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HAAD Licensure Examination for Registered Nurses Sample Questions:

1. A patient who sustained a chest injury has a chest tube inserted which is connected to an under water seal drainage system. When caring for this patient the nurse will:

A) Administer hourly analgesia
B) Clamp the tube when needed
C) Instruct the patient to limit movement of the affected shoulder
D) Observe for fluctuation of the water level

2. The apical pulse can be best auscultated at the:

A) Left 2nd intercostal space at the left sternal border
B) Left 2nd intercostal space lateral to the mid clavicular line
C) Left 5th intercostal space at the mid clavicular line
D) Left 5th intercostal space at the mid axillary line

3. A patient presents to the emergency department with diminished and thready pulses, hypotension and an increased pulse rate. The patient reports weight loss, lethargy, and decreased urine output. The lab work reveals increased urine specific gravity. The nurse should suspect:

A) Renal failure
B) Dehydration
C) Sepsis
D) Pneumonia

4. The patient's pre-operative blood pressure was 120/68 mmHg. On admission to the Post Anesthesia Care Unit, the blood pressure was 124/70 mmHg. Thirty minutes after admission, the patient's blood pressure falls to 112/60 mmHg, pulse to 72 BPM, and the skin appears warm and dry. The most appropriate action by the nurse at this time is to:

A) Raise the head of the bed
B) Increase the rate of IV fluid replacement
C) Continue to monitor the patient
D) Notify the anesthetist immediately

5. While assessing an 84-year-old post-operative patient, the nurse observes that the patient suddenly becomes very anxious, appears cyanotic and has severe dyspnea. The nurse recognizes these symptoms to be consistent with:

A) Pulmonary embolism
B) Congestive heart failure
C) COPD exacerbation
D) Myocardial infarction

Solutions: