Prometric DHA HAAD Mock test 6
1.
According to the coverage schedule; how many unites you would give your patient:
The nurse is caring for a diabetic child whose 11 m. blood glucose monitoring check is 269 mg/dL. The physician orders the following coverage schedule:
- 150 to 200 mg/dL—2 units of Humulin R
- 201 to 250 mg/dL—4 units of Humulin R
- 251 to 300 mg/dL—6 units of Humulin R
- 301 to 350 mg/dL—8 units of Humulin R
- 351 to 399 mg/dL—10 units of Humulin R
- Over 400 mg/dL—call the physician
2.
What is the name of this process?
3.
What type of stool should the nurse expect from this patient?
4.
Which position should the nurse assist the client into for the procedure?
5.
A nurse is preparing to insert a nasogastric (NG) tube into a 45-year-old postoperative patient who requires gastric decompression. Which position should the nurse place the client in for the insertion of the NG tube?
6.
A 56-year-old patient is admitted with swelling, redness, and pain in the left calf. The diagnosis of deep vein thrombosis (DVT) is confirmed. When developing the plan of care, which client position or activity should the nurse include?
7.
A 30-year-old woman in active labor is transported to the operating room for an emergency cesarean section. After being transferred to the delivery table, the nurse positions the client to promote optimal maternal and fetal circulation. In which position should the nurse place the client?
8.
A 72-year-old client is 1 day postoperative following a right total hip replacement. The nurse is repositioning the client to promote comfort and prevent postoperative complications. Which position should the nurse place the client in?
9.
A 45-year-old client is admitted to the intensive care unit with a diagnosis of increased intracranial pressure (ICP) following a head injury. The nurse aims to optimize cerebral perfusion while minimizing further rise in ICP. Which position is most appropriate for this client?
10.
A 60-year-old client with a history of chronic constipation is admitted with complaints of abdominal discomfort and no bowel movement for five days. The healthcare provider orders a cleansing enema for fecal impaction. Before administering the enema, in which position should the nurse place the client?
11.
A 58-year-old client has just returned to the surgical unit after undergoing an above-knee amputation of the right leg. The nurse is preparing to position the client to promote comfort and prevent complications. In which position should the nurse place the client?
12.
A 40-year-old client with severe second- and third-degree burns on the lower leg is scheduled for an autograft procedure. After surgery, the nurse develops a postoperative plan of care. Which nursing intervention should be included in the plan?
13.
A 60-year-old male client has just returned to the nursing unit after undergoing a cardiac catheterization via the right femoral artery. The nurse reviews the physician’s orders before planning the client’s post-procedure care. Which position or activity should the nurse allow for this client?
14.
A 72-year-old client has just returned to the nursing unit following a total hip replacement. The nurse is planning postoperative care and considers the safest positioning for the affected hip. How should the nurse position the client’s hip?
15.
A 68-year-old client has just returned to the nursing unit following an open reduction and internal fixation (ORIF) for a fractured hip. The nurse is planning postoperative care and considers the safest positioning for the affected extremity. How should the nurse position the client’s affected leg?
16.
A 55-year-old client requires a rectal tube insertion to relieve gas. The nurse prepares to position the client appropriately for the procedure. Which position should the nurse place the client in?
17.
A 38-year-old client is experiencing constipation and has been prescribed a Fleet enema for home use. The nurse instructs the client on the correct position to use for self-administration to ensure effectiveness and safety. Which position should the client assume?
18.
A 2-year-old child has been admitted to the pediatric unit with myelomeningocele. The nurse is planning care to prevent injury to the exposed sac and promote comfort. Which position is best for this child?
19.
A newborn has just returned to the neonatal unit following surgical repair of a myelomeningocele. Unless the physician orders otherwise, in which position should the nurse place the infant during the postoperative period to promote safety and healing?
20.
A 65-year-old client has returned to the nursing unit following an above-the-knee amputation (AKA) of the right leg. The nurse is planning interventions to prevent complications such as contractures. Which action should the nurse implement?
21.
A 6-month-old infant has just returned to the pediatric unit following surgical repair of a cleft lip. The nurse is planning postoperative care. Which intervention should be included in the care plan?
22.
A 58-year-old client has returned to the nursing unit following a right below-the-knee amputation (BKA). The nurse is planning postoperative positioning to promote healing and prevent complications. How should the nurse position the client?
23.
A 70-year-old client is being assessed for fluid overload. The nurse plans to evaluate jugular vein distention (JVD) to monitor central venous pressure. To obtain the most accurate reading, at what position should the nurse place the head of the bed?
24.
A 45-year-old client has been admitted with a traumatic brain injury and is showing signs of increased intracranial pressure (ICP). The nurse is planning interventions to help reduce ICP. Which body position is most appropriate for this client?
25.
A 52-year-old client has just returned to the nursing unit following a percutaneous liver biopsy. The nurse is planning immediate postoperative care to prevent complications. Which position should the nurse place the client in?
26.
A 45-year-old client is admitted to the clinic with complaints of low back pain. The nurse is planning interventions to promote comfort. Which position is likely to be most comfortable for the client?
27.
A 45-year-old client is experiencing low back pain. The nurse is assessing positions to promote comfort and spinal alignment. Which position is the least desirable for this client?
