WHNP-BC : NCC Womens Health Care Nurse Practitioner - 2025 Exam

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WHNP-BC
NCC Womens Health Care Nurse Practitioner
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Question: 991
When considering the management of a patient with recurrent bacterial vaginosis, which of the following strategies has been shown to be most effective in reducing recurrence rates?
1. Long-term metronidazole therapy
2. Daily probiotics
3. Use of vaginal boric acid
4. Avoiding douching and irritants Answer: D
nation: Avoiding douching and irritants is crucial in managing recurrent bacterial vaginosis, ractices can disrupt the normal vaginal flora and increase recurrence risk.
ion: 992
ng for a postpartum patient with a known history of thromboembolic events, which assessm be prioritized to monitor for complications?
ly weight
id intake and output art rate and rhythm
remity temperature and color er: D
nation: Monitoring extremity temperature and color is crucial in detecting signs of thromboe ications, such as deep vein thrombosis. Daily weight, heart rate, and fluid intake/output are a ant but not as specific to this condition.
ion: 993
year-old patient presents with a scaly patch on the scalp that has persisted for several months ient also has a history of extensive sun exposure. What is the most appropriate next step in ement?
Expla as
these p
Quest
In cari ent
should
1. Dai
2. Flu
3. He
4. Ext Answ
Expla mbolic
compl lso
import
Quest
A 60- , and
the pat manag
1. Biopsy
2. Topical antifungals
3. Topical corticosteroids
4. Observation Answer: A
Explanation: Given the persistence of the lesion and the patient's sun exposure history, a biopsy is warranted to rule out squamous cell carcinoma or other skin cancers.
A 60-year-old woman with a family history of cancer seeks genetic counseling. What is the most important factor to assess in her initial consultation?
1. Her current health status.
2. Her dietary habits.
3. The specific cancers in her family and their ages at diagnosis.
nation: Understanding the specific cancers in her family and their ages at diagnosis is crucial ng her risk and determining if genetic testing is appropriate.
ion: 995
year-old woman is concerned about her lipid profile. Which lifestyle change has the most cant impact on lowering LDL cholesterol levels?
rease in refined carbohydrates rease in soluble fiber intake creased physical activity
rease in saturated fat consumption er: B
nation: Increasing soluble fiber intake has a well-documented effect on lowering LDL cholest making it a critical dietary change for cardiovascular health.
ion: 996
ent is prescribed a drug that undergoes extensive first-pass metabolism. Which of the followi ents best describes how this process affects the bioavailability of the medication when taken
ncreases the drug's concentration in systemic circulation.
Her previous cancer screenings. Answer: C
Expla for
assessi
Quest
A 40-
signifi
1. Inc
2. Inc
3. De
4. Inc Answ
Expla erol
levels,
Quest
A pati ng
statem orally?
1. It i
2. It completely eliminates the drug's effect.
3. It has no effect on the drug's concentration in systemic circulation.
4. It decreases the drug's concentration in systemic circulation. Answer: D
Explanation: First-pass metabolism refers to the process wherein the concentration of a drug is significantly reduced before it reaches systemic circulation due to hepatic metabolism. Consequently, the bioavailability of the drug is decreased when administered orally.
A 60-year-old female presents with severe hip pain after a fall. Which of the following findings on physical examination would most strongly suggest a hip fracture?
1. All of the above
2. External rotation of the affected limb
3. Pain with hip flexion
nation: All listed findings—unable to bear weight, external rotation, and pain with hip flexio ive of a possible hip fracture.
ion: 998
nurse practitioner is assessing a 60-year-old woman who has a history of hypertension and ipidemia. During the cardiovascular examination, the practitioner notes a diastolic murmur b t the left sternal border. What condition might this finding suggest?
rtic regurgitation ral stenosis monic stenosis
cuspid regurgitation er: A
nation: A diastolic murmur heard at the left sternal border is typically associated with aortic itation, where blood leaks back into the left ventricle from the aorta during diastole.
ion: 999
conception counseling, which element is most important to discuss with a patient who has a ational diabetes?
Inability to bear weight Answer: A
Expla n—are
indicat
Quest
A
hyperl est
heard a
1. Ao
2. Mit
3. Pul
4. Tri Answ
Expla regurg
Quest
In pre history
of gest
1. The importance of weight loss prior to pregnancy
2. The potential need for insulin therapy during pregnancy
3. The increased risk of developing type 2 diabetes later in life
4. The benefits of breastfeeding for glucose regulation Answer: C
Explanation: Discussing the long-term risks of developing type 2 diabetes is crucial as it empowers the patient to make informed lifestyle and health decisions before conception.
