HAAD Prometric and DHA Nurses Introduction Practice Questions and Answers

Nursing Practice Questions and Answers 8. client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first? A. Blood pressure B. Respirations C. Tempe rature D. Cardiac rhyth ...

Nursing Practice Questions and Answers 8. client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first? A. Blood pressure B. Respirations C. Tempe rature D. Cardiac rhythm 9. The nurse is planning care for a client with pneumococcal pneumonia. Which of the following would be most effective in removing respiratory secretions? A. Administration of cough suppressants B. Increasing oral fluid intake to 3000 cc per day C. Maintaining bed rest with bathroom privileges D. Performing chest physiotherapy twice a day Answer is B: Increasing oral fluid intake to 3000 cc per day. Secretion removal is enhanced with adequate hydration which thins and liquefies secretions. 10. Method to diagnosis & locate seizures? A. EEG B. PET C. MRI D. CT scan 11. The primary goal of therapy for a client with pulmonary edema and heart failure? A Enhance comfort B Improve respiratory status C Peripheral edema decreased D Increase cardiac output 12. The nurse is preparing to administer an I.M. injection in a client with a spinal cord injury that has resulted in paraplegia. Which of the following muscles is best site for the injection in this case? A. Deltoid. B. Dorsal gluteal. C. Vastus lateralis. D. Ventral gluteal. 13. The nurse is to collect a sputum specimen from a client. The best time to collect this specimen is: A. early in the evening. B. anytime during the day. C. in the morning, as soon as the client awakens. D. before bedtime. Because sputum accumulates in the lungs during sleep, the nurse should collect a sputum specimen in the morning, as soon as the client awakens and before he eats or drinks. This specimen will be concentrated, increasing the likelihood of an accurate culture 14. An obese client has returned to the unit after receiving sedation and electroconvulsive therapy. The nurse requests assistance moving the client from the stretcher to the bed. There are 2 people available to assist. Which of the following is the best method of transfer for this patient? A. Carry lift. B. Sliding board. C. Lift sheet transfer. D. Hydraulic lift. Answer:B Which type of nursing intervention does the nurse perform when she administers oral care to a client? A. Psychomotor. B. Educational. C. Maintenance. D. Supervisory. Answer:c On her 3rd postpartum day, a client complains of chills and aches. Her chart shows that she has had a temperature of 100.6° F (38.1° C) for the past 2 days. The nurse assesses foul­smelling, yellow lochia. What do these findings suggest? A. Lochia alba B. Lochia serosa C. Localized infection D. Cervical laceration . What is the term used for normal respiratory rhythm and depth in a client? A. Eupnea B. Apnea C. Bradypnea D. Tachypnea QJ1. A client receives a painkiller. Thirty minutes later , The nurse asks the client if the pain is relieved. Which step of nursing process the nurse is using? A. Assessment B. Nursing diagnosis C. Implementation D. Evaluation A client says to the nurse "I know that I'm going to die." Which of the following responses by the nurse would be best? A. "We have special equipment to monitor you and your problem." B. "Don't worry. We know what we're doing and you aren't going to die." C. "Why do you think you're going to die?" D. "Oh no, you're doing quite well considering your condition." A dull percussion is noted over the symphysis pubis , it may indicate A. Pelvic inflammatory disease B. Prostatitis C. Peritonitis D. Distended Bladder The nurse is assessing the reflexes of a newborn. The nurse assesses which of the following reflexes by placing a finger in the newborn’s mouth? A. Moro reflex B. Sucking reflex C. Rooting reflex D. Babinski reflex When caring for a patient who has intermittent claudication, a cardiac/vascular nurse advises the patient to: A. apply graduated compression stockings before getting out of bed. B. elevate the legs when sitting. C. refrain from exercise. D. walk as tolerated. The client is brought to the emergency department due to drug poisoning. Which of the following nursing interventions is most effective in the management of the client’s condition? a) Gastric lavage b) Activated charcoal c) Cathartic administration d) Milk dilution Answer:B Activated charcoal The administration of activated charcoal is the most effective in the management of poisoning because it absorbs chemicals in the gastrointestinal tract, thus reducing its toxicity. A nurse is assessing a group of clients. The nurse knows that which of the following clients is at risk for fluid volume deficit?