HAP EXAM 1 QUESTIONS AND ACCURATE ANSWERS
C. Confidentiality - Answers - A student nurse recognizes a hospitalized patient as the
neighbor of a close friend. When the student sees the friend next , the student says,
"You know that older man who lives in the apartment next to you? Well, I took care of
him today in the hospital". The student nurse is not respecting which of the following
principles?
a. Fidelity
b. Benevolence
c. Confidentiality
d. Veracity
a. the presence or absence of all symptoms under the system heading. - Answers -
When recording information for the review of systems, the interviewer must document:
a. the presence or absence of all symptoms under the system heading.
b. objective data that supports the history of present illness.
c. "negative" under the system heading.
d. physical findings, such as skin appearance, to support historic data.
b. Sit on a chair that is 4 feet away from the patient's stretcher. - Answers - The nurse is
conducting a heath history on an adult patient. Which technique can facilitate open
communication between the patient and the nurse?
a. Stand about 1 foot away from the patient's stretcher.
b. Sit on a chair that is 4 feet away from the patient's stretcher.
c. Sit on the stretcher next to the patient.
d. Stand about 12 feet away from the patient's stretcher.
b. Working phase - Answers - Which phase of the interview uses communication
techniques to collect health data?
a. Preinteraction Phase
b. Working phase
c. Closing phase
d. Beginning phase
a. symptoms - Answers - OLDCARTS is a mnemonic that helps the clinician to
remember to address characteristics specific to:
a. symptoms.
b. substance use and abuse.
c. severity of dementia.
d. the ability to perform activities of daily living (ADLs).
,c. "Mr. Jones, I am going to ask you some questions about your health so that we can
plan your care." - Answers - The most appropriate introduction to use to start an
interview with an adult patient is:
a. "David, I am here to ask you questions about your illness; we want to determine what
is wrong."
b. "Because so many people have already asked you questions, I will just get the
information from the chart."
c. "Mr. Jones, I am going to ask you some questions about your health so that we can
plan your care."
d. "Mr. Jones, is it okay if I ask you some quick questions this morning about your
health?"
c. "Tell me how you feel about having surgery." - Answers - The nurse is caring for a
patient who is scheduled for surgery. The nurse observes that the patient appears
anxious. Which of the following responses from the nurse is appropriate?
a. "Why did you wait so long to make an appointment?"
b. "That is exactly how I would feel."
c. "Tell me how you feel about having surgery."
d. "If I were you, I would have the surgery."
c. aggravating factors - Answers - A patient seeks care for "debilitating headaches that
cause excessive absences at work." On further exploration, the nurse asks, "What
makes the headaches worse?" With this question, the nurse is seeking information
about:
a. relieving (alleviating) factors.
b. the patient's perception of pain.
c. aggravating factors.
d. the nature or character of the headache.
d. a personal effort to find meaning and purpose in life - Answers - Spirituality is defined
as:
a. participating in religious services on a regular basis.
b. a social group that claims to possess variable traits.
c. the process of being raised within a culture.
d. a personal effort to find meaning and purpose in life.
b. Critical thinking helps nurses work through the analysis, develop alternatives, and
implement the best interventions. - Answers - What is one way nurses use critical
thinking in regard to the nursing process?
a. Nurses do not need to think critically; they just need to follow orders
b. Critical thinking helps nurses work through the analysis, develop alternatives, and
implement the best interventions.
c. Critical thinking helps nurses decide which parts of the nursing process are not
needed in regard to a particular patient.
d. Critical thinking allows nurses to make decisions regarding patient care without
involving the patient in decisions.
, a. Count the radial pulse for 30 seconds, if the pulse is regular, and multiply by two.
b. If irregular, count the radial pulse for 1 full minute - Answers - To perform an accurate
assessment of heart rate, the examiner can do which of the following? Select all that
apply:
a. Count the radial pulse for 30 seconds, if the pulse is regular, and multiply by two.
b. If irregular, count the radial pulse for 1 full minute.
c. Count the radial pulse for 2 full minutes if the pulse is irregular.
d. Count the radial pulse for 15 seconds, if the pulse is regular, and multiple by 4.
b. Heart rate 56 beats per minute - Answers - The nurse is conducting an exam on a
five year-old child. Which finding would require immediate follow up by the nurse?
a. Blood pressure 90/58 mmHG
b. Heart rate 56 beats per minute
c. Axillary temperature of 97.2 F (36.2 C)
d. Respiratory rate 24
c. Patient's hygiene and dress, speech, posture, and mobility. - Answers - The nurse
knows that elements of the general survey include:
a. Patient's level of consciousness, personal hygiene, vital signs, and physical condition.
b. Patient's gait, behavior, physical appearance and duration of their of pain.
c. Patient's hygiene and dress, speech, posture, and mobility.
d. Patient's overall appearance, facial expression, vital signs, and gait.
b. Inspection - Answers - When performing a physical assessment, the technique the
nurse will always use first is:
a. palpation
b. inspection
c. auscultation
d. percussion
a. patient self-report - Answers - When working with a patient in acute pain, the nurse
knows that the most reliable indicator of pain is:
a. Patient self-report
b. Magnetic resonance imaging (MRI) results
c. Tissue enzyme levels
d. Blood drug levels
b. systolic pressure - Answers - The nurse knows that the first Korotkoff sound when
taking a patient's blood pressure indicates:
a. Diastolic pressure
b. Systolic pressure
c. Brachial pressure
d. Cuff malfunction
C. Confidentiality - Answers - A student nurse recognizes a hospitalized patient as the
neighbor of a close friend. When the student sees the friend next , the student says,
"You know that older man who lives in the apartment next to you? Well, I took care of
him today in the hospital". The student nurse is not respecting which of the following
principles?
