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HAAD Licensure Examination for Registered Nurses Question and Answers

HAAD Licensure Examination for Registered Nurses

Last Update May 19, 2024
Total Questions : 150

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Questions 1

When checking the capillary refill time of a patient's extremity, the color returns in 7 seconds. The nurse recognizes this finding as indicative of:

Options:

A.  

A normal response

B.  

Thrombus formation in the veins

C.  

Lymphatic obstruction of venous return

D.  

Impaired arterial flow to the extremities

Discussion 0
Questions 2

A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?

Options:

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

Discussion 0
Questions 3

A patient with severe, protracted vomiting will often have what electrolyte abnormality?

Options:

A.  

Decreased potassium and decreased chloride

B.  

Increased sodium and decreased chloride

C.  

Increased potassium and increased sodium

D.  

Decreased sodium and increased chloride

Discussion 0
Questions 4

The patient is to receive 100 ml/hr of D5W through a micro drip. How many drops per minute should the patient receive?

Options:

A.  

25 gtts/min

B.  

30 gtts/min

C.  

100 gtts/min

D.  

200 gtts/min

Discussion 0
Questions 5

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?

Options:

A.  

Decreased leukocyte count

B.  

Elevated hemoglobin count

C.  

Elevated ASO titer

D.  

Decreased ESR

Discussion 0
Questions 6

The nurse is caring for a patient who is receiving dialysis. The patient has an arteriovenous (AV) fistula. Appropriate care for this patient would include which one of the following options?

Options:

A.  

Infusing medications through the AV fistula

B.  

Drawing blood samples from the AV fistula

C.  

Massaging the AV fistula

D.  

Palpating the AV fistula for a thrill

Discussion 0
Questions 7

A patient arrives at the emergency department with slurred speech and a right facial droop. The patient's relative states the patient "is not himself." Upon assessment, the nurse finds paresthesia to the right side of the body, receptive aphasia, hemianopia and altered cognitive abilities. The nurse should suspect:

Options:

A.  

A narcotic overdose

B.  

Parkinson's disease

C.  

Alcohol withdrawal

D.  

A cerebrovascular accident (CVA)

Discussion 0
Questions 8

An early sign of acute respiratory failure is:

Options:

A.  

Diaphoresis

B.  

Cyanosis

C.  

Restlessness

D.  

Orthopnea

Discussion 0
Questions 9

When caring for a patient with acute pancreatitis, the patient is most likely to complain of pain which is:

Options:

A.  

Severe and located in the left lower quadrant and radiating to the groin

B.  

Burning and located in the epigastric area and radiating to the groin

C.  

Severe and located in the epigastric area and radiating to the back

D.  

Burning and located in the left lower quadrant and radiating to the back

Discussion 0
Questions 10

While assessing a patient, the nurse learns that he has a history of allergic rhinitis, asthma, and multiple food allergies. The nurse must:

Options:

A.  

Be alert to hypersensitivity response to the prescribed medications

B.  

Encourages the patient to carry an epinephrine kit in case of an allergic reaction

C.  

Advise the patient to use aspirin in case of febrile illnesses

D.  

Admit the patient to a single room with limited exposure to health care personnel

Discussion 0
Questions 11

A patient requires tracheal suctioning through the nose. Which of the following nursing action would be incorrect?

Options:

A.  

Lubricating the catheter with sterile water

B.  

Applying suction while withdrawing the catheter from the nose

C.  

Applying suction for a minimum of 30 seconds

D.  

Rotating the catheter while withdrawing it

Discussion 0
Questions 12

Order: 1000 ml of D5W to run for 12 hours. Using a micro drip set calculate the drops per minute (gtts/min):

Options:

A.  

20 gtts/min

B.  

45 gtts/min

C.  

60 gtts/min

D.  

83 gtts/min

Discussion 0
Questions 13

Whenever a child with thalassemia comes for blood transfusion, he is administered Desferoxamine (Desferal). The action of this drug is to:

Options:

A.  

Inhibit the inflammatory process

B.  

Enhance iron excretion

C.  

Antagonize the effect of vitamin C

D.  

Increase red blood cell production

Discussion 0
Questions 14

To prevent post-operative thrombophlebitis, which one of the following measures is effective?

Options:

A.  

Elevation of the leg on two pillows

B.  

Using of compression stocking at night

C.  

Massage the calf muscle frequently

D.  

Performing leg exercises

Discussion 0
Questions 15

Whilst recovering from surgery a patient develops deep vein thrombosis. The sign that would indicate this complication to the nurse would be:

Options:

A.  

Intermittent claudication

B.  

Pitting edema of the area

C.  

Severe pain when raising the legs

D.  

Localized warmth and tenderness of the site

Discussion 0
Questions 16

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

Options:

A.  

Both eyes

B.  

Left eye

C.  

Right eye

D.  

Infected eye

Discussion 0
Questions 17

The patient with iron deficiency anemia should be encouraged to eat which of the following foods high in iron?

Options:

A.  

Eggs

B.  

Lettuce

C.  

Citrus fruits

D.  

Cheese

Discussion 0
Questions 18

The patient has a nursing diagnosis of altered cerebral tissue perfusion related to cerebral edema. An appropriate nursing intervention for this problem is to:

Options:

A.  

Elevate the head of the bed 30 degrees

B.  

Provide a position of comfort with knee flexion

C.  

Provide uninterrupted periods of rest

D.  

Ensure adequate hydration with mannitol

Discussion 0
Questions 19

Symptoms of alcohol withdrawal include:

Options:

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

Discussion 0
Questions 20

The purpose of a cardiac pacemaker is to:

Options:

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

Discussion 0
Questions 21

A 3-month-old infant is admitted with a diagnosis of ventricular septal defect. The physical assessment for this infant would reveal:

Options:

A.  

High pitched cry

B.  

Harsh heart murmur

C.  

Bradycardia

D.  

Hypertension

Discussion 0
Questions 22

An 11 year old girl with a history of asthma arrives at the primary health clinic with signs/symptoms of shortness of breath, audible wheezing, nasal flaring and mild lip cyanosis. Your immediate nursing action is to:

Options:

A.  

Assess respiratory distress and peak expiratory flow rate

B.  

Take a blood sample to assess CO₂levels

C.  

Instruct the parents to take the child immediately to hospital

D.  

Sit the child comfortably and offer 2 puffs of ventolin stat

Discussion 0