Welcome to your Prometric | DHA | HAAD mock test 2
1.
A 50-year-old client comes to the clinic with complaints of dyspepsia. The health care provider prescribes famotidine (Pepcid). During discharge teaching, what important information should the nurse include about this medication?
2.
A 60-year-old client is admitted for evaluation after multiple positive fecal occult blood tests. The nurse notes no obvious signs of bleeding. Considering the client’s history, which laboratory result should the nurse recognize as most concerning?
3.
A 58-year-old client with severe gastritis vomits a large amount of blood. The health care provider orders a gastric lavage. When the nurse instills a room-temperature irrigating solution, which response should the nurse expect?
4.
A 42-year-old client is receiving a blood transfusion following emergency surgery. Shortly after initiation, the client develops fever, chills, and complains of low back pain. What is the nurse’s first action?
5.
A nurse enters a postpartum room and sees new parents observing their newborn lying in the bassinet with eyes wide open. What is the most appropriate action for the nurse to take in response to the infant’s behavior?
6.
A 26-year-old client, G1P1, has just delivered a healthy newborn. The client’s blood type is B negative, and the newborn’s blood type is O positive. What should the nurse include in the plan of care?
7.
A nurse is caring for a newborn when the mother notices a small spot of red vaginal discharge on the diaper and expresses concern. How should the nurse respond?
8.
A nurse is caring for a 4-year-old child whose parent asks how the child might understand the death of a family pet. What concept of death should the nurse expect the preschool-age child to have?
9.
A 35-year-old client diagnosed with major depression is being assessed by the nurse. Which clinical manifestation most clearly reflects a disturbance in affect related to depression?
10.
A 28-year-old client is admitted to the birthing unit in active labor. The health care provider performs an amniotomy. Which physiologic change should the nurse expect after this procedure?
11.
A 27-year-old client is in labor. The nurse is assessing her and notes changes in behavior and contractions. Which client response indicates that the transition phase of labor has likely begun?
12.
A 38-year-old client with a history of alcohol abuse confides to the nurse, “Drinking is the only way I can cope with my depression.” Which strategy would likely be most effective for the client at this time?
13.
A 32-year-old client with a history of drug abuse discusses recovery options with the nurse. The nurse explores the possibility of joining Narcotics Anonymous (NA). What is a major reason NA is considered helpful in treating addictive behavior?
14.
A 60-year-old client with a history of bilateral mastectomies undergoes cardiac catheterization via the femoral artery. What is the most important nursing action after the procedure?
15.
A 68-year-old client with heart failure is prescribed digoxin (Lanoxin) and furosemide (Lasix). The client reports disliking oranges and bananas. Which fruit should the nurse encourage the client to include in the diet?
16.
A 52-year-old client is diagnosed with sexual dysfunction and tells the nurse, “Well, I guess my sex life is over.” What is the most appropriate response by the nurse?
17.
A hospitalized client rushes to the nurse, exclaiming that it sounds like a roaring fire in the bathroom. In reality, the client’s roommate has simply turned the shower on full force. What term best describes this client’s experience?
18.
A newborn diagnosed with an acquired herpes simplex virus infection is being discharged. Which developmental pattern should the nurse emphasize to the parents for ongoing monitoring at home?
19.
A 55-year-old client is prescribed tolterodine (Detrol) for overactive bladder. What is the most important instruction the nurse should provide during teaching?
20.
A nurse is teaching parents about appropriate toys for their 5-month-old infant. Which toy should not be given to the infant?
21.
A nurse is preparing a newborn who was circumcised earlier today for discharge. What instructions should the nurse provide to the parents regarding postcircumcision care?
22.
A 28-year-old client in the manic phase of bipolar disorder is argumentative, domineering, and exhibitionistic. A visitor reports that the client is running down the hall and frightening other people. What should the nurse do first?
23.
An 82-year-old client with dementia is admitted to a nursing home. During the mental status assessment, which question best evaluates the client’s ability for abstract thinking?
24.
A male client receiving hemodialysis undergoes surgery to create an arteriovenous fistula. Before discharge, the nurse reviews home care with the client and his wife. Which statement by the wife indicates that further teaching is required?
25.
