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Exam (elaborations)

WHNP Boards 2024 Questions and Answers (100% Pass)

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WHNP Boards 2024 Questions and Answers (100% Pass)

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  • August 14, 2024
  • 54
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • WHNP
  • WHNP
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OliviaWest
©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM




WHNP Boards 2024 Questions and Answers (100% Pass)

Counseling about reducing risk for sexually transmitted infection is what type of
prevention? - ✔️✔️Primary Prevention

Skin survey for precancerous lesions is what type of prevention? - ✔️✔️Secondary
Prevention

Administering a vaccine is what type of prevention? - ✔️✔️Primary prevention

Adjusting therapy to enhance glycemic control is what type of prevention? - ✔️✔️Tertiary
Prevention

T or F: Immune globulin is a concentrated solution of antibodies derived from pooled
donated blood - ✔️✔️True

T or F A woman with a history of genital warts, abnormal Papanicolaou test, or positive
HPV DNA test should not receive HPV vaccine, such as Gardasil®9 - ✔️✔️False

T or F: A 20-year-old woman who has received a three-dose series of HPV-4 vaccine
should receive a booster dose of HPV-9 vaccine. - ✔️✔️False

T or F: A 50-year-old woman should receive a two-dose adjuvant zoster vaccine
(Shingrix®) series. - ✔️✔️True

Positive response to two items on the CAGE questionnaire means - ✔️✔️Suspected
alcohol abuse

T or F Males represent nearly 80% of all completed suicides - ✔️✔️True

A 55-year-old woman with COPD and a 60 pack-year history who is currently smoking
1.5 packs of cigarettes per day reads a pamphlet in your office about smoking
cessation. You ask her if she has any questions and she states, "I don't plan to quit
smoking. My health is pretty good." According to Change Theory, she is most likely in
which of the following stages? - ✔️✔️Precontemplation



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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM


Annual clinical breast exams start when? - ✔️✔️age 25

Is a pelvic ultrasound with endometrial biopsy in a 52-year-old woman who is two years
post-LMP and who denies vaginal bleeding needed? - ✔️✔️No

Colonoscopy should start at what age? - ✔️✔️age 45 (USPSTF as of 2021)

A 30-year-old woman of Asian ancestry presents for a routine health visit. She is in good
health and reports she is concerned about her personal breast and ovarian cancer risk
and asks about BRCA gene mutation testing. What do you advise? - ✔️✔️A standardized
screening questionnaire for BRCA gene mutation, such as FHS-7, should be
administered today to determine if BRCA gene mutation testing is warranted.

If MCV low , MCHC low, RDW high, what should you check next? - ✔️✔️Ferritin

If MCV low, MCHC low, and RDW normal, what should you check next? -
✔️✔️Hemoglobin electrophoresis

If MCV high, MCHC normal, and RDW high, what should you check next? - ✔️✔️Vitamin
B & folate

What is the most important source of the body's iron supply? - ✔️✔️Recycled iron content
from aged red blood cells.

A 58-year-old woman presents with a 6-month history of increasingly severe peripheral
numbness and oral irritation. Hemogram results are as follows.

Hb=6.2 g/dL (12-14 g/dL) (62 g/L [120-140 g/L])Hct=20% (36-42%) (0.2 proportion
[0.36-0.42 proportion])RBC=2.1 million/mm3 (4.2-5.4 million/mm3mil)MCV=132 fL (80-
96 fL)MCHC=32.4 g/dL (31-37 g/dL) (324 g/L [310-370 g/L])RDW=19% (11-15%) (0.19
proportion [0.11-0.15 proportion])WBC morphology=Hypersegmented neutrophils

Physical exam reveals pale conjunctiva, a grade 2/6 systolic ejection murmur over the
precordium without radiation, and a smooth, red tongue. The most likely cause of this
anemia is: - ✔️✔️Vitamin B12 deficiency.