(DHA) a) Client diagnosed with liver cirrhosis. b) Client with diminished kidney function. c) Client diagnosed with congestive heart failure. d) Client attached to a colostomy bag. Best time to check IOP? A. Early morning B. After noon C. Late evening D. At noon The physician teaches a client about the need to increase her intake of calcium. At a follow­up appointment, the nurse asks the client which foods she has been consuming to increase her calcium intake. Which answer suggests that teaching about calcium­rich foods was effective? A. Broccoli and nuts B. Yogurt and kale C. Bread and shrimp D. Beans and potatoes The nurse is caring for a client diagnosed with a stroke. Because of the stroke, the client has dysphagia (difficulty swallowing). Which intervention by the nurse is best for preventing aspiration? A. Placing the client in high Fowler's position to eat. B. Offering liquids and solids together. C. Keeping liquids thinned. D. Placing food on the affected side of the mouth. When administering an I.M. injection to an infant, the nurse in charge should use which site? a. Deltoid b. Dorsogluteal c. Ventrogluteal d. Vastus lateralis Which organ in the body always recieve the most percentage of blood(%cardiac output)flow?.(AIIMS,ME,BPSC ) A. Kidney B. Heart C. Brain D. Lung Lung recieves 100% of cardiac output via both pulmonary & systemic circulation. The hormone responsible for a positive pregnancy test (UPT)is: A. Estrogen B. Progesterone C. Human Chorionic Gonadotropin D. Follicle Stimulating hormone The stool guaiac test (gFOBT) for the detection of...? A. Piles B. Peptic ulcer C. Intestinal obstruction D. Colo­Rectol carcinoma Which of the following, if observed as a sudden change in the resident, is considered a possible warning sign of a stroke? A. Dementia B. Contractures C. Slurred speech D. Irregular heartbeat Answer:C One of the clasical symptom of stroke A resident who is incontinent of urine has an increased risk of developing (prometric saudi2016) A. dementia. B. urinary tract infections. C. dehydration D. pressure sore Answer Risk for altered skin integrity due to contact with wet surface A resident is on a bladder retraining program. The nurse aide can expect the resident to A . Have a fluid intake restriction to prevent sudden urges to urinate. B . Wear an incontinent brief in case of an accident. C . Have an indwelling urinary catheter. D . Have aschedule for toileting. What is the first choice of MI a)Ecospirin b)Streptokinase c)Morphine c)Heparin In a client with chronic bronchitis, which sign would lead the nurse to suspect right­sided heart failure? A. Cyanosis of the lips B. Bilateral crackles C. Productive cough D. Leg edema Which of the following is considered a normal age‐related change? A. Dementia B. Contractures C. Bladder holding less urine D. Wheezing when breathing Is a age related physiological changes. Othes are pathological Which is the primary consideration when preparing to administer thrombolytic therapy to a patient who is experiencing an acute myocardial infarction (MI)?(HAAD2014) A. History of heart disease. B. Sensitivity to aspirin. C. Size and location of the MI. D. Time since onset of symptoms. Its the crieteria for thrombolytic therapy, early onset.Thrombolytic medications are approved for the immediate treatment of stroke (with in 3hrs of onset)and heart attack(with in 12 hrs of onest) Which of the following statements is true about range of motion (ROM) exercises? A Done just once a day B Help prevent strokes and paralysis C Require at least ten repetitions of each exercise D Are often performed during ADLs such as bathingor dressing Answer:D When instructing the client diagnosed with hyperparathyroidism about diet, the nurse should stress the importance of: A. restricting fluids. B. restricting sodium. C. forcing fluids. D. restricting potassium. . When assessing a client with glaucoma, a nurse expects which