NYU HAP Exam 1 questions with
complete solutions A+ rated
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.) - correct answer ✔✔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.
A
(a primary prevention aimed at preventing the individual from developing an illness.) - correct
answer ✔✔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
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able to make out speech adequately and can become withdrawn.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.) - correct answer ✔✔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
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.) - correct answer ✔✔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
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.*) - correct answer ✔✔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."
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.) - correct answer ✔✔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
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.) - correct answer ✔✔During shift report, a
complete solutions A+ rated
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.) - correct answer ✔✔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.
A
(a primary prevention aimed at preventing the individual from developing an illness.) - correct
answer ✔✔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
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.) - correct answer ✔✔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
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.) - correct answer ✔✔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
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.*) - correct answer ✔✔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."
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.) - correct answer ✔✔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
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.) - correct answer ✔✔During shift report, a