An older adult male with dementia is admitted to a nursing home. During her first visit, his wife appears frail, tired, and angry, remarking sarcastically to the nurse, “Let’s see what you can do with him.” What is the nurse’s most therapeutic response?
26.
A 45-year-old client is admitted to the hospital with a new diagnosis of myasthenia gravis. During the initial assessment, for which common early clinical finding should the nurse be alert?
27.
A 42-year-old client with Addison disease is preparing for discharge from the hospital. What should the nurse emphasize when providing discharge instructions?
28.
A newborn is admitted to the neonatal intensive care unit (NICU) with a diagnosis of myelomeningocele. What is the priority nursing intervention during the first 24 hours of life?
29.
A 34-year-old client with multiple sclerosis (MS) is currently in remission. Which diversional activity should the nurse encourage that best supports the client’s needs during this period?
30.
A parent of a newborn with a cleft lip and palate asks the nurse, “How should I feed my baby since he has trouble sucking?” What information should the nurse provide regarding a safe feeding technique for this infant?
31.
A 16-week pregnant client calls the prenatal clinic and says her partner just informed her he has genital herpes. What should the nurse include when teaching the client about sexual activity during pregnancy?
32.
A client in her ninth month of pregnancy experiences painless vaginal bleeding and is admitted to the hospital. What should the nurse include in the client’s plan of care?
33.
A nurse is assessing a preterm infant admitted to the neonatal intensive care unit (NICU). Which criterion should the nurse use to accurately determine the infant’s gestational age?
34.
A nurse is caring for a preterm infant in the neonatal intensive care unit (NICU). To determine the infant’s gestational age, which criterion should the nurse use?
35.
A nurse is caring for a client diagnosed with undifferentiated schizophrenia. Which client behavior indicates improvement and suggests that the plan of care can be updated?
36.
A client diagnosed with paranoid schizophrenia, who has a history of violent behavior, is admitted to the psychiatric unit. What should the nurse do before performing the admission interview?
37.
A nurse is assigned to a newly admitted client on the psychiatric unit. What should the nurse consider the priority when establishing a therapeutic environment for this client?
38.
A 63-year-old client has undergone surgery for a fractured hip. The nurse raises three of the four side rails on the client’s bed. What is the main reason for this action?
39.
A 4½-year-old child is brought to the emergency department after falling while playing and is diagnosed with a fractured tibia. Which type of fracture should the nurse anticipate, as it is most frequently seen in children of this age?
40.
A 68-year-old client with chronic pain is prescribed transdermal fentanyl (Duragesic) 25 mcg/hr every 72 hours. What is most important for the nurse to do during the first 24 hours after starting the fentanyl patch?
41.
A client enters the emergency department complaining of shortness of breath and epigastric distress. What should the triage nurse do first?
42.
A client is scheduled for a vacuum aspiration abortion to terminate a pregnancy. What should the nurse include in the teaching plan prior to the procedure?
43.
A 28-year-old client requests information on birth control and chooses to use a diaphragm with spermicide. Which disadvantage of this method should the nurse explain to the client?
44.
A client with chronic constipation is prescribed psyllium (Metamucil) 3.5 g twice daily. What is the most important instruction the nurse should provide during teaching?
45.
A client with heart failure is prescribed a 2 g sodium diet. How should the nurse explain that a low-salt diet contributes to achieving a therapeutic outcome?
46.
A client has undergone surgery to repair a fractured right hip and is ready to begin ambulation. Where should the nurse stand when assisting the client to walk?
47.
A preschool-age child has been on bed rest since hospital admission. As the child’s condition improves, they show interest in playing. Based on the child’s developmental level and previous activity restriction, what should the nurse provide?
48.
A newborn is Rh positive, and the mother is Rh negative. The infant requires an exchange transfusion. What should the nurse explain to the parents about why their baby will receive Rh-negative blood?
49.
A child with acute epiglottitis undergoes an emergency tracheotomy and is receiving humidified air via a tracheotomy collar. Which early clinical manifestations of hypoxia should alert the nurse to suction the tracheotomy?
50.
A client is admitted to the emergency unit after sustaining a spinal cord injury. During the immediate post-injury period, what should be the nurse’s primary focus of care?
