WHNP BOARDS EXAM NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
What is EBP? 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? 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 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 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 FEV
Necessary for diagnosis of HTN >2 abnormal readings on >2 occasions
Highest to lowest level of research meta analysis
systemic reviews
RCTs
Cohort studies
case-controlled studies
case series, case reports
1
, WHNP BOARDS EXAM NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
editorial, expert opinion
Definition of primary prevention preventing the health problem, the most cost-effective from of
healthcare
Examples of primary prevention immunizations, counseling, helmet, seat belt, condom
Definition of secondary prevention Detecting disease in early asymptomatic, or preclinical state
Examples of secondary prevention screening tests - BP, mammo, colonoscopy, pap smear, skin
survey
Definition of tertiary prevention minimizing negative disease induced outcomes; a failure of primary
prevention
Examples of tertiary prevention adjusting therapy to avoid further target damage
Congenital rubella extremely teratogenic can lead to developmental disability, blindness, hearing
loss
Should immunization be deferred in presence of minor illness 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 telephone to call 911 and epipen
When are babies fully vaccinated against pertussis 6 months
Contraindicatons to live vaccines pregnancy, immune suppression (HIV)
Examples of live vaccines MMR, varicella, zoster, intranasal influenza
Expected side effects of all vaccines discomfort, erythema at immunization site
CAGE questionnaire 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 3 or greater drinks/day
??drinks per week
How do you calculate pack-year history PPD x number of years smoked
What are the 5 A's of smoking cessation? Ask
Advise
2
, WHNP BOARDS EXAM NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Assess
Assist
Arrange
Top 3 cancers in womenBreast, lung and bronchus, colon and rectum
Top 3 Deadly cancers in women Lung and bronchus, breast, colon and rectum
Who gets annual screening at age 35 with EMB? 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 12-14; 36-43
Normal MCV 80-96
Normal MCHC Normochromic MCHC 31-37
Hypochromic MCHC < 31 (pale)
Normal RDW 11.5-15%
Red blood cell distribution width - variation in RBC size
Normal reticulocyte percentage 1-2%
Etiology for Normocytic (MCV WNL) Normochromic (MCHC WNL) Normal RDW
acute blood los (PPH, SAB) or anemia of chronic disease (SLE, RA)
Etiology for Microcytic (MCV decreased) Hypochromic (MCHC decreased)
Elevated RDW Iron deficiency anemia, menorrhagia
Etiology for Microcytic (MCV decreased) Hypochromic (MCHC decreased)
RDW alpha or beta thalassemia minor (thalassemia trait)
RBCs increased - make extra RBCs to compensate
At risk ethnic groups for alpha thal minor Asian, African (AAA)
At risk ethnic groups for beta thal minor African, Mediterranean, Middle Eastern (BAMME)
Etiology for macrocytic (MCV increased) normochromic (MCHC normal)
elevated RDW 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? Recycled iron contents from aged RBCs
3
, WHNP BOARDS EXAM NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
What causes acute rhinosinusitis and how long can it last? 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? 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? 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
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 7 Facial
Shrug your shoulders tests which CN? 11 Spinal accessory
Stick out your tongue tests which CN? 12 Hypoglossal
Angle closure glaucoma sudden increase in intraocular pressure
Sx - unilateral, acutely red, painful eye with vision changes including halos around lights, eye ball firm
4
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
What is EBP? 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? 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 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 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 FEV
Necessary for diagnosis of HTN >2 abnormal readings on >2 occasions
Highest to lowest level of research meta analysis
systemic reviews
RCTs
Cohort studies
case-controlled studies
case series, case reports
1
, WHNP BOARDS EXAM NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
editorial, expert opinion
Definition of primary prevention preventing the health problem, the most cost-effective from of
healthcare
Examples of primary prevention immunizations, counseling, helmet, seat belt, condom
Definition of secondary prevention Detecting disease in early asymptomatic, or preclinical state
Examples of secondary prevention screening tests - BP, mammo, colonoscopy, pap smear, skin
survey
Definition of tertiary prevention minimizing negative disease induced outcomes; a failure of primary
prevention
Examples of tertiary prevention adjusting therapy to avoid further target damage
Congenital rubella extremely teratogenic can lead to developmental disability, blindness, hearing
loss
Should immunization be deferred in presence of minor illness 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 telephone to call 911 and epipen
When are babies fully vaccinated against pertussis 6 months
Contraindicatons to live vaccines pregnancy, immune suppression (HIV)
Examples of live vaccines MMR, varicella, zoster, intranasal influenza
Expected side effects of all vaccines discomfort, erythema at immunization site
CAGE questionnaire 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 3 or greater drinks/day
??drinks per week
How do you calculate pack-year history PPD x number of years smoked
What are the 5 A's of smoking cessation? Ask
Advise
2
, WHNP BOARDS EXAM NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Assess
Assist
Arrange
Top 3 cancers in womenBreast, lung and bronchus, colon and rectum
Top 3 Deadly cancers in women Lung and bronchus, breast, colon and rectum
Who gets annual screening at age 35 with EMB? 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 12-14; 36-43
Normal MCV 80-96
Normal MCHC Normochromic MCHC 31-37
Hypochromic MCHC < 31 (pale)
Normal RDW 11.5-15%
Red blood cell distribution width - variation in RBC size
Normal reticulocyte percentage 1-2%
Etiology for Normocytic (MCV WNL) Normochromic (MCHC WNL) Normal RDW
acute blood los (PPH, SAB) or anemia of chronic disease (SLE, RA)
Etiology for Microcytic (MCV decreased) Hypochromic (MCHC decreased)
Elevated RDW Iron deficiency anemia, menorrhagia
Etiology for Microcytic (MCV decreased) Hypochromic (MCHC decreased)
RDW alpha or beta thalassemia minor (thalassemia trait)
RBCs increased - make extra RBCs to compensate
At risk ethnic groups for alpha thal minor Asian, African (AAA)
At risk ethnic groups for beta thal minor African, Mediterranean, Middle Eastern (BAMME)
Etiology for macrocytic (MCV increased) normochromic (MCHC normal)
elevated RDW 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? Recycled iron contents from aged RBCs
3
, WHNP BOARDS EXAM NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
What causes acute rhinosinusitis and how long can it last? 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? 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? 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
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 7 Facial
Shrug your shoulders tests which CN? 11 Spinal accessory
Stick out your tongue tests which CN? 12 Hypoglossal
Angle closure glaucoma sudden increase in intraocular pressure
Sx - unilateral, acutely red, painful eye with vision changes including halos around lights, eye ball firm
4