of the following findings? A. Complaints of double vision. B. Complaints of halos around lights. C. Intraocular pressure of 15 mm Hg. D. Soft globe on palpation. In the emergency department, the nurse is caring for a client with type 1 diabetes who was brought in by ambulance after losing consciousness. Upon assessment, the client's breath was noted to be fruity. Which of the following ABG results would the nurse expect? A. pH: 7.49 PCO2: 50 HCO3: 18 B. pH 7.28: PCO2: 40 HCO3: 16 C. pH:7.38 PCO2: 45 HCO3: 26 D. pH: 7.31 PCO2: 60 HCO3: 29 Answer:B Risk for metabolic acidosis in type1 DM Before administering methergine , to treat PPH the nursing priority to check A. Uterine tone B. Output C. BP D. amount of lochia E. Deep tendon reflex High risk clients for the reactivation of herpes zoster? the clients with .... A. First degree burns B. Renal transplant C. Post ORIF D. Head injury. The cardiac marker which is elevated soon after MI is A:Trop­T B:CKMB C:LDH D:Myoglobin The nurse is taking the health history of a patient being treated for sickle cell disease. After being told the patient has severe generalized pain, the nurse expects to note which assessment finding? A. Severe and persistent diarrhea B. Intense pain in the toe C. Yellow­tinged sclera D. Headache A client has hypoxemia of pulmonary origin. What portion of arterial blood gas results is most useful in distinguishing acute respiratory distress syndrome from acute respiratory failure? A. Partial pressure of arterial oxygen (PaO2) B. Partial pressure of arterial carbon dioxide (PaCO2) C. pH D. Bicarbonate (HCO3–) The procedure involves removal of the "head" (wide part) of the pancreas, the duodenum, a portion of the common bile duct, gallbladder, and sometimes part of the stomach.And anastomosis to jejunum ? A. Birloth 1procedures B. Birloth 2 procedures C. Wipple procedures D. Subtotal cholecystectomy A client with a fluid volume deficit is receiving an I.V. infusion of dextrose 5% in water and lactated Ringer's solution at 125 ml/hour. Which data collection finding indicates the need for additional I.V. fluids? A. Serum sodium level of 135 mEq/L B. Temperature of 99.6° F (37.6° C) C. Neck vein distention D. Dark amber urine Normally, urine appears light yellow; dark amber urine is concentrated and suggests decreased fluid intake. Pseudo membraneous colitis is due to A. Tetenus toxins B. Clostridium difficile C. H.pylori D. E­ Coli Glomerulonephritis is the complication of impetigo due to...? A. Streptococcus B. Staphylococci C. Pseudomonas D. Klebsiella Which of the following types of immunoglobulins does not cross the barrier between mother and infant in the womb? A. IgA B. IgM C. IgD D. IgE The most severe expressions of alcohol withdrawal syndrome? A. disequilibrium syndrome B. dawn phenomenon C. somogyi phenomenon D. Delirium tremens Answer : D A 39­year­old forklift operator presents with shakiness, sweating, anxiety, and palpitations and tells the nurse he has type 1 diabetes mellitus. Which of the follow actions should the nurse do first? A. Inject 1 mg of glucagon subcutaneously. B. Administer 50 mL of 50% glucose I.V. C. Give 4 to 6 oz (118 to 177 mL) of orange juice. D. Give the client four to six glucose tablets The nurse is collecting data on a male client diagnosed with gonorrhea. Which symptom likely prompted the client to seek medical attention? A. Rashes on the palms of the hands and soles of the feet B. Cauliflower­like warts on the penis C. Painful red papules on the shaft of the penis D. Foul­smelling discharge from the penis A client with B negative blood requires a blood transfusion during surgery. If no B negative blood is available, the client should be transfused with: ❍ A. A positive blood ❍ B. B positive blood ❍ C. O negative blood ❍ D. AB negative blood If the client’s own blood type and Rh are not available, the safest transfusion is O negative blood. Answers A, B, and D are incorrect because they can cause reactions that can prove fatal to the client An woman is prescribed metformin for glucose control. The patient is on NPO status pending a diagnostic test. The nurse is most concerned about which side effect of metformin? A. Diarrhea and Vomiting B. Dizziness and Drowsiness C. Metallic taste D. Hypoglycemia A 30­year­old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this