WHNP Certification Practice Questions with 100% Correct Answers, Exams of Advanced Education

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WHNP Certification Practice Questions

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Aipatientiwithivestibularineuronitisiisimostilikelyitoihave:i a.iDysconjugateigaze b.iLidilag c.iNystagmusi-iCorrectiAnswer-Nystagmus Wheniassessingiaipatientithatipresentsiwithiloweribackipainiyouiperfor miaistraightilegiraisingitest.iDuringithisitestiifithereiisiaiherniatedidiskiyo uiwouldiexpectitheipatientitoiexperienceipain:i a.iaboveitheikneeionitheiaffectediside b.ibelowitheikneeionitheiaffectedisidei c.iInitheihipionitheiaffectedisidei-iCorrectiAnswer- Belowitheikneeionitheiaffectediside Ai 16 - year- oldipatientipresentsiwithisuddenionsetiofisevereirightitesticularipain.iOn iexamiyouinoteianiedematous,iextremelyitenderiscrotumiandirightitestic le.iThereiisinoicremastericireflexionithisiside.iYouisuspect:i

a.iEpididymitis b.itesticularitorsion c.ivaricocelei-iCorrectiAnswer-TesticulariTorsion Theiheartisoundicausedibyiclosureiofitheipulmoniciandiaorticivalvesiis:i a.iS B.iS C.iS3i-iCorrectiAnswer-S Theisocialiconstructiassigningirolesiandiattributesitoiindividualsibasedio ninatalisexiis:i a.iGender b.iGenderiidentityi c.iSexualiorientationi-iCorrectiAnswer-Gender Aniexampleiofidocumentationiofianiobjectiveifindingiis:i a.iDiabetes b.iErythemaiofileftilabiaimajora c.iPainiwithisexi-iCorrectiAnswer-Erythemaiofileftilabiaimajora

Whichiofitheifollowingiwouldibeiappropriateitoidocumentiinitheireviewi ofisystemsisectioniofitheihealthihistory? a.iFatherihadimyocardialiinfarctioniatiagei 65 b.iPatientistatesineedsiaiphysicaliexaminationitoireturnitoiworki c.iUrinaryiurgencyiandiincontinencei-iCorrectiAnswer- Urinaryiurgencyiandiincontinence Wheniassessingiaipatientithatipresentsiwithiintermittentipainiwheniwal kingiyouinoteishiny,icool,iduskyirediloweriextremitiesiwithidecreasedido rsalisipedaliandiposterioritibialipulses.iYouisuspect: a.iChroniciarterialiinsufficiencyi b.iChronicivenousiinsufficiencyi c.iDeepiveinithrombosisi-iCorrectiAnswer-ChroniciArterialiinsufficiency Whenitestingitheicranialinerves,iyouipalpateitemporaliandimasseterimu scleistrengthianditestisharp/dulliandilightitouchisensationionitheiforehe ad.iTheicranialinervei(CN)iyouiareitestingiis: a.iCNiViTrigeminali b.iCNiVIiAbducensi c.iCNiVIIiFaciali-iCorrectiAnswer-CNiViTrigeminal

Whichiofitheifollowingipelviciexamifindingsiwouldirequireifurtherievalu ation? a.iWhiteioriyellowicystsionitheicervixisurfacei b.iDarkiringiofiepithelialitissueiaroundicervicaliosi c.iPalpable,ifirm,itubularistructureiiniadnexaliareai-iCorrectiAnswer- Palpable,ifirm,itubularistructureiiniadnexaliarea Aiblurrediopticidiskimarginiandiaibulgingiphysiologicicupiareimostilikelyit oibeiseeniwith:i a.idiabetes b.ihypertensioni c.isubarachnoidihemorrhagei-iCorrectiAnswer- SubarachnoidiHemorrhage Ifitheicervixipointsitowarditheianteriorivaginaliwall,itheiuterusiisimostilik ely:i a.ianteverted/ianteflexedi b.imidplanei c.iretroverted/iretroflexedi-iCorrectiAnswer-Retroverted/iretroflexed

