DHA NURSE EXAM MODEWelcome 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 client is seen in the clinic with a diagnosis of conjunctivitis. What is the cause of conjunctivitis?bacterial infectionfeverexcessive sodium in the bodymelena2.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 swelling3.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?surgeryoral medicationa high fiber dieta steroid-based cream4.What is the most appropriate instruction for a patient with COPD?Do not receive a flu shot this year.Eat 3 regular meals per day.Walk every morningCall the doctor if you get a cold.5.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?To ignore the behavior and allow him to vent.I am so frustrated with your behavior.""Will you briefly summarize your point because others need time also?"Your behavior is obnoxious and drains the group.6.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 itCall her family in to cheer her upCall her health care provider to report the situationTell her that she has no reason to cry because her baby is healthy and beautiful.7.When removing a client's nasogatric tube, the nurse asks the client to take a deep breath and hold it. This nurse's instruction helpsprevent aspirationprevent the transmission of microorganismsdisconnect the nasogastric tube from the suctioning devicekeeps excessive amounts of secretion from entering the client's nasal passages8.When assessing an infant's foot for the Babinski reflex, the nurse would watch the toes for which of the following responses?FanningCardianForsenbergTickling9.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?autografthomograftxenograftisograft10.The nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should do what?Cut the toenails by rounding edges.Walk barefoot at least once each day.Wash and inspect the feet dailyUse commercial preparations to remove corns11.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 applynares dilationskin colorlower chest retractionsupper chest synchronizationcrying12.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?mild anxietymoderate anxietysevere anxietypanic13.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?System review formMedical historyPhysical assessmentDiagnosis section.14.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?assessment of vital signsinsertion of a nasogastric tube and Hematest of emesiscomplete abdominal examinationthorough investigation of precipitating events15.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:Try to erase the error for space to write in the correct data.Use whiteout to delete the error to write in the correct data.Draw a line through the error, initial and date the line, and then document the correct information.Document a late entry into the client's record.16.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.""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.""That is the same thing you said in yesterday's session."17.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 moderate dehydrationThe child is not dehydrated any longerThe child has mild dehydrationThe child has severe dehydration18.A 40-year-old client has undergone a knee arthroscopy. Which of the following postoperative actions should the nurse perform to prevent swelling?Engage the client in range of motion activitiesWrap the client’s joints with a compression dressingEncourage the client to walk daily a few feet in the hallwayApply hot packs over the knee area to diminish swelling19.Which of the following is the most common reason for a patient with progressive valvular heart disease to have ongoing medical care?dysrhythmiasembolic diseaseheart failureendocarditis20.The nurse is planning to teach couples the factors that influence fertility. What should not be included in the teaching plan?Get up to urinate 1 hour after intercourse.Do not doucheStress reduction techniquesSexual intercourse should occur 4 times a week.21.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?Skin turgorHydrationTemperatureOrgans22.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?consumer consciousnesshealth disparityhealth literacycultural competence23.What would the nurse expect to see in an elderly client's skin?Increased elasticity.Increased nail growth.Slowed healing.Increased sweat production24.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?Crackles have replaced wheezes.The swelling has decreased.The airways are so swollen that no air can get through.The attack is over.25.A client suspected of having colorectal cancer will require which diagnostic study to confirm the diagnosis?SigmoidoscopyStool HematestAbdominal computed tomography (CT) scanCarcinoembryonic antigen (CEA)26.When caring for a client with chest pain, which of the following should the nurse assess as an indictor of pain?Raising the hands over the headRubbing of the jawExcessive yawningRapid leg movement27.Which of the following is an example of a primary preventive measure?obtaining an annual physical examinationparticipating in a cardiac rehabilitation programpracticing monthly breast self-examinationavoiding overexposure to the sun28.Which procedure or practice requires surgical asepsis?Colostomy irrigation.Hand washing.Nasogastric tube irrigationI.V. catheter insertion.29.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 intermittentlyreport severe pain to the physician immediatelyresume normal activities within 12 hours so as to help reduce the swelling30.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 both eyes is high.The pressure in the right eye is low, but the pressure in the left eye is normalThe pressure in both eyes is normal.The pressure in the right eye is normal, but the pressure in the left eye is high31.Which of the following activity levels should the nurse assess for in a 26-year-old female with an anxiety disorder?The client does not sit still for 5 minutes before she is standing and pacing the floor.The client is relaxed and talks about her children.The client gives responses to questions from the nurse very fast.The client tells the nurse, “How much longer is this going to take. I don’t have time for all of these questions.”Hint32.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?Agree with the patient.Do not argue with the patient. Just listen.Explain calmly to the patient that what he thinks is impossibleTurn on the television to show him that what he is thinking is not true.33.Which of the following would NOT be an appropriate nursing intervention for a preterm newborn?Monitor intake and output along with electrolyte balanceAvoid touching the infant as much as possible.Monitor vital signs every 2 to 4 hours.Monitor weight daily.34.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?Teaching about the food pyramid and the importance of a well-balanced diet.Encourage the use of a comfortable walking shoe with a medium heelFurther assessment of her weight, blood pressure, and urineReassurance that weight gain is normal as long as it does not exceed 25 pounds35.