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HAAD HAAD-RN Exam Practice Test Questions

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Questions & Answers for HAAD HAAD-RN

Showing 1-100 of 150 Questions

Question #1

An elderly patient is admitted to the hospital with swollen ankles. The best way to limit
edema of the feet is for the nurse to:

A. Restrict fluids
B. Apply bandages
C. Elevate the legs
D. Do passive range of motion exercises (ROM)

Comments for Question #1 (19)

September 2, 2018, 02:05 PM
You said its updated but the questions are still the same.
August 16, 2018, 06:49 PM
C. Elevate the lega
July 26, 2018, 07:02 PM
ELEVATE THE LEGS
July 24, 2018, 04:12 PM
Elevate the legs
June 23, 2018, 07:42 AM
C.elevate the legs
June 20, 2018, 07:43 AM
c. elevate legs
June 7, 2018, 07:40 AM
C.Elevate the legs
June 7, 2018, 07:26 AM
C.Elevate the legs
June 7, 2018, 07:17 AM
C.Elevate the legs
June 7, 2018, 07:10 AM
C.elevate the legs
June 1, 2018, 07:17 PM
c. elevate the legs
August 27, 2017, 07:05 AM
elevate the legs
August 26, 2017, 03:26 PM
Elevate the legs
August 24, 2017, 06:36 AM
c elevate legs
July 23, 2017, 03:24 PM
C. Elevate legs
July 18, 2017, 10:53 PM
c. elevate the legs
July 16, 2017, 10:19 PM
Elevate the legs
July 15, 2017, 06:13 AM
C. Elevate legs
May 14, 2017, 05:50 AM
C. Elevate legs

Question #2

Which of the following actions is the most effective measure to reduce hospital acquired
infections?

A. Double bagging of all contaminated laundry
B. Restricting visitors of infectious patients
C. Using disposable supplies
D. Correct hand washing

Comments for Question #2 (20)

July 24, 2018, 04:12 PM
correct hand washing
June 23, 2018, 07:43 AM
d.correct hand washing
June 21, 2018, 12:40 PM
Correct hand washing
June 20, 2018, 07:44 AM
d. handwashing.
June 7, 2018, 07:40 AM
D.correct hand washing
June 7, 2018, 07:27 AM
D.Correct hand washing
June 7, 2018, 07:18 AM
D.correct hand washing
June 7, 2018, 07:11 AM
D.correct hand washing
June 1, 2018, 07:17 PM
correct hand washing
May 2, 2018, 03:37 PM
D. Correct handwashing
May 1, 2018, 01:04 PM
D. correct handwashing
March 15, 2018, 01:13 AM
D. Correct handwashing...
March 15, 2018, 01:12 AM
D. handwashing.
March 15, 2018, 01:12 AM
D. handwashing.
March 15, 2018, 01:12 AM
D. handwashing.
August 26, 2017, 03:27 PM
Correct hand washing
August 24, 2017, 06:37 AM
D correct hand washing
July 18, 2017, 10:53 PM
d. correct hand washing
July 14, 2017, 01:15 PM
D. handwashing.
May 10, 2017, 07:17 AM
Use disposable supplies to prevent infection.

Question #3

A patient is diagnosed with diabetic ketoacidosis. The nurse would expect the physician to
prescribe:

A. Regular insulin IV
B. NPH insulin SC
C. Glucagon IM
D. Mixed insulin SC

Comments for Question #3 (10)

August 16, 2018, 06:50 PM
A. Regular insulin IV
July 26, 2018, 07:03 PM
REGULAR INSULIN IV
July 24, 2018, 04:11 PM
regular insulin iv
June 23, 2018, 07:44 AM
A. regular IV insulin
June 20, 2018, 07:44 AM
a regular iv insulin
June 7, 2018, 07:42 AM
A.Regular insulin IV
June 7, 2018, 07:28 AM
A.Regular insulin Iv
June 1, 2018, 07:18 PM
regular insulin Iv
August 26, 2017, 03:27 PM
Regular insulin IV
August 24, 2017, 06:37 AM
regualr iv insulin

Question #4

The rationale for having the patient void before an abdominal paracentesis procedure is to:

A. Minimize discomfort
B. Avoid abdominal distention
C. Prevent bladder puncture
D. Reduce infection rate

Comments for Question #4 (8)

August 16, 2018, 06:51 PM
C. Avoid bladder puncture
July 26, 2018, 07:03 PM
PREVENT BLADDER PUNCTURE
July 24, 2018, 04:11 PM
prevent bladder puncture
June 20, 2018, 07:45 AM
prevent bladder puncture
June 7, 2018, 07:43 AM
C.prevent bladder puncture
June 7, 2018, 07:29 AM
C.prevent bladder puncture
August 26, 2017, 03:28 PM
Prevent bladder puncture
August 24, 2017, 06:38 AM
C Prevent bladder punture

Question #5

An 85-year-old man is admitted with dementia. He continuously attempts to remove his
nasogastric tube. The nurse applies cloth wrist restraints as ordered. Which of the following
actions by the nurse is most appropriate?

A. Evaluate the need to restrain by observing patient's behavior once every 24 hrs
B. Perform circulation checks to the extremities every two hours
C. Remove the restraints when the patient is sleeping
D. Instruct family to limit physical contact with the patient

Comments for Question #5 (8)

August 16, 2018, 06:51 PM
Perform circulation checks
July 24, 2018, 04:14 PM
preform circulation checks to the extremities every two hours
June 20, 2018, 07:45 AM
circulation check to extremities every 2hrs
June 7, 2018, 07:46 AM
B.perform circulation checks to the extremities every two hours
June 7, 2018, 07:31 AM
B.perform circulation checks to the extremities every two hours
August 26, 2017, 03:29 PM
Perform circulation checks to the extremities every two hours
August 24, 2017, 06:39 AM
B perform circulation checks to the extermites
July 31, 2017, 04:00 AM
Very helpful. Can i get more questions and answers

Question #6

During balloon inflation of an indwelling urinary catheter, the patient complains of pain and
discomfort. The nurse should:

A. Continue the procedure and assure the patient
B. Aspirate the fluid and remove the catheter
C. Withdraw the fluid and reinsert the catheter
D. Decrease the amount of injected fluid and secure

Comments for Question #6 (7)

July 26, 2018, 07:09 PM
WITHDRAW THE FLUID AND REINSERT THE CATHETER
July 24, 2018, 04:15 PM
withdraw the fluid and reinsert the catheter
July 20, 2018, 01:52 PM
C withraw the fluid ad reinsert the catheter
June 7, 2018, 07:51 AM
C.withdraw the fluid and reinsert the catheter
August 26, 2017, 03:31 PM
Withdraw the fluid and reinsert the catheter
August 24, 2017, 06:41 AM
C withdraw the fluid and reinsert
July 29, 2017, 09:46 AM
C. Widthraw the fluid and reinsert the catheter

Question #7

A patient is to receive 25mg/hr of an aminophylline infusion. The solution prepared by the
pharmacy contains 500mg of aminophylline in 1000ml of D5W. How many milligrams are
available per ml?

