5/27/25, 5:06 PM WHNP NCC Exam/WHNP NCC UPDATED EXAM WITH MOST TESTED QUESTIONS AND ANSWERS | GRADED A+ | ASSURE…
WHNP NCC Exam/WHNP NCC UPDATED EXAM WITH
MOST TESTED QUESTIONS AND ANSWERS | GRADED A+ |
ASSURED SUCCESS WITH DETAILED RATIONALES
loud, high pitched, "drum" sound heard on percussion
Tympany
- 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?
- Red reflex present
- Yellow to pink optic disc w/ distinct margins
Normal opthalmoscopic exam - Light red arterioles (2/3 diameter of veins) w/ bright light reflex
- Veins dark red
- No venous tapering at AV crossings
… 1/86
,5/27/25, 5:06 PM WHNP NCC Exam/WHNP NCC UPDATED EXAM WITH MOST TESTED QUESTIONS AND ANSWERS | GRADED A+ | ASSURE…
- Stem of a vibrating tuning fork on the midline of the
head, patient indicates in which ear the tone is heard
Weber test - 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.
- Vibrating tuning fork 1st placed on mastoid
Rinne test 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
caused by defect in inner ear distorting sound, age,
Sensorineural hearing loss
trauma from loud noises, genetics
impaired through external/middle ear; caused by fluid,
Conductive hearing loss
object, swelling, ruptured eardrum, ear wax
Normal otoscopic exam Tympanic membrane intact, pearly gray, translucent, with cone
light at 5-7:00
infx of middle ear; often preceded by URI or allergies/smoke
Full/bulging tympanic membrane with no/obscured
Acute otitis media
bony landmarks, distorted light reflex, post-auricular
cervical lymphadenopaty
tx: amoxicillin (augmentin, azith, trimethoprim-sulfamethoxazole)
- Asymmetry
- Borders irregular
Malignant melanoma - Color blue or black
- Diameter > 6 mm
- Elevation
thickened, white, leathery patch in mouth/tongue can
Leukoplakia
develop into squamous cell carcinoma
Erythematous pharynx, tonsils 3+, white exudate,
enlarged tender anterior cervical nodes
Pharyngitis
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
… 2/86
,5/27/25, 5:06 PM WHNP NCC Exam/WHNP NCC UPDATED EXAM WITH MOST TESTED QUESTIONS AND ANSWERS | GRADED A+ | ASSURE…
< Respiratory: Normal = AP diameter (> / <) transverse
Tactile fremitus is (increased/decreased) with
Decreased
emphysema, asthma, and pleural effusion
Tactile fremitus is (increased/decreased) with global
Increased
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
- Heard during inspiration (may be during exp), low
Coarse crackle pitch, loud, bubbling, longer duration
- Does not disappear with coughing
… 3/86
, 5/27/25, 5:06 PM WHNP NCC Exam/WHNP NCC UPDATED EXAM WITH MOST TESTED QUESTIONS AND ANSWERS | GRADED A+ | ASSURE…
- Airpassing over solid/thick secretions in large airways
- Bronchitis, pneumonia
Rhonchi - Heard with inspiration and expiration
- Low pitch, loud, snore-like
- Disappears w/ cough
- Air flow through constricted passage
Wheezing - Chronic emphysema, asthma
- High pitch, louder during expiration, squeaky
- Inflammation of pleural tissue
Pleural friction rub - 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
- Heard at inspiration at base, normal
Physiologic split S2
- Best heard w/ diaphragm
- Heard at inspiration and expiration at base
- Delayed closure of pulmonic valve - caused by atrial
Fixed split S2
septal defect, right ventricular failure
- Best heard w/ diaphragm
- Ventricular gallop, best heard at apex with bell
- Early diastole, low pitch, increases w/ inspiration
Increased S3 - Normal in young adults & late preg.
- Dec myocardial contractility/heart failure/volume
overload = rapid ventricular filling
- Atrialgallop, best heard at apex w/ bell
- Late diastole, low pitch, increases w/ inspiration
Increased S4 - Normal in athletes, old
- Aortic stenosis, HTN heart disease, & cardiomyopathy
= forceful atrial ejection into distended ventricle
- 2-4th left ICS bw left sternal border & apex
Physiologic murmur - Mid-systole, soft-medium pitch, improves/gone when sitting,
standing, valsalva
- Normal, common in pregnancy
- Best heard at apex w/ bell
Murmur of mitral stenosis
- Early to late diastole, low-pitched
- Best heard at apex with diaphragm
Systolic click - Mid-to late systole, high pitch, inc w/ inspiration
- Mitral valve prolapse
… 4/86
WHNP NCC Exam/WHNP NCC UPDATED EXAM WITH
MOST TESTED QUESTIONS AND ANSWERS | GRADED A+ |
ASSURED SUCCESS WITH DETAILED RATIONALES
loud, high pitched, "drum" sound heard on percussion
Tympany
- 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?
