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HAAD-RN Questions and Answers

Question # 6

Symptoms of alcohol withdrawal include:

A.

Euphoria, hyperactivity and insomnia

B.

Depression, suicidal ideation and hypersomnia

C.

Diaphoresis, nausea and vomiting and tremors

D.

Unsteady gait, nystagmus and profound disorientation

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Question # 7

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

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Question # 8

Order: Compazine 8 mg IM stat. Drug availablE.10 mg/ 2mL in vial.

How many mLs would you give?

A.

0.6 mL

B.

1.6 mL

C.

2.6 mL

D.

3.6 mL

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Question # 9

A patient with a history of angina pectoris arrives in emergency complaining of headache, visual disturbances and feeling dizzy. Your nursing assessment also notes he looks flushed, is perspiring perfusely and is experiencing palpitations. You should suspect:

A.

An overdose of sublingual nitroglycerin

B.

The onset of a myocardial infarction

C.

The patient has been over exercising

D.

The beginning of a severe chest infection

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Question # 10

Extrapyramidal adverse effects and symptoms are most often associated with which of the following drug classes?

A.

Antidepressants

B.

Antipsychotics

C.

Antihypertensives

D.

Antidysrhythmics

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Question # 11

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:

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

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Question # 12

A registered nurse delegates care to a practical nurse. The person most responsible for the safe performance of the care is the:

A.

Head nurse who is in-charge of the unit

B.

The practical nurse assigned to provide the care

C.

The registered nurse who delegated the care to the practical nurse

D.

The nursing care coordinator who is the supervisor of the unit

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Question # 13

A 21 year old woman is being treated for injuries sustained in a car accident. The patient has a central venous pressure (CVP) line insitu. The nurse recognizes that CVP measurements:

A.

Estimate Cardiac output

B.

Assess myocardial workload

C.

Determine need for fluid replacement

D.

Determine ventilation - perfusion mismatch

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Question # 14

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?

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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Question # 15

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:

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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Question # 16

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

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Question # 17

A patient on diuretics has had vomiting and diarrhea for the past 3 days. Which of the following is this patient most at risk for developing?

A.

Hypokalemia and cardiac arrhythmias

B.

Hypercalcemia and polyuria

C.

Dehydration and hyperglycemia

D.

Hyperalimentation and heart block

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Question # 18

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?

A.

Decreased blood pressure

B.

Increased serum albumin level

C.

Increased urine output

D.

Improved breathing pattern

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Question # 19

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

A.

Albumin

B.

Bilirubin

C.

Ammonia

D.

ALT and AST

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Question # 20

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:

A.

Restrict fluids

B.

Apply bandages

C.

Elevate the legs

D.

Do passive range of motion exercises (ROM)

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Question # 21

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

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Question # 22

A patient with deep partial-thickness and full-thickness burns of the face and chest is admitted to the emergency department. The nurse must be particularly alert for:

A.

Paralytic ileus

B.

Respiratory distress

C.

Severity of pain

D.

Strong burn odor

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