WHNP Boards Exam Questions And 100% Corr
n n n n n n
ect Answers
n
WhatnisnEBP?n-
nANSWER nThen delivery n of nindividualizedn healthcaren onnthenbasisn of nann awarenessn of n then i
mpactn andn strengthn of n relatedn scientific n evidence
Whenncannyoun treatn anm inornwithoutn parentalnconsent?n -
nANSWER n pregnantn andn consentsn ton treatm entn relatedn ton pregnancy,n othern thann abortion
consentn ton diagnosisn andn treatm entn of n STDSn thatn m ustn ben reportedn ton Texasn Deptn of n healt
h
consentn ton examinationn orn treatm entn of n chem icaln addiction,n dependency,n orn any n othern co
nditionn relatedn ton chemicaln use
consentn forn counselingn relatedn ton then preventionn of n suicide,n f orn chem icaln addictionn orn dep
endency,nornfornsexual,nphysical,nornemotionalnabuse
***Parentalnconsentnisnnotnrequiredntonprovidenfamily nplanningn informationntonminors.n Tex
asn lawsn requiren parentaln consentn forn minors n ton receiven contraception.n Whenn parentaln cons
entnisnrequired,nthenparentnmustnsignnbothnthengeneralnconsentnforntreatmentnandn thenmet
hodnspecific nconsentnfornanprescriptionnmethodnof ncontraception.
Undern federaln law,n m inorsn m ay n given consentn andn receiven confidentialn family n planningn ser
vicesnif nthenfundingnsourcenisnMedicaidnornTitlenFamily nPlanningn Program
MVPnS&Sn-nANSWERnCOn usually n uncom prom isedn -
usually ngoesnunnoticedn by n patientn TYPICALLYn BENIGN
n
tuggingn chestn pain,n dyspnean if n severen regurge,n cann haven tachycardian orn palpitations
Cardiac n exam n inn M VPn -n ANSWERn presencen of n an Graden I-
III/IVn midn ton laten systolic n crescendon m urm urn withn honkingn quality n duringn peak n pressure,n w
hichn isn then m iddlen of n systole
,Normaln PMI
Bestnindicatornfornasthm anflaren-n ANSWERnFEV
Necessary n forn diagnosisn of n HTNn -n ANSWERn >2n abnormaln readingsn onn >2n occasions
highestnton lowestnleveln of nresearchn-
ANSWERnm etan analysisn systemic n reviews
n
RCTs
Cohortn studies
case-
controlledn studiesn casen se
ries,n casen reportsn editorial,
n expertn opinion
Primary n prevention-definition-
ANSWERnthen preventionn of nthen healthn problem ,n mostn cost-
effectiven form n of n healthcare
Examplesnof n prim ary n prevention-
ANSWERnimm unizations,ncounseling,n helm et,n seatn belt,n condom
Secondary n prevention-definition-
ANSWERn Detectingn diseasenin nearly n asym ptom atic,norn preclinicaln state
Examplesn of n secondary n prevention-ANSWERn screeningn testsn -
n BP,n mammogram ,n colonoscopy,n papn sm ear,n skinn survey
tertiary n prevention-definition-
n ANSWER n reducingn adversen diseasen associatedn consequences;n an lapsen inn prim ary n prev
ention
,examplesn of n tertiary n prevention-
n ANSWER n adjustm entn of n therapy n ton preventn furthern targetn organn dam age
congenitaln rubella-
n ANSWER n highly n teratogenic n cann causen developm entaln disability,n blindness,n hearingn los
