WHNP Boards Exam New Latest Version Updated
2025 with Questions from Actual Past Exam and
100% Correct Answers
Specificity of a screening test is its ability to correctly identify those who:
a) are at high risk for the disease
b) do not have the disease
c) have the disease ---------- Correct Answer ------------ a) do not have the disease
A 24-year-old woman has ASC-US, her next screening interval should be in
a) one year
b) six months
c) three years ---------- Correct Answer ------------ a) one year
A 62-year-old woman expresses concern about her risk for breast cancer. Several of her friends
have been recently diagnosed and she wants to assess her risk. She has a history of fibrocystic
breast changes and took hormone therapy for four years from ages 49-52. She is in good health
but is on medication for high cholesterol and her family history is high risk for cardiovascular
disease. The primary risk factor in her history for breast cancer is
a) her age
b) history of fibrocystic changes
c) hormone use ---------- Correct Answer ------------ a) her age
According to the most recent recommendation from the American Cancer Society, the age to
initiate screening for colorectal cancer for a woman at average risk using colonoscopy is age
a) 40
b) 45
c) 50 ---------- Correct Answer ------------ b) 45
A 66-year-old woman has had negative cervical cancer screenings for the last 10 years.
Screening should be discontinued
a) only if she has had a hysterectomy
b) the remainder of her life
c) unless she reports a new sexual partner ---------- Correct Answer ------------ b) the remainder
of her life
Women with a history of what condition have a high lifelong risk of developing cardiovascular
disease?
a) Anorexia nervosa
b) Mitral valve prolapse
c) Preecalmpsia ---------- Correct Answer ------------ c) preeclampsia
The pain of a tension headache in women commonly presents in what location?
a) Behind the ear radiating to the neck
,b) Bilaterally in the frontal area
c) Unilaterally on one side of the head ---------- Correct Answer ------------ b) bilaterally in the
frontal area
Development of red or brownish lesions on the palms of the hands and soles of the feet are
indicative of what stage of syphilis?
a) Latent
b) Primary
c) Secondary ---------- Correct Answer ------------ c) secondary
Home ovulation prediction kits test for
a) estradiol peak
b) FSH increase
c) LH surge ---------- Correct Answer ------------ c) LH surge
It is important to remember that estrogen-containing contraceptives regardless of their route of
administration
a) have a first pass effect on the liver
b) have similar contraindications
c) maintain high estrogen blood levels after discontinuance ---------- Correct Answer ------------
b) have similar contraindications
Women who present with recurrent monthly spasmodic lower abdominal pain that occurs during
the first three days of menstruation should be further evaluated for a secondary cause of primary
dysmenorrhea if they also report
a) diarrhea
b) dyspareunia
c) headache ---------- Correct Answer ------------ b) dyspareunia
Women with simple fibroadenomas should be advised that these types of lesions
a) have no malignant potential
b) should be excised but may recur
c) will decrease in size with hormonal influence ---------- Correct Answer ------------ a) have no
malignant potential
When using endometrial ablation for the evaluation of abnormal uterine bleeding, it is important
to understand the procedure
a) can be diagnostic or therapeutic
b) is not a method of sterilization
c) is optimal for those who want a future pregnancy ---------- Correct Answer ------------ b) is not
a method of sterilization
Endometrial cancer risk is increased for women with polycystic ovarian syndrome because of
a) high androgen levels
b) infertility
c) unopposed long term elevated estrogen levels ---------- Correct Answer ------------ c)
,unopposed long term elevated estrogen levels
Hormone therapy has proven effective to treat menopausal symptoms, but it is recommended to
provide such therapy
a) for the shortest duration possible
b) on a limited basis to select women
c) when the menstrual cycle has stopped ---------- Correct Answer ------------ a) for the shortest
duration possible
An intramural leiomyoma is located
a) adjacent to the endometrium
b) just below the serous layer
c) within the myometrium ---------- Correct Answer ------------ c) within the myometrium
Symptomatic women who have chlamydial infection commonly present with
a) abnormal vaginal discharge
b) recalcitrant urinary tract infections
c) vaginal itching and/or pain ---------- Correct Answer ------------ a) abnormal vaginal discharge
Men undergoing vasectomy should be advised that full contraceptive effect takes place following
the procedure
a) immediately
b) in three months
c) up to six months ---------- Correct Answer ------------ c) up to six months
