NYU HAP EXAM 1 TEST WITH COMPLETE
SOLUTION GRADE A+
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. - Answerd
(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 - Answera
(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 - Answerc
(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Able To Make Out Speech Adequately And Can Become Withdrawn.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 - Answercb
(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." - Answerb
(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 - Answerd
(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.)
SOLUTION GRADE A+
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. - Answerd
(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 - Answera
(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 - Answerc
(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 - Answercb
(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." - Answerb
(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 - Answerd
(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.)
