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HAAD HAAD-RN - HAAD Licensure Examination for Registered Nurses

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Total 150 questions

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

The nurse knows that the greatest risk for a patient with a ruptured ectopic pregnancy is:

A.

Hemorrhage leading to hypovolemic shock

B.

Strictures and scarring of the fallopian tube

C.

Adhesions and scarring from blood in the abdomen

D.

Infertility resulting from treatment with a salpingectomy

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

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

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

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

To ensure safe practice during defibrillation, the nurse must:

A.

Cover paddles with electrode gel

B.

Avoid touching the patient's bed

C.

Remove paddles after the shock

D.

Synchronize prior to shock delivery

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

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

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:

A.

Minimize edema

B.

Decrease portal pressure

C.

Reduce hyperkalemia

D.

Decrease serum ammonia