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HAAD-RN HAAD Licensure Examination for Registered Nurses Questions and Answers

Questions 4

A male patient with a right pleural effusion noted on a chest X-ray is being prepared for thoracentesis. The patient experiences severe dizziness when sitting upright. To provide a safe environment, the nurse assists the patient to which position for the procedure?

Options:

A.

Prone with head turned toward the side supported by a pillow

B.

Sims’ position with the head of the bed flat

C.

Right side-lying with the head of the bed elevated 45 degrees

D.

Left side-lying with the head of the bed elevated 45 degrees

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Questions 5

A newborn is diagnosed with ventricular septal defect. The baby is discharged with a prescription for digoxin syrup 20 micrograms bid. The bottle of digoxin is labeled as 0.05 mg/ml. The nurse should teach the mother to administer on each dose:

Options:

A.

0.1 ml

B.

0.2 ml

C.

0.4 ml

D.

0.8 ml

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Questions 6

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 7

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

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Questions 8

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

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Questions 9

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

Options:

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

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Questions 10

When preparing an eye medication, the nurse reads the order "OS". Medication is given into:

Options:

A.

Both eyes

B.

Left eye

C.

Right eye

D.

Infected eye

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Questions 11

What two behaviors are important when documenting the depth of the patient’s depression?

Options:

A.

Orientation and appearance

B.

Helplessness and hopelessness

C.

Affect and thought processes

D.

Mood and impulse control

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Questions 12

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 13

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:

Options:

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

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Questions 14

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:

Options:

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

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Questions 15

A patient is to receive 50mL of fluid in 1/2 hour (30 min). The infusion pump should be set to deliver how many milliters per hour?

Options:

A.

25 ml/hr

B.

50 ml/hr

C.

75 ml/hr

D.

100 ml/hr

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Questions 16

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

Options:

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

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Questions 17

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

Options:

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

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Questions 18

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

Options:

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

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Questions 19

When preparing to administer a medication the nurse should first:

Options:

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

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Questions 20

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?

Options:

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

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Questions 21

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 22

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 23

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

Options:

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

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Questions 24

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

Options:

A.

Diabetes mellitus

B.

Esophagitis

C.

Pancreatitis

D.

Hepatitis

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Questions 25

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 26

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

Options:

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

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Questions 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?

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

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Questions 28

Order: Allopurinol 450 mg p.o. daily. Drug availablE. Allopurinol 300 mg scored tablets. Which of the following will you administer?

Options:

A.

0.5 tablet

B.

1.5 tablets

C.

2 tablets

D.

2.5 tablets

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Questions 29

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 30

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 31

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

Options:

A.

Weight gain

B.

Depressed reflexes

C.

Muscle spasm and twitching

D.

Irritable behavior

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Questions 32

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?

Options:

A.

0.25 mg/ml

B.

0.5 mg/ml

C.

1 mg/ml

D.

2 mg/ml

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Questions 33

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 34

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

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Questions 35

The coronary care nurse draws an Arterial Blood Gas (ABG) sample to assess a patient for acidosis. A normal pH for arterial blood is:

Options:

A.

7.0 - 7.24

B.

7.25 - 7.34

C.

7.35 - 7.45

D.

7.5 - 7.6

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Questions 36

A patient presents to the emergency department with diminished and thready pulses, hypotension and an increased pulse rate. The patient reports weight loss, lethargy, and decreased urine output. The lab work reveals increased urine specific gravity. The nurse should suspect:

Options:

A.

Renal failure

B.

Sepsis

C.

Pneumonia

D.

Dehydration

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Questions 37

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 38

In caring for a woman and baby day 3 postnatally, she tells you that her baby has not had a bowel action since delivery. Your appropriate response would be:

Options:

A.

Reassure the mother that it is quite normal for a baby to not move their bowels until day 5 after a few days of milk feeding

B.

Start a bowel chart, document all findings, and wait another 48 hours before reporting to the physician

C.

Encourage more frequent warm baths for the neonate with gentle abdomen massages

D.

Tell the mother that you will let the physician know, so the baby can be checked for any obstruction

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Questions 39

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

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Questions 40

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

Options:

A.

Intermittent claudication

B.

Pitting edema of the area

C.

Severe pain when raising the legs

D.

Localized warmth and tenderness of the site

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Questions 41

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

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Questions 42

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 43

A young patient is extremely irritable due to meningitis. It would be most important for the nurse to:

Options:

A.

Use low-level lighting in the room

B.

Ventilate the room

C.

Eliminate strong odors

D.

Allow frequent visitors

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Questions 44

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 45

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

Options:

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

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Exam Code: HAAD-RN
Exam Name: HAAD Licensure Examination for Registered Nurses
Last Update: May 16, 2024
Questions: 150

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