s
Shouldn imm unizationn ben def erredn inn then presencen of n minorn illnessn -
n ANSWER n no,n im m unizationn shouldn ben def erredn only n inn then presencen of n an moderaten ton se
veren illnessn withn orn withoutn fever
Whatnshouldn ben availablenif nadministeringnvaccinesn -
nANSWER ntelephonentoncalln 911n andn epipen
Whenn aren babiesn fully n vaccinatedn againstn pertussisn -n ANSWERn 6n months
contraindicatonsn tonlivenvaccinesn -nANSWERn pregnancy,nimm unen suppressionn(HIV)
Examplesn of nliven vaccinesn -n ANSWERn MM R,n varicella,n zoster,n intranasaln influenza
expected n siden effectsn of nalln vaccinesn -
n ANSWER n discomf ort,n erytheman atn im m unizationn site
CAGEnquestionnairen-
nANSWER nvery n accuraten inform ationn relatedn ton alcoholn abuse,n 2n orn greatern responsen = n + n
screen
Cutndownnonn drinking
Annoyedn youn by n criticizingn yourn drinkingn G
uilty n aboutn yourn drinking
Eyen openern -n drink n firstn thingn inn then m orningn orn ton getn ridn of n hangover
Alcoholic n inn womenn -n ANSWERn 3n orn ≥n drinks/day
, ??drinksn pern week
Pack-yearn history n -n ANSWERn PPDn x n numbern of n yearsn smoked
5nA'snof nsmokingncessationn-
ANSWERnAsk n Advise
n
Assessn Assi
stn Arrange
Topn3ncancersninnwom enn-n ANSWERnBreast,nlungn andn bronchus,ncolonn andnrectum
Topn3nDeadly ncancersninn wom enn -
nANSWER nLungn andn bronchus,nbreast,ncolonn andn rectum
Whongetsn annualn screeningn atn agen 35nwithn EM B?n -
ANSWERnWom enn whon haven hereditary n nonnpolyposisncolonncaner,nannualnscreeningnsh
ouldnbenofferednfornendometrialncancern withn EMBnbeginningnatnagen 35
Normaln H&Hn valuesn -ANSWERn 12-14;n 36-43
NormalnMCVn-ANSWERn80-96
Normaln MCHCn -ANSWERn Normochromic n MCHCn 31-37
Hypochromic n -ANSWERn MCHCn <n 31n (pale)
NormalnRDWn-ANSWERn11.5-15%
n n n n n n
ect Answers
n
WhatnisnEBP?n-
nANSWER nThen delivery n of nindividualizedn healthcaren onnthenbasisn of nann awarenessn of n then i
mpactn andn strengthn of n relatedn scientific n evidence
Whenncannyoun treatn anm inornwithoutn parentalnconsent?n -
nANSWER n pregnantn andn consentsn ton treatm entn relatedn ton pregnancy,n othern thann abortion
consentn ton diagnosisn andn treatm entn of n STDSn thatn m ustn ben reportedn ton Texasn Deptn of n healt
h
consentn ton examinationn orn treatm entn of n chem icaln addiction,n dependency,n orn any n othern co
nditionn relatedn ton chemicaln use
consentn forn counselingn relatedn ton then preventionn of n suicide,n f orn chem icaln addictionn orn dep
endency,nornfornsexual,nphysical,nornemotionalnabuse
***Parentalnconsentnisnnotnrequiredntonprovidenfamily nplanningn informationntonminors.n Tex
asn lawsn requiren parentaln consentn forn minors n ton receiven contraception.n Whenn parentaln cons
entnisnrequired,nthenparentnmustnsignnbothnthengeneralnconsentnforntreatmentnandn thenmet
hodnspecific nconsentnfornanprescriptionnmethodnof ncontraception.
