WHNP Boards Exam Questions And 100%
Correct Answers
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 of chemical addiction, dependency, or any other
condition related to chemical use
consent for counseling related to the prevention of suicide, for chemical addiction or
dependency, or for sexual, physical, or emotional abuse
***Parental consent is not required to provide family planning information to minors.
Texas laws require parental consent for minors to receive contraception. When parental
consent is required, the parent must sign both the general consent for treatment and
the method specific consent 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
Primary prevention-definition-ANSWER the prevention of the health problem, most
cost-effective form of healthcare
Examples of primary prevention-ANSWER immunizations, counseling, helmet, seat belt,
condom
Secondary prevention-definition-ANSWER Detecting disease in early asymptomatic, or
preclinical state
Examples of secondary prevention-ANSWER screening tests - BP, mammogram,
colonoscopy, pap smear, skin survey
tertiary prevention-definition- ANSWER reducing adverse disease associated
consequences; a lapse in primary prevention
,examples of tertiary prevention- ANSWER adjustment of therapy to prevent further
target organ damage
congenital rubella- ANSWER highly teratogenic can cause developmental disability,
blindness, hearing loss
Should immunization be deferred in the 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 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
Alcoholic in women - ANSWER 3 or ≥ drinks/day
, ??drinks per week
Pack-year history - ANSWER PPD x number of years smoked
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%