NYU HAP Exam 1 Questions and correct answers
The nurse notices a colleague is preparing to check the blood pressure of a patient who is sitting with his
... [Show More] 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.
(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*?
b. monthly breast self-examination
c. education about living with asthma
d. colonoscopy after age of 50 (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
d. lack of earwax in the outer ear
.)
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
d. loss of weight and appetite
.)
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."
."
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."
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
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.
d. elevated fluid-filled lesions less than 1 cm in diameter
(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?"
c. "how does pain limit your activities?"
d. "What does your pain feel like?"
(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
d. tympanic
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+
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.
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.
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
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.
The nurse is checking for mobility and turgor in a patient with severe, non-pitting edema. The nurse will most likely note which finding?
b. increased mobility
c. decreased turgor
d. increased turgor
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?
"
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."
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
cranial nerve 1
cranial nerve 2 [Show Less]