- Red reflex present
- Yellow to pink optic disc w/ distinct margins
Normal opthalmoscopic exam - Light red arterioles (2/3 diameter of veins) w/ bright light reflex
- Veins dark red
- No venous tapering at AV crossings
… 1/86
,5/27/25, 5:06 PM WHNP NCC Exam/WHNP NCC UPDATED EXAM WITH MOST TESTED QUESTIONS AND ANSWERS | GRADED A+ | ASSURE…
- Stem of a vibrating tuning fork on the midline of the
head, patient indicates in which ear the tone is heard
Weber test - 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.
- Vibrating tuning fork 1st placed on mastoid
Rinne test 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
caused by defect in inner ear distorting sound, age,
Sensorineural hearing loss
trauma from loud noises, genetics
impaired through external/middle ear; caused by fluid,
Conductive hearing loss
object, swelling, ruptured eardrum, ear wax
Normal otoscopic exam Tympanic membrane intact, pearly gray, translucent, with cone
light at 5-7:00
infx of middle ear; often preceded by URI or allergies/smoke
Full/bulging tympanic membrane with no/obscured
Acute otitis media
bony landmarks, distorted light reflex, post-auricular
cervical lymphadenopaty
tx: amoxicillin (augmentin, azith, trimethoprim-sulfamethoxazole)
- Asymmetry
- Borders irregular
Malignant melanoma - Color blue or black
- Diameter > 6 mm
- Elevation
thickened, white, leathery patch in mouth/tongue can
Leukoplakia
develop into squamous cell carcinoma
Erythematous pharynx, tonsils 3+, white exudate,
enlarged tender anterior cervical nodes
Pharyngitis
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
… 2/86
,5/27/25, 5:06 PM WHNP NCC Exam/WHNP NCC UPDATED EXAM WITH MOST TESTED QUESTIONS AND ANSWERS | GRADED A+ | ASSURE…
< Respiratory: Normal = AP diameter (> / <) transverse
Tactile fremitus is (increased/decreased) with
Decreased
emphysema, asthma, and pleural effusion
Tactile fremitus is (increased/decreased) with global
Increased
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
- Heard during inspiration (may be during exp), low
Coarse crackle pitch, loud, bubbling, longer duration
- Does not disappear with coughing
… 3/86
, 5/27/25, 5:06 PM WHNP NCC Exam/WHNP NCC UPDATED EXAM WITH MOST TESTED QUESTIONS AND ANSWERS | GRADED A+ | ASSURE…
- Airpassing over solid/thick secretions in large airways
- Bronchitis, pneumonia
Rhonchi - Heard with inspiration and expiration
- Low pitch, loud, snore-like
- Disappears w/ cough
- Air flow through constricted passage
Wheezing - Chronic emphysema, asthma
- High pitch, louder during expiration, squeaky
- Inflammation of pleural tissue
Pleural friction rub - 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
- Heard at inspiration at base, normal
Physiologic split S2
- Best heard w/ diaphragm
- Heard at inspiration and expiration at base
- Delayed closure of pulmonic valve - caused by atrial
Fixed split S2
septal defect, right ventricular failure
- Best heard w/ diaphragm
- Ventricular gallop, best heard at apex with bell
- Early diastole, low pitch, increases w/ inspiration
Increased S3 - Normal in young adults & late preg.
- Dec myocardial contractility/heart failure/volume
overload = rapid ventricular filling
- Atrialgallop, best heard at apex w/ bell
- Late diastole, low pitch, increases w/ inspiration
Increased S4 - Normal in athletes, old
- Aortic stenosis, HTN heart disease, & cardiomyopathy
= forceful atrial ejection into distended ventricle
- 2-4th left ICS bw left sternal border & apex
Physiologic murmur - Mid-systole, soft-medium pitch, improves/gone when sitting,
standing, valsalva
- Normal, common in pregnancy
- Best heard at apex w/ bell
Murmur of mitral stenosis
- Early to late diastole, low-pitched
- Best heard at apex with diaphragm
Systolic click - Mid-to late systole, high pitch, inc w/ inspiration
- Mitral valve prolapse
… 4/86
