14; 36-43
Normal MCV - ANSWER: 80-96
Normal MCHC - ANSWER: Normochromic MCHC 31-37
Hypochromic - ANSWER: MCHC < 31 (pale)
Normal RDW - ANSWER: 11.5-15%
Red blood cell distribution width - variation in RBC size
Normal reticulocyte percentage - ANSWER: 1-2%
Etiology for
Normocytic (MCV WNL)
Normochromic (MCHC WNL)
Normal RDW - ANSWER: acute blood los (PPH, SAB) or anemia of chronic disease
(SLE, RA)
Etiology for
Microcytic (MCV decreased)
Hypochromic (MCHC decreased)
Elevated RDW - ANSWER: Iron deficiency anemia, menorrhagia
Etiology for
Microcytic (MCV decreased)
Hypochromic (MCHC decreased)
Normal RDW - ANSWER: alpha or beta thalassemia minor (thalassemia trait)
, RBCs increased - make extra RBCs to compensate
At risk ethnic groups for alpha thal minor - ANSWER: Asian, African (AAA)
at risk ethnic groups for beta thal minor - ANSWER: African, Mediterranean, Middle
Eastern (BAMME)
Etiology for
macrocytic (MCV increased)
normochromic (MCHC normal)
elevated RDW - ANSWER: Pernicious anemia (body cannot absorb B12 - classic
symptoms are fatigue, numb hands and feet), dietary induced vitamin B12
deficiency, folate deficiency
What is the most important source of the body's iron supply? - ANSWER: Recycled
iron contents from aged RBCs
What causes acute rhinosinusitis and how long can it last? - ANSWER: inflammation
of nasal passages and sinuses d/t allergens, environmental irritants, viruses, bacteria,
fungi; can last 4 weeks
When does ABRS (acute bacterial rhinosinusitis) need ABX? - ANSWER: Persistent
symptoms not improving for 10 days or greater
Severe for 3-4 days
or double sickening
What is first line abx treatment for ABRS? - ANSWER: No risk for resitance -
Amoxicillin with clav (beta lactam), second line doxy
Beta lactam allergy - doxy or levofloxacin, or moxifloxacin (if pregnant azithromycin)
Risk for resistance of failed therapy - higher dose amoxicillin with clav, levofloxacin,
or moxifloxacin
List all cranial nerves - ANSWER: I Olfactory - smell
2 Optic - vision
3 Oculomotor - eyelid and eyeball movement
4 Trochlear - turns eye down and lateral
5 Trigeminal - chewing, face and mouth, touch and pain
6 Abducens - turns eye laterally
7 Facial - facial expressions, secretion of tears and saliva, taste
8 Acoustic - hearing, equilibrium, sensation
9 Glossopharyngeal - taste, senses carotid BP
10 Vagus - senses aortic BP, slows HR, stimulates digestion, taste
11 Spinal accessory - controls traps and sternocleidomastoid, controls swallowing
12 Hypoglossal - controls tongue movement
Puff out your cheeks tests which cranial nerve - ANSWER: 7 Facial
VERSIONS COMPLETE 500 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) / ALREADY GRADED
A+ // BRAND NEW!!
What is EBP? - ANSWER: The delivery of individualized healthcare on the basis of an
awareness of the impact and strength of related scientific evidence
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
Eye opener - drink first thing in the morning or to get rid of hangover
Definition of alcoholic in women - ANSWER: 3 or greater drinks/day
,??drinks per week
How do you calculate pack-year history - ANSWER: PPD x number of years smoked
What are the 5 A's of smoking cessation? - ANSWER: Ask
Advise
Assess
Assist
Arrange
Top 3 cancers in women - ANSWER: Breast, lung and bronchus, colon and rectum
Top 3 Deadly cancers in women - ANSWER: Lung and bronchus, breast, colon and
rectum
Who gets annual screening at age 35 with EMB? - ANSWER: Women who have
hereditary non polyposis colon caner, annual screening should be offered for
endometrial cancer with EMB beginning at age 35
Normal H&H values - ANSWER: 12-14; 36-43
Normal MCV - ANSWER: 80-96
Normal MCHC - ANSWER: Normochromic MCHC 31-37
Hypochromic - ANSWER: MCHC < 31 (pale)
Normal RDW - ANSWER: 11.5-15%
Red blood cell distribution width - variation in RBC size
Normal reticulocyte percentage - ANSWER: 1-2%
Etiology for
Normocytic (MCV WNL)
Normochromic (MCHC WNL)
Normal RDW - ANSWER: acute blood los (PPH, SAB) or anemia of chronic disease
(SLE, RA)
Etiology for
Microcytic (MCV decreased)
Hypochromic (MCHC decreased)
Elevated RDW - ANSWER: Iron deficiency anemia, menorrhagia
Etiology for
Microcytic (MCV decreased)
Hypochromic (MCHC decreased)
Normal RDW - ANSWER: alpha or beta thalassemia minor (thalassemia trait)
, RBCs increased - make extra RBCs to compensate
At risk ethnic groups for alpha thal minor - ANSWER: Asian, African (AAA)
at risk ethnic groups for beta thal minor - ANSWER: African, Mediterranean, Middle
Eastern (BAMME)
Etiology for
macrocytic (MCV increased)
normochromic (MCHC normal)
elevated RDW - ANSWER: Pernicious anemia (body cannot absorb B12 - classic
symptoms are fatigue, numb hands and feet), dietary induced vitamin B12
deficiency, folate deficiency
What is the most important source of the body's iron supply? - ANSWER: Recycled
iron contents from aged RBCs
What causes acute rhinosinusitis and how long can it last? - ANSWER: inflammation
of nasal passages and sinuses d/t allergens, environmental irritants, viruses, bacteria,
fungi; can last 4 weeks
When does ABRS (acute bacterial rhinosinusitis) need ABX? - ANSWER: Persistent
symptoms not improving for 10 days or greater
Severe for 3-4 days
or double sickening
What is first line abx treatment for ABRS? - ANSWER: No risk for resitance -
Amoxicillin with clav (beta lactam), second line doxy
Beta lactam allergy - doxy or levofloxacin, or moxifloxacin (if pregnant azithromycin)
Risk for resistance of failed therapy - higher dose amoxicillin with clav, levofloxacin,
or moxifloxacin
List all cranial nerves - ANSWER: I Olfactory - smell
2 Optic - vision
3 Oculomotor - eyelid and eyeball movement
4 Trochlear - turns eye down and lateral
5 Trigeminal - chewing, face and mouth, touch and pain
6 Abducens - turns eye laterally
7 Facial - facial expressions, secretion of tears and saliva, taste
8 Acoustic - hearing, equilibrium, sensation
9 Glossopharyngeal - taste, senses carotid BP
10 Vagus - senses aortic BP, slows HR, stimulates digestion, taste
11 Spinal accessory - controls traps and sternocleidomastoid, controls swallowing
12 Hypoglossal - controls tongue movement
Puff out your cheeks tests which cranial nerve - ANSWER: 7 Facial