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 exceptcauses fluid to move from extracellular fluid to intracellular fluiddoes not cause red blood cells to swell or shrinkmay be a normal saline solution of 0.9% NShas an osmolality close to the extracellular fluid36.Which of the following is NOT an accurate statement regarding informed consent?The nurse must find a non-medical professional to witness the informed consent form signature.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 procedure37.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?2-3 times per weekOnce every 6 monthsOnce a month1 time per week38.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?Position the infant on the right side in semi-Fowler position after feeding.Provide small, frequent oral feedings of glucose or electrolyte solutions within 4 – 6 hours.Maintain IV hydration.Position the infant on the right side lying flat position after feeding.39.Which of the following should the nurse assess when completing the history and physical examination of a client diagnosed with polyradiculoneuritis?Anemia.Paresthesia.Pain in the joints.Weight gain.40.Distributing HIV brochures and holding a presentation at a health fair is an example of which of the following?Information disseminationLifestyle and behavior changeEnvironmental control programHealth risk appraisal and wellness assessment41.The physician orders Lispro for a client with diabetes. What type of preparation is Lispro?Long acting.Intermediate acting.Short actingRapid acting.42.When caring for a client during the second stage of labor, which action would be least appropriate?allowing the client clear liquidsensuring the client's legs are positioned appropriatelyassisting the client with pushingmonitoring the fetal heart rateHint43.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?Cough into tissues and immediately dispose of them in a special bag.Use proper hand washing techniques.Report the status of your condition to health department once a month.Take all prescribed medication daily for 9 – 12 months as ordered by the health care provider44.A client has surgical repair for a detached right retina. Which of the following should the nurse NOT do?Discourage bending downApproach the client from the right side.Administer a stool softener.Orient the client to the environment of the room.45.Which of the following statements about antihistamines is NOT accurate? check all answers that applyThey are especially helpful for persons with COPD.They increase nasopharyngeal, gastrointestinal, and bronchial secretionsThey are used for the common cold and rhinitis.They can cause CNS depression if taken with alcohol.They compete with histamine for receptor sites.46.After a gastrectomy, the nurse should evaluate the client carefully for which of the following complications?Septicemia.Dumping syndrome.Postprandial hyperglycemia.Gangrene of the bowel.47.Which of the following occurs when a newborn looses heat?the newborn uses more oxygenthe newborn becomes hyperglycemicthe newborn is unable to crythe newborn reduces its failure to thrive48.Which clinical indicator is the nurse most likely to identify when exploring the history of a client with insomnia?EnuresisSleepwalking.Irritability.Sleep talking.49.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?perform fundal massagestart intravenous Pitocin infusionnotify the nursing supervisornotify her obstetrician50.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?Running amok.Possession by “Zar”.Brain fog.Anorexia nervosa.51.When assessing a child with muscular dystrophy, the nurse expects which finding?Limited range of motion (ROM).Joint swellingWaddling gait.Pain.52.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 biopsytracheostomy and biopsyPET scanCT scan53.A client is having a seizure. Which of the following is a nursing action?Tighten clothing around the client's neck.Restrain the client.Stay with the client until the seizure is overInsert a spoon in the client's mouth to open the breathing pathways.54.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 viruscryptosporidiosisHint55.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 bydelayed psychosexual developmentdysfunctional family systemreaction to environmental factorsinternal biologic deficiency56.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?bradycardianausea and vomitingtachycardiapulse rate over 90 bpm57.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?Need.Blood relationship.Compatible blood and tissue types.Sex and size58.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 dressingAlginates dressing.Clear absorbent acrylic dressing.Hydrocolloid dressing59.A client with respiratory failure had a PaCO2 of 99. The nurse knows an elevated PaCO2 can cause symptoms ofhypercapniahypertensionhyperthyroidismhyperacidosis60.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 thatHousehold members need to avoid receiving the varicella vaccine.Pneumococcal and influenza vaccines a.re recommendedHepatitis B vaccine will not be given to this child.A Western blot test needs to be performed and the results evaluated before immunizations61.Which of the following is a risk factor for the development of aortic dissections?Anemia.Hypertension.Stroke.Diabetes mellitus62.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.Inform the doctor after the procedure is completeFile an incident report immediately after the procedure.Inform the doctor immediately of the break in sterile procedure and provide him with new sterile gloves.63.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?“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 only have to be careful of big cuts, since small ones won't hurt me.”“I can still take my normal aspirin dosage.”“I will be glad to get home and drink a few beers.”64.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?negativepositivecognitiveaffective65.Which of the following clinical signs could be assessed while obtaining a peripheral pulse?dyspneaelasticity of the aterial walljaundicerhythms of the diaphragm66.You have a diabetic patient whose usually has pre-breakfast hyperglycemia. This is known as which of the following?dawn phenomenonsundowninglipodystrophySomogyi phenomenon67.Which of the following is the fourth step of the grieving process?DepressionBargainingAcceptance.Denial.68.What treatment is the most appropriate in reducing cancer-related pain?Use biofeedback techniques.Give aspirin as neededUse heat or cold as needed.Have the client perform mild exercise to increase strength69.What information is most important to teach a client who is receiving furosemide (Lasix)?Report to the physician a weight gain of 3lbs. or more in one dayMake position changes quickly to reduce orthostatic hypotensionTake calcium supplements daily.Contact the physician immediately when experiencing a coughing sensation in the chest.70.A nurse assesses a 76-year-old client. Which of the following should the nurse recognize to determine the differences in dementia and delirium?Auditory hallucinationsDelirium has an acute onsetSlowed, slurred speechShort-term memory lossBe sure to click Submit Exam to see your results! Time's up