DHA NURSE EXAM KIT-12Welcome to DHA NURSE EXAMEXAM MODEExam mode Enhance you to attend the Questions with a time limit. At the end of the exam you will get the result and you can review the correct answersPlease click on the Next Button to Start the ExamNameBusinessEmailPhone Number1.A nurse is caring for a patient who is suffering from congestive heart failure. This patient has been prescribed digitalis for the condition. You recognize that you will have to monitor the patient for digitalis toxicity. You will look for all but which of the following signs of toxicity?pulse rate over 90 bpmnausea and vomitingtachycardiabradycardia2.In a group therapy setting, one member is very demanding, repeatedly interrupting others and taking most of the group time. The nurse's best response would be what?"Will you briefly summarize your point because others need time also?"Your behavior is obnoxious and drains the group.To ignore the behavior and allow him to vent.I am so frustrated with your behavior."3.After delivery of her sixth baby, a postpartum patient is having heavy bleeding with large clots. What is the first thing that a nurse should do to alleviate the problem?notify the nursing supervisorperform fundal massagenotify her obstetricianstart intravenous Pitocin infusion4.Which of the following should the nurse assess when completing the history and physical examination of a client diagnosed with polyradiculoneuritis?Pain in the joints.Anemia.Paresthesia.Weight gain.5.You have a patient with a severe burn that will require a skin graft. She has a twin sister and the graft will be obtained from the twin. You understand that this type of graft is known as which of the following?xenografthomograftautograftisograft6.A nurse who is preparing a patient for eye surgery takes his intraocular pressure. She finds that the pressure in the right eye is 12 mm Hg and the pressure in the left eye is 17 mm Hg. The nurse would tell the patient thatThe pressure in the right eye is normal, but the pressure in the left eye is highThe pressure in both eyes is normal.The pressure in the right eye is low, but the pressure in the left eye is normalThe pressure in both eyes is high.7.A client is seen in the clinic with a diagnosis of conjunctivitis. What is the cause of conjunctivitis?excessive sodium in the bodybacterial infectionmelenafever8.The nurse is planning to teach couples the factors that influence fertility. What should not be included in the teaching plan?Stress reduction techniquesDo not doucheSexual intercourse should occur 4 times a week.Get up to urinate 1 hour after intercourse.9.There are four main symptom groups of schizophrenia. Hallucinations, delusions and bizarre behavior are classified as part of which of the following groups of symptoms?affectivepositivecognitivenegative10.You are reading the medical records of a patient who has been admitted to the hospital for depression. The records say that the type of depression is endogenous. You know that this means that the depression is caused bydysfunctional family systemreaction to environmental factorsinternal biologic deficiencydelayed psychosexual development11.You have a patient who has just had a diagnostic arthroscopy. You are instructing him about what to do when he gets home. Which of the following would you NOT instruct him to do?elevate the extremity for 24 – 48 hoursapply ice to the area involved intermittentlyresume normal activities within 12 hours so as to help reduce the swellingreport severe pain to the physician immediately12.When assessing a child with muscular dystrophy, the nurse expects which finding?Waddling gait.Pain.Joint swellingLimited range of motion (ROM).13.A nurse assesses a 76-year-old client. Which of the following should the nurse recognize to determine the differences in dementia and delirium?Short-term memory lossDelirium has an acute onsetSlowed, slurred speechAuditory hallucinations14.Which procedure or practice requires surgical asepsis?Colostomy irrigation.I.V. catheter insertion.Nasogastric tube irrigationHand washing.15.Which of the following statements about antihistamines is NOT accurate? check all answers that applyThey compete with histamine for receptor sites.They can cause CNS depression if taken with alcohol.They are used for the common cold and rhinitis.They are especially helpful for persons with COPD.They increase nasopharyngeal, gastrointestinal, and bronchial secretions16.Your patient delivered a healthy newborn 24 hours ago. When you visit her in the morning you find that she is crying yet she says that there is really nothing wrong and she doesn’t know why she is crying. Your first intervention should be which of the following?Ask her about the birth experience and allow her to talk about itTell her that she has no reason to cry because her baby is healthy and beautiful.Call her health care provider to report the situationCall her family in to cheer her up17.When removing a client's nasogatric tube, the nurse asks the client to take a deep breath and hold it. This nurse's instruction helpsdisconnect the nasogastric tube from the suctioning deviceprevent aspirationprevent the transmission of microorganismskeeps