NYU HAP Exam 1 Questions and Answers 2024 with complete solution

NYU HAP Exam 1 Questions and Answers 2024 with complete solution 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. Ans- 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 Ans- 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 Ans- 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 Older adults can become disheartened or frustrated when not being able to make out speech adequately and can become withdrawn.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 Ans- 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." Ans- 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 Ans- D (When a patient is lethargic, they may be drowsy but awaken easily to stimulation. They can answer questions and follow commands. A patient who is obtunded is difficult to arouse and needs constant stimulation in order to keep them awake. They may answer basic, direct questions. Wen a patient is stuporous, they require vigorous stimulation to arouse and will not be able to answer questions to follow commands. Semialert is not a term used in a mental health assessment.) During shift report, a nurse learns that a patient has a *macular rash*. As the nurse inspects the patient's skin, what finding will confirm the rash? a. elevated, firm, well-defined lesions less than 1 cm in diameter b. depressed, firm, or scaly, rough lesions greater than 1 cm in diameter. c. flat, well-defined, small lesions less than 1 cm in diameter d. elevated fluid-filled lesions less than 1 cm in diameter Ans- C (A macule is a lesion that is flat, circumscribed, less than 1cm. An elevated lesion would be a *papule*. An elevated, fluid-filled lesion is a vesicle.) When assessing the severity of a patient's pain, which question by the nurse is appropriate? a. "What makes your pain better or worse?" b. "How much pain do you have now?" c. "how does pain limit your activities?" d. "What does your pain feel like?" Ans- B (In rating the severity of the pain, you want to determine how strong or intense it is. The nurse can ask them how much pain they are having often using some type of rating scale.) When taking a temperature, the nurse understands that which route would yield the highest temperature? a. axillary b. oral c. rectal d. tympanic Ans- C The nurse is examining a patient who came in for sore throat. The tonsils appear red and swollen and are touching each other. How would the nurse grade the tonsils? a. 1+ b. 2+ c. 3+ d. 4+ Ans- D A patient's vision is recorded as 20/50 when the Snellen eye chart is used. The nurse interprets these results to indicate that: a. at 50 feet the patient can read the entire chart. b. the patient can read at 20 feet what a person with normal vision can read at 50 feet. c. the patient can read the chart from 20 feet in the left eye and 50 feet in the right eye. d. the patient can read from 50 feet what a person with normal vision can read from 250 feet. Ans- B In an interview, the nurse may find it necessary to take notes to aid his or her memory later. A competent nurse understands that note-taking: a. allows the nurse to break eye contact with the patient b. may impede the nurse's observation of the patient's nonverbal behaviors. c. allows the patient to continue at his or her own pace as the nurse records everything that is said. d. allows the nurse to shift attention away from the patient, resulting in increased comfort level. Ans- B The nurse is checking for mobility and turgor in a patient with severe, non-pitting edema. The nurse will most likely note which finding? a. decreased mobility b. increased mobility c. decreased turgor d. increased turgor Ans- A (Mobility relates to how well you can pinch and lift the skin. In a patient with *severe edema*, it will be difficult to pinch and lift the skin, thus there is decreased mobility. Turgor relates to how well skin goes back into place and decreased turgor would be seen in someone with severe dehydration.) Which of these responses might the nurse expect during a functional assessment of the health history for a patient whose leg is in a cast? a. "I'm able to transfer myself from the wheelchair to the bed without help." b. "I check the color of my toes every evening just like I was taught." c. "The pain is decreasing, but I still need to take acetaminophen." d. "I broke my right leg in a car accident two weeks ago." Ans- A (Functional assessment has to do with activities of daily living, such as transferring, mobility, bathing, feeding, etc.) With the exception of an abdominal assessment, which is the correct order of assessment techniques for each body system? a. inspection, auscultation, percussion, palpation b. palpation, inspection, percussion, auscultation c. auscultation, inspection, percussion, palpation d. inspection, palpation, percussion, auscultation Ans- D cranial nerve 1 Ans- olfactory cranial nerve 2 Ans- optic cranial nerve 3 Ans- Oculomotor cranial nerve 4 Ans- Trochlear cranial nerve 5 Ans- Trigeminal cranial nerve 6 Ans- Abducens cranial nerve 7 Ans- Facial cranial nerve 8 Ans- Vestibulocochlear (whispered voice test) cranial nerve 9 Ans- Glossopharyngeal (gag, swallowing) cranial nerve 10 Ans- vagus (say ahh) cranial nerve 11 Ans- spinal accessory cranial nerve 12 Ans- Hypoglossal (stick tongue out) A student nurse is taking public transportation home after clinical. When she sees a friend, she immediately takes a seat next to her and begins a conversation, saying, "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.Benevolence B.Veracity C.Fidelity D. Confidentiality Ans- D. confidentiality When recording information for the review of systems, the interviewer must document: A. "negative" under the system heading. B. physical findings, such as skin appearance, to support historic data. C. objective data that supports the history of present illness. D. the presence or absence of all symptoms under the system heading. Ans- D. the presence or absence of all symptoms under the system heading