WHNP BOARDS EXAM NEWEST ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS
WHNP BOARDS EXAM immunizations, counseling, helmet, seat
belt, condom
NEWEST ACTUAL Definition of secondary prevention
EXAM COMPLETE 300 Detecting disease in early
asymptomatic, or preclinical state
QUESTIONS AND examples of secondary prevention
screening tests - BP, mammo,
CORRECT DETAILED colonoscopy, pap smear, skin survey
ANSWERS (VERIFIED definition of tertiary prevention
minimizing negative disease induced
ANSWERS outcomes; a failure of primary
prevention
examples of tertiary prevention
adjusting therapy to avoid further target
damage
congenital rubella
extremely teratogenic can lead to
developmental disability, blindness,
MVP S&S hearing loss
CO usually uncompromised - usually Should immunization be deferred in
goes unnoticed by patient presence of minor illness
TYPICALLY BENIGN no, immunization should be deferred
tugging chest pain, dyspnea if severe only in the presence of a moderate to
regurge, can have tachycardia or severe illness with or without fever
palpitations What should be available if
Cardiac exam in MVP administering vaccines
presence of a Grade I-III/IV mid to late telephone to call 911 and epipen
systolic crescendo murmur with honking When are babies fully vaccinated
quality during peak pressure, which is against pertussis
the middle of systole 6 months
Normal PMI contraindicatons to live vaccines
Best indicator for asthma flare pregnancy, immune suppression (HIV)
FEV Examples of live vaccines
Necessary for diagnosis of HTN MMR, varicella, zoster, intranasal
>2 abnormal readings on >2 occasions influenza
highest to lowest level of research expected side effects of all vaccines
meta analysis discomfort, erythema at immunization
systemic reviews site
RCTs CAGE questionnaire
Cohort studies provides very accurate information
case-controlled studies related to alcohol abuse, 2 or greater
case series, case reports response = + screen
editorial, expert opinion Cut down on drinking
Definition of primary prevention Annoyed you by criticizing your drinking
preventing the health problem, the most Guilty about your drinking
cost-effective from of healthcare
examples of primary prevention
,WHNP BOARDS EXAM NEWEST ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS
Eye opener - drink first thing in the Etiology for
morning or to get rid of hangover Microcytic (MCV decreased)
Definition of alcoholic in women Hypochromic (MCHC decreased)
3 or greater drinks/day Elevated RDW
??drinks per week Iron deficiency anemia, menorrhagia
How do you calculate pack-year history Etiology for
PPD x number of years smoked Microcytic (MCV decreased)
What are the 5 A's of smoking Hypochromic (MCHC decreased)
cessation? Normal RDW
Ask alpha or beta thalassemia minor
Advise (thalassemia trait)
Assess RBCs increased - make extra RBCs to
Assist compensate
Arrange At risk ethnic groups for alpha thal minor
Top 3 cancers in women Asian, African (AAA)
Breast, lung and bronchus, colon and at risk ethnic groups for beta thal minor
rectum African, Mediterranean, Middle Eastern
Top 3 Deadly cancers in women (BAMME)
Lung and bronchus, breast, colon and Etiology for
rectum macrocytic (MCV increased)
Who gets annual screening at age 35 normochromic (MCHC normal)
with EMB? elevated RDW
Women who have hereditary non Pernicious anemia (body cannot absorb
polyposis colon caner, annual screening B12 - classic symptoms are fatigue,
should be offered for endometrial cancer numb hands and feet), dietary induced
with EMB beginning at age 35 vitamin B12 deficiency, folate deficiency
Normal H&H values What is the most important source of the
12-14; 36-43 body's iron supply?
Normal MCV Recycled iron contents from aged RBCs
80-96 What causes acute rhinosinusitis and
Normal MCHC how long can it last?
Normochromic MCHC 31-37 inflammation of nasal passages and
Hypochromic sinuses d/t allergens, environmental
MCHC < 31 (pale) irritants, viruses, bacteria, fungi; can last
Normal RDW 4 weeks
11.5-15% When does ABRS (acute bacterial
Red blood cell distribution width - rhinosinusitis) need ABX?
variation in RBC size Persistent symptoms not improving for
Normal reticulocyte percentage 10 days or greater
1-2% Severe for 3-4 days
Etiology for or double sickening
Normocytic (MCV WNL) What is first line abx treatment for
Normochromic (MCHC WNL) ABRS?
Normal RDW No risk for resitance - Amoxicillin with
acute blood los (PPH, SAB) or anemia clav (beta lactam), second line doxy
of chronic disease (SLE, RA) Beta lactam allergy - doxy or
, WHNP BOARDS EXAM NEWEST ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS
levofloxacin, or moxifloxacin (if pregnant What the drug does to the body and or
azithromycin) disease
Risk for resistance of failed therapy - Definition of pharmacokinetics
higher dose amoxicillin with clav, What the body does to the drug,
levofloxacin, or moxifloxacin including absorption, distribution,
List all cranial nerves biotransformation, and elimination
I Olfactory - smell What is a papule
2 Optic - vision single, uniformly brown-colored
3 Oculomotor - eyelid and eyeball SLIGHTLY RAISED irregularly-shaped
movement with defined borders
4 Trochlear - turns eye down and lateral EX: mole
5 Trigeminal - chewing, face and mouth, What is a macule
touch and pain single, flat, NON-PALPABLE area of
6 Abducens - turns eye laterally discoloration, irregularly-shaped, and
7 Facial - facial expressions, secretion 0.5cm at the widest diameter
of tears and saliva, taste EX: freckly
8 Acoustic - hearing, equilibrium, What is confluent or coalescent?
sensation multiple lesions blending together, such
9 Glossopharyngeal - taste, senses as the lesions seen in psoriasis
carotid BP vulgaries
10 Vagus - senses aortic BP, slows HR, What is annular?
stimulates digestion, taste in a ring, often seen in the characteristic
11 Spinal accessory - controls traps and "Bull's Eye" lesions seen in Lyme
sternocleidomastoid, controls disease
swallowing What is actinic keratosis?
12 Hypoglossal - controls tongue On sun-exposed skin, red, brown, scaly
movement Most common precancerous skin lesion
Puff out your cheeks tests which cranial Can progress to squamous cell
nerve carcinoma
7 Facial Treatment -
Shrug your shoulders tests which CN? Medical: topical 5-fluorouracil,
11 Spinal accessory imiquimod, diclofenac, photo therapy
Stick out your tongue tests which CN? with delta aminolevulinic acid
12 Hypoglossal Tissue destruction: cryosurgery, laser
angle closure glaucoma resurfacing, or chemical peel
sudden increase in intraocular pressure BCC
Sx - unilateral, acutely red, painful eye Common?
with vision changes including halos Where and what?
around lights, eye ball firm Metastatic?
Tx - immediate referral to ophthalmology More common than SCC
presbyopia On sun exposed areas
hardening of lens causing impaired Arises de novo
vision due to aging; causes close vision Papule, pearly or waxy appearance with
problems distinct borders
Definition of pharmacodynamics Metastatic risk low, can cause significant
tissue destruction
