NYU HAP Midterm Exam Questions With All Correct Answers

NYU HAP Midterm Exam Questions With All Correct Answers The nurse notices a colleague is preparing to check the blood pressure of a patient who is sitting with his legs crossed. The nurse knows that this will: a. yield a falsely low blood pressure. b. have no effect on the blood pressure reading. c. produces an auscultatory gap. d. yield a falsely high blood pressure. - CORRECT ANSWERS D (Blood pressure increases when legs are crossed and care should be taken to ensure that feet are flat on the floor to avoid a *false high blood pressure.) Which activity illustrates the concept of *primary prevention*? a. exercising three times a week b. monthly breast self-examination c. education about living with asthma d. colonoscopy after age of 50 - CORRECT ANSWERS A (a primary prevention aimed at preventing the individual from developing an illness.) A 75- y/o man reports he stopped playing cards with his friends because, over time, he noticed their voices began to sound mumbled. How does the nurse explain the possible cause of this change? a. sudden low-frequency hearing loss b. damage to the middle ear from ear infections c. gradual high-frequency hearing loss d. lack of earwax in the outer ear - CORRECT ANSWERS C (High-frequency hearing loss, or *presbycusis*, can occur as we age. It involves problems w]usually with discerning certain constant sounds like F, S, T and Z. Vowels are easier to hear for a person with high-frequency loss. Not being able to hear certain letter sounds may make speech sound mumbled. Older adults can become disheartened or frustrated when not being able to make out speech adequately and can become withdrawn. The issue is not related to a low-frequency hearing loss, lack of earwax, or ear infections.) A nurse is assessing a patient who complains of "awful" hip pain after suffering a fracture and rates it as a 9 on a scale of 0 to 10. Which of the following physiologic signs may accompany acute pain? (Select all that apply) a. depression b. tachycardia c. increased blood pressure d. loss of weight and appetite - CORRECT ANSWERS CB (Tachycardia and increased bp are associated with the sympathetic nervous system response that occurs in acute pain. Depression and loss of appetite are more associated with chronic pain.) A patient is describing his symptoms to the nurse. Which of these statements reflects a description of the aggravating factors for his symptoms? a. "It is a sharp, burning pain in my stomach." b. "When I sit down to use the computer, it gets worse." c. "I think this pain is telling me that something bad is wrong with me." d. "I also have the sweats and nausea when I feel this pain." - CORRECT ANSWERS B (Aggravating factors are things the patient does or that happen to the patient that make the symptom worse or more pronounced. This answer is the only one that was *associated with a symptom.*) A patient drifts off to sleep when she is not being stimulated. The nurse can arouse her easily when calling her name, but she remains drowsy during the conversation. The best description of this patient's level of consciousness would be: a. semialert b. obtunded c. stuporous d. lethargic - CORRECT ANSWERS D