A patient is prescribed a medication with a high first-pass effect. Which of the following routes of administration would bypass this effect most effectively?
1. Oral
2. Intramuscular
3. Sublingual
nation: Sublingual administration allows the drug to enter systemic circulation directly, bypa ass metabolism in the liver, thus increasing bioavailability.
ion: 1001
year-old female with recurrent urinary tract infections is concerned about her diet. Which die cation could help reduce her risk of UTIs?
rease sugar intake crease fiber intake oiding citrus fruits
rease cranberry juice consumption er: D
nation: Increasing cranberry juice consumption may help prevent UTIs by preventing bacteria on to the urinary tract lining.
ion: 1002
ent reports a history of multiple sexual partners. What is the most appropriate follow-up que ess her risk for sexually transmitted infections (STIs)?
ave you ever been tested for STIs?"
Subcutaneous Answer: C
Expla ssing
first-p
Quest
A 32- tary
modifi
1. Inc
2. De
3. Av
4. Inc Answ
Expla l
adhesi
Quest
A pati stion
to ass
1. "H
2. "Are you currently in a monogamous relationship?"
3. "What was your last sexual partner's health status?"
4. "Do you use condoms during intercourse?" Answer: D
Explanation: Inquiring about condom use is crucial for assessing risk for STIs. Understanding safe sex practices can help tailor preventive counseling and testing recommendations for the patient.
A patient with chronic low back pain is prescribed a muscle relaxant. Which of the following side effects should the nurse practitioner monitor for?
1. Hypotension
2. Sedation
3. Gastrointestinal bleeding
4. Renal impairment Answer: B
nation: Sedation is a common side effect of muscle relaxants, and patients should be monitor ness or impaired coordination.
ion: 1004
man at 26 weeks gestation is found to have mild anemia on routine screening. Which of the ing is the most appropriate initial management?
supplementation erral to a hematologist
rease dietary iron intake od transfusion
er: A
nation: Iron supplementation is the first-line treatment for mild anemia in pregnancy, as it he ish iron stores and improve hemoglobin levels.
ion: 1005
essing a woman’s health risks, which lifestyle factor is most closely associated with an incre developing type 2 diabetes?
dequate sleep patterns h alcohol consumption
Expla ed for
drowsi
Quest
A wo follow
1. Iron
2. Ref
3. Inc
4. Blo Answ
Expla lps
replen
Quest
In ass ased
risk of
1. Ina
2. Hig
3. High-stress levels
4. Sedentary behavior Answer: D
Explanation: Sedentary behavior is a significant risk factor for the development of type 2 diabetes, as physical inactivity contributes to obesity and insulin resistance, both of which are critical in diabetes pathophysiology.
In terms of reproductive options for transgender men, which of the following statements is most accurate regarding fertility preservation methods?
1. Sperm banking is a viable option prior to starting hormone therapy
2. Fertility preservation methods are not necessary if testosterone therapy is initiated
3. Egg freezing is the only option for transgender men who wish to conceive later
4. There are no effective fertility preservation methods for transgender individuals Answer: A
nation: Sperm banking is a viable option for transgender men prior to starting hormone thera ng them to preserve fertility for future use, while also enabling family planning.
ion: 1007
anagement of a patient with allergic rhinitis, which of the following adjunctive therapies is cial for reducing nasal congestion?
tihistamines
ukotriene receptor antagonists congestants
ine nasal sprays er: C
nation: Decongestants are effective for relieving nasal congestion, while antihistamines prima sneezing and itching.
ion: 1008
ontext of pregnancy-related hypertension, which of the following blood pressure readings is ied as severe hypertension and may necessitate immediate intervention?
0/80 mmHg
/110 mmHg
Expla py,
allowi
Quest
In the m most
benefi
1. An
2. Le
3. De
4. Sal Answ
Expla rily
address
Quest
In the c classif
1. 13
2. 160
3. 140/90 mmHg D. 150/100 mmHg
Answer: B
Explanation: A blood pressure reading of 160/110 mmHg is classified as severe hypertension, which can lead to serious complications such as eclampsia and necessitates immediate medical intervention to ensure maternal and fetal safety.
A comprehensive skin examination reveals multiple nevi with irregular borders and varying colors. Which of the following characteristics raises the suspicion for melanoma?
1. Symmetry of the lesions
2. Diameter greater than 6 mm
3. Uniform color throughout
4. Presence of hair within the nevus Answer: B
nation: A diameter greater than 6 mm is a classic warning sign for melanoma, particularly w ned with irregular borders and color variation.
Expla hen
combi

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