A. 0.25 mg/ml
B. 0.5 mg/ml
C. 1 mg/ml
D. 2 mg/ml

Comments for Question #7 (6)

July 29, 2018, 11:03 AM
500mg/1000ml=0.5mg/ml
July 26, 2018, 07:10 PM
0.5MG/ML MEDICINE
July 20, 2018, 01:53 PM
B 0.5 mg/dl is the answer
June 13, 2018, 02:00 PM
How you got 0.5mg/ml
April 11, 2018, 01:34 AM
500mg/1000ml= 0.5mg/ml
March 14, 2018, 05:22 AM
25÷500=0.05mg/dl

Question #8

A patient has had a total hip joint replacement. Which of the following actions should the
nurse consider for the patient's daily recommended exercise program?

A. Administering an analgesic before exercising
B. Discontinuing the program if the patient dislikes it
C. Continuing exercises inspire of severe pain
D. Evaluating effectiveness of exercise based on pain scale

Comments for Question #8 (5)

July 26, 2018, 07:11 PM
ADMINISTERING AN ANALGESIC BEFORE EXERCISING
July 24, 2018, 04:21 PM
administering an analgesic before exercising
June 7, 2018, 08:03 AM
A.administering an analgesic before exercising
August 26, 2017, 03:34 PM
administering an analgesic before exercising
August 24, 2017, 06:42 AM
A administer an analgesic before exercising

Question #9

Whilst recovering from surgery a patient develops deep vein thrombosis. The sign that
would indicate this complication to the nurse would be:

A. Intermittent claudication
B. Pitting edema of the area
C. Severe pain when raising the legs
D. Localized warmth and tenderness of the site

Comments for Question #9 (7)

July 26, 2018, 07:11 PM
LOCALIZED WARMTH AND TENDERNESS OF THE SITE
July 24, 2018, 04:22 PM
localized warmth and tenderness of the site
June 10, 2018, 08:38 PM
C. Pain is the first thing in DVTwhich can either be during active or passive movement followed by swelling. And then warmth, redness and tenderness of the site.
June 7, 2018, 08:05 AM
D.Localized warmth and tenderness of the site
August 31, 2017, 09:18 AM
d
August 26, 2017, 03:35 PM
Localized warmth and tenderness of the site
August 24, 2017, 06:43 AM
d localized warmth and tenderness of the site

Question #10

Which of the following techniques should the nurse implement to prevent the patient's
mucous membranes from drying when the oxygen flow rate is higher than 4 liters per
minute?

A. Use a non rebreather mask
B. Add humidity to the delivery system
C. Use a high flow oxygen delivery system
D. Ensure that the prongs are in the nares correctly

Comments for Question #10 (5)

July 26, 2018, 07:12 PM
ADD HUMIDITY TO THE DELIVERY SYSTEM
July 24, 2018, 04:24 PM
add humidity to the delivery system
June 7, 2018, 08:06 AM
B.Add humidity to the delivery system
August 26, 2017, 03:36 PM
add humidity to the delivery system
August 24, 2017, 06:43 AM
b add humidity to the delivery system

Question #11

Extrapyramidal adverse effects and symptoms are most often associated with which of the
following drug classes?

A. Antidepressants
B. Antipsychotics
C. Antihypertensives
D. Antidysrhythmics

Comments for Question #11 (3)

July 26, 2018, 07:18 PM
ANTIPSYCHOTICS MEDICATIONS
June 7, 2018, 08:08 AM
B.Antipsychotics
August 24, 2017, 06:46 AM
b anti psycotic drug

Question #12

A construction worker was brought to the emergency department and admitted with the
diagnosis of heat stroke due to strenuous physical activity during hot weather conditions.
Which action should the nurse take?

A. Immediately immerse the patient in cold water to reduce the patient's temperature
B. Administer an antipyretic such as aspirin or acetaminophen
C. Place ice packs to the neck, axillae, scalp and groin
D. Encourage foods and oral fluids that contain carbohydrates and electrolytes

Comments for Question #12 (7)

July 26, 2018, 07:19 PM
PLACE ICE PACKS TO THE NECK AXILLAE
July 24, 2018, 04:28 PM
place ice packs to the neck axillae ,scalp and groin
July 24, 2018, 04:26 PM
place ice packs to the neck axillae scalp and groin
June 7, 2018, 08:12 AM
C.place ice packs to the neck.axillae,scalp and groin
March 15, 2018, 12:16 PM
but rationally they never apply direct ice to the patient
August 26, 2017, 03:38 PM
place ice packs to the neck ,axillae ,scalp and groin
August 24, 2017, 06:47 AM
c place ice pack to the neck

Question #13

The nurse should observe for which of the following symptoms in a patient who has just
undergone a total thyroidectomy:

A. Weight gain
B. Depressed reflexes
C. Muscle spasm and twitching
D. Irritable behavior

Comments for Question #13 (6)

July 26, 2018, 07:19 PM
MUSCLE SPASM AND TWITCHING
July 24, 2018, 04:27 PM
muscle spasm and twitching
June 7, 2018, 08:13 AM
C.Muscle spasms and twitching
November 4, 2017, 10:00 PM
c. muscle spasm and twitching
August 26, 2017, 03:40 PM
muscle spasm and twitching
August 24, 2017, 06:47 AM
c muscles spasm twitching

Question #14

Which of the following indicates the nurse is engaging in a therapeutic nurse-patient
relationship?

A. The nurse establishes a relationship that is mutually beneficial
B. The nurse demonstrates sympathetic feelings toward the patient
C. The nurse commits to helping the patient find ways to help self
D. The nurse utilizes therapeutic touch to convey acceptance of the patient

Comments for Question #14 (5)

July 26, 2018, 07:20 PM
THE NURSE COMMITS TO HELPING THE PATIENT FIND WAYS TO HELP SELF
July 24, 2018, 04:30 PM
the nurse commits to helping the patient find ways to help self
June 7, 2018, 08:15 AM
C.The nurse commits to helping the patient find ways to help self
August 26, 2017, 03:41 PM
the nurse commits to helping the patient find ways to help self
August 24, 2017, 06:49 AM
c the nurse commits to helping the patient find ways to help self

Question #15

One factor affecting the pharmokinetics of older patients' drug absorption is:

A. Decreased gastrointestinal motility
B. A difficulty in swallowing
C. A prevalence of obesity
D. Numerous medications

Comments for Question #15 (5)

July 26, 2018, 07:21 PM
DECREASED GASTROINTESTINAL MOTILITY
July 24, 2018, 04:30 PM
decreased gastrointestinal motility
June 7, 2018, 08:17 AM
A.Decreased gastrointestinal motility
August 26, 2017, 03:42 PM
decreased GI motility
August 24, 2017, 06:49 AM
a decreased gastrointestinal motality

Question #16

A patient undergoes laminectomy. In the immediate post-operative period, the nurse
shoulD.

A. Monitor the patient’s vital signs and log roll him to prone position
B. Monitor the patient’s vital signs and encourage him to ambulate
C. Monitor the patient’s vital signs and auscultate his bowel sounds
D. Monitor the patient’s vital signs, check sensation and motor power of the feet

Comments for Question #16 (9)

July 26, 2018, 07:22 PM
MONITOR VITAL SIGNS AND CHECK SENSATION AND MOTOR POWER OF THE FEET
July 24, 2018, 04:34 PM
monitot the patients vital signs,check sensation and motor power of the feet
June 7, 2018, 08:20 AM
D.monitor the patient's vital signs,check sensation and motor power of the feet
April 23, 2018, 08:41 AM
...............d
November 4, 2017, 08:08 AM
A laminectomy is a surgical procedure that removes a portion of the vertebral bone called the lamina. The back muscles are pushed aside rather than cut and the parts of the vertebra adjacent to the lamina are left intact.
August 26, 2017, 03:47 PM
monitor the patients vital signs , check sensation and motor power of the feet
July 30, 2017, 08:57 PM
D
July 29, 2017, 04:15 PM
D
July 29, 2017, 09:48 AM
What is laminectomy?