The use of low molecular weight heparin in second and third trimesters of pregnancy for
anticoagulation treatment is
a) a second line therapy option
b) based on assessment of individual risk factors
c) not recommended due to adverse fetal effects ---------- Correct Answer ------------ b) based on
assessment of individual risk factors
Cardiovascular system changes in the first trimester of pregnancy serve to
a) address the added energy needs required
b) condition the maternal heart for the stress of pregnancy
c) maximize oxygen delivery to both the mother and fetus ---------- Correct Answer ------------ c)
maximize oxygen delivery to both the mother and fetus
Supplemental iron is given in pregnancy for the purpose of
a) facilitating iron metabolism
b) maximizing red blood cell production
c) providing adequate supply to the fetus and placenta ---------- Correct Answer ------------ b)
maximizing red blood cell production
The unique benefit of colostrum for the breastfeeding infant is
a) caloric density
, b) enteric infection protection
c) high nutrient value ---------- Correct Answer ------------ b) enteric infection protection
The best antepartum assessment test for evaluating placental function in the presence of a
possible growth-restricted fetus is
a) biophysical profile
b) nonstress testing
c) umbilical artery Doppler velocimetry ---------- Correct Answer ------------ c) umbilical artery
doppler velocimetry
Preeclampsia is a result of generalized
a) apotosis
b) ischemia
c) vasospasm ---------- Correct Answer ------------ c) vasospasm
The prevalence of gestational diabetes is increasing primarily due to higher rates of
a) carbohydrate dietary intake
b) obesity
c) sedentary lifestyles ---------- Correct Answer ------------ b) obesity
At 7 days postpartum, the location of the fundus is approximately
a) 3 cm below the umbilicus
b) at the level of the pubic symphysis
c) not palpable ---------- Correct Answer ------------ b) at the level of the pubic symphysis
The therapeutic index of a drug measures
a) margin of safety
b) risk benefit ratio
c) toxicity potential ---------- Correct Answer ------------ a) margin of safety
Antibiotic resistance is a result of bacterial
a) mutation
b) proliferation
c) virulence ---------- Correct Answer ------------ a) mutation
Nafarelin (Synarel), GnRH agonist therapy for endometriosis, is administered in what form?
a) Nasal spray
b) Orally
c) Subcutaneous implant ---------- Correct Answer ------------ a) Nasal spray
The results of a 27-year-old women's pap show LSIL. Appropriate management would include:
a) refer for colpo
b) perform HPV reflex testing
c) repeat pap in 12 months ---------- Correct Answer ------------ a) refer for colpo
Appropriate management of a nonpregnant woman age >25 years with an abnormal pap that
2025 with Questions from Actual Past Exam and
100% Correct Answers
Specificity of a screening test is its ability to correctly identify those who:
a) are at high risk for the disease
b) do not have the disease
c) have the disease ---------- Correct Answer ------------ a) do not have the disease
A 24-year-old woman has ASC-US, her next screening interval should be in
a) one year
b) six months
c) three years ---------- Correct Answer ------------ a) one year
A 62-year-old woman expresses concern about her risk for breast cancer. Several of her friends
have been recently diagnosed and she wants to assess her risk. She has a history of fibrocystic
breast changes and took hormone therapy for four years from ages 49-52. She is in good health
but is on medication for high cholesterol and her family history is high risk for cardiovascular
disease. The primary risk factor in her history for breast cancer is
a) her age
b) history of fibrocystic changes
c) hormone use ---------- Correct Answer ------------ a) her age
According to the most recent recommendation from the American Cancer Society, the age to
initiate screening for colorectal cancer for a woman at average risk using colonoscopy is age
a) 40
b) 45
c) 50 ---------- Correct Answer ------------ b) 45
A 66-year-old woman has had negative cervical cancer screenings for the last 10 years.
Screening should be discontinued
a) only if she has had a hysterectomy
b) the remainder of her life
c) unless she reports a new sexual partner ---------- Correct Answer ------------ b) the remainder
of her life
Women with a history of what condition have a high lifelong risk of developing cardiovascular
disease?
a) Anorexia nervosa
b) Mitral valve prolapse
c) Preecalmpsia ---------- Correct Answer ------------ c) preeclampsia
The pain of a tension headache in women commonly presents in what location?
a) Behind the ear radiating to the neck
,b) Bilaterally in the frontal area
c) Unilaterally on one side of the head ---------- Correct Answer ------------ b) bilaterally in the
frontal area
Development of red or brownish lesions on the palms of the hands and soles of the feet are
indicative of what stage of syphilis?