Ifitheicervixipointsitowarditheiposteriorivaginaliwall,itheiuterusiisimostili kely:i a.ianteverted/ianteflexedi b.imidplanei c.iretroverted/iretroflexedi-iCorrectiAnswer-Anteverted/ianteflexed Ifitheicervixipointsihorizontallyitowarditheivaginaliwall,itheiuterusiisimo stilikely:i a.ianteverted/ianteflexedi b.imidplanei c.iretroverted/iretroflexedi-iCorrectiAnswer-Midplane Ai 19 - year- oldipatientireceiveditheifirsti 2 idosesiofitheiHPVivaccineiwithinitheirecom mendeditimeischedule.iTheipatientireturnsitoitheiofficei 3 imonthsiafterit heiinitialidoseirequestingithei3rdidoseiofitheivaccinationiseries.iYouiwou ldiadviseitheipatientithat: a.iitiisitooiearlyiforithei3rdidosei b.iitiisilateiforithei3rdidose,ibutiyouicanigiveiititodayi

c.iyouineeditoidoiaipregnancyitestibeforeigivingithei3rdidosei- iCorrectiAnswer-a.iItiisitooiearlyiforithei3rdidose Ai 40 - year-oldipatientiisiinterestediinistartingiaimulti- vitamin/mineralisupplementiandiasksiwhatishouldibeiincluded.iYouibas eiyouriadviceioniknowledgeithatiai 40 - year-oldifemaleineeds: a.icalciumi 1000 imgieachiday b.iironi 8 imgieachidayi c.ivitaminiDi 1200 iUieachidayi-iCorrectiAnswer- a.icalciumi 1000 imgieachiday Theipatientiwhoiisigoingitoiuseivareniclineiforismokingicessationishouldi beiadvisedito: a.ikeepinicotineigumionihandiinicaseitheyihaveibreakthroughicravingi b.istartitheimedicationioneiweekibeforeitheiriplannediquitidatei c.istopitakingitheimedicationiifitheyihaveistrangeidreamsi- iCorrectiAnswer- B.istartitheimedicationioneiweekibeforeitheiriplannediquitidate Iniaireviewiofivaccinationsiatianiinitialiprenatalivisitiati 12 iweeksigestatio nitheipatientitellsiyouitheyihaditheiTdapi(tetanusitoxoid,idiphtheriaitoxo id,iandiacellularipertussis)ivaccinationiwithitheirilastipregnancyiwhichiw asi 2 iyearsiago.iYouiwouldiadviseitheipatientithatitheyiwillineedia:

a.iTetanusiandidiphtheriai(Td)iboosteriini 8 iyearsi b.iTdapivaccinationiatithisivisiti c.iTdapivaccinationiinitheithirditrimesteri-iCorrectiAnswer- c.iTdapivaccinationiinitheithirditrimester AccordingitoiUSPSTFirecommendationsiwhichiofitheifollowingipatientsis houldihaveiailow-doseiCTiscanitoiscreeniforilungicancer? a.iAihealthyi 48 - year- oldipatientiwhoihasismokedi 1 ipackiperidayifori 25 iyearsiandiisiaicurrentis mokeri b.iAihealthyi 65 - year- oldipatientiwhoismokedi 1 ipackiperidayifori 30 iyearsiandiwhoistoppedism okingi 5 iyearsiagoi c.iAi 80 - year- oldipatientiwithisevereichronicilungidiseaseiwhoismokedi 2 ipacksiperiday ifori 35 iyearsiandistoppedismokingi 20 iyearsiagoi-iCorrectiAnswer- B.iaihealthyi 65 - year- oldipatientiwhoismokedi 1 ipackiperidayifori 30 iyearsiandiwhoistoppedism okingi 5 iyearsiago AccordingitoiNationaliOsteoporosisiFoundationiandiUSPSTFiwhichiofith eifollowingiindividualsishouldihaveiboneimineralidensityiscreening?

a.i 40 - year-oldipremenopausaliwomeniwhoismokesi 1 iPPDi b.i 50 - year-oldipostmenopausaliwomaniwithinoifractureiriskifactorsi c.i 65 - year-oldiwomaniregardlessiofiriskifactorsi-iCorrectiAnswer-c.i 65 - year-oldiwomaniregardlessiofiriskifactors TheileadingicauseiofideathioveralliiniUSiwomeniis: a.iBreasticanceri b.iHeartidiseasei c.iUnintentionaliinjuryi-iCorrectiAnswer-b.iheartidisease AccordingitoitheiAmericaniDiabetesiAssociation,ianiindividualiwhoihasia ihistoryiofigestationalidiabetesishould: a.iBeginiregulariscreeningiforidiabetesiatiagei 45 i b.iHaveiscreeningiforidiabetesiatileastieveryi 3 iyearsi c.iUseionlyiaiHgbiA1ciforidiabetesiscreeningi-iCorrectiAnswer- b.ihaveiscreeningiforidiabetesiatileastieveryi 3 iyears TheiCDCiandiUSPSTFirecommendithatipregnantiindividualsibeiscreenedif oriHepatitisiC:

a.iIfitheyihaveinotihadiprioriscreeningi b.iOnlyiifitheyihaveiidentifiediriskifactorsi c.iWithieachipregnancyi-iCorrectiAnswer-c.iwithieachipregnancy Regardingicervicalicanceriscreening,itheiAmericaniCanceriSociety,iACOG ,iandiUSPSTFialliagreeithat: a.iscreeningishouldistartiatiagei 21 iregardlessiofisexualihistoryi b.icytologyialoneishouldibeiusediforipatientsiunderi 30 iyearsiofiagei c.iscreeningicanistopiafteriagei 65 iifithereiisidocumentationiofiadequateip riorinegativeiresultsi-iCorrectiAnswer- c.iscreeningicanistopiafteriagei 65 iifithereiisidocumentationiofiadequateip riorinegativeiresults Whichiofitheifollowingimedicationsiincreasesitheiriskiforiosteoporosis? a.iGnRHiagonistsi b.ilevonorgestreliIUDs c.iProgestinionlyicontraceptiveipillsi-iCorrectiAnswer-GnRHiagonists Whichiofitheifollowingiimmunizationsicanibeigiveniduringipregnancy? a.iliveiattenuatediinfluenzaivaccinei

b.irecombinantizosteri(shingles)ivaccinei c.iTetanusidiphtheria,ipertussisi(tdap)i-iCorrectiAnswer- Tentanus,idiphtheria,ipertussis Pre- pregnancyigeneticicarrieriscreeningicommonlyiincludesitestsiforiautoso malirecessiveidisordericarrieristatus.iAniexampleiofioneiofitheseitypesiof idisordersiis: a.iCysticifibrosisi b.iHuntingtonidiseasei c.iNeurofibromatosisi-iCorrectiAnswer-a.iCysticiFibrosis Whatitestiwouldiyouiorderiifiyouisuspectediaipossibleidiagnosisiofisyste micilupusierythematosus? a.iAnti-nucleariantibodiesi(ANA)i b.iIndirectiCoombsi c.iLupusianticoagulanti-iCorrectiAnswer-a.iAnti-nucleariantibodies ThyroiditestiresultsiforiaipatientiareiTSHilow,iFreeiT4ihigh,ianti- thyroidiantibodiesipositive.iTheimostilikelyidiagnosisiforithisipatientiis: a.iGrave'sidiseasei

b.iHashimoto'sidiseasei c.iSecondaryihypothyroidismi-iCorrectiAnswer-a.iGrave'sidisease Theipatientiwithiacuteiallergicirhinitisiwouldimostilikelyihaveianiincreas eiin: a.ieosinophilsi b.ilymphocytesi c.imonocytesi-iCorrectiAnswer-a.ieosinophils FSHiandiLHiareimostilikelyitoibeidecreasediwith: a.ihypothalamicidysfunctioni b.imenopausei c.iovarianifailurei-iCorrectiAnswer- Whichitypeiofigeneimutationioccursiduringiconception? a.iAcquiredimutationi b.iInheritedimutationi c.iSomaticimutationi-iCorrectiAnswer-b.iInheritedimutation

Theibasiciunitiofiheredityiisithe: a.ichromosomei b.igenei c.ikaryotypei-iCorrectiAnswer-a.iChromosome TheiindividualiwhoiisiimmuneitoiHepatitisiBiasitheiresultiofibeingivaccina tediwillihaveiaipositive: a.ihepatitisiBieiantigeni b.ihepatitisiBisurfaceiantibodyi c.ihepatitisiBisurfaceiantigeni-iCorrectiAnswer- b.ihepatitisibisurfaceiantibody Theitestiuseditoiscreeniforitheipresenceiofianyicirculatingiantibodiesiaga instiRBCsiiniaipregnantipersoniis: a.iblooditypei b.idirectiCoomb'sitesti c.iindirectiCoomb'sitesti-iCorrectiAnswer-c.iIndirectiCoomb'sitest Theiindividualiwithigallstonesioriotheriblockageiofitheihepaticiductsiisim ostilikelyitoihave:

a.idecreasediserumialbumin b.iincreasediconjugatedioridirectibilirubini c.iincreasedicreatinineileveli-iCorrectiAnswer- b.iincreasediconjugatedioridirectibilirubin WheniwouldiyouiconsideritestingiforiVoniWillebrandiFactor?i a.iadolescentiwithiheavy,iprolongedimensesi b.iindividualiwithirecurrentimiscarriagesi c.imenopausaliindividualiwithirecurrentideepiveinithrombosisi- iCorrectiAnswer-a.iadolescentiwithiheavy,iprolongedimenses Aithroaticultureishouldibeiobtaineditoiconfirmiaipositiveirapidistrepianti genitesti a.itrue b.ifalsei-iCorrectiAnswer-b.ifalse WhichiofitheifollowingicanicauseihighiBUNilevel? a.iLiverifailurei b.iHypovolemiai