Question #17

The patient did not sleep well last night and is anxious about having a bronchoscopy later
this morning. The priority nursing intervention would be to:

A. Reassure and encourage expression of feelings
B. Administer the premedication a little earlier
C. Keep the patient occupied until the procedure
D. Explain the purpose of the bronchoscopy

Comments for Question #17 (11)

August 11, 2018, 03:34 AM
reassuring is wrong but expression of feelings is correct
July 26, 2018, 07:22 PM
REASSURE AND ENCOURAGE EXPRESSION OF FEELINGS
July 24, 2018, 04:36 PM
reassure and encourage expression of feeling
July 8, 2018, 03:36 PM
d.explaining the procedure will help minimize the anxiety of the patient.
June 7, 2018, 08:21 AM
A.Reassure and encourage expression of feelings
April 21, 2018, 02:11 PM
Why? By explaining the procedure will decrease anxiety.
April 21, 2018, 02:09 PM
Why?? For my understanding reassuring pt. is nontherapeutic communication that's why i answered D because providing explanation can decrease the anxiety towards the upcoming procedure, But then we should move on.. hehehhe
March 19, 2018, 08:22 AM
Encouraging expression of feeling is right but I think Reassuring is wrong.
August 26, 2017, 03:49 PM
reassure and encourage expression of feelings
July 29, 2017, 09:50 AM
I think reassuring our pts is wrong
July 7, 2017, 02:43 AM
reassuring our clients is not wrong?

Question #18

A patient with severe, protracted vomiting will often have what electrolyte abnormality?

A. Decreased potassium and decreased chloride
B. Increased sodium and decreased chloride
C. Increased potassium and increased sodium
D. Decreased sodium and increased chloride

Comments for Question #18 (8)

August 9, 2018, 03:13 AM
Protracted - extended period of time
July 26, 2018, 07:23 PM
DECREASED POTASSIUM AND DECREASED CHLORIDE
July 24, 2018, 04:39 PM
decreased pottsium and incresed chloride
July 24, 2018, 04:38 PM
decreased sodium and increased chloride
June 7, 2018, 08:23 AM
A.Decreased potassium and decreased chloride
August 27, 2017, 07:20 AM
decreased potassium and decreased chloride
August 26, 2017, 03:51 PM
decreased sodium and increased chloride
July 29, 2017, 09:51 AM
What is protracted vomiting

Question #19

The police bring a prisoner into the emergency department who is in severe pain. When the
nurse is assigned to this patient, the nurse should:

A. Ignore the prisoner because he deserves to be in pain
B. Give the prisoner the minimum amount of pain medication ordered
C. Tell the prisoner to be quiet, as he is disturbing the other patients
D. Implement nursing interventions to relieve the prisoner's pain

Comments for Question #19 (4)

July 26, 2018, 07:24 PM
IMPLEMENT NURSING INTERVENTIONS TO RELIEVE THE PRISONERS PAIN
July 24, 2018, 04:40 PM
implement nursing interventions to relieve the prisoners pain
June 7, 2018, 08:26 AM
D.implement nursing interventions to relive the prisoner's pain
August 26, 2017, 03:53 PM
implement nursing interventions to relieve the prisoner"s pain

Question #20

A patient who presents with acute weight loss, dry skin and mucous membranes and
decreased urine output is most likely be suffering from:

A. Fluid volume deficit
B. Acute renal failure
C. Acute heart failure
D. Urinary tract infection

Comments for Question #20 (4)

July 26, 2018, 07:25 PM
FLUID VOLUME DEFICIT
July 24, 2018, 04:42 PM
fluid volume deficit
June 7, 2018, 08:27 AM
A.fluid volume deficit
August 26, 2017, 03:54 PM
fluid volume deficit

Question #21

A patient with deep partial-thickness and full-thickness burns of the face and chest is
admitted to the emergency department. The nurse must be particularly alert for:

A. Paralytic ileus
B. Respiratory distress
C. Severity of pain
D. Strong burn odor

Comments for Question #21 (4)

July 26, 2018, 07:26 PM
RESPIRATORY DISTRESS
July 24, 2018, 04:43 PM
respiratory distress
June 7, 2018, 08:29 AM
B.Respiratory distress
August 26, 2017, 03:58 PM
respiratory distress

Question #22

A trauma patient with open wounds arrives in the emergency department. The nurse would
know that a tetanus injection is needed if the patient has:

A. Only received 3 doses of tetanus toxoid
B. Received less than 3 doses of tetanus toxoid
C. Not had a dose of tetanus toxoid in the past 4 years
D. Not had a dose of tetanus toxoid in the past 10 years

Comments for Question #22 (4)

July 26, 2018, 07:27 PM
NOT HAD A TT IN THE PAST 4YEARS
July 24, 2018, 04:44 PM
not had a dose of tetanus toxoid in the past 4years
June 7, 2018, 08:33 AM
D.Not had a does of tetanus toxoid in the past 10 years
August 26, 2017, 04:00 PM
not had a dose of TT in the past 4years

Question #23

When preparing to administer a medication the nurse should first:

A. Ensure that the medication is on the medication cart
B. Determine the expiry date of the medication
C. Check the patient's identification armband
D. Verify the physician order for accuracy

Comments for Question #23 (7)

July 26, 2018, 07:28 PM
VARIFY THE PHYSICIAN ORDER FOR ACCURACY
July 24, 2018, 04:45 PM
verify the physican order for accuracy
June 7, 2018, 08:34 AM
D.Verify the physician order for accuracy
April 23, 2018, 08:52 AM
Determine the expiry date of the medications
April 16, 2018, 03:02 PM
how can the nirse verify the order if not MAR ??
November 7, 2017, 04:03 PM
You need to get booster injection every 10yrs.if u get a unclean wound take a booster dose since ur last dose 5 yr before.
August 26, 2017, 04:02 PM
verify the physicins order for accuracy

Question #24

When taking care of a patient who has undergone open reduction and internal fixation of a
fractured left tibia, the nurse should keep the leg:

A. Straight to reduce flexion deformities
B. Immobilized to enhance bone healing
C. Adducted to attain alignment
D. Elevated to minimize venous stasis

Comments for Question #24 (4)

July 26, 2018, 07:29 PM
IMMNOBILIZE TO ENHANCE BONE HEALING
July 24, 2018, 04:46 PM
immobilized to enhance bone healing
June 7, 2018, 08:36 AM
D.Elevated to minimize venous stasis
August 26, 2017, 04:04 PM
immobilized to enhance bone healing

Question #25

The patient is receiving piperacillin (Pipril) I.V. Which of the following should the nurse
consider when administering the medication to the patient?

