Prometric DHA HAAD Mock Test 9
1.
A 45-year-old client with multiple sclerosis (MS) is experiencing chronic constipation due to decreased mobility and muscle weakness. The nurse develops a bowel-retraining plan to help the client achieve regular bowel movements. Which of the following measures is likely to be least helpful to the client?
2.
A 12-year-old child presents with fever, joint pain, and a history of sore throat two weeks ago. The physician suspects rheumatic fever. The nurse recalls that which of the following organisms is responsible for the onset of this condition?
3.
A postpartum woman is being discharged after a normal vaginal delivery. The nurse instructs her to perform Kegel exercises regularly at home. The nurse explains that these exercises are recommended for which of the following reasons?
4.
A nurse is preparing to discharge a patient who has recovered from third-degree burns on the lower extremities. To help prevent infection during home care, which of the following discharge instructions is most appropriate for the nurse to give?
5.
A nurse is caring for several patients in a hospital ward where one patient has a contagious infection. To prevent the spread of infection to other patients, which of the following procedures is most effective for the nurse to implement?
6.
During a routine health assessment, a nurse measures the radial pulse of a 30-year-old adult patient. The nurse knows that which of the following represents the normal pulse range for an adult?
7.
A 4-year-old girl was playing in the park when she suddenly began crying and holding her right upper arm. Two hours later, she arrives at the emergency department with swelling, redness, pain, and itching at the bite site, along with swelling of the oral mucosa and mild difficulty breathing. What is the next most appropriate step in management?
8.
A 65-year-old man presents with a resting tremor in his right hand, slowness of movement, and decreased arm swing while walking. He also complains of fatigue, poor sleep, and progressive worsening of symptoms over several months. The nurse recognizes these findings as consistent with Parkinson’s disease. Which medication is most likely to be administered to manage his symptoms?
9.
An 8-month-old infant is being discharged after hospitalization for bronchiolitis caused by the respiratory syncytial virus (RSV). The nurse is preparing discharge teaching for the parents. Which of the following points should the nurse emphasize during the teaching?
10.
A home care nurse visits a diabetic patient recently started on insulin injections. During assessment, the nurse notices small lumps and dents on the patient’s right upper arm at previous injection sites. What is the best nursing intervention at this time?
11.
A 7-year-old child with type 1 diabetes is prescribed a morning dose of a combination of regular and NPH insulin. The nurse is planning the administration schedule. When is the correct time to give this insulin to ensure optimal blood glucose control?
12.
A client with diabetes has an order for 10 units of regular insulin to be administered at 7:00 a.m. The nurse plans to ensure the client’s safety regarding blood glucose levels. At what time should the nurse offer a snack to prevent hypoglycemia?
13.
A client with diabetes is prescribed NPH insulin to be administered at 8:00 a.m. The nurse is planning meal and snack times to prevent hypoglycemia. When should the nurse offer a snack to the client?
14.
A client with diabetes presents to the emergency department with severe hyperglycemia. The nurse measures a blood glucose of 510 mg/dL. The physician orders IV insulin for rapid control. Which type of insulin can be administered both intravenously and subcutaneously?
15.
A client with type 1 diabetes mellitus receives 5 units of NPH insulin every morning at 7:00 a.m. The nurse plans to monitor the client for hypoglycemia. At what time is the client most at risk for low blood glucose levels?
16.
A nurse is reviewing a client’s medication orders and notes that the client is prescribed NPH insulin for blood glucose control. The nurse identifies this insulin as an example of which type of insulin?
17.
A 65-year-old man with a new diagnosis of congestive heart failure is being discharged. His discharge orders include furosemide 40 mg orally twice daily. The nurse is providing dietary teaching to help reduce unwanted side effects of the medication. Which of the following foods should the nurse recommend?
18.
A 7-year-old child is brought to the clinic with several round lesions on the scalp. The lesions have dandruff-like scaling and some hair loss in the affected areas. Based on these findings, what is the most likely diagnosis?
19.
A 40-year-old woman sustained a C4 spinal cord injury in an automobile accident one month ago. As part of her preventive care, she performs independent daily coughing and deep-breathing exercises. Which type of range-of-motion (ROM) exercise would be most beneficial to maintain her mobility and prevent complications?
20.
A 9-year-old girl is diagnosed with altered body image related to appearance changes secondary to varicella infection. Her body is covered with a rash and large, weeping pustules. The nurse provides counseling to her mother, who is concerned that the child may develop permanent scarring. Which intervention is most appropriate?
21.
A client presents to the clinic with complaints of weight gain, fatigue, and mood changes. The nurse suspects Cushing’s syndrome. Which of the following findings would the nurse expect to observe in this client?
22.
A 35-year-old patient is recovering from a full-thickness burn injury sustained two months ago. The nurse is reviewing potential long-term nutritional deficiencies related to burn recovery. Which vitamin deficiency is most likely to occur in this patient?
