Prometric DHA HAAD Mock Test - 11
1.
A 2-year-old child is admitted to the pediatric ward with mild dehydration. The physician prescribes maintenance fluid of 900 mL per day. Each feeding provides 120 mL of fluid. The nurse needs to calculate the number of feedings required per day to meet the child’s fluid requirement. How many feedings should be given in 24 hours?
2.
A 12-year-old boy has just had a cast removed from his left leg after wearing it for eight weeks due to a fracture. He is eager to return to playing football as soon as possible. To help him regain muscle strength lost during immobilization, the nurse should instruct him to perform which type of exercise?
3.
A 31-year-old woman with Type 1 Diabetes Mellitus visits the clinic complaining of fatigue, blurred vision, and frequent urination. Her breath smells fruity, and she drinks water constantly during the visit. She mentions having a cold for three days but did not increase her insulin dose. Her vital signs are: BP 130/70 mmHg, HR 90/min, RR 20/min, and temperature 38°C (oral). Which of the following is the most appropriate nursing diagnosis?
4.
An adult patient comes to the clinic complaining of hoarseness of voice and difficulty speaking after recovering from a recent neck surgery. The nurse suspects that these symptoms may be due to injury of which cranial nerve?
5.
A parent of a 9-year-old child with chronic asthma expresses concern about disciplining the child, saying, “I don’t want to be too hard on him since he’s often sick.” The nurse should encourage the parent to:
6.
During a routine physical examination, a healthy adult patient reports occasional alcohol use and admits to having unprotected sexual encounters. The nurse recognizes the need to address potential health risks. What is the BEST nursing diagnosis for this patient?
7.
A 7-year-old child is brought to the emergency department after falling from a bicycle and sustaining a fracture of the right arm. The nurse develops a care plan focused on recovery. What would be the long-term goal for this patient?
8.
The nurse is caring for a woman whose husband beats her regularly. Which is the most important long-term goal for this woman?
9.
In what position should a dyspneic patient be placed?
10.
A 62-year-old patient is admitted with acute shortness of breath and reports difficulty breathing while lying flat. The nurse needs to position the patient to maximize comfort and ease of breathing. Which position is most appropriate?
11.
A 6-year-old boy is in the postoperative care unit after a tonsillectomy. Once the nurse observes that his gag reflex has returned, the artificial airway is removed. The child then cries and tells the nurse that his throat hurts badly. What type of data is the patient providing to the nurse?
12.
A first-time mother brings her three-week-old breastfed infant to the clinic, reporting forceful vomiting after feeds. The baby was born at 40 weeks gestation, weighing 3.6 kg. The infant is constantly hungry and irritable. On examination, the nurse notes a swollen abdomen and a palpable mass in the mid-upper right quadrant. What is the most likely health problem?
13.
A four-week-old infant is brought to the clinic with forceful vomiting after feeds and persistent hunger. The nurse suspects pyloric stenosis. Which assessment finding would the nurse most likely observe in this infant?
14.
A patient with a recent cerebrovascular accident (CVA) presents with left-sided hemiplegia and aphasia. The patient has a nursing diagnosis of risk for aspiration related to swallowing difficulties, with a short-term goal of not aspirating. A percutaneous endoscopic gastrostomy (PEG) tube has been inserted, and all nutrition and fluids are being administered through the tube. What should the nurse do to meet this goal?
15.
A 65-year-old patient is being evaluated 5 days after a right total hip replacement. The nurse is reviewing the patient’s progress and determining whether goals have been met. Which of the following goals would be appropriate for this patient at this stage?
16.
A 3-year-old child is admitted to the postoperative care unit following a heart transplant. The nurse begins intravenous cyclosporine infusion. Fifteen minutes later, the child shows difficulty breathing, cold and clammy skin, and restlessness. What is the most appropriate initial nursing action?
17.
A 40-year-old woman, gravida 2, para 2, is planning another pregnancy. Her previous child was born with a cleft lip and palate, and she expresses anxiety about recurrence. The nurse provides genetic counseling and dietary guidance. Which food/nutrient would most effectively help prevent recurrence of this birth defect?
18.
A 50-year-old woman presents with poor balance and coordination, reporting pain along the outer thighs and the inner arches of her feet. The nurse suspects involvement of a lumbar spinal nerve root and plans a deep tendon reflex examination. Which reflexes would most likely be diminished in this patient?
19.
A 6-month-old infant is scheduled to receive an intramuscular (IM) vaccination at the clinic. The nurse prepares to administer the injection safely. Which site is most appropriate for an IM injection in this infant?
20.
A 66-year-old woman with a history of hypertension is admitted with breathing difficulties that worsen with activity and at night. She reports general weakness and episodes where her heart skips or beats loudly. An ECG reveals atrial fibrillation, right ventricular hypertrophy, and right axis deviation. Which nursing intervention is most appropriate for this patient?
21.
A 6-year-old child is diagnosed with iron deficiency anemia and prescribed oral iron supplements. The nurse provides instructions to the mother on how to maximize iron absorption. With which of the following food items should the iron be administered?
22.
A 9-month-old infant is brought to the hospital by his parents because he is crying persistently. Examination reveals acute otitis media. The nurse is preparing a care plan for the parents. Which of the following instructions should be included?
23.
A child with pneumonia is prescribed a penicillin injection. Before administration, the nurse performs a skin allergy test, which indicates that the child is allergic to penicillin. What is the next step the nurse should take?
24.
A 45-year-old patient has had their blood pressure measured over three consecutive days during routine clinic visits. The readings are as follows: Day Blood Pressure (mmHg) 1 120/80 2 122/87 3 133/88
25.
A patient complains of redness and itching in the left eye. The doctor prescribes atropine eye drops to facilitate a thorough eye examination. Where should the nurse instill the eye drops?
26.
A 30-year-old woman is visited at home by the district nurse following the delivery of her second full-term child. After her first delivery, she developed a breast infection (mastitis) and had to stop breastfeeding due to pain. She asks the nurse how she can prevent this complication with her current infant. What is the most appropriate response?
27.
The district nurse visits a 30-year-old woman at home, 3 days after delivering her second full-term baby. She reports that during her first pregnancy, she developed a painful breast infection (mastitis) and had to stop breastfeeding. The mother expresses concern and asks the nurse, “How can I prevent getting another breast infection this time?”
28.
Which statement by a parent indicates the BEST understanding of the rationale for this instruction?
29.
Which of the following instructions should the nurse emphasize?
30.
Which dietary plan is most appropriate for this patient?
31.
What is the MOST likely cause of these symptoms?
32.
Which statement by the patient indicates a basic understanding of the disease and its treatment?
33.
Which of the following describes the correct sequence of the nursing process?
34.
What should the nurse do next?
35.
Which of the following procedures would help confirm the diagnosis?
36.
Based on this history, the child most likely has which of the following conditions?
37.
Which of the following should be the priority goal for this client?
38.
Based on these findings, what is the nurse’s priority action to initiate care?
39.
Which of the following breathing patterns should the nurse teach the client?
40.
Knowing the goals of this technique, the nurse should respond that the primary purpose is to:
41.
Which position should the nurse place the infant in during the attack?
42.
Based on these findings, what should the nurse anticipate?
43.
What is the priority nursing care for a client with a nephrostomy tube?
44.
Which of the following is the most common symptom of MI?
45.
In which position should the nurse place the client?
46.
Which position should the client assume to relieve pain?
47.
Which of the following instructions should the nurse provide to the mother?
48.
What should the nurse do next?
49.
While assessing the child, the nurse should give PRIORITY to:
50.
Based on these findings, what is the most likely diagnosis?