c.iPregnancyi-iCorrectiAnswer-b.iHypovolemia WhichitestidoiyouiuseiforiroutineihepatitisiBiscreeningiatiinitialiprenatali visit? a.iHepatitisiBisurfaceiantibodyi b.iHepatitisiBisurfaceiantigeni c.iHepatitisiBieiantigeni-iCorrectiAnswer-b.iHepatitisiBisurfaceiantigen Bothiparentsiareicarriersiofitheisickleicellianemiaigene.iWhatiisitheichan ceiforieachiotheritheirioffspringitoihaveisickleicellianemia? a.i25% b.i50% c.i100%i-iCorrectiAnswer-a.i25% Duringisexualidifferentiationiofitheiembryoitheimesodermiforms: a.iBothitheiWolffianiductianditheiMullerianiducti b.iOnlyitheiMullerianiducti c.iOnlyitheiWolffianiducti-iCorrectiAnswer- a.ibothitheiwolffianiductiandimullerianiduct

Theidiagnosisiofimenopauseiisia: a.ilabibasedidiagnosisi b.iretrospectiveidiagnosisi c.idiagnosisibasedionipatientihistoryiandiFSHilevelsi-iCorrectiAnswer- b.iretrospectiveidiagnosis Theivestibuleiisitheiareaibetweenithe a.ianusianditheiintroitusi b.ihymeniandiHart'siline c.ilabiaimajoraiandilabiaiminorai-iCorrectiAnswer- b.ihymeniandiHart'siline Theianteriorilobeiofitheipituitaryisecretes: a.iantidiureticiHormonei(ADH)i b.igrowthiHormonei(GH)i c.ioxytocini-iCorrectiAnswer-b.igrowthihormonei(GH) Aipatientiwithisubareolaribreastibudsiandisparse,ifine,istraightipubicihai riwouldibeiconsidereditoibeiin:

a.iTanneriStagei 1 i b.iTanneriStagei 2 i c.iTanneriStagei 3 i-iCorrectiAnswer-b.iTanneriStagei 2 Theiproliferativeiphaseiofitheiuterineicycleicorrespondsiwithiwhichiphas eiofitheiovarianicycle? a.iFolliculari b.iLuteali c.iSecretoryi-iCorrectiAnswer-a.iFollicular Theipredominantiestrogeniinimenopausalipatientsiis: a.iestradioli b.iestrioli c.iestronei-iCorrectiAnswer-c.iEstrone Ai 60 iyearioldipatientihadiainegativeipapiandinegativeiHPViscreeni 3 iyearsi ago.iTheyihaveiainegative/normalipapihistory.iTheipatientishouldibeicou nseledithatitheipreferreditimeiforitheirinexticervicalicanceriscreeningipe ritheiASCCPiis: a.itodayi

b.iinitwoimoreiyearsi c.ithisipatientinoilongerineedsicervicalicanceriscreeningi- iCorrectiAnswer-b.iinitwoimoreiyears Ai 52 iyearioldihealthyimenopausalipatientiwithinoiosteoporosisiriskifacto rsiisiiniforitheiriannualivisit.iTheipatientiasksiwhenitheyiwillihaveiaibonei mineralidensityi(BMD)iscan.iYouicounselithemithatiBMDiscansiareireco mmended: a.iToistartiatimenopausei b.iToistartiatiagei 65 iinilowiriskipatientsi c.iToistarti 5 iyearsiafterimenopauseibeginsi-iCorrectiAnswer- b.itoistartiatiagei 65 iinilowiriskipatients Ai 24 iyearioldipatientihasiaipapiresultiofiLGSIL.iTheipatientihasiaipreviousl yinormalipapihistory.iTheipreferredifollowiupiperitheiASCCPiforithisipati entiis: a.iRepeaticytologyiini 1 iyeari b.iReflexitoiHPVipapitesti c.iColposcopyi-iCorrectiAnswer-a.iRepeaticytologyiini 1 iyear Aipatienticomesitoitheiclinicirequestingiemergencyicontraceptioniafteri havingipenileivaginaliintercoursei 4 idaysiagoiwithoutiaicondom.iTheiriLM Piwasi 2 -