excessive amounts of secretion from entering the client's nasal passages18.Which of the following activity levels should the nurse assess for in a 26-year-old female with an anxiety disorder?The client gives responses to questions from the nurse very fast.The client is relaxed and talks about her children.The client tells the nurse, “How much longer is this going to take. I don’t have time for all of these questions.”The client does not sit still for 5 minutes before she is standing and pacing the floor.Hint19.Which of the following is the most common reason for a patient with progressive valvular heart disease to have ongoing medical care?dysrhythmiasendocarditisheart failureembolic disease20.The nurse is assisting the doctor with a sterile procedure. The nurse notices that the doctor’s hand touches one of a non-sterile area for a moment. What should this nurse do?Report the incident to the supervisor.File an incident report immediately after the procedure.Inform the doctor immediately of the break in sterile procedure and provide him with new sterile gloves.Inform the doctor after the procedure is complete21.What treatment is the most appropriate in reducing cancer-related pain?Use biofeedback techniques.Give aspirin as neededHave the client perform mild exercise to increase strengthUse heat or cold as needed.22.Your patient is being administered an isotonic IV solution for intravascular dehydration. You recognize that all of the following are characteristic of an isotonic solution exceptmay be a normal saline solution of 0.9% NShas an osmolality close to the extracellular fluidcauses fluid to move from extracellular fluid to intracellular fluiddoes not cause red blood cells to swell or shrink23.You have been caring for a patient who has tuberculosis. Before he is discharged from the hospital you instruct him about how to care for himself. Which of the following instructions would you NOT give to him?Take all prescribed medication daily for 9 – 12 months as ordered by the health care providerReport the status of your condition to health department once a month.Use proper hand washing techniques.Cough into tissues and immediately dispose of them in a special bag.24.Your patient is an infant who has been diagnosed with pyloric stenosis and has undergone surgery to repair the problem. Which of the following actions would not necessarily be a part of the infant’s postoperative care?Provide small, frequent oral feedings of glucose or electrolyte solutions within 4 – 6 hours.Position the infant on the right side in semi-Fowler position after feeding.Maintain IV hydration.Position the infant on the right side lying flat position after feeding.25.You have a patient who is suspected of having esophageal cancer. You understand that which of the following is most likely to be used to confirm that diagnosis?endoscopy and biopsyCT scantracheostomy and biopsyPET scan26.A woman has given birth at 32 weeks of gestation. The newborn is in respiratory distress. Resuscitative efforts have been administered and these efforts are evaluated by the Silverman-Anderson Index of Respiratory Distress. The criteria graded include which of the following? check all answers that applyupper chest synchronizationcryinglower chest retractionsskin colornares dilation27.Which of the following would NOT be an appropriate nursing intervention for a preterm newborn?Avoid touching the infant as much as possible.Monitor intake and output along with electrolyte balanceMonitor weight daily.Monitor vital signs every 2 to 4 hours.28.A 40-year-old client has undergone a knee arthroscopy. Which of the following postoperative actions should the nurse perform to prevent swelling?Apply hot packs over the knee area to diminish swellingWrap the client’s joints with a compression dressingEngage the client in range of motion activitiesEncourage the client to walk daily a few feet in the hallway29.You are caring for a woman who is in her second pregnancy. She has a healthy 2-year-old boy from her previous pregnancy. She is complaining that during this pregnancy she has been suffering from hemorrhoids and is in pain from them a lot of the time. What is the first thing that you would suggest to this woman to help alleviate the problem?surgerya steroid-based creamoral medicationa high fiber diet30.What would the nurse expect to see in an elderly client's skin?Increased sweat productionIncreased nail growth.Increased elasticity.Slowed healing.31.A client is brought to the emergency department and the physician determines he has gastrointestinal (GI) bleeding. In planning for his care, which of the following would be first priority?complete abdominal examinationassessment of vital signsinsertion of a nasogastric tube and Hematest of emesisthorough investigation of precipitating events32.A client is being discharged from the hospital with a prescription for Coumadin. Which of the following statements indicates to the nurse that the client has understood the nurse's instructions?“I only have to be careful of big cuts, since small ones won't hurt me.”“Since I can't use a regular razor while I am on Coumadin, I guess I'll have to go buy an electric one.