WHNP Boards Exam Questions And
Answers. Verified And Updated
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
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
,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
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
,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)
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
, 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
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
