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HAAD Licensure Examination for Registered Nurses Sample Questions:

1. 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:

A) Renal failure
B) Dehydration
C) Pneumonia
D) Sepsis

2. 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) Seek physician's orders so that you have permission to move the patient
B) Try and move the patient without consulting with anyone to see how she manages
C) Check with the other nursing staff as to reasons behind the nursing care plan then update the plan based on your assessment
D) Follow the nursing care plan strictly as this would have been developed after a detailed and collaborative assessment

3. 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) To include the order in the nursing care plan and monitor outcome
B) Contact the physician and discuss your concerns about the order
C) Involve the patient by asking what his treatment preference is
D) Complete an incident report form and document concerns in the nursing notes

4. A nurse prepares a narcotic analgesic for administration, but the patient refuses to take it. Which of the following actions by the nurse is most appropriate?

A) Encourage the patient to reconsider taking the medication
B) Call the physician with the patient's refusal to take the prescribed medication
C) Label the medication and replace it for use at a later time
D) Discard the medication in the presence of a witness and chart the action

5. 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?

A) Discontinuing the program if the patient dislikes it
B) Administering an analgesic before exercising
C) Continuing exercises inspire of severe pain
D) Evaluating effectiveness of exercise based on pain scale

Solutions: