WHNP BOARDS EXAM UPDATED
QUESTIONS AND CORRECT ANSWERS.
What is EBP? - ANS The delivery of individualized healthcare on the basis of an awareness of
the impact and strength of related scientific evidence
When can you treat a minor without parental consent? - ANS pregnant and consents to
treatment related to pregnancy, other than abortion
consent to diagnosis and treatment of STDS that must be reported to Texas Dept of health
consent to examination or treatment for chemical addiction, dependency, or any other
condition related to chemical use
consent for counseling for suicide prevention, chemical addiction or dependency, pr for sexual,
physical or emotional abuse
***Parental consent is not required for minors to receive information about family planning.
Texas laws require minors to get parental permission to receive contraception. When parental
consent is required the parent must sign both the general consent for treatment and method
specific consent for for a prescription method of contraception.
Under federal law, minors may give consent and receive confidential family planning services if
the funding source is Medicaid or Title Family Planning Program
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,MVP S&S - ANS 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 - ANS presence of a Grade I-III/IV mid to late systolic crescendo murmur
with honking quality during peak pressure, which is the middle of systole
Normal PMI
Best indicator for asthma flare - ANS FEV
Necessary for diagnosis of HTN - ANS >2 abnormal readings on >2 occasions
highest to lowest level of research - ANS meta analysis
systemic reviews
RCTs
Cohort studies
case-controlled studies
case series, case reports
editorial, expert opinion
Definition of primary prevention - ANS preventing the health problem, the most cost-
effective from of healthcare
examples of primary prevention - ANS immunizations, counseling, helmet, seat belt, condom
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Definition of secondary prevention - ANS Detecting disease in early asymptomatic, or
preclinical state
examples of secondary prevention - ANS screening tests - BP, mammo, colonoscopy, pap
smear, skin survey
definition of tertiary prevention - ANS minimizing negative disease induced outcomes; a
failure of primary prevention
examples of tertiary prevention - ANS adjusting therapy to avoid further target damage
congenital rubella - ANS extremely teratogenic can lead to developmental disability,
blindness, hearing loss
Should immunization be deferred in presence of minor illness - ANS no, immunization should
be deferred only in the presence of a moderate to severe illness with or without fever
What should be available if administering vaccines - ANS telephone to call 911 and epipen
When are babies fully vaccinated against pertussis - ANS 6 months
contraindicatons to live vaccines - ANS pregnancy, immune suppression (HIV)
Examples of live vaccines - ANS MMR, varicella, zoster, intranasal influenza
expected side effects of all vaccines - ANS discomfort, erythema at immunization site
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, CAGE questionnaire - ANS provides very accurate information related to alcohol abuse, 2 or
greater response = + screen
Cut down on drinking
Annoyed you by criticizing your drinking
Guilty about your drinking
Eye opener - drink first thing in the morning or to get rid of hangover
Definition of alcoholic in women - ANS 3 or greater drinks/day
??drinks per week
How do you calculate pack-year history - ANS PPD x number of years smoked
What are the 5 A's of smoking cessation? - ANS Ask
Advise
Assess
Assist
Arrange
Top 3 cancers in women - ANS Breast, lung and bronchus, colon and rectum
Top 3 Deadly cancers in women - ANS Lung and bronchus, breast, colon and rectum
Who gets annual screening at age 35 with EMB? - ANS Women who have hereditary non
polyposis colon caner, annual screening should be offered for endometrial cancer with EMB
beginning at age 35
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND CORRECT ANSWERS.
What is EBP? - ANS The delivery of individualized healthcare on the basis of an awareness of
the impact and strength of related scientific evidence
When can you treat a minor without parental consent? - ANS pregnant and consents to
treatment related to pregnancy, other than abortion
consent to diagnosis and treatment of STDS that must be reported to Texas Dept of health
consent to examination or treatment for chemical addiction, dependency, or any other
condition related to chemical use
consent for counseling for suicide prevention, chemical addiction or dependency, pr for sexual,
physical or emotional abuse
***Parental consent is not required for minors to receive information about family planning.
Texas laws require minors to get parental permission to receive contraception. When parental
consent is required the parent must sign both the general consent for treatment and method
specific consent for for a prescription method of contraception.
Under federal law, minors may give consent and receive confidential family planning services if
the funding source is Medicaid or Title Family Planning Program
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,MVP S&S - ANS 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 - ANS presence of a Grade I-III/IV mid to late systolic crescendo murmur
with honking quality during peak pressure, which is the middle of systole
Normal PMI
Best indicator for asthma flare - ANS FEV
Necessary for diagnosis of HTN - ANS >2 abnormal readings on >2 occasions
highest to lowest level of research - ANS meta analysis
systemic reviews
RCTs
Cohort studies
case-controlled studies
case series, case reports
editorial, expert opinion
Definition of primary prevention - ANS preventing the health problem, the most cost-
effective from of healthcare
examples of primary prevention - ANS immunizations, counseling, helmet, seat belt, condom
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Definition of secondary prevention - ANS Detecting disease in early asymptomatic, or
preclinical state
examples of secondary prevention - ANS screening tests - BP, mammo, colonoscopy, pap
smear, skin survey
definition of tertiary prevention - ANS minimizing negative disease induced outcomes; a
failure of primary prevention
examples of tertiary prevention - ANS adjusting therapy to avoid further target damage
congenital rubella - ANS extremely teratogenic can lead to developmental disability,
blindness, hearing loss
Should immunization be deferred in presence of minor illness - ANS no, immunization should
be deferred only in the presence of a moderate to severe illness with or without fever
What should be available if administering vaccines - ANS telephone to call 911 and epipen
When are babies fully vaccinated against pertussis - ANS 6 months
contraindicatons to live vaccines - ANS pregnancy, immune suppression (HIV)
Examples of live vaccines - ANS MMR, varicella, zoster, intranasal influenza
expected side effects of all vaccines - ANS discomfort, erythema at immunization site
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, CAGE questionnaire - ANS provides very accurate information related to alcohol abuse, 2 or
greater response = + screen
Cut down on drinking
Annoyed you by criticizing your drinking
Guilty about your drinking
Eye opener - drink first thing in the morning or to get rid of hangover
Definition of alcoholic in women - ANS 3 or greater drinks/day
??drinks per week
How do you calculate pack-year history - ANS PPD x number of years smoked
What are the 5 A's of smoking cessation? - ANS Ask
Advise
Assess
Assist
Arrange
Top 3 cancers in women - ANS Breast, lung and bronchus, colon and rectum
Top 3 Deadly cancers in women - ANS Lung and bronchus, breast, colon and rectum
Who gets annual screening at age 35 with EMB? - ANS Women who have hereditary non
polyposis colon caner, annual screening should be offered for endometrial cancer with EMB
beginning at age 35
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