A. Assess for Stevens-Johnson Syndrome
B. Be alert for the possibility of hypersensitivity
C. Watch for signs of increasing severity of infection
D. Instruct patient to increase the intake of protein-rich foods

Comments for Question #25 (4)

July 26, 2018, 07:30 PM
BE ALERT FOR THE POSSIBILITY OF HYPERSENSITIVITY
July 24, 2018, 04:47 PM
be aler the possibility of hypersensitivity
June 7, 2018, 08:38 AM
B.Be alert for the possibility of hypersensitivity
August 26, 2017, 04:05 PM
be alert for the possibility of hypersensitivity

Question #26

A patient is admitted to the emergency department with a possible allergic reaction to a bee
sting. What is the first action the nurse should take?

A. Quickly use tweezers to remove the stinger
B. Observe the patient for signs of anaphylaxis
C. Apply warm compresses to the site of local reaction
D. Squeeze the venom sac to remove additional venom

Comments for Question #26 (5)

July 26, 2018, 07:32 PM
SQUEEZE THE VENOM SAC TO REMOVE ADITIONAL VENOM
July 24, 2018, 04:53 PM
observe the patient for signs of anaphylaxis
June 7, 2018, 08:40 AM
B.Observe the patient for signs of anaphylaxis
August 27, 2017, 07:35 AM
observe the patient for signs of anaphylaxis
August 26, 2017, 04:07 PM
squeeze the venom sac to remove additional venom

Question #27

The nurse is caring for a patient who is receiving dialysis. The patient has an arteriovenous
(AV) fistula. Appropriate care for this patient would include which one of the following
options?

A. Infusing medications through the AV fistula
B. Drawing blood samples from the AV fistula
C. Massaging the AV fistula
D. Palpating the AV fistula for a thrill

Comments for Question #27 (7)

July 26, 2018, 07:33 PM
PALPATING THE AV FISTULA FOR A THRILL
July 24, 2018, 04:54 PM
palpating the av fistula for a thrill
June 7, 2018, 08:42 AM
D.Palpating the AV fistula for a thrill
August 27, 2017, 07:37 AM
palpating the AV fistula for a thrill
August 26, 2017, 04:09 PM
infusing medications through the AV fistula
July 15, 2017, 06:28 AM
@SharonToland. Yes it is. You are evaluating if the fistula is still patent
July 4, 2017, 10:57 AM
Palpating the fistula for a thrill - appropriate care?? is there something lost in translation here?

Question #28

The patient with iron deficiency anemia should be encouraged to eat which of the following
foods high in iron?

A. Eggs
B. Lettuce
C. Citrus fruits
D. Cheese

Comments for Question #28 (2)

July 26, 2018, 07:33 PM
EGGS CAN EAT TO INCERASE IRON
May 28, 2017, 02:34 PM
Non-heme or heme iron?

Question #29

Nursing management of a patient with pulmonary embolism would focus on which of the
following actions?

A. Assessing oxygenation status
B. Assessing signs of DVT in legs
C. Monitoring for other sources of clots
D. Monitoring patient for cardiogenic shock

Comments for Question #29 (9)

July 26, 2018, 07:34 PM
ASSESSING OXYGEN STATUS
July 24, 2018, 04:56 PM
monitor patient for cardigenic shock
July 10, 2018, 09:00 AM
airway is always the priority
July 10, 2018, 09:00 AM
airway is always the priority
June 7, 2018, 08:45 AM
A.Assessing oxygenation status
August 27, 2017, 07:41 AM
assessing oxygenation status
August 26, 2017, 04:13 PM
monitoring for other soruces of clots
May 28, 2017, 02:41 PM
Complications When caring for a patient who has had PE, the nurse must be alert for potential complications. 1. Cardiogenic shock. The cardiopulmonary system is endangered in a massive PE. 2. Right ventricular failure. A sudden increase in pulmonary resistance increases the work of the right ventricle. https://nurseslabs.com/pulmonary-embolism/
May 17, 2017, 01:42 PM
Why a is the answer

Question #30

When discovering a medication error, the nurse's FIRST action is to?

A. Call the nurse supervisor
B. Call the physician
C. Fill out a medication error reporting form
D. Assess the patient's condition

Comments for Question #30 (4)

July 26, 2018, 07:34 PM
ASSESS THE PATIENT CONDITION
July 24, 2018, 04:57 PM
assess the patient condition
June 7, 2018, 08:46 AM
D.Assess the patient's condition
August 26, 2017, 04:14 PM
assess the patients condition

Question #31

To maintain the airway and promote respiratory function, the best position for the nurse to
place the unconscious patient in the Post Anesthesia Care Unit (PACU) is:

A. Supine
B. Lateral
C. Trendelenberg
D. Fowler's

Comments for Question #31 (2)

July 26, 2018, 07:35 PM
LATERAL AND FOWLERS POSITION
April 21, 2018, 03:17 PM
Lateral position to prevebt aspiration

Question #32

A nursing measure that is helpful in communicating with a hearing impaired patient is to:

A. Use simple sentences
B. Talk while close to patient's ear
C. Raise the voice
D. Write out all questions and responses

Comments for Question #32 (6)

July 26, 2018, 07:36 PM
USE SIMPLE SENTENCES
July 24, 2018, 05:03 PM
write out all questions and responses
June 7, 2018, 08:49 AM
A.Use simple sentences
August 26, 2017, 04:17 PM
write out all questions and responses
July 29, 2017, 04:28 AM
it does not says deaf or hearing loss maybe??
July 15, 2017, 06:42 AM
The pt. cannot hear right?

Question #33

The priority nursing diagnosis for a hospitalized patient with a Stage IV pressure ulcer on
the hip would be:

A. Altered body image
B. Acute pain
C. Risk for infection
D. Altered nutrition

Comments for Question #33 (4)

July 26, 2018, 07:36 PM
RISK FOR INFECTION
July 24, 2018, 05:01 PM
risk for infection
June 7, 2018, 08:49 AM
C.Risk for infection
August 26, 2017, 04:18 PM
risk for infection

Question #34

When checking the capillary refill time of a patient's extremity, the color returns in 7
seconds. The nurse recognizes this finding as indicative of:

A. A normal response
B. Thrombus formation in the veins
C. Lymphatic obstruction of venous return
D. Impaired arterial flow to the extremities

Comments for Question #34 (4)

July 26, 2018, 07:37 PM
IMPAIERD ARTERIAL FLOW TO THE EXTREMITIS
July 24, 2018, 05:03 PM
impaired arterial flow to the extremities
June 7, 2018, 08:51 AM
D.Impaired arterial flow to the extremities
August 26, 2017, 04:19 PM
impaired arterial flow to the extremities

Question #35

Symptoms of alcohol withdrawal include:

A. Euphoria, hyperactivity and insomnia
B. Depression, suicidal ideation and hypersomnia
C. Diaphoresis, nausea and vomiting and tremors
D. Unsteady gait, nystagmus and profound disorientation

Comments for Question #35 (4)

July 26, 2018, 07:38 PM
UNSTEADY GAIT,NYSTAGMUS AND PROFOUND DISORIENTATION
July 24, 2018, 05:04 PM
diaphoresis,nausea and vomiting and tremors
June 7, 2018, 08:52 AM
D.Diaphoresis,nausea and vomiting and tremors
August 26, 2017, 04:20 PM
diaphoresis,nausea and vomiting and tremors

Question #36

Pain management for terminally ill patients is most effective when analgesics are given:

A. Around the clock
B. Only when clearly needed
C. After non-pharmacological methods fail
D. As the patient requests them

Comments for Question #36 (4)

August 24, 2018, 03:37 PM
Around the clock
July 27, 2018, 12:08 AM
after non pharmacological methods fail
June 7, 2018, 08:54 AM
A.Around the clock
August 27, 2017, 08:13 AM
around the clock

Question #37

The physician orders 20 u of U-100 regular insulin. The only syringe on hand is a 1 ml
tuberculin syringe. How many milliliters should be administered?

