WHNP NCC EXAM-ACTUAL EXAM |LATEST UPDATE 2025 COMPLETE
QUESTIONS WITH CORRECT DETAILED AND VERIFIED ANSWERS| MOSTLY
TESTED QUESTIONS –RATED 100% CORRECT!! GUARANTEED PASS!!ALREADY
GRADED A+
Tympany - (answers)loud, high pitched, "drum" sound heard on percussion
- heard over abdomen (except for organs/masses)
Resonance - (answers)loud, low pitched, hollow sound heard on percussion
Hyperresonance - (answers)very loud, low pitch, "boom" sound heard on percussion
40 - (answers)Waist circumference has little value if BMI is >/= ______
35 in - (answers)waist circumference >____ in a woman = inc. risks
Snellen chart - (answers)tests visual acuity; central vision (i.e. 20/20)
Rosenbaum card - (answers)tests visual acuity; near vision
Presbyopia - (answers)Near vision is impaired (Farsighted)
Myopia - (answers)Far vision is impaired (Nearsighted)
Confrontation test - (answers)Tests peripheral vision/estimates visual fields
Extraocular muscle function - (answers)symmetrical movement to the 6 cardinal fields of gaze
test what?
Normal opthalmoscopic exam - (answers)- 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 - (answers)- 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 - (answers)- 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 - (answers)Normal results of Rinne test
Sensorineural hearing loss - (answers)caused by defect in inner ear distorting sound, age, trauma
from loud noises, genetics
Conductive hearing loss - (answers)impaired through external/middle ear; caused by fluid,
object, swelling, ruptured eardrum, ear wax
Normal otoscopic exam - (answers)Tympanic membrane intact, pearly gray, translucent, with
cone light at 5-7:00
Acute otitis media - (answers)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 - (answers)- Asymmetry
- Borders irregular
- Color blue or black
- Diameter > 6 mm
- Elevation
Leukoplakia - (answers)thickened, white, leathery patch in mouth/tongue can develop into
squamous cell carcinoma
Pharyngitis - (answers)Erythematous pharynx, tonsils 3+, white exudate, enlarged tender anterior
cervical nodes
tx:
GABHS - PCN PO/benzathine PCN IM (erythromycin if allergy)
Normal breath sounds - (answers)Vesicular; bronchial over trachea, bronchovesicular near main
bronchus
Resonant - (answers)Normal sound of lung percussion
< - (answers)Respiratory: Normal = AP diameter (> / <) transverse
,Decreased - (answers)Tactile fremitus is (increased/decreased) with emphysema, asthma, and
pleural effusion
Increased - (answers)Tactile fremitus is (increased/decreased) with global pneumonia and
pulmonary edema
Vocal resonance - (answers)This is usually muffled/indistinct; if it is not = fluid/solid mass in
lungs
Crackles - (answers)Air flowing by fluid; sign of early heart failure, pneumonia, or bronchitis
Fine crackles - (answers)Heard at end of inspiration, high pitch, popping, short duration
Coarse crackle - (answers)- Heard during inspiration (may be during exp), low pitch, loud,
bubbling, longer duration
- Does not disappear with coughing
Rhonchi - (answers)- Air passing over solid/thick secretions in large airways
- Bronchitis, pneumonia
- Heard with inspiration and expiration
- Low pitch, loud, snore-like
- Disappears w/ cough
Wheezing - (answers)- Air flow through constricted passage
- Chronic emphysema, asthma
- High pitch, louder during expiration, squeaky
Pleural friction rub - (answers)- Inflammation of pleural tissue
- Pleuritis, pericarditis, heard with inspiration/expiration
- Dry, rubbing, grating
Apical impulse - (answers)4th-5h left intercostal space medial to midclavicular line
S1 - (answers)Occurs at start of systole at apex
S2 - (answers)Occurs at start of diastole at base
Physiologic split S2 - (answers)- Heard at inspiration at base, normal
- Best heard w/ diaphragm
Fixed split S2 - (answers)- Heard at inspiration and expiration at base
, - Delayed closure of pulmonic valve - caused by atrial septal defect, right ventricular failure
- Best heard w/ diaphragm
Increased S3 - (answers)- Ventricular gallop, best heard at apex with bell
- Early diastole, low pitch, increases w/ inspiration
- Normal in young adults & late preg.
- Dec myocardial contractility/heart failure/volume overload = rapid ventricular filling
Increased S4 - (answers)- Atrial gallop, best heard at apex w/ bell
- Late diastole, low pitch, increases w/ inspiration
- Normal in athletes, old
- Aortic stenosis, HTN heart disease, & cardiomyopathy = forceful atrial ejection into distended
ventricle
Physiologic murmur - (answers)- 2-4th left ICS bw left sternal border & apex
- Mid-systole, soft-medium pitch, improves/gone when sitting, standing, valsalva
- Normal, common in pregnancy
Murmur of mitral stenosis - (answers)- Best heard at apex w/ bell
- Early to late diastole, low-pitched
Systolic click - (answers)- Best heard at apex with diaphragm
- Mid-to late systole, high pitch, inc w/ inspiration
- Mitral valve prolapse
Liver - (answers)- Smooth edge, sharp, nontender, </= 2 cm below right costal margin
- Spans 6-12 cm at right MCL
Aorta - (answers)Left of midline in upper abdomen, <3 cm wide
Splenic dullness - (answers)6-10th ICS posterior to midaxillary line - suspect splenomegaly
Peritonitis - (answers)Guarding, rigidity, rebound tenderness is a sign of?
Appendicitis - (answers)Mcburney's point, Rovsing, and Psoas/obturator are tests for what?
