HAMRIC AND HANSONS ADVANCED
PRACTICE NURSING ACTUAL ASSESSMENT
2026 VIEW AHEAD QUESTIONS ANSWERS
◉ 2. All of the following are infections that affect mostly the labia
and vagina except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis. Answer: D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include
bacterial vaginosis, candidiasis, and trichomoniasis. Chlamydia
trachomatis commonly affects the cervix, endometrial lining ,
fallopian tubes, and pelvic cavity.
◉ The nurse practitioner would test the obturator and iliopsoas
muscle to evaluate for:
A) Cholecystitis
B) Acute appendicitis
,C) Inguinal hernia
D) Gastriculcer. Answer: B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary
guarding, rebound tenderness, boardlike abdomen, and a positive
obtu- rator and psoas sign. A positive obturator sign occurs when
pain is elicted by internal rotation of the right hip from 90 degrees
hip/knee flexion. The psoas sign is positive when pain occurs with
passive extension of the thigh while the patient is lying on his/her
side with knees extended, or when pain occurs with active flexion of
his/her thigh at the hip.
◉ Treatment for mild preeclampsia includes all of the following
except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet
count
D) A prescription of methyldopa (Aldomet) to control blood
pressure. Answer: D) A prescription of methyldopa (Aldomet) to
control blood pressure
Recommended care for women diagnosed with preeclampsia
includes bed rest with bath- room privileges, weight and BP
,monitoring, and closely following urine protein and serum protein,
creatinine, and platelet counts. Oral medications are not used as
first-line treatment.
◉ All of the following services are covered under Medicare Part A
except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons. Answer: C) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled
care given in a certified skilled nursing facility. Most nursing home
care is custodial care (help with bathing, dressing, using a bathroom,
and eating). This care is not covered by Medicare A.
◉ A 28-year-old student is seen in the school health clinic with
complaints of a hacking cough that is productive of small amounts of
sputum and a runny nose. He does not take any medications, denies
any allergies, and has no significant medical history. Physical
examination reveals a low-grade temperature of 99.9 degrees
Fahrenheit, respirations of 16/min, a pulse of 90 beats per minute,
and diffuse fine crackles in the base of the lungs. A chest radiograph
(x-ray) shows diffuse infiltrates on the lower lobe of the right lung.
, The total white blood cell count is 10,500/uL. What is the most
likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
D) Legionnaires disease. Answer: B) Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most com- monly seen in
children and young adults. It is easily spread from droplets, from
sneezing and coughing, in close proximity. Diagnosis is based on
symptoms and x-ray results of infiltrates in lower lobes.
◉ A 39-year-old migrant worker presents to the clinic 2.5 days after
a purified protein derivative (PPD) test. What minimum size of
induration would be considered posi- tive for this patient?
A) 3 mm B) 5 mm C) 10 mm D) 15 mm. Answer: C) 10 mm
The PPD is administered on the volar aspect of the lower arm and
read 48 hours after the test is given. The PPD result must have
induration and measure 10 mm or greater to be positive in a low-
risk patient. Induration (firmness with palpation) must be present.
If the site has erythema but no induration, result would be negative.
Color is not important.
PRACTICE NURSING ACTUAL ASSESSMENT
2026 VIEW AHEAD QUESTIONS ANSWERS
◉ 2. All of the following are infections that affect mostly the labia
and vagina except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis. Answer: D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include
bacterial vaginosis, candidiasis, and trichomoniasis. Chlamydia
trachomatis commonly affects the cervix, endometrial lining ,
fallopian tubes, and pelvic cavity.
◉ The nurse practitioner would test the obturator and iliopsoas
muscle to evaluate for:
A) Cholecystitis
B) Acute appendicitis
,C) Inguinal hernia
D) Gastriculcer. Answer: B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary
guarding, rebound tenderness, boardlike abdomen, and a positive
obtu- rator and psoas sign. A positive obturator sign occurs when
pain is elicted by internal rotation of the right hip from 90 degrees
hip/knee flexion. The psoas sign is positive when pain occurs with
passive extension of the thigh while the patient is lying on his/her
side with knees extended, or when pain occurs with active flexion of
his/her thigh at the hip.
◉ Treatment for mild preeclampsia includes all of the following
except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet
count
D) A prescription of methyldopa (Aldomet) to control blood
pressure. Answer: D) A prescription of methyldopa (Aldomet) to
control blood pressure
Recommended care for women diagnosed with preeclampsia
includes bed rest with bath- room privileges, weight and BP
,monitoring, and closely following urine protein and serum protein,
creatinine, and platelet counts. Oral medications are not used as
first-line treatment.
◉ All of the following services are covered under Medicare Part A
except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons. Answer: C) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled
care given in a certified skilled nursing facility. Most nursing home
care is custodial care (help with bathing, dressing, using a bathroom,
and eating). This care is not covered by Medicare A.
◉ A 28-year-old student is seen in the school health clinic with
complaints of a hacking cough that is productive of small amounts of
sputum and a runny nose. He does not take any medications, denies
any allergies, and has no significant medical history. Physical
examination reveals a low-grade temperature of 99.9 degrees
Fahrenheit, respirations of 16/min, a pulse of 90 beats per minute,
and diffuse fine crackles in the base of the lungs. A chest radiograph
(x-ray) shows diffuse infiltrates on the lower lobe of the right lung.
, The total white blood cell count is 10,500/uL. What is the most
likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
D) Legionnaires disease. Answer: B) Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most com- monly seen in
children and young adults. It is easily spread from droplets, from
sneezing and coughing, in close proximity. Diagnosis is based on
symptoms and x-ray results of infiltrates in lower lobes.
◉ A 39-year-old migrant worker presents to the clinic 2.5 days after
a purified protein derivative (PPD) test. What minimum size of
induration would be considered posi- tive for this patient?
A) 3 mm B) 5 mm C) 10 mm D) 15 mm. Answer: C) 10 mm
The PPD is administered on the volar aspect of the lower arm and
read 48 hours after the test is given. The PPD result must have
induration and measure 10 mm or greater to be positive in a low-
risk patient. Induration (firmness with palpation) must be present.
If the site has erythema but no induration, result would be negative.
Color is not important.