A. 0.02 ml
B. 0.2 ml
C. 1 ml
D. 2 ml

Comments for Question #37 (2)

July 27, 2018, 12:10 AM
0.2 milliliters
October 20, 2017, 02:44 PM
1 unit of insulin : 0.01 ml

Question #38

The urinary catheter is kept securely in the bladder by:

A. Taping the urinary catheter to the leg
B. Securing catheter and collection bag connections
C. Inflating the balloon of the catheter
D. Anchoring the catheter bag to the bed

Comments for Question #38 (5)

August 24, 2018, 03:39 PM
Baloon inflation
July 27, 2018, 12:11 AM
inflating the balloon of the catheter
July 24, 2018, 05:07 PM
inflating the baloon of the catheter
June 7, 2018, 08:57 AM
C.inflating the balloon of the catheter
August 27, 2017, 08:20 AM
inflating the ballon of the catheter

Question #39

Order: Compazine 8 mg IM stat. Drug availablE.10 mg/ 2mL in vial.
How many mLs would you give?

A. 0.6 mL
B. 1.6 mL
C. 2.6 mL
D. 3.6 mL

Comments for Question #39 (2)

August 24, 2018, 03:46 PM
B. 1.6 ml
July 27, 2018, 12:12 AM
1.6ml medicine

Question #40

A medication was ordered by a physician. The nurse believes the medication dose is
incorrect. What should the nurse do next?

A. Clarify the order with another physician who is available on the unit
B. Ask the nurse in charge if the order is correct
C. Contact the pharmacy department
D. Call the physician who prescribed the medication

Comments for Question #40 (5)

August 24, 2018, 03:47 PM
D
July 27, 2018, 12:14 AM
call the physician who prescribed the medicine
July 24, 2018, 05:10 PM
CONTACT THE PHARMACY DEPARTMENT
June 7, 2018, 08:59 AM
D.Call the physician who prescribed the medication
August 27, 2017, 08:23 AM
contact the pharmacy department

Question #41

The immediate treatment for ventricular fibrillation is:

A. Precordial blow
B. Defibrillation
C. Bolus of lidocaine
D. Ventricular pacing

Comments for Question #41 (3)

August 24, 2018, 03:48 PM
B
July 27, 2018, 12:15 AM
defibriloation
June 8, 2018, 06:52 AM
B.Defibrillation

Question #42

A patient requires tracheal suctioning through the nose. Which of the following nursing
action would be incorrect?

A. Lubricating the catheter with sterile water
B. Applying suction while withdrawing the catheter from the nose
C. Applying suction for a minimum of 30 seconds
D. Rotating the catheter while withdrawing it

Comments for Question #42 (7)

August 24, 2018, 03:48 PM
C
July 27, 2018, 12:16 AM
applying suction for a minimum of 30 sec
July 24, 2018, 05:12 PM
LUBRICATING THE CATHETER WITH STERILE WATER
June 8, 2018, 06:54 AM
V.Applying suction for a minimum of 30 seconds
May 7, 2018, 11:21 PM
30 seconds minimum? isn't too much? i believe the answer is B
November 4, 2017, 11:42 AM
Applying suction on 10mins
August 27, 2017, 08:28 AM
lubricating the catheter with sterile water

Question #43

Thirty minutes after starting a blood transfusion a patient develops tachycardia and
tachypnea and complains of chills and low back pain. The nurse recognizes these
symptoms as characteristic of:

A. Circulatory overload
B. Mild allergy
C. Febrile response
D. Hemolytic reaction

Comments for Question #43 (4)

August 24, 2018, 03:49 PM
D
July 27, 2018, 12:17 AM
hemolytic reaction
July 24, 2018, 05:13 PM
HAEMOLYTIC REACTION
June 8, 2018, 06:55 AM
D.Hemolytic reaction

Question #44

To remove soft contact lenses from the eyes of an unconscious patient the nurse should:

A. Uses a small suction cup placed on the lenses
B. Pinches the lens off the eye then slides it off the cornea
C. Lifts the lenses with a dry cotton ball that adheres to the lenses
D. Tenses the lateral canthus while stimulating a blink reflex by the patient

Comments for Question #44 (3)

August 24, 2018, 03:50 PM
B
July 27, 2018, 12:19 AM
pinches the lens off the eye then slides it off the cornea
June 8, 2018, 06:57 AM
B.Pinches the lens off the eye then slides it off the cornea

Question #45

Order: 1000 ml of D5W to run for 12 hours. Using a micro drip set calculate the drops per
minute (gtts/min):

A. 20 gtts/min
B. 45 gtts/min
C. 60 gtts/min
D. 83 gtts/min

Comments for Question #45 (6)

August 24, 2018, 03:53 PM
D
May 8, 2018, 07:33 PM
12 hr x 60 minutes = 720 mins then 1000 ml divided by 720 mins = 1.3888 then multiply to drop factor 60 since micro drop = 83 gtt/min
November 17, 2017, 03:41 PM
1000ml×60(factor)÷[12hr×60min]=83.3
November 7, 2017, 04:35 PM
Macro drip drop facter is 60.so total amount of fluid *drop factor devided by time in minutes#1000*60/12*60=83
November 4, 2017, 11:35 AM
Can anybody explain to me why D is the answer? This result is cc/hr not gtts/min
August 27, 2017, 08:40 AM
20 gtts/ min , which one is the correct answer how it will

Question #46

Which of the following tasks requires specialized education and should be performed by
the nurse only after the training has been completed?

A. Administering a dose of promethazine (Phenergan) via intravenous push (IVP)
B. Applying a transdermal fentanyl (Duragesic)
C. Instilling tobramycin (Tobrex) ophthalmic solution
D. Beginning an intravenous infusion of cyclophosphamide (Cytoxan)

Comments for Question #46 (6)

August 24, 2018, 03:54 PM
D
July 27, 2018, 11:39 PM
BEGINING AN IV INFUSION OF CYCLOPHOSPHAMIDE
July 24, 2018, 05:17 PM
begining an intravenous infusion of cyclophosphamode
June 8, 2018, 07:01 AM
D.Beginning an intravenous infusion of cyclophosphamide(cytoxan)
May 8, 2018, 07:56 PM
chemotherapy drugs
November 7, 2017, 04:39 PM
Its a chemotherpy drug

Question #47

The patient is to receive 100 ml/hr of D5W through a micro drip. How many drops per
minute should the patient receive?

A. 25 gtts/min
B. 30 gtts/min
C. 100 gtts/min
D. 200 gtts/min

Comments for Question #47 (5)

August 24, 2018, 03:56 PM
C
July 27, 2018, 11:40 PM
25GTTS/MIN WILL RECEIVE
October 8, 2017, 09:46 PM
Micro is 60 right?
October 4, 2017, 08:56 PM
25gtts/min is the correct answer 100/60=1.6 × 15= 25
August 27, 2017, 08:48 AM
25 gtts /min ,how it will get please explain

Question #48

Immediately after a craniotomy for head trauma, the nurse must monitor the drainage on
the dressing. Which of the following should be reported?

