HAAD-RN Online Practice Questions and Answers

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

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

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

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

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"

The purpose of a cardiac pacemaker is to:

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

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

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

A. Both eyes

B. Left eye

C. Right eye

D. Infected eye

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

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

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

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

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:

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

Which of the following is the most appropriate first action for the nurse to take for a pre- schooler who has fallen and has a hematoma formed on the temporal bone?

A. Encourage a nap

B. Give pain medication

C. Apply ice and monitor vital signs

D. Allow the child to continue activities

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