“I will be glad to get home and drink a few beers.”“I can still take my normal aspirin dosage.”33.You are caring for a 4 year old with the diagnosis of human immunodeficiency virus (HIV) infection. With consideration of this child's psychosocial needs, the nurse expects thatPneumococcal and influenza vaccines a.re recommendedHousehold members need to avoid receiving the varicella vaccine.A Western blot test needs to be performed and the results evaluated before immunizationsHepatitis B vaccine will not be given to this child.34.The physician orders Lispro for a client with diabetes. What type of preparation is Lispro?Rapid acting.Long acting.Intermediate acting.Short acting35.The nurse asks the client, "How many packs of cigarettes did you say you smoke a week?" The client answers, "One pack." Where should the nurse record this information?Medical historySystem review formPhysical assessmentDiagnosis section.36.The nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should do what?Walk barefoot at least once each day.Cut the toenails by rounding edges.Use commercial preparations to remove cornsWash and inspect the feet daily37.When caring for a client during the second stage of labor, which action would be least appropriate?allowing the client clear liquidsassisting the client with pushingensuring the client's legs are positioned appropriatelymonitoring the fetal heart rateHint38.An African man suffers from aggressive behaviors. He attempts to injure others in his village. He is most likely suffering from what culture-bound disorder?Anorexia nervosa.Running amok.Brain fog.Possession by “Zar”.39.A client suspected of having colorectal cancer will require which diagnostic study to confirm the diagnosis?SigmoidoscopyAbdominal computed tomography (CT) scanCarcinoembryonic antigen (CEA)Stool Hematest40.An 80-year-old client who is admitted to the hospital has a pressure ulcer. The client lives alone at his residence. Which of the following dressings should the nurse apply to the client's wound?Polyurethane foam dressingClear absorbent acrylic dressing.Alginates dressing.Hydrocolloid dressing41.You are examining a child who is suspected of having measles. Which of the following would NOT be an indication of measles?Koplik spots on the buccal mucosaa confluent rash that begins on the face and spreads downwardphotophobiaparotid gland swelling42.Which of the following is the fourth step of the grieving process?BargainingDenial.DepressionAcceptance.43.Which of the following is NOT an accurate statement regarding informed consent?A client's questions must be answered before the signing of the consent.These consents may be signed by a client over 18 years of age that is competent.These consents are legal documents that indicate the client's permission to receive a type of treatment or procedureThe nurse must find a non-medical professional to witness the informed consent form signature.44.Which of the following clinical signs could be assessed while obtaining a peripheral pulse?dyspneaelasticity of the aterial wallrhythms of the diaphragmjaundice45.The physician prescribes lithium to a client with bipolar disorder. The client is in the manic phase and has just begun medication. Which of the following best identifies the number of times the client will need to have blood levels drawn for monitoring the therapeutic level of this medication?1 time per week2-3 times per weekOnce a monthOnce every 6 months46.A pregnant woman comes into the office for a six month check up and mentions to the nurse that she is gaining so much weight that even her shoes and rings are getting tight. The nurse should plan with of the following to care for the client?Further assessment of her weight, blood pressure, and urineReassurance that weight gain is normal as long as it does not exceed 25 poundsTeaching about the food pyramid and the importance of a well-balanced diet.Encourage the use of a comfortable walking shoe with a medium heel47.Which clinical indicator is the nurse most likely to identify when exploring the history of a client with insomnia?Sleepwalking.EnuresisIrritability.Sleep talking.48.You are caring for a patient who has a delusional disorder. The patient insists that the television in his room be removed because aliens are sending messages to him through the television. Which of the following actions is best for this patient?Turn on the television to show him that what he is thinking is not true.Explain calmly to the patient that what he thinks is impossibleDo not argue with the patient. Just listen.Agree with the patient.49.A client who agreed to become an organ donor is pronounced dead. What is/are the MOST important factor(s) in selecting a transplant recipient?Sex and sizeCompatible blood and tissue types.Blood relationship.Need.50.What information is most important to teach a client who is receiving furosemide (Lasix)?Make position changes quickly to reduce orthostatic hypotensionContact the physician immediately when experiencing a coughing sensation in the chest.Report to the physician a weight gain of 3lbs. or more in one dayTake calcium supplements daily.51.A client is having a seizure. Which of the following is a