HAMRIC AND HANSONS ADVANCED
PRACTICE NURSING SEVENTH EDITION
COMPREHENSIVE EXAM SCRIPT VERIFIED
QUESTIONS COMPLETE ANSWERS
GRADED APLUS
◉ Priority actions for patient with history of MI and new fatigue and
dyspnea
Answer: Perform focused cardiovascular assessment; assess vital
signs and oxygenation; encourage rest
◉ Platelet count of 42,000/μL after heparin exposure
Answer: Suspect heparin-induced thrombocytopenia
◉ Cardiac tamponade assessment finding
Answer: Muffled heart sounds
◉ Priority intervention before antibiotics for suspected
streptococcal infection
Answer: Obtain blood cultures
, ◉ Pathophysiology of aortic stenosis
Answer: Narrowed valve limits blood flow from the ventricle to the
body
◉ Ventricular tachycardia immediate action
Answer: Check responsiveness and a central pulse
◉ Leukemia patient to see first
Answer: Patient with two episodes of bloody diarrhea
◉ Chronic stable angina finding
Answer: Chest pain with exertion relieved by rest
◉ CKD-related anemia intervention
Answer: Prepare for erythropoiesis-stimulating agent therapy
◉ ECG rhythm with chaotic waveform
Answer: Ventricular fibrillation
◉ Risk factors for atherosclerosis
Answer: Hypertension; diabetes mellitus; sedentary lifestyle;
smoking; low HDL cholesterol
PRACTICE NURSING SEVENTH EDITION
COMPREHENSIVE EXAM SCRIPT VERIFIED
QUESTIONS COMPLETE ANSWERS
GRADED APLUS
◉ Priority actions for patient with history of MI and new fatigue and
dyspnea
Answer: Perform focused cardiovascular assessment; assess vital
signs and oxygenation; encourage rest
◉ Platelet count of 42,000/μL after heparin exposure
Answer: Suspect heparin-induced thrombocytopenia
◉ Cardiac tamponade assessment finding
Answer: Muffled heart sounds
◉ Priority intervention before antibiotics for suspected
streptococcal infection
Answer: Obtain blood cultures
, ◉ Pathophysiology of aortic stenosis
Answer: Narrowed valve limits blood flow from the ventricle to the
body
◉ Ventricular tachycardia immediate action
Answer: Check responsiveness and a central pulse
◉ Leukemia patient to see first
Answer: Patient with two episodes of bloody diarrhea
◉ Chronic stable angina finding
Answer: Chest pain with exertion relieved by rest
◉ CKD-related anemia intervention
Answer: Prepare for erythropoiesis-stimulating agent therapy
◉ ECG rhythm with chaotic waveform
Answer: Ventricular fibrillation
◉ Risk factors for atherosclerosis
Answer: Hypertension; diabetes mellitus; sedentary lifestyle;
smoking; low HDL cholesterol
