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Total 150 questions

HAAD Licensure Examination for Registered Nurses Questions and Answers

Question 1

The apical pulse can be best auscultated at the:

Options:

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

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Question 2

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

Options:

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

Question 3

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:

Options:

A.

Straight to reduce flexion deformities

B.

Immobilized to enhance bone healing

C.

Adducted to attain alignment

D.

Elevated to minimize venous stasis

Question 4

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:

Options:

A.

Functioning normally

B.

Needing immediate life-sustaining measures

C.

Needing special assistance

D.

Needing to be warmed

Question 5

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?

Options:

A.

Decreased blood pressure

B.

Increased serum albumin level

C.

Increased urine output

D.

Improved breathing pattern

Question 6

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?

Options:

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

Question 7

The best time for the nurse to teach an anxious patient about the patient controlled analgesic (PCA) pump would be during which of the following stages of patient care?

Options:

A.

Post-operative

B.

Pre-operative

C.

Intraoperative

D.

Post anesthesia

Question 8

The purpose of a cardiac pacemaker is to:

Options:

A.

Initiate and maintain the heart rate when SA node is unable to do so

B.

Stabilize the heart rate when it is above 100 beats per minute

C.

Stabilize the heart when the patient has had a heart attack

D.

Regulate the heart when the patient is going for open heart surgery

Question 9

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:

Options:

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

Question 10

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

Question 11

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

Question 12

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

Question 13

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

Question 14

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:

Options:

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 15

Elevated levels of amylase and lipase in the blood are common in:

Options:

A.

Diabetes mellitus

B.

Esophagitis

C.

Pancreatitis

D.

Hepatitis

Question 16

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

Question 17

To prevent post-operative thrombophlebitis, which one of the following measures is effective?

Options:

A.

Elevation of the leg on two pillows

B.

Using of compression stocking at night

C.

Massage the calf muscle frequently

D.

Performing leg exercises

Question 18

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:

Options:

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

Question 19

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

Question 20

A patient admitted to the hospital in hypertensive crisis is ordered to receive hydralazine (Apresoline) 20mg IV stat for blood pressure greater than 190/100 mmHg. The best response of the nurse to this order is to:

Options:

A.

Give the dose immediately and once

B.

Give medication if patient's blood pressure is > 190/100 mmHg

C.

Call the physician because the order is not clear

D.

Administer the dose and repeat as necessary

Question 21

Which of the following correctly describes wound packing in a wet to dry dressing?

Options:

A.

Pack gauze into the wound tightly

B.

Overlap the wound edges with wet packing

C.

Pack the wound with slightly moistened gauze

D.

Use gauze well saturated with saline for packing the wound

Question 22

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?

Options:

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

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Total 150 questions