A. Blood tinged
B. Straw colored
C. Clotted
D. Foul-smelling

Comments for Question #48 (4)

August 24, 2018, 03:57 PM
B
July 27, 2018, 11:43 PM
straw coloured
July 27, 2018, 11:41 PM
STRAW COLORED TO BE REPORTED
June 8, 2018, 07:04 AM
B.Straw colored

Question #49

Which of the following interventions should the nurse implement if a patient complains of
cramps while irrigating the colostomy?

A. Reduce the flow of solution
B. Have the patient sit up in bed
C. Remove the irrigation tube
D. Insert the tube further into the colon

Comments for Question #49 (4)

August 24, 2018, 03:57 PM
A
July 27, 2018, 11:44 PM
reduce the flow of solution
July 24, 2018, 05:19 PM
remove the irrigatin tube
June 8, 2018, 07:05 AM
A.Reduce the flow of solution

Question #50

A nurse is not familiar with a particular solution ordered to irrigate a patient's wound. The
appropriate action would be to:

A. Check if the solution is available on the ward, and if so, use it to clean the wound
B. Put a neat line through the order and re-write the solution more commonly used
C. Check with the Pharmacist about the uses of the solution ordered
D. Ask the patient what solution he would prefer to be used

Comments for Question #50 (3)

July 29, 2018, 12:07 AM
chevk with the pharmacist
July 24, 2018, 05:21 PM
check with pharmacist about the uses of solution orderd
June 8, 2018, 07:07 AM
C.Check with the pharmacist about the uses of the solution ordered

Question #51

A 65-year-old patient is admitted with ischemic stroke. Which of the following would be
initially assessed by the nurse to determine the patients level of consciousness?

A. Visual fields
B. Deep tendon reflexes
C. Auditory acuity
D. Verbal response

Comments for Question #51 (3)

July 29, 2018, 12:07 AM
verbal response
July 24, 2018, 05:23 PM
verbal response
August 27, 2017, 09:49 AM
verbal response

Question #52

While preparing for a kidney biopsy the nurse should position the patient:

A. Prone with a sandbag under the abdomen
B. Lateral opposite to biopsy site
C. Supine in bed with knee flexion
D. Lateral flexed knee-chest

Comments for Question #52 (3)

July 29, 2018, 12:08 AM
prone with sandbag under the abdomen
July 24, 2018, 06:03 PM
lateral flexed knee chest
August 27, 2017, 09:51 AM
lateral flexed knee-chest

Question #53

To promote accuracy of self-monitoring blood glucose by patients the nurse should:

A. Retrain patients periodically
B. Direct patients to rotate testing sites
C. Advise patients to buy new strips routinely
D. Compare results from patient's meter against lab results

Comments for Question #53 (5)

July 29, 2018, 12:09 AM
compare results from patients meter against lab results.
July 24, 2018, 06:04 PM
compare results from patients meter against lab results
June 8, 2018, 03:06 AM
What do you mean of retrain pt. periodically? Thankyou.
April 24, 2018, 03:23 AM
it should be A.
August 27, 2017, 09:54 AM
compare results from patients meter against lab results

Question #54

After administration of penicillin, a patient develops respiratory distress and severe
bronchospasm. The nurse should:

A. Contact the physician
B. Apply ice packs to the axilla
C. Assess the patient for orthostatic hypotension
D. Encourage the patient to take slow deep breaths

Comments for Question #54 (3)

July 29, 2018, 12:09 AM
contact the physician
July 24, 2018, 06:04 PM
contact the physician
August 27, 2017, 09:55 AM
contact the physician

Question #55

The administration of which of the following types of parenteral fluids would result in a
lowering of the osmotic pressure and cause the fluid to move into the cells?

A. Hypotonic
B. Isotonic
C. Hypertonic
D. Colloid

Comments for Question #55 (1)

July 29, 2018, 12:10 AM
hypotonic solution

Question #56

A newborn infant is assessed using the Apgar assessment tool and scores 6. The infant
has a heart rate of 95, slow and irregular respiratory effort, and some flexion of extremities.
The infant is pink, but has a weak cry. The nurse should know that this Apgar score along
with the additional symptoms indicates the neonate is:

A. Functioning normally
B. Needing immediate life-sustaining measures
C. Needing special assistance
D. Needing to be warmed

Comments for Question #56 (3)

July 29, 2018, 12:11 AM
need immediate life sustaining measures
May 3, 2018, 08:00 PM
0-3- B, 4-6- C, 7-10- A
August 27, 2017, 10:01 AM
needing immediate life-sustaining measures

Question #57

Nursing management of the patient with external otitis includes:

A. Irrigating the ear canal with warm saline several hours after instilling lubricating ear drops
B. Inserting an ear wick into the external canal before instilling the ear drops to disperse the medication
C. Teaching the patient how to instill antibiotic drops into the ear canal before swimming
D. Instilling ear drops without the dropper touching the auricle and positioning the ear upward for 2 minutes afterwards

Comments for Question #57 (1)

July 29, 2018, 12:12 AM
irrigate the ear canal with warm saline

Question #58

The best example of documentation of patient teaching regarding wound care is:

A. "The patient was instructed about care of wound and dressing changes"
B. "The patient demonstrated correct technique of wound care following instruction"
C. "The patient and family verbalize that they understand the purposes of wound care"
D. "Written instructions regarding wound care and dressing changes were given to the patient"

Comments for Question #58 (1)

July 29, 2018, 12:13 AM
the patient demonstrated correct technique of wound care following instruction

Question #59

A patient is ordered 75mg of pethidine which comes in an ampoule of 100mg/2ml. What
would the nurse do with the remaining pethidine after drawing up the required dose?

A. Lock up the remaining dose in the medication cupboard to use later
B. Ask a fellow staff nurse to witness the disposal of the remaining drug
C. Use the remaining dose within 2 hours for another patient
D. Pour the remaining dose down the nearest sink

Comments for Question #59 (1)

July 29, 2018, 12:14 AM
ask the fellow staff to witness the disposal of remaining drug

Question #60

A nurse can ensure she maintains her competency to practice through:

A. Being involved in continuing education programs
B. Making sure that what was learnt at nursing school is strictly followed
C. Closely carrying out instructions given by the Charge Nurse
D. Working on the same ward for at least 2 years

Comments for Question #60 (1)

July 29, 2018, 12:15 AM
closely carrying out instructions given by the charge nurse

Question #61

The patient with liver cirrhosis receives 100 ml of 25% serum albumin intravenously. Which
of the following findings would best indicate that the albumin is having its desired effect?

A. Decreased blood pressure
B. Increased serum albumin level
C. Increased urine output
D. Improved breathing pattern

Comments for Question #61 (1)

July 29, 2018, 12:16 AM
increased serum albumin

Question #62

The nurse should suspect that a patient has bleeding in the upper gastrointestinal tract
when the color of the patient's stool is:

A. Yellow
B. Black
C. Clay
D. Red

Comments for Question #62 (1)

July 29, 2018, 12:17 AM
black coloured stool

Question #63

A registered nurse delegates care to a practical nurse. The person most responsible for the
safe performance of the care is the:

A. Head nurse who is in-charge of the unit
B. The practical nurse assigned to provide the care
C. The registered nurse who delegated the care to the practical nurse
D. The nursing care coordinator who is the supervisor of the unit

Comments for Question #63 (1)

July 29, 2018, 12:17 AM
the registered nurse

Question #64

A deficiency of which of the following vitamins can affect the absorption of calcium?