a. Fidelity
b. Benevolence
c. Confidentiality
d. Veracity
a. the presence or absence of all symptoms under the system heading. - Answers -
When recording information for the review of systems, the interviewer must document:
a. the presence or absence of all symptoms under the system heading.
b. objective data that supports the history of present illness.
c. "negative" under the system heading.
d. physical findings, such as skin appearance, to support historic data.
b. Sit on a chair that is 4 feet away from the patient's stretcher. - Answers - The nurse is
conducting a heath history on an adult patient. Which technique can facilitate open
communication between the patient and the nurse?
a. Stand about 1 foot away from the patient's stretcher.
b. Sit on a chair that is 4 feet away from the patient's stretcher.
c. Sit on the stretcher next to the patient.
d. Stand about 12 feet away from the patient's stretcher.
b. Working phase - Answers - Which phase of the interview uses communication
techniques to collect health data?
a. Preinteraction Phase
b. Working phase
c. Closing phase
d. Beginning phase
a. symptoms - Answers - OLDCARTS is a mnemonic that helps the clinician to
remember to address characteristics specific to:
a. symptoms.
b. substance use and abuse.
c. severity of dementia.
d. the ability to perform activities of daily living (ADLs).
,c. "Mr. Jones, I am going to ask you some questions about your health so that we can
plan your care." - Answers - The most appropriate introduction to use to start an
interview with an adult patient is:
a. "David, I am here to ask you questions about your illness; we want to determine what
is wrong."
b. "Because so many people have already asked you questions, I will just get the
information from the chart."
c. "Mr. Jones, I am going to ask you some questions about your health so that we can
plan your care."
d. "Mr. Jones, is it okay if I ask you some quick questions this morning about your
health?"
c. "Tell me how you feel about having surgery." - Answers - The nurse is caring for a
patient who is scheduled for surgery. The nurse observes that the patient appears
anxious. Which of the following responses from the nurse is appropriate?
a. "Why did you wait so long to make an appointment?"
b. "That is exactly how I would feel."
c. "Tell me how you feel about having surgery."
d. "If I were you, I would have the surgery."
c. aggravating factors - Answers - A patient seeks care for "debilitating headaches that
cause excessive absences at work." On further exploration, the nurse asks, "What
makes the headaches worse?" With this question, the nurse is seeking information
about:
a. relieving (alleviating) factors.
b. the patient's perception of pain.
c. aggravating factors.
d. the nature or character of the headache.
d. a personal effort to find meaning and purpose in life - Answers - Spirituality is defined
as:
a. participating in religious services on a regular basis.
b. a social group that claims to possess variable traits.
c. the process of being raised within a culture.
d. a personal effort to find meaning and purpose in life.
b. Critical thinking helps nurses work through the analysis, develop alternatives, and
implement the best interventions. - Answers - What is one way nurses use critical
thinking in regard to the nursing process?
a. Nurses do not need to think critically; they just need to follow orders
b. Critical thinking helps nurses work through the analysis, develop alternatives, and
implement the best interventions.
c. Critical thinking helps nurses decide which parts of the nursing process are not
needed in regard to a particular patient.
d. Critical thinking allows nurses to make decisions regarding patient care without
involving the patient in decisions.
, a. Count the radial pulse for 30 seconds, if the pulse is regular, and multiply by two.
b. If irregular, count the radial pulse for 1 full minute - Answers - To perform an accurate
assessment of heart rate, the examiner can do which of the following? Select all that
apply:
a. Count the radial pulse for 30 seconds, if the pulse is regular, and multiply by two.
b. If irregular, count the radial pulse for 1 full minute.
c. Count the radial pulse for 2 full minutes if the pulse is irregular.
d. Count the radial pulse for 15 seconds, if the pulse is regular, and multiple by 4.
b. Heart rate 56 beats per minute - Answers - The nurse is conducting an exam on a
five year-old child. Which finding would require immediate follow up by the nurse?
a. Blood pressure 90/58 mmHG
b. Heart rate 56 beats per minute
c. Axillary temperature of 97.2 F (36.2 C)
d. Respiratory rate 24
c. Patient's hygiene and dress, speech, posture, and mobility. - Answers - The nurse
knows that elements of the general survey include:
a. Patient's level of consciousness, personal hygiene, vital signs, and physical condition.
b. Patient's gait, behavior, physical appearance and duration of their of pain.
c. Patient's hygiene and dress, speech, posture, and mobility.
d. Patient's overall appearance, facial expression, vital signs, and gait.
b. Inspection - Answers - When performing a physical assessment, the technique the
nurse will always use first is:
a. palpation
b. inspection
c. auscultation
d. percussion
a. patient self-report - Answers - When working with a patient in acute pain, the nurse
knows that the most reliable indicator of pain is:
a. Patient self-report
b. Magnetic resonance imaging (MRI) results
c. Tissue enzyme levels
d. Blood drug levels
b. systolic pressure - Answers - The nurse knows that the first Korotkoff sound when
taking a patient's blood pressure indicates:
a. Diastolic pressure
b. Systolic pressure
c. Brachial pressure
d. Cuff malfunction
