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WHNP NCC Exam Practice Questions and Answers (100% Pass)
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WHNP NCC Exam Practice Questions and Answers (100% Pass)
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©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Sunday, July 28, 2024 10:11 PMWHNP NCC Exam Practice Questions and Answers (100% Pass)
Tympany - ✔️✔️loud, high pitched, "drum" sound heard on percussion
- heard over abdomen (except for organs/masses)
Resonance - ✔️✔️loud, low pitched, hollow sound heard on percussion
Hyperresonance - ✔️✔️very loud, low pitch, "boom" sound heard on percussion
40 - ✔️✔️Waist circumference has little value if BMI is >/= ______
35 in - ✔️✔️waist circumference >____ in a woman = inc. risks
Snellen chart - ✔️✔️tests visual acuity; central vision (i.e. 20/20)
Rosenbaum card - ✔️✔️tests visual acuity; near vision
Presbyopia - ✔️✔️Near vision is impaired (Farsighted)
Myopia - ✔️✔️Far vision is impaired (Nearsighted)
Confrontation test - ✔️✔️Tests peripheral vision/estimates visual fields
Extraocular muscle function - ✔️✔️symmetrical movement to the 6 cardinal fields of gaze
test what?
Normal opthalmoscopic exam - ✔️✔️- Red reflex present
- Yellow to pink optic disc w/ distinct margins
- Light red arterioles (2/3 diameter of veins) w/ bright light reflex
- Veins dark red
- No venous tapering at AV crossings
Weber test - ✔️✔️- Stem of a vibrating tuning fork on the midline of the head, patient
indicates in which ear the tone is heard
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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Sunday, July 28, 2024 10:11 PM
- Lateralization of sound through bone conduction
- Unilateral conductive loss - sound lateralizes toward affected ear
Unilateral sensorineural loss - sound lateralizes to the normal or better-hearing side.
Rinne test - ✔️✔️- Vibrating tuning fork 1st placed on mastoid process, then in front of
external auditory canal to test bone vs air conduction of sound (AC:BC = 2:1)
- Test of conductive hearing loss
AC:BC = 2:1 - ✔️✔️Normal results of Rinne test
Sensorineural hearing loss - ✔️✔️caused by defect in inner ear distorting sound, age,
trauma from loud noises, genetics
Conductive hearing loss - ✔️✔️impaired through external/middle ear; caused by fluid,
object, swelling, ruptured eardrum, ear wax
Normal otoscopic exam - ✔️✔️Tympanic membrane intact, pearly gray, translucent, with
cone light at 5-7:00
Acute otitis media - ✔️✔️infx of middle ear; often preceded by URI or allergies/smoke
Full/bulging tympanic membrane with no/obscured bony landmarks, distorted light
reflex, post-auricular cervical lymphadenopaty
tx: amoxicillin (augmentin, azith, trimethoprim-sulfamethoxazole)
Malignant melanoma - ✔️✔️- Asymmetry
- Borders irregular
- Color blue or black
- Diameter > 6 mm
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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Sunday, July 28, 2024 10:11 PM
- Elevation
Leukoplakia - ✔️✔️thickened, white, leathery patch in mouth/tongue can develop into
squamous cell carcinoma
Pharyngitis - ✔️✔️Erythematous pharynx, tonsils 3+, white exudate, enlarged tender
anterior cervical nodes
tx:
GABHS - PCN PO/benzathine PCN IM (erythromycin if allergy)
Normal breath sounds - ✔️✔️Vesicular; bronchial over trachea, bronchovesicular near
main bronchus
Resonant - ✔️✔️Normal sound of lung percussion
< - ✔️✔️Respiratory: Normal = AP diameter (> / <) transverse
Decreased - ✔️✔️Tactile fremitus is (increased/decreased) with emphysema, asthma,
and pleural effusion
Increased - ✔️✔️Tactile fremitus is (increased/decreased) with global pneumonia and
pulmonary edema
Vocal resonance - ✔️✔️This is usually muffled/indistinct; if it is not = fluid/solid mass in
lungs
Crackles - ✔️✔️Air flowing by fluid; sign of early heart failure, pneumonia, or bronchitis
Fine crackles - ✔️✔️Heard at end of inspiration, high pitch, popping, short duration
Coarse crackle - ✔️✔️- Heard during inspiration (may be during exp), low pitch, loud,
bubbling, longer duration
- Does not disappear with coughing
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, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Sunday, July 28, 2024 10:11 PM
Rhonchi - ✔️✔️- Air passing over solid/thick secretions in large airways
- Bronchitis, pneumonia
- Heard with inspiration and expiration
- Low pitch, loud, snore-like
- Disappears w/ cough
Wheezing - ✔️✔️- Air flow through constricted passage
- Chronic emphysema, asthma
- High pitch, louder during expiration, squeaky
Pleural friction rub - ✔️✔️- Inflammation of pleural tissue
- Pleuritis, pericarditis, heard with inspiration/expiration
- Dry, rubbing, grating
Apical impulse - ✔️✔️4th-5h left intercostal space medial to midclavicular line
S1 - ✔️✔️Occurs at start of systole at apex
S2 - ✔️✔️Occurs at start of diastole at base
Physiologic split S2 - ✔️✔️- Heard at inspiration at base, normal
- Best heard w/ diaphragm
Fixed split S2 - ✔️✔️- Heard at inspiration and expiration at base
- Delayed closure of pulmonic valve - caused by atrial septal defect, right ventricular
failure
- Best heard w/ diaphragm
Increased S3 - ✔️✔️- Ventricular gallop, best heard at apex with bell
- Early diastole, low pitch, increases w/ inspiration
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