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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM


A 45-year-old woman with rheumatoid arthritis who is on appropriate therapy and
continues to have significant symptoms presents with the following hemogram.Hb=10.1
g/dL (12-14 g/dL) (101 g/L [120-140 g/L])Hct=32% (36-42%) (0.32 proportion [0.36-0.42
proportion])RBC=3.2 million/mm3 (4.2-5.4 million/mm3)MCV=82 fLRDW=12.8% (11-
15%) (0.128 proportion [0.11-0.15 proportion])Reticulocytes=0.7% (1-2%) (0.007
proportion [0.01-0.02 proportion])

These findings are most consistent with: - ✔️✔️Anemia of chronic disease.

You see a 32-year-old well woman of Mediterranean ancestry. Hemogram results are as
follows.Hb=10.6 g/dL (12-14 g/dL) (106 g/L [120-140 g/L])Hct=32% (36-42%) (0.32
proportion [0.36-0.42 proportion])RBC=5.5 million/mm3 (4.2-5.4 million/mm3) MCV=71
fL (80-96 fL)MCHC=25.2 g/dL (31-37 g/dL) (252 g/L [310-370 g/L])RDW=12% (11‒15%)
(0.12 proportion [0.11‒0.15

These findings are most consistent with: - ✔️✔️Beta thalassemia minor.

Primary care of the woman with beta thalassemia minor should include: - ✔️✔️Offering
genetic counseling prior to pregnancy.

You see a 47-year-old woman in your office who has hypertension, dyslipidemia,
depression and a history of bilateral tubal ligation 15 years ago. She states, "I am on a
big list of medications but I am not sure of all the names." She also has a history of
penicillin allergy with a hive-form reaction and has not taken a systemic antimicrobial in
more than a year and denies recent hospitalization. When developing a treatment plan
for acute bacterial rhinosinusitis, you consider prescribing: - ✔️✔️A 7-day course of
doxycycline.

28-year-old woman who is 16 weeks pregnant who presents with a chief complaint of a
1-week history of nasal itch associated with clear rhinorrhea and nasal congestion. She
denies sore throat, fever, cough, wheeze or difficulty breathing. She states, "I had the
exact same problem for about 2 months last spring." Physical examination reveals mild
nasal congestion, clear nasal discharge, pharynx without erythema, no




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, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM


lymphadenopathy, and a clear chest. Her exam is otherwise unremarkable for this stage
of pregnancy. These findings are most consistent with: - ✔️✔️Allergic rhinitis.

Which best describes the use of the intranasal corticosteroids during pregnancy? -
✔️✔️Currently available nasal corticosteroids should be safe to use during pregnancy at
recommended doses.

Appropriate pharmacologic management options for allergic rhinitis in a 29-year-old
woman who is a home daycare provider include - ✔️✔️Flunisolide nasal spray and Short-
term use of a decongestant nasal spray

Puff out your cheeks: which cranial nerve? - ✔️✔️CN VII

Without moving your head, follow my finger with your eyes, which cranial nerve? -
✔️✔️CN III

Shrug your shoulders, which CN? - ✔️✔️CN XI

which CN, stick out your tongue: - ✔️✔️CN XII

Normal eye exam findings in a 55-year-old woman include: - ✔️✔️Sharp disc margins

Untreated open-angle glaucoma would cause central or peripheral vision loss? -
✔️✔️Peripheral vision loss

Macular degeneration would cause central or peripheral vision loss? - ✔️✔️Central vision
loss

What type of skin lesion: Single, uniformly brown-colored, slightly raised, irregularly-
shaped with defined borders, 6 mm in diameterPatient states "That mole on my
shoulder hasn't changed in years." - ✔️✔️Papule

Type of skin lesion: Single, flat, non-palpable area of discoloration, irregularly-shaped,
and 0.5 cm at the widest diameter. Patient states "I've had that spot on my lower lip for
years - ✔️✔️Macule




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