A. Vitamin C
B. Vitamin B6
C. Vitamin D
D. Vitamin B12

Comments for Question #64 (1)

July 29, 2018, 12:18 AM
vitamin d decifiency

Question #65

A patient with a central venous line develops sudden clinical manifestations that include a
decrease in blood pressure, an elevated heart rate, cyanosis, tachypnea, and changes in
mental status. Which of the following is the most likely cause of these symptoms?

A. An air embolism
B. Circulatory overload
C. Venous thrombosis
D. Developing bacteremia

Comments for Question #65 (1)

July 29, 2018, 12:18 AM
an air embolism

Question #66

When taking routine post-operative observations on a patient who underwent an
exploratory laparotomy, the nurse plans to monitor which important finding over the next
hour?

A. Serosanguinous drainage on the surgical dressing
B. Blood pressure of 105/65 mmHg
C. Urinary output of 20 mls in the last hour
D. Temperature of 37.6 °C

Comments for Question #66 (1)

July 29, 2018, 12:19 AM
urine output of 20 ml in the last hour

Question #67

When the nurse is caring for a patient placed on droplet precautions, the nurse should:

A. Have the patient wear a high-efficiency particulate air (HEPA) mask
B. Wear a surgical mask when standing within 3 feet (1 meter) of the patient
C. Assign the patient to a room with monitored negative air pressure
D. Apply a disposable gown when entering the patient's room

Comments for Question #67 (3)

July 29, 2018, 12:20 AM
assign the patient to a room with negative pressure
June 7, 2018, 03:55 PM
The surgical mask is not enough to protect the wearer from infection.
June 7, 2018, 03:55 PM
The surgical mask is not enough to protect the wearer from infection.

Question #68

A patient who has just had a miscarriage at 8 weeks of gestation is admitted to hospital. In
caring for this patient, the nurse should be alert for signs of:

A. Dehydration
B. Subinvolution
C. Hemorrhage
D. Hypertension

Comments for Question #68 (1)

July 29, 2018, 12:20 AM
hemorrhage can

Question #69

Collection urine bag should be emptied as necessary and at least every 8 - 9 hours to
prevent:

A. Pooling of urine in the tube
B. Reflux of urine into the bladder
C. Pulling on catheter
D. Bacterial contamination

Comments for Question #69 (1)

July 29, 2018, 12:21 AM
bacterial contamination

Question #70

Which of the following statements accurately describes the occurrence of dyspnea in
patients who are receiving end of life care?

A. Dyspnea is only experienced by patients who have primary diagnoses that involve the lungs
B. Dyspnea occurs in less than 50% of the patients who are receiving end of life care
C. Dyspnea that is caused by increased fluid volume may be improved by diuretics
D. Dyspnea may be caused by antibiotic therapy used over a long period of time

Comments for Question #70 (1)

July 29, 2018, 12:22 AM
it can caused by increased fluid volume

Question #71

The patient has a nursing diagnosis of altered cerebral tissue perfusion related to cerebral
edema. An appropriate nursing intervention for this problem is to:

A. Elevate the head of the bed 30 degrees
B. Provide a position of comfort with knee flexion
C. Provide uninterrupted periods of rest
D. Ensure adequate hydration with mannitol

Comments for Question #71 (1)

July 29, 2018, 12:24 AM
elevate the head of the bed 30 degrees

Question #72

While assessing a patient, the nurse learns that he has a history of allergic rhinitis, asthma,
and multiple food allergies. The nurse must:

A. Be alert to hypersensitivity response to the prescribed medications
B. Encourages the patient to carry an epinephrine kit in case of an allergic reaction
C. Advise the patient to use aspirin in case of febrile illnesses
D. Admit the patient to a single room with limited exposure to health care personnel

Comments for Question #72 (1)

July 29, 2018, 12:25 AM
be alert to hypersensitivity response to prescribed medicine

Question #73

The nurse should administer nasogastric tube (NGT) feeding slowly to reduce the hazard
of:

A. Distention
B. Abdominal cramps
C. Diarrhea
D. Regurgitation

Comments for Question #73 (1)

July 29, 2018, 12:25 AM
reduce regurgitation

Question #74

A patient arrived to the Post Anesthesia Care Unit (PACU) complaining of pain after
undergoing a right total hip arthroplasty. Which of the following should the nurse do to
assess the patient's level of pain?

A. Determine the patient's position during surgery and how long the patient was in this position
B. Inspect the dressing, note type and amount of drainage, and insure bandage adhesive is not pulling on skin
C. Ask anesthesiologist what type of anesthesia patient received and last dose of pain medication
D. Note location, intensity and duration of pain and last dose and time of pain medication

Comments for Question #74 (1)

July 29, 2018, 12:27 AM
ask the anesthetologist about type of anesthesia received and last dose of pain medications

Question #75

When caring for a patient with impaired mobility that occurred as a result of a stroke (right
sided arm and leg weakness). The nurse would suggest that the patient use which of the
following assistive devices that would provide the best stability for ambulating?

A. Crutches
B. Single straight-legged cane
C. Quad cane
D. Walker

Comments for Question #75 (1)

July 29, 2018, 12:28 AM
single straight lrgged cane

Question #76

The nurse teaches a patient recovering from a total hip replacement that it is important to
avoid:

A. Putting a pillow between the legs while sleeping
B. Sitting with the legs crossed
C. Abduction exercises of the affected leg
D. Bearing weight exercises on the affected leg for 6 weeks

Comments for Question #76 (1)

July 29, 2018, 12:29 AM
sitting with the legs crossed

Question #77

A patient with duodenal peptic ulcer would describe his pain as:

A. Generalized burning sensation
B. Intermittent colicky pain
C. Gnawing sensation relieved by food
D. Colicky pain intensified by food

Comments for Question #77 (2)

July 29, 2018, 12:32 AM
gnawing sensation relieved by food
July 29, 2018, 12:31 AM
gnawing sensation relieved by food

Question #78

You have started work on a new ward. One of the patient's allocated to you has been on
the ward for the last 7 months since she had a cerebrovascular accident (CVA). You notice
that her nursing care plan says strict bed rest, but on assessment you can not see any
reason why this patient can not sit out of bed for short periods. Your nursing action would
be:

A. Check with the other nursing staff as to reasons behind the nursing care plan then update the plan based on your assessment
B. Follow the nursing care plan strictly as this would have been developed after a detailed and collaborative assessment
C. Seek physician's orders so that you have permission to move the patient
D. Try and move the patient without consulting with anyone to see how she manages

Comments for Question #78 (1)

July 29, 2018, 12:33 AM
seek the physicians orders so that you have permission to move the patient

Question #79

A nurse prepares a narcotic analgesic for administration, but the patient refuses to take it.
Which of the following actions by the nurse is most appropriate?

A. Encourage the patient to reconsider taking the medication
B. Label the medication and replace it for use at a later time
C. Discard the medication in the presence of a witness and chart the action
D. Call the physician with the patient's refusal to take the prescribed medication

Question #80

A patient who sustained a chest injury has a chest tube inserted which is connected to an
under water seal drainage system. When caring for this patient the nurse will:

A. Instruct the patient to limit movement of the affected shoulder
B. Observe for fluctuation of the water level
C. Clamp the tube when needed
D. Administer hourly analgesia

Question #81

Which of the following laboratory blood values is expected to be decreased in hepatic
dysfunction?

