NYU HAP Exam 1 – Questions with accurate
answers
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become withdrawn.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 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.)
answers
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 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.)