nursing action?Restrain the client.Insert a spoon in the client's mouth to open the breathing pathways.Stay with the client until the seizure is overTighten clothing around the client's neck.52.The nurse assesses a child who is dehydrated. The child has lost 15% of his body weight. The nurse suspects what of the child?The child has mild dehydrationThe child is not dehydrated any longerThe child has moderate dehydrationThe child has severe dehydration53.The nurse is caring for a client under great stress. The client describes feeling nervous and having difficulty focusing on her work. Pulse and respiratory rate are slightly elevated. The nurse recognizes this client is experiencing what level of anxiety?severe anxietymoderate anxietypanicmild anxiety54.When caring for a client with chest pain, which of the following should the nurse assess as an indictor of pain?Excessive yawningRapid leg movementRubbing of the jawRaising the hands over the head55.You have made an error in documenting assessment findings on a client and obtain the record in order to correct this error. The RN knows that to correct this error you must:Document a late entry into the client's record.Draw a line through the error, initial and date the line, and then document the correct information.Use whiteout to delete the error to write in the correct data.Try to erase the error for space to write in the correct data.56.Your patient has AIDS. He is in the hospital suffering from an infection. He presented with severe watery diarrhea, abdominal cramps, nausea, malaise and has an electrolyte imbalance. Which of the following opportunistic infections do these symptoms best describe?Kaposi’s sarcomaCMV colitisperirectal mucocutaneous herpes simplex viruscryptosporidiosisHint57.The nurse is caring for a client experiencing an acute asthma attack. The client stops wheezing and breath sounds are not audible. Why did this change occur?The swelling has decreased.The attack is over.The airways are so swollen that no air can get through.Crackles have replaced wheezes.58.Which of the following is a risk factor for the development of aortic dissections?Hypertension.Stroke.Anemia.Diabetes mellitus59.Distributing HIV brochures and holding a presentation at a health fair is an example of which of the following?Lifestyle and behavior changeInformation disseminationHealth risk appraisal and wellness assessmentEnvironmental control program60.Every day for the past 2 weeks, a client with schizophrenia stands up during group therapy and screams, "Get out of here right now! The elevator bombs are going to explode in 3 minutes!" The next time this happens how should the nurse respond?"I know you think there are bombs in the elevator, but there are not.""That is the same thing you said in yesterday's session.""Why do you think there is a bomb in the elevator?""If you have something to say, you must do it according to our group rules."61.Which of the following occurs when a newborn looses heat?the newborn becomes hyperglycemicthe newborn reduces its failure to thrivethe newborn is unable to crythe newborn uses more oxygen62.Your patient and his family are recent immigrants and have a limited ability to understand and act on health information. You understand that this patient and family are lacking which of the following?health literacyhealth disparityconsumer consciousnesscultural competence63.You have a diabetic patient whose usually has pre-breakfast hyperglycemia. This is known as which of the following?sundowningdawn phenomenonSomogyi phenomenonlipodystrophy64.Which of the following is an example of a primary preventive measure?avoiding overexposure to the sunparticipating in a cardiac rehabilitation programobtaining an annual physical examinationpracticing monthly breast self-examination65.After a gastrectomy, the nurse should evaluate the client carefully for which of the following complications?Postprandial hyperglycemia.Dumping syndrome.Septicemia.Gangrene of the bowel.66.What is the most appropriate instruction for a patient with COPD?Eat 3 regular meals per day.Walk every morningCall the doctor if you get a cold.Do not receive a flu shot this year.67.To evaluate a client's reason for seeking care, the nurse performs deep palpation. The purpose of deep palpation is to assess which of the following?HydrationSkin turgorTemperatureOrgans68.A client with respiratory failure had a PaCO2 of 99. The nurse knows an elevated PaCO2 can cause symptoms ofhypercapniahyperthyroidismhyperacidosishypertension69.A client has surgical repair for a detached right retina. Which of the following should the nurse NOT do?Orient the client to the environment of the room.Discourage bending downApproach the client from the right side.Administer a stool softener.70.When assessing an infant's foot for the Babinski reflex, the nurse would watch the toes for which of the following responses?CardianTicklingForsenbergFanningBe sure to click Submit Exam to see your results! Time's upSubmit a Comment Cancel replyYour email address will not be published. Required fields are marked *Comment *Name * Email * Website Save my name, email, and website in this browser for the next time I comment.
