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become withdrawn.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 common error in blood pressure measurement includes:
A. taking the blood pressure in an arm that is at the level of the heart.
B. deflating the cuff about 2 mm Hg per heart beat.
C. waiting less than 15 seconds before repeating the reading on the
same arm.
,D. palpating the brachial artery before placing the blood pressure cuff.
Ans✓✓✓ C
A known risk factor for breast cancer includes:
A. breastfeeding an infant for more than 6 months.
B. low breast tissue density.
C. low-fat, low cholesterol diet.
D. early menarche or late menopause. Ans✓✓✓ D
A nurse hears inspiratory and expiratory wheezes bilaterally. What is the
meaning of this finding?
A. Sputum in the bronchi
B. Fluid in the alveoli
C. Narrowed airways
D. Consolidation in alveoli Ans✓✓✓ C
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 nurse is performing an admission physical examination on a patient
who has been bedridden for a month. The nurse notices a pressure injury
on the patient's left trochanter area that involves partial-thickness skin
loss with no damage to the subcutaneous tissue. The nurse reports this
pressure injury at what stage?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4 Ans✓✓✓ B
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
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 common error in blood pressure measurement includes:
A. taking the blood pressure in an arm that is at the level of the heart.
B. deflating the cuff about 2 mm Hg per heart beat.
C. waiting less than 15 seconds before repeating the reading on the
same arm.
,D. palpating the brachial artery before placing the blood pressure cuff.
Ans✓✓✓ C
A known risk factor for breast cancer includes:
A. breastfeeding an infant for more than 6 months.
B. low breast tissue density.
C. low-fat, low cholesterol diet.
D. early menarche or late menopause. Ans✓✓✓ D
A nurse hears inspiratory and expiratory wheezes bilaterally. What is the
meaning of this finding?
A. Sputum in the bronchi
B. Fluid in the alveoli
C. Narrowed airways
D. Consolidation in alveoli Ans✓✓✓ C
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 nurse is performing an admission physical examination on a patient
who has been bedridden for a month. The nurse notices a pressure injury
on the patient's left trochanter area that involves partial-thickness skin
loss with no damage to the subcutaneous tissue. The nurse reports this
pressure injury at what stage?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4 Ans✓✓✓ B
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