3 iweeksiagoianditheyihaveihadipenileivaginaliintercourseiabouti 4 itimesis inceitheifirstidayiofitheiriLMP.iTheyidoinotiwantiongoingicontraceptionia ndiareinotiableitoireturnitoitheicliniciforifollowiup.iTheibestiemergencyic ontraceptiveimethodiforithisipatientiis: a.iCopperireleasingiintrauterineidevicei b.iLevonorgestreli 1500 imgiorallyiiniaisingleidosei c.iUlipristaliacetatei 30 imgiorallyiiniaisingleidosei-iCorrectiAnswer- Combinedioralicontraceptiveipillsiuseiforiaipatientiwhoiisi 22 iyearsioldian dismokesi 15 icigarettesiaidayiisiconsiderediwhichiCDCimedicalieligibilityic ategoriesi(MEC): a.iMECi2;iadvantagesigenerallyioutweighitheoreticalioriprovenirisksi b.iMECi3;itheoreticalioriprovenirisksiusuallyioutweighitheiadvantagesi c.iMECi4;iunacceptableihealthiriski(methodinotitoibeiused)i- iCorrectiAnswer- Aipatienticallsitheiclinicitoiaskiwhatitheyishouldidoibecauseitheyijustireal izeditheyiforgotitoitakeitheirilasti 3 ipillsi(combinationihormone).iItiisithei 2ndiweekiofitheiri 28 idayipillipack.iTheilastitimeitheyihadisexiwithoutiaico ndomiwasi 8 idaysiago.iYouiwouldialsoiadviseitheipatientito: a.iTakeiemergencyicontraceptioniandiresumeitheicontraceptiveipillsithei nextiday.iUseiaibackupimethodifori 7 idaysi

b.iTakeitheimostirecentimissedipillinow,itoday'sipilliwhenischeduled,ian ditheniresumeinormalischedule.iUseiaibackupimethodifori 7 idays.i c.iTakei 2 ipillsieachidayiforitheinexti 3 idaysitheniresumeinormalischedule.i Useiaibackupimethodifori 7 idays.i-iCorrectiAnswer- b.iTakeitheimostirecentimissedipillinow,itoday'sipilliwhenischeduled,ian ditheniresumeinormalischedule.iuseiaibackupimethodifori 7 idays Progestinsiprovideitheiricontraceptiveieffectithroughialliofitheifollowing iEXCEPT:i a.iovulationisuppression b.iThickeningioficervicalimucus c.iStabilizingitheiendometriumi-iCorrectiAnswer- WhichiofitheifollowingiisiNOTiaicategoryi 4 icontraindicationitoiplacemen tiofieithericopperiorlevonorgestreliintrauterineicontraceptivesiaccordin gitoiCDCimedicalieligibilityicriteria?? a.iCervicalicanceri b.iHistoryiofiectopicipregnancyi c.iUnexplainedivaginalibleedingiprioritoievaluationi-iCorrectiAnswer- b.iHistoryiofiectopicipregnancy

DrugsithatiincreaseiproductioniofitheiliverienzymeicytochromeiP- 450 imayidecreaseitheieffectivenessioficombinedioralicontraceptiveipillsi by:i a.iDecreasingiabsorptioniinitheigastrointestinalitracti b.idecreasingienterohepaticirecirculationi c.iIncreasingifirstipassimetabolismi-iCorrectiAnswer- TheiACHESiacronymicanibeiaihelpfulitooliwhenicounselingiregardingisev ereisideieffectsirelateditoithe: a.iParagardiIUDi(intrauterineicoppericontraceptive)i b.iXulaneipatchi(ethinyliestradioliandinorelgestrominitransermalisyste m)i c.iNexplanoni(etonogestreliimplant)i-iCorrectiAnswer- Aipatientiwhoihadimalabsorptiveitypeibariatricisurgeryi 2 imonthsiagoico mesitoitheiclinicirequestingicontraception.iTheipatientihasilostisignifica ntiweightiandicurrentlyiweighsi 215 ipounds.iOfitheifollowingitheisafestia ndimostieffectiveihormonalimethodiforithisipatientiwouldibe: a.iCombinedioralicontraceptiveipilli b.iContraceptiveivaginaliringi

c.iProgestinionlyicontraceptiveipillsi-iCorrectiAnswer- b.iContraceptiveivaginaliring Howimanyihoursishouldiaidiaphragmibeileftiiniafteriintercourse? a.i 4 - 8 b.i 6 - 18 c.i 6 - 24 i-iCorrectiAnswer-c.i 6 - 24 Aimedicationiabortionimayibeiconsiderediforiaipatientidesiringipregnan cyiterminationionlyiifitheyiareiaimaximumiofi____idaysisinceitheifirstiday iofitheirilastimenstrualiperiodiandihaveinoiothericontraindications. a.i 60 i b.i 70 i c.i 100 i-iCorrectiAnswer-b.i 70