23.
A client with erectile dysfunction is prescribed sildenafil (Viagra). Before administration, the nurse reviews the client’s medical history. The nurse would question the prescription if which of the following conditions is documented in the client’s record?
24.
A client is prescribed 1 liter of normal saline to be infused over four hours. The nurse needs to calculate the hourly infusion rate. How much normal saline should be delivered to the patient per hour?
25.
A 7-year-old child presents with fatigue, frequent infections, and easy bruising. The physician suspects leukemia. Which of the following is considered the best diagnostic test to confirm the diagnosis?
26.
A 6-year-old child has been admitted with a new diagnosis of leukemia. The nurse is planning care for the child. What should be considered the primary nursing goal in caring for this patient?
27.
A nurse is caring for a client requiring low-flow oxygen therapy via a nasal cannula. To ensure safe and effective oxygen delivery, the nurse needs to know the recommended oxygen flow rate for this device.
28.
A client is being assessed for deep vein thrombosis (DVT) in the lower extremities. The nurse decides to check Homans’ sign. If the client has a thrombus in one of the leg veins, which response would the nurse expect to observe?
29.
A nurse is assessing a client for deep vein thrombosis (DVT) using Homans’ sign. Which technique should the nurse use to obtain the most accurate assessment?
30.
A nurse is developing a nursing care plan for a client admitted with pneumonia. The nurse documents the actions to be taken to meet the client’s goals. Which phase of the nursing process includes these actions?
31.
A client has undergone a vein ligation and stripping procedure for varicose veins. The nurse is providing postoperative care instructions. Which of the following actions should the patient follow to promote recovery?
32.
A client has just undergone a vein ligation and stripping procedure for varicose veins. The nurse is teaching the patient about postoperative care. Which of the following actions should the patient follow?
33.
A patient presents to the clinic after being bitten by a stray dog. The nurse reviews the patient’s history and considers the risk of rabies infection. Rabies disease is classified as which of the following?
34.
A client is receiving an IV infusion when the nurse observes that the skin around the insertion site is red, warm, and painful. What should the nurse do first in response to these findings?
35.
A client has a cast applied to the forearm following a fracture. The nurse is performing routine assessments to monitor for complications. Which is the most significant complication that the nurse should assess for in the client’s extremity?
36.
A 36-week pregnant client comes to the clinic for a routine assessment. The nurse is evaluating the client’s legs for expected physiological changes during late pregnancy. Which of the following findings should the nurse expect?
37.
A nurse is preparing to assess the pulse of a 2-year-old toddler during a routine check-up. Which of the following is the best nursing action to obtain an accurate pulse measurement?
38.
A client is admitted with a productive cough. The nurse is planning care to help the patient effectively remove respiratory secretions. Which of the following interventions would facilitate this goal?
39.
A 73-year-old patient is being assessed in the emergency department. She looks at you when spoken to, but when asked the date, she responds with “blue.” You also note left-sided weakness when she grips your hand. What is her Glasgow Coma Scale (GCS) score?
40.
A patient is being assessed in the emergency department. During examination, the patient opens his eyes only in response to pain, makes no verbal response, but withdraws from painful stimuli. What is the patient’s Glasgow Coma Scale (GCS) score?
41.
A newborn has APGAR scores of 5 at 1 minute and 10 at 5 minutes. Half an hour later, the baby becomes bluish in color with a heart rate of 140/min. What should be the nurse’s first action?
42.
A nurse is performing Apgar scoring on a newborn immediately after birth. Which parameter is considered the primary critical observation when evaluating the newborn’s condition?
43.
A nurse is performing a complete newborn assessment immediately after birth. To minimize stress for the infant, in which sequence should the nurse measure the vital signs?
44.
A newborn is being assessed immediately after delivery. Within the first 3 minutes after birth, what is the expected normal heart rate range for the infant?
45.
A newborn is being assessed within the first 3 minutes after birth. What is the expected respiratory rate for a neonate during this period?
46.
A nurse is providing immediate postnatal care to a newborn. Which intervention should be considered the highest nursing priority during this period?
47.
A patient is prescribed omeprazole tablets for gastroesophageal reflux disease (GERD). The nurse is providing medication teaching. Which instruction regarding the timing of omeprazole administration is most appropriate?
48.
A patient arrives in the emergency room. On examination, the nurse notes increased heart rate, low blood pressure, and decreased level of consciousness. Which condition should the nurse suspect the patient is developing?
49.
A parent asks the nurse about preventive vaccinations for common infectious diseases. The nurse reviews which of the following diseases currently has no available vaccine?
50.
A patient presents to the burn unit after sustaining a severe injury. The nurse observes that all layers of the skin are destroyed, and there is damage to underlying structures such as muscles and bones. What type of burn does this describe?