Undern federaln law,n m inorsn m ay n given consentn andn receiven confidentialn family n planningn ser
vicesnif nthenfundingnsourcenisnMedicaidnornTitlenFamily nPlanningn Program
MVPnS&Sn-nANSWERnCOn usually n uncom prom isedn -
usually ngoesnunnoticedn by n patientn TYPICALLYn BENIGN
n
tuggingn chestn pain,n dyspnean if n severen regurge,n cann haven tachycardian orn palpitations
Cardiac n exam n inn M VPn -n ANSWERn presencen of n an Graden I-
III/IVn midn ton laten systolic n crescendon m urm urn withn honkingn quality n duringn peak n pressure,n w
hichn isn then m iddlen of n systole
,Normaln PMI
Bestnindicatornfornasthm anflaren-n ANSWERnFEV
Necessary n forn diagnosisn of n HTNn -n ANSWERn >2n abnormaln readingsn onn >2n occasions
highestnton lowestnleveln of nresearchn-
ANSWERnm etan analysisn systemic n reviews
n
RCTs
Cohortn studies
case-
controlledn studiesn casen se
ries,n casen reportsn editorial,
n expertn opinion
Primary n prevention-definition-
ANSWERnthen preventionn of nthen healthn problem ,n mostn cost-
effectiven form n of n healthcare
Examplesnof n prim ary n prevention-
ANSWERnimm unizations,ncounseling,n helm et,n seatn belt,n condom
Secondary n prevention-definition-
ANSWERn Detectingn diseasenin nearly n asym ptom atic,norn preclinicaln state
Examplesn of n secondary n prevention-ANSWERn screeningn testsn -
n BP,n mammogram ,n colonoscopy,n papn sm ear,n skinn survey
tertiary n prevention-definition-
n ANSWER n reducingn adversen diseasen associatedn consequences;n an lapsen inn prim ary n prev
ention
,examplesn of n tertiary n prevention-
n ANSWER n adjustm entn of n therapy n ton preventn furthern targetn organn dam age
congenitaln rubella-
n ANSWER n highly n teratogenic n cann causen developm entaln disability,n blindness,n hearingn los
s
Shouldn imm unizationn ben def erredn inn then presencen of n minorn illnessn -
n ANSWER n no,n im m unizationn shouldn ben def erredn only n inn then presencen of n an moderaten ton se
veren illnessn withn orn withoutn fever
Whatnshouldn ben availablenif nadministeringnvaccinesn -
nANSWER ntelephonentoncalln 911n andn epipen
Whenn aren babiesn fully n vaccinatedn againstn pertussisn -n ANSWERn 6n months
contraindicatonsn tonlivenvaccinesn -nANSWERn pregnancy,nimm unen suppressionn(HIV)
Examplesn of nliven vaccinesn -n ANSWERn MM R,n varicella,n zoster,n intranasaln influenza
expected n siden effectsn of nalln vaccinesn -
n ANSWER n discomf ort,n erytheman atn im m unizationn site
CAGEnquestionnairen-
nANSWER nvery n accuraten inform ationn relatedn ton alcoholn abuse,n 2n orn greatern responsen = n + n
screen
Cutndownnonn drinking
Annoyedn youn by n criticizingn yourn drinkingn G
uilty n aboutn yourn drinking
Eyen openern -n drink n firstn thingn inn then m orningn orn ton getn ridn of n hangover
Alcoholic n inn womenn -n ANSWERn 3n orn ≥n drinks/day
, ??drinksn pern week
Pack-yearn history n -n ANSWERn PPDn x n numbern of n yearsn smoked
5nA'snof nsmokingncessationn-
ANSWERnAsk n Advise
n
Assessn Assi
stn Arrange
Topn3ncancersninnwom enn-n ANSWERnBreast,nlungn andn bronchus,ncolonn andnrectum
Topn3nDeadly ncancersninn wom enn -
nANSWER nLungn andn bronchus,nbreast,ncolonn andn rectum
Whongetsn annualn screeningn atn agen 35nwithn EM B?n -
ANSWERnWom enn whon haven hereditary n nonnpolyposisncolonncaner,nannualnscreeningnsh
ouldnbenofferednfornendometrialncancern withn EMBnbeginningnatnagen 35
Normaln H&Hn valuesn -ANSWERn 12-14;n 36-43
NormalnMCVn-ANSWERn80-96
Normaln MCHCn -ANSWERn Normochromic n MCHCn 31-37
Hypochromic n -ANSWERn MCHCn <n 31n (pale)
NormalnRDWn-ANSWERn11.5-15%