McBurney - (answers)localized RLQ tenderness
Rovsing - (answers)Referred rebound tenderness; RLQ pain when Left side pressure is applied &
withdrawn
QUESTIONS WITH CORRECT DETAILED AND VERIFIED ANSWERS| MOSTLY
TESTED QUESTIONS –RATED 100% CORRECT!! GUARANTEED PASS!!ALREADY
GRADED A+
Tympany - (answers)loud, high pitched, "drum" sound heard on percussion
- heard over abdomen (except for organs/masses)
Resonance - (answers)loud, low pitched, hollow sound heard on percussion
Hyperresonance - (answers)very loud, low pitch, "boom" sound heard on percussion
40 - (answers)Waist circumference has little value if BMI is >/= ______
35 in - (answers)waist circumference >____ in a woman = inc. risks
Snellen chart - (answers)tests visual acuity; central vision (i.e. 20/20)
Rosenbaum card - (answers)tests visual acuity; near vision
Presbyopia - (answers)Near vision is impaired (Farsighted)
Myopia - (answers)Far vision is impaired (Nearsighted)
Confrontation test - (answers)Tests peripheral vision/estimates visual fields
Extraocular muscle function - (answers)symmetrical movement to the 6 cardinal fields of gaze
test what?
Normal opthalmoscopic exam - (answers)- 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 - (answers)- 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 - (answers)- 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 - (answers)Normal results of Rinne test
Sensorineural hearing loss - (answers)caused by defect in inner ear distorting sound, age, trauma
from loud noises, genetics
Conductive hearing loss - (answers)impaired through external/middle ear; caused by fluid,
object, swelling, ruptured eardrum, ear wax
Normal otoscopic exam - (answers)Tympanic membrane intact, pearly gray, translucent, with
cone light at 5-7:00
Acute otitis media - (answers)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 - (answers)- Asymmetry
- Borders irregular
- Color blue or black
- Diameter > 6 mm
- Elevation
Leukoplakia - (answers)thickened, white, leathery patch in mouth/tongue can develop into
squamous cell carcinoma
Pharyngitis - (answers)Erythematous pharynx, tonsils 3+, white exudate, enlarged tender anterior
cervical nodes
tx:
GABHS - PCN PO/benzathine PCN IM (erythromycin if allergy)
Normal breath sounds - (answers)Vesicular; bronchial over trachea, bronchovesicular near main
bronchus
Resonant - (answers)Normal sound of lung percussion
< - (answers)Respiratory: Normal = AP diameter (> / <) transverse
,Decreased - (answers)Tactile fremitus is (increased/decreased) with emphysema, asthma, and
pleural effusion
Increased - (answers)Tactile fremitus is (increased/decreased) with global pneumonia and
pulmonary edema
Vocal resonance - (answers)This is usually muffled/indistinct; if it is not = fluid/solid mass in
lungs
Crackles - (answers)Air flowing by fluid; sign of early heart failure, pneumonia, or bronchitis
Fine crackles - (answers)Heard at end of inspiration, high pitch, popping, short duration
Coarse crackle - (answers)- Heard during inspiration (may be during exp), low pitch, loud,
bubbling, longer duration
- Does not disappear with coughing
Rhonchi - (answers)- Air passing over solid/thick secretions in large airways
- Bronchitis, pneumonia
- Heard with inspiration and expiration
- Low pitch, loud, snore-like
- Disappears w/ cough
Wheezing - (answers)- Air flow through constricted passage
- Chronic emphysema, asthma
- High pitch, louder during expiration, squeaky
Pleural friction rub - (answers)- Inflammation of pleural tissue
- Pleuritis, pericarditis, heard with inspiration/expiration
- Dry, rubbing, grating
Apical impulse - (answers)4th-5h left intercostal space medial to midclavicular line
S1 - (answers)Occurs at start of systole at apex
S2 - (answers)Occurs at start of diastole at base
Physiologic split S2 - (answers)- Heard at inspiration at base, normal
- Best heard w/ diaphragm
Fixed split S2 - (answers)- Heard at inspiration and expiration at base
, - Delayed closure of pulmonic valve - caused by atrial septal defect, right ventricular failure
- Best heard w/ diaphragm
Increased S3 - (answers)- Ventricular gallop, best heard at apex with bell
- Early diastole, low pitch, increases w/ inspiration
- Normal in young adults & late preg.
- Dec myocardial contractility/heart failure/volume overload = rapid ventricular filling
Increased S4 - (answers)- Atrial gallop, best heard at apex w/ bell
- Late diastole, low pitch, increases w/ inspiration
- Normal in athletes, old
- Aortic stenosis, HTN heart disease, & cardiomyopathy = forceful atrial ejection into distended
ventricle
Physiologic murmur - (answers)- 2-4th left ICS bw left sternal border & apex
- Mid-systole, soft-medium pitch, improves/gone when sitting, standing, valsalva
- Normal, common in pregnancy
Murmur of mitral stenosis - (answers)- Best heard at apex w/ bell
- Early to late diastole, low-pitched
Systolic click - (answers)- Best heard at apex with diaphragm
- Mid-to late systole, high pitch, inc w/ inspiration
- Mitral valve prolapse
Liver - (answers)- Smooth edge, sharp, nontender, </= 2 cm below right costal margin
- Spans 6-12 cm at right MCL
Aorta - (answers)Left of midline in upper abdomen, <3 cm wide
Splenic dullness - (answers)6-10th ICS posterior to midaxillary line - suspect splenomegaly
Peritonitis - (answers)Guarding, rigidity, rebound tenderness is a sign of?
Appendicitis - (answers)Mcburney's point, Rovsing, and Psoas/obturator are tests for what?
McBurney - (answers)localized RLQ tenderness
Rovsing - (answers)Referred rebound tenderness; RLQ pain when Left side pressure is applied &
withdrawn
