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HAAD-RN Sample Questions Answers

Questions 4

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

Options:

A.

Around the clock

B.

Only when clearly needed

C.

After non-pharmacological methods fail

D.

As the patient requests them

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Questions 5

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:

Options:

A.

Dehydration

B.

Subinvolution

C.

Hemorrhage

D.

Hypertension

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Questions 6

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

Options:

A.

Regular insulin IV

B.

NPH insulin SC

C.

Glucagon IM

D.

Mixed insulin SC

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Questions 7

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

Options:

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

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Questions 8

While preparing the midday medications, the nurse finds difficulty reading the label on a medicine bottle. The best action by the nurse is to:

Options:

A.

Document that it could not be given due to difficulty in reading the label

B.

Make out a new label with clear handwriting using adhesive tape to attach it

C.

Ask the pharmacist to replace it with a clearly labeled bottle

D.

Give the medication if it is similar to a bottle present on the trolley

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Questions 9

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

Options:

A.

Altered body image

B.

Acute pain

C.

Risk for infection

D.

Altered nutrition

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Questions 10

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

Options:

A.

Restrain the patient

B.

Protect the patient from harm

C.

Minimize noise and light stimulus

D.

Apply oxygen by mask or nasal cannula

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Questions 11

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?

Options:

A.

Administer analgesics as ordered

B.

Assess neurovascular status

C.

Notify his physician

D.

Pad the edges of the cast

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Questions 12

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

Options:

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"

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Questions 13

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

Options:

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

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Questions 14

A 3-month-old infant is admitted with a diagnosis of ventricular septal defect. The physical assessment for this infant would reveal:

Options:

A.

High pitched cry

B.

Harsh heart murmur

C.

Bradycardia

D.

Hypertension

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Questions 15

During the acute phase of a cerebrovascular accident (CVA) the nurse should maintain the patient in which of the following positions?

Options:

A.

Semi-prone with the head of the bed elevated 60-90 degrees

B.

Lateral, with the head of the bed flat

C.

Prone, with the head of the bed flat

D.

Supine, with the head of the bed elevated 30-45 degrees

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Questions 16

When caring for a patient with hepatic encephalopathy the nurse may carry out the following orders: give enemas, provide a low protein diet, and limit physical activities. These measures are performed to:

Options:

A.

Minimize edema

B.

Decrease portal pressure

C.

Reduce hyperkalemia

D.

Decrease serum ammonia

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Questions 17

The nurse is preparing teaching plans for several patients. The nurse should recognize which of the following patients is at greatest risk for fluid and electrolyte imbalance?

Options:

A.

A 2-year-old patient who is receiving gastrostomy feedings

B.

A 20-year-old patient with a sigmoid colostomy

C.

A 40-year-old patient who is 3 days post-operative with an ileostomy

D.

A 60-year-old patient who is 8 hours post-renal arteriography

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Questions 18

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?

Options:

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

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Questions 19

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:

Options:

A.

Restrict fluids

B.

Apply bandages

C.

Elevate the legs

D.

Do passive range of motion exercises (ROM)

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Questions 20

The nurse manager has just prepared a medication for a patient and she asked you to give the medication. Which of the following is the best response to the nurse manager's request?

Options:

A.

Give the patient his medication and record it on the chart

B.

Ask another nursing colleague to give and record the medication

C.

Explain that you cannot give a medication that you did not prepare

D.

Give the medication and ask the nurse manager to record it on the chart

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Questions 21

You are the nurse providing post-operative care for a 9 year old boy who is 6 hours post-tonsillectomy. He is sleeping, but on routine observation you notice that his pulse has increased, he seems to be restless and trying to swallow frequently. Your immediate action would be:

Options:

A.

Apply an ice collar to reduce discomfort

B.

Allow child to keep sleeping and record observations

C.

Wake him and offer some ice chips to suck

D.

Check inside his mouth for any signs of bleeding and notify the physician

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Questions 22

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?

Options:

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

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Questions 23

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

Options:

A.

Follow a strict low salt diet

B.

Restrict fluid intake

C.

Increase protein intake

D.