A. Albumin
B. Bilirubin
C. Ammonia
D. ALT and AST

Comments for Question #81 (1)

April 19, 2018, 01:55 PM
albumin is for renal, so the answer is D

Question #82

A patient with allergic rhinitis reports severe nasal congestion, sneezing, and watery eyes
at various times of the year. To teach the patient to control these symptoms the nurse
advises the patient to:

A. Avoid all over the counter intranasal sprays
B. Limit the use of nasal decongestant sprays to 10 days
C. Use oral decongestants at bedtime to prevent symptoms during the night
D. Keep a diary of when an allergic reaction occurs and what precipitates it

Question #83

The apical pulse can be best auscultated at the:

A. Left 2nd intercostal space lateral to the mid clavicular line
B. Left 2nd intercostal space at the left sternal border
C. Left 5th intercostal space at the mid clavicular line
D. Left 5th intercostal space at the mid axillary line

Question #84

The nurse notes that there are no physician's orders regarding Fatima's post operative
daily insulin dose. The most appropriate action by the nurse is to:

A. Withhold any insulin dose since none is ordered and the patient is NPO
B. Call the physician to clarify whether insulin should be given and at what dose
C. Give half the usual daily insulin dose since she will not be eating in the morning
D. Give the patient her usual daily insulin dose since the stress of surgery will increase her blood glucose

Question #85

An 8-month-old infant is diagnosed with communicating hydrocephalus. The nurse notices
that his intracranial pressure is increasing from the following changes in his vital signs:

A. Bradycardia, hypotension and hypothermia
B. Bradycardia, hypertension and hyperthermia
C. Tachycardia, hypotension and hyperthermia
D. Tachycardia, hypertension and hypothermia

Question #86

Whenever a child with thalassemia comes for blood transfusion, he is administered
Desferoxamine (Desferal). The action of this drug is to:

A. Inhibit the inflammatory process
B. Enhance iron excretion
C. Antagonize the effect of vitamin C
D. Increase red blood cell production

Question #87

A patient becomes angry and threatens to leave the hospital unless the physician reviews
the reason for the patient's delay in discharge. The patient has a medication order for
agitation available p.m.. but refuses the medication and requests a drink of orange juice
instead. What should the nurse do?

A. Secretly slip the p.r.n. medication into the orange juice and give it to the patient
B. Give the patient the orange juice and tell the patient that a staff member is attempting to call the physician
C. Inform the patient that staff is unable to force anyone to stay in the hospital
D. Inform the patient that nothing can be done until the morning

Question #88

A nurse prepares to set up a secondary intravenous (IV) cannula. The primary IV infusing
is normal saline. In order for the secondary cannula to infuse correctly, the nurse should set
up the primary IV to:

A. Hang higher than the secondary IV
B. Hang at the same level as the secondary IV
C. Hang lower than the secondary IV
D. Discontinue before the secondary IV starts

Comments for Question #88 (1)

August 25, 2018, 01:31 AM
C

Question #89

A 21 year old woman is being treated for injuries sustained in a car accident. The patient
has a central venous pressure (CVP) line insitu. The nurse recognizes that CVP
measurements:

A. Estimate Cardiac output
B. Assess myocardial workload
C. Determine need for fluid replacement
D. Determine ventilation - perfusion mismatch

Question #90

After application of a cast in the upper extremity, the patient complains of severe pain in the
affected site. Which of the following would the nurse initiate?

A. Administer analgesics as ordered
B. Assess neurovascular status
C. Notify his physician
D. Pad the edges of the cast

Question #91

The nurse should place the automatic external defibrillator (AED) electrodes on the
patient's anterior chest with one electrode placed:

A. Below the left clavicle and one below the right nipple
B. On the right mid-axillary line and the other at mid-sternum
C. Below the right clavicle and one below the left nipple
D. On the mid-axillary line and one at the sternal notch

Question #92

During the initial pain assessment process, the nurse should:

A. Perform pain relief measures
B. Teach the patient about pain therapies
C. Conduct a comprehensive pain assessment
D. Provide appropriate treatment and evaluate its effect

Question #93

Which of the following interventions is most significant in the prevention of pressure sores?

A. Increasing fluid intake
B. Changing soiled linen
C. Regular changing of position
D. Use of a water mattress

Comments for Question #93 (1)

February 20, 2019, 08:35 PM
A, B, C are all best ways in prevention of bedsores, but the most significant one is regular change of patient's position. D. Water mattress is not required as it promotes development of a bedsore, a patient at risk of bed sore should not have the bedding humidified or wet, the bedding should be dry.

Question #94

A 13 year old girl with manifestations of rheumatic heart disease is admitted to hospital.
Which of the following laboratory blood findings would confirm that she likely has had a
streptococcal infection within the past two weeks?

A. Decreased leukocyte count
B. Elevated hemoglobin count
C. Elevated ASO titer
D. Decreased ESR

Question #95

Salem has Alzheimers disease. He is agitated and repeatedly asks to go home. The most
appropriate nursing intervention for him is to:

A. Isolate him in a single room
B. Find activities to keep him occupied
C. Ask the physician to discharge him
D. Administer a minor tranquillizer

Question #96

The best dietary advice a nurse can give to a woman diagnosed with mild pregnancy-
induced hypertension is to:

A. Follow a strict low salt diet
B. Restrict fluid intake
C. Increase protein intake
D. Maintain a well-balanced diet

Question #97

A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?

A. 11 year old male – 90 b.p.m, 22 resp/min. , 100/70 mm Hg
B. 13 year old female – 105 b.p.m., 22 resp/min., 105/60 mm Hg
C. 5 year old male- 102 b.p.m, 24 resp/min., 90/65 mm Hg
D. 6 year old female- 100 b.p.m., 26 resp/min., 90/70mm Hg

Question #98

Which of the following actions is the most appropriate when the nurse is responding to a
patient during a tonic-clonic seizure?

A. Restrain the patient
B. Protect the patient from harm
C. Minimize noise and light stimulus
D. Apply oxygen by mask or nasal cannula

Question #99

The patient's pre-operative blood pressure was 120/68 mmHg. On admission to the Post
Anesthesia Care Unit, the blood pressure was 124/70 mmHg. Thirty minutes after
admission, the patient's blood pressure falls to 112/60 mmHg, pulse to 72 BPM, and the
skin appears warm and dry. The most appropriate action by the nurse at this time is to:

A. Raise the head of the bed
B. Notify the anesthetist immediately
C. Increase the rate of IV fluid replacement
D. Continue to monitor the patient

Comments for Question #99 (2)

July 15, 2018, 04:18 PM
increase the rate of I V fluid replacement
July 15, 2018, 04:18 PM
increase the rate of I V fluid replacement

Question #100

An 84-year-old man has arthritis and is admitted for a severely edematous knee. The
physician orders heat packs every 2 hours and you feel this order may worsen the tissue
congestion. An appropriate nursing action would be:

A. Contact the physician and discuss your concerns about the order
B. To include the order in the nursing care plan and monitor outcome
C. Complete an incident report form and document concerns in the nursing notes
D. Involve the patient by asking what his treatment preference is

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