WHNP BOARDS EXAM NEWEST receive contraception. When parental
ACTUAL EXAM COMPLETE 300 consent is required the parent must sign
both the general consent for treatment
QUESTIONS AND CORRECT
and method specific consent for for a
DETAILED ANSWERS prescription method of contraception.
(VERIFIED ANSWERS
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 - ------CORRECT 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 - ------CORRECT
What is EBP? - ------CORRECT ANSWER -----presence of a Grade I-
ANSWER -----The delivery of III/IV mid to late systolic crescendo
individualized healthcare on the basis of murmur with honking quality during peak
an awareness of the impact and pressure, which is the middle of systole
strength of related scientific evidence Normal PMI
When can you treat a minor without Best indicator for asthma flare - ------
parental consent? - ------CORRECT CORRECT ANSWER -----FEV
ANSWER -----pregnant and consents to
treatment related to pregnancy, other Necessary for diagnosis of HTN - ------
than abortion CORRECT ANSWER ----->2 abnormal
consent to diagnosis and treatment of readings on >2 occasions
STDS that must be reported to Texas
Dept of health highest to lowest level of research - ------
consent to examination or treatment for CORRECT ANSWER -----meta analysis
chemical addiction, dependency, or any systemic reviews
other condition related to chemical use RCTs
consent for counseling for suicide Cohort studies
prevention, chemical addiction or case-controlled studies
dependency, pr for sexual, physical or case series, case reports
emotional abuse editorial, expert opinion
***Parental consent is not required for Definition of primary prevention - ------
minors to receive information about CORRECT ANSWER -----preventing the
family planning. Texas laws require
minors to get parental permission to
,health problem, the most cost-effective When are babies fully vaccinated
from of healthcare against pertussis - ------CORRECT
ANSWER -----6 months
examples of primary prevention - ------
CORRECT ANSWER ----- contraindicatons to live vaccines - ------
immunizations, counseling, helmet, seat CORRECT ANSWER -----pregnancy,
belt, condom immune suppression (HIV)
Definition of secondary prevention - ------ Examples of live vaccines - ------
CORRECT ANSWER -----Detecting CORRECT ANSWER -----MMR,
disease in early asymptomatic, or varicella, zoster, intranasal influenza
preclinical state
expected side effects of all vaccines - ---
examples of secondary prevention - ----- ---CORRECT ANSWER -----discomfort,
-CORRECT ANSWER -----screening erythema at immunization site
tests - BP, mammo, colonoscopy, pap
smear, skin survey CAGE questionnaire - ------CORRECT
ANSWER -----provides very accurate
definition of tertiary prevention - ------ information related to alcohol abuse, 2
CORRECT ANSWER -----minimizing or greater response = + screen
negative disease induced outcomes; a Cut down on drinking
failure of primary prevention Annoyed you by criticizing your drinking
Guilty about your drinking
examples of tertiary prevention - ------ Eye opener - drink first thing in the
CORRECT ANSWER -----adjusting morning or to get rid of hangover
therapy to avoid further target damage
Definition of alcoholic in women - ------
congenital rubella - ------CORRECT CORRECT ANSWER -----3 or greater
ANSWER -----extremely teratogenic can drinks/day
lead to developmental disability, ??drinks per week
blindness, hearing loss
How do you calculate pack-year history -
Should immunization be deferred in ------CORRECT ANSWER -----PPD x
presence of minor illness - ------ number of years smoked
CORRECT ANSWER -----no,
immunization should be deferred only in What are the 5 A's of smoking
the presence of a moderate to severe cessation? - ------CORRECT ANSWER -
illness with or without fever ----Ask
Advise
What should be available if Assess
administering vaccines - ------CORRECT Assist
ANSWER -----telephone to call 911 and Arrange
epipen
Top 3 cancers in women - ------
CORRECT ANSWER -----Breast, lung
and bronchus, colon and rectum
, Elevated RDW - ------CORRECT
Top 3 Deadly cancers in women - ------ ANSWER -----Iron deficiency anemia,
CORRECT ANSWER -----Lung and menorrhagia
bronchus, breast, colon and rectum
Etiology for
Who gets annual screening at age 35 Microcytic (MCV decreased)
with EMB? - ------CORRECT ANSWER - Hypochromic (MCHC decreased)
----Women who have hereditary non Normal RDW - ------CORRECT
polyposis colon caner, annual screening ANSWER -----alpha or beta thalassemia
should be offered for endometrial cancer minor (thalassemia trait)
with EMB beginning at age 35 RBCs increased - make extra RBCs to
compensate
Normal H&H values - ------CORRECT
ANSWER -----12-14; 36-43 At risk ethnic groups for alpha thal minor
- ------CORRECT ANSWER -----Asian,
Normal MCV - ------CORRECT African (AAA)
ANSWER -----80-96
at risk ethnic groups for beta thal minor -
Normal MCHC - ------CORRECT ------CORRECT ANSWER -----African,
ANSWER -----Normochromic MCHC 31- Mediterranean, Middle Eastern
37 (BAMME)
Hypochromic - ------CORRECT Etiology for
ANSWER -----MCHC < 31 (pale) macrocytic (MCV increased)
normochromic (MCHC normal)
Normal RDW - ------CORRECT elevated RDW - ------CORRECT
ANSWER -----11.5-15% ANSWER -----Pernicious anemia (body
Red blood cell distribution width - cannot absorb B12 - classic symptoms
variation in RBC size are fatigue, numb hands and feet),
dietary induced vitamin B12 deficiency,
Normal reticulocyte percentage - ------ folate deficiency
CORRECT ANSWER -----1-2%
What is the most important source of the
Etiology for body's iron supply? - ------CORRECT
Normocytic (MCV WNL) ANSWER -----Recycled iron contents
Normochromic (MCHC WNL) from aged RBCs
Normal RDW - ------CORRECT
ANSWER -----acute blood los (PPH, What causes acute rhinosinusitis and
SAB) or anemia of chronic disease how long can it last? - ------CORRECT
(SLE, RA) ANSWER -----inflammation of nasal
passages and sinuses d/t allergens,
Etiology for environmental irritants, viruses, bacteria,
Microcytic (MCV decreased) fungi; can last 4 weeks
Hypochromic (MCHC decreased)
When does ABRS (acute bacterial
rhinosinusitis) need ABX? - ------