28.
A 30-year-old client is admitted to the emergency unit experiencing an acute asthma attack with severe shortness of breath. The nurse is planning interventions to optimize breathing. Which position is most appropriate for this client?
29.
A 68-year-old client with chronic obstructive pulmonary disease (COPD) is admitted to the medical unit with worsening shortness of breath. The nurse is planning care to improve the client’s gas exchange. How can the nurse best position the client?
30.
A 55-year-old client has returned to the nursing unit following a thyroidectomy. The client develops signs of hypocalcemia, including tetany and muscle spasms. Which electrolyte should the nurse anticipate administering?
31.
A 40-year-old client is undergoing a physical assessment. When the nurse taps the client’s facial nerve at the jaw, a twitch of the lip and cheek occurs. What condition should the nurse suspect in this client?
32.
A 60-year-old client with a severe asthma attack is becoming increasingly confused and irritable. The nurse is planning interventions to improve the client’s mental status. Which method is best to decrease confusion and irritability in this patient?
33.
A 55-year-old client with chronic lung disease is being assessed in the clinic. The nurse reviews the client’s baseline vital signs and considers which factor may most affect the oxygen saturation (SpO₂) reading. Which vital sign has the greatest effect on SpO₂?
34.
A 28-year-old client is admitted to the emergency department with a stab wound to the right chest. The nurse observes that air enters the chest with each inspiration. To reduce the risk of developing a tension pneumothorax, which action should the nurse take?
35.
A 65-year-old client is admitted with pneumonia, presenting with a temperature of 102.6 °F (39.2 °C), diaphoresis, and a productive cough. The nurse is planning care to manage the client’s symptoms. Which intervention should be included in the plan of care?
36.
A 68-year-old client with chronic obstructive pulmonary disease (COPD) has the following arterial blood gas (ABG) results: pH 7.35, PaCO₂ 62 mm Hg, PaO₂ 70 mm Hg, HCO₃⁻ 34 mEq/L. The nurse is reviewing these results. What should the nurse do next?
37.
A 32-year-old client has recently started taking sertraline (Zoloft) for depression. During a follow-up assessment, the nurse notes the client experiencing nausea, headache, insomnia, and sexual dysfunction. Which symptom is most likely related to the medication?
38.
A 68-year-old client with chronic obstructive pulmonary disease (COPD) is admitted with fatigue and shortness of breath. The nurse is reviewing the client’s nutritional needs to support energy and lung function. Which diet is most appropriate for this client?
39.
A 35-year-old client with depression has been prescribed sertraline (Zoloft) 50 mg daily. During a follow-up assessment, the nurse observes the client experiencing various symptoms. Which finding should be reported to the physician?
40.
A 28-year-old client was diagnosed with depression 6 weeks ago and started on an antidepressant. One week ago, the client began complaining of irritability and reports sleeping only 3 hours per night. Which nursing action is most appropriate?
41.
A 16-year-old girl is brought to the emergency department after a suicide attempt in which she ingested a large amount of Valium (diazepam), a benzodiazepine. The nurse prepares to assist with emergency management. Which medication should the nurse anticipate administering as an antidote?
42.
A 32-year-old client is diagnosed with multiple sclerosis (MS). The nurse reviews the client’s history to anticipate common symptoms and patterns associated with the disease. Which finding would the nurse expect to see?
43.
A 45-year-old client is brought to the emergency department after an accidental morphine overdose. The nurse prepares to administer the appropriate antidote. Which medication should the nurse anticipate?
44.
A 60-year-old client with cancer has just received a hydromorphone hydrochloride (Dilaudid) injection. The nurse notes a respiratory rate of 10 breaths per minute. Which drug should the nurse be prepared to administer?
45.
A 28-year-old pregnant client receiving magnesium sulfate for preeclampsia develops signs of magnesium toxicity, including absent deep tendon reflexes and respiratory depression. Which drug should the nurse anticipate administering as an antidote?
46.
A 45-year-old client with myasthenia gravis presents to the clinic with increased muscle weakness, difficulty swallowing, and excessive salivation. The nurse suspects a cholinergic crisis. Which finding indicates that this crisis exists?
47.
A 60-year-old client with myasthenia gravis is receiving pyridostigmine (Mestinon). The client begins to show increased muscle weakness, excessive salivation, and respiratory difficulty, raising concern for a cholinergic crisis. The nurse reviews the unit’s medication supply to ensure that which of the following drugs is available for immediate administration if a cholinergic crisis occurs?
48.
A 35-year-old client is scheduled for elective abdominal surgery. Before the induction of anesthesia, the nurse prepares to administer atropine as prescribed. What is the primary purpose of giving atropine before anesthesia and surgery?
49.
A 50-year-old client presents with moon face, buffalo hump, and central obesity. Laboratory results reveal elevated cortisol levels, and the client is diagnosed with secondary Cushing’s syndrome. The nurse reviews the client’s medication history to determine the likely cause. Which of the following medications is most commonly associated with this condition?
50.
A 42-year-old client is scheduled for surgery. The preoperative medication order includes morphine 10 mg with atropine 0.4 mg IM. The nurse explains to the client what effects this injection is intended to produce. What is the primary purpose of administering this combination?