Maintain a well-balanced diet

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Questions 24

A nurse has been working in a general hospital on the same medical unit for 6 years. The Behavioral Unit is desperately short staffed and the nurse is asked to work her shift in this other unit. What would be the expected response of the nurse to this request?

Options:

A.

"I will go to the unit and hopefully the behavioral health staff members will assist me with my assignment."

B.

"I cannot go. I have no previous behavioral health experience. I do not want to reduce the quality of patient care."

C.

"I have no previous behavioral health experience. I am willing to go and help with any duties that are similar to those I perform on my unit."

D.

"I should not be expected to float to another unit without a proper orientation. I will fill out an incident report if I am sent there."

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Questions 25

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

Options:

A.

Blood tinged

B.

Straw colored

C.

Clotted

D.

Foul-smelling

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Questions 26

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

Options:

A.

Albumin

B.

Bilirubin

C.

Ammonia

D.

ALT and AST

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Questions 27

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

Options:

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

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Questions 28

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

Options:

A.

Decreased potassium and decreased chloride

B.

Increased sodium and decreased chloride

C.

Increased potassium and increased sodium

D.

Decreased sodium and increased chloride

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Questions 29

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

Options:

A.

Decreased gastrointestinal motility

B.

A difficulty in swallowing

C.

A prevalence of obesity

D.

Numerous medications

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Questions 30

A patient complains of pain in his right arm. The physician orders codeine 45 mg and aspirin 650 mgs every 4 hours PRN. Each codeine tablet contains 15mg of codeine and each aspirin tablet contains 325mg of aspirin. What should the nurse administer?

Options:

A.

2 codeine tablets and 4 aspirin tablets

B.

4 codeine tablets and 3 ½ aspirin tablets

C.

3 codeine tablets and 2 aspirin tablets

D.

3 codeine tablets and 3 aspirin tablets

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Questions 31

An early sign of acute respiratory failure is:

Options:

A.

Diaphoresis

B.

Cyanosis

C.

Restlessness

D.

Orthopnea

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Questions 32

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?

Options:

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

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Questions 33

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:

Options:

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

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Questions 34

A patient with pneumonia is coughing up purulent thick sputum. Which one of the following nursing measures is most likely helpful to loosen the secretions?

Options:

A.

Postural drainage

B.

Breathing humidified air

C.

Percussion over the affected lung

D.

Coughing and deep breathing exercises

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Questions 35

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:

Options:

A.

Circulatory overload

B.

Mild allergy

C.

Febrile response

D.

Hemolytic reaction

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Questions 36

In preparing the patient for electroencephalogram (EEG), the nurse should:

Options:

A.

Withhold breakfast

B.

Give sleeping pills the night before

C.

Shave the hair

D.

Restrict intake of coffee

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Questions 37

The nurse should be aware that tetracycline is contraindicated in children under 12 years of age because:

Options:

A.

Minimal doses are needed to control infection

B.

Immunosuppression is a common side effect

C.

Staining of the teeth is an adverse effect

D.

They are prone to develop renal failure

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Questions 38

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

Options:

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

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Questions 39

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

Options:

A.

Call the nurse supervisor

B.

Call the physician

C.

Fill out a medication error reporting form

D.

Assess the patient's condition

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Questions 40

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

Options:

A.

Eggs

B.

Lettuce

C.

Citrus fruits

D.

Cheese

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Questions 41

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?

Options:

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

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Questions 42

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?

Options:

A.

An air embolism

B.

Circulatory overload

C.

Venous thrombosis

D.

Developing bacteremia

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Questions 43

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:

Options:

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

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Questions 44

The nurse plans the care for a patient with increased intracranial pressure, she knows that the best way to position the patient is to:

Options:

A.

Keep patient in a supine position until stable

B.

Elevate the head of the bed to 30 degrees

C.

Maintain patient on right side with head supported on a pillow

D.

Keep patient in a semi-sitting position

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Questions 45

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

Options:

A.

Double bagging of all contaminated laundry

B.

Restricting visitors of infectious patients

C.

Using disposable supplies

D.

Correct hand washing

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Exam Code: HAAD-RN
Exam Name: HAAD Licensure Examination for Registered Nurses
Last Update: Nov 20, 2024
Questions: 150
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