a) Latent
b) Primary
c) Secondary ---------- Correct Answer ------------ c) secondary
Home ovulation prediction kits test for
a) estradiol peak
b) FSH increase
c) LH surge ---------- Correct Answer ------------ c) LH surge
It is important to remember that estrogen-containing contraceptives regardless of their route of
administration
a) have a first pass effect on the liver
b) have similar contraindications
c) maintain high estrogen blood levels after discontinuance ---------- Correct Answer ------------
b) have similar contraindications
Women who present with recurrent monthly spasmodic lower abdominal pain that occurs during
the first three days of menstruation should be further evaluated for a secondary cause of primary
dysmenorrhea if they also report
a) diarrhea
b) dyspareunia
c) headache ---------- Correct Answer ------------ b) dyspareunia
Women with simple fibroadenomas should be advised that these types of lesions
a) have no malignant potential
b) should be excised but may recur
c) will decrease in size with hormonal influence ---------- Correct Answer ------------ a) have no
malignant potential
When using endometrial ablation for the evaluation of abnormal uterine bleeding, it is important
to understand the procedure
a) can be diagnostic or therapeutic
b) is not a method of sterilization
c) is optimal for those who want a future pregnancy ---------- Correct Answer ------------ b) is not
a method of sterilization
Endometrial cancer risk is increased for women with polycystic ovarian syndrome because of
a) high androgen levels
b) infertility
c) unopposed long term elevated estrogen levels ---------- Correct Answer ------------ c)
,unopposed long term elevated estrogen levels
Hormone therapy has proven effective to treat menopausal symptoms, but it is recommended to
provide such therapy
a) for the shortest duration possible
b) on a limited basis to select women
c) when the menstrual cycle has stopped ---------- Correct Answer ------------ a) for the shortest
duration possible
An intramural leiomyoma is located
a) adjacent to the endometrium
b) just below the serous layer
c) within the myometrium ---------- Correct Answer ------------ c) within the myometrium
Symptomatic women who have chlamydial infection commonly present with
a) abnormal vaginal discharge
b) recalcitrant urinary tract infections
c) vaginal itching and/or pain ---------- Correct Answer ------------ a) abnormal vaginal discharge
Men undergoing vasectomy should be advised that full contraceptive effect takes place following
the procedure
a) immediately
b) in three months
c) up to six months ---------- Correct Answer ------------ c) up to six months
The use of low molecular weight heparin in second and third trimesters of pregnancy for
anticoagulation treatment is
a) a second line therapy option
b) based on assessment of individual risk factors
c) not recommended due to adverse fetal effects ---------- Correct Answer ------------ b) based on
assessment of individual risk factors
Cardiovascular system changes in the first trimester of pregnancy serve to
a) address the added energy needs required
b) condition the maternal heart for the stress of pregnancy
c) maximize oxygen delivery to both the mother and fetus ---------- Correct Answer ------------ c)
maximize oxygen delivery to both the mother and fetus
Supplemental iron is given in pregnancy for the purpose of
a) facilitating iron metabolism
b) maximizing red blood cell production
c) providing adequate supply to the fetus and placenta ---------- Correct Answer ------------ b)
maximizing red blood cell production
The unique benefit of colostrum for the breastfeeding infant is
a) caloric density
, b) enteric infection protection
c) high nutrient value ---------- Correct Answer ------------ b) enteric infection protection
The best antepartum assessment test for evaluating placental function in the presence of a
possible growth-restricted fetus is
a) biophysical profile
b) nonstress testing
c) umbilical artery Doppler velocimetry ---------- Correct Answer ------------ c) umbilical artery
doppler velocimetry
Preeclampsia is a result of generalized
a) apotosis
b) ischemia
c) vasospasm ---------- Correct Answer ------------ c) vasospasm
The prevalence of gestational diabetes is increasing primarily due to higher rates of
a) carbohydrate dietary intake
b) obesity
c) sedentary lifestyles ---------- Correct Answer ------------ b) obesity
At 7 days postpartum, the location of the fundus is approximately
a) 3 cm below the umbilicus
b) at the level of the pubic symphysis
c) not palpable ---------- Correct Answer ------------ b) at the level of the pubic symphysis
The therapeutic index of a drug measures
a) margin of safety
b) risk benefit ratio
c) toxicity potential ---------- Correct Answer ------------ a) margin of safety
Antibiotic resistance is a result of bacterial
a) mutation
b) proliferation
c) virulence ---------- Correct Answer ------------ a) mutation
Nafarelin (Synarel), GnRH agonist therapy for endometriosis, is administered in what form?
a) Nasal spray
b) Orally
c) Subcutaneous implant ---------- Correct Answer ------------ a) Nasal spray
The results of a 27-year-old women's pap show LSIL. Appropriate management would include:
a) refer for colpo
b) perform HPV reflex testing
c) repeat pap in 12 months ---------- Correct Answer ------------ a) refer for colpo
Appropriate management of a nonpregnant woman age >25 years with an abnormal pap that
