DHA NURSE EXAM STUDY MODE Welcome to DHA NURSE EXAM STUDY MODE Study mode allow you to attend the question without any time limitation. If you want to know the correct answer please move your mouse point at the hint notification Please click on the Next Button to Start the Exam Name Business Email Phone Number 1. A 55-year-old client has gout. The client has elevated uric acid levels, which may contribute to the formation of an uric acid stone. Which of the following should the nurse instruct the client to avoid? Whole grains. Chocolate. Sardines Dried fruits. 2. Which of the following theorists created eight psychosocial stages of development? Sigmund Freud. Hildegard Peplau. Erik Erickson. Abraham Maslow. 3. Which of the following diagnostics tests looks at the inner airway and analyzes the trachea, larynx and bronchi? Bronchoscopy Pulmonary function test Thoracentesis Chest X-ray 4. When caring for an immobile client, the nurse understands that a potential problem is urinary frequency decrepitation risk for urinary deflux constipation 5. If you have a patient in your unit who often has a problem with increasing anger, which of the following would be the best place on the unit for him to de-escalate his anger? in a secluded place away from all other patients in an out-of-the-way corner near the nursing station in a far corner of the activity room in his own room 6. Which of the following nursing diagnoses is the most appropriate for a child diagnosed with autism? Imbalanced nutrition: more than body requirements related to eating in response to internal cues other than hunger. Impaired verbal communication related to altered perception. Chronic low self-esteem related to negative self-evaluation. Powerlessness related to sense of helplessness. 7. The nurse understands a client who is taking a diuretic agent may experience which of the following? Orthostatic hypotension. Dyspnea. Anorexia. Increased blood pressure. 8. A 63 year old client's wound has purulent exudate. Which of the following would the nurse identify as the bacteria responsible for making pus? hematoma bacteria keloid bacteria subdural bacteria pyogenic bacteria 9. The nurse is caring for a 5 year old child who is dehydrated. The nurse places the side rails on the bed in the upright position. Which of the following best explains why raising the bed rails is an important safety measure? children who are dehydrated develop extracelluar volume excess children who are dehydrated experience electrolyte imbalance children who are dehydrated has rapid weight gain children who are dehydrated may experience dizziness and fatigue 10. You are talking to the parents of a child who was born with a unilateral cleft lip and cleft palate. You can expect that the parents and family would NOT exhibit which of the following initial reactions grief anger and a sense of loss guilt and disappointment acceptance 11. If a client experienced a stroke that damaged the hypothalamus, the nurse would anticipate that the client has problems with which of the following? Body temperature control. Visual acuity. Balance and equilibrium Thinking and reasoning. 12. A 22-year-old is admitted to the unit for substance abuse. The doctor prescribes the client diazepam (Valium). The nurse understands that the drug is used to do what? Control seizures Prevent encephalopathy Diminish anxiety and adverse effects of withdrawal. Sedate the client. 13. The nurse is developing a list of home care instructions for a client being discharged after a laparoscopic cholecystectomy. Which of the following instructions would be least appropriate to include in the postoperative discharge plan of care? wound care follow-up care activity restrictions deep-breathing exercises 14. The final stage of family recovery involves working with the mental health system so the client will obtain treatment, a stage which reflects what? Competence Recognition and acceptance. Discovery and denial. Personal and political advocacy. 15. A postmenopausal woman has reported frequent pelvic fullness, accompanied by pain with intercourse and constipation, and she has felt something protruding from her vagina. Visual assessment reveals the end of the cervix visible at the vaginal opening. Since the woman is in good health, the most likely treatment for this condition will be what placement of a vaginal pessary Kegel exercises daily. laser ablation, followed by chemotherapy complete hysterectomy 16. The nursing assessment reveals a 2-month-old infant has a rounded chest with the anteroposterior diameter equal to the lateral diameter. Which of the following is the most appropriate conclusion of the findings? An abnormal finding, which indicates a pigeon chest is present. An abnormal finding, which identifies an obstructive lung disease. A normal finding, which indicates a funnel chest in the infan A normal finding for the age of the infant 17. A woman who is six weeks gestation asks if she can listen to the baby's heart beat. What should be included in the nurse's reply? The heart beat can be heard with an electronic fetoscope. The heart is formed and beating but is too weak to be heard with a stethoscope. The heart does not start beating until 20 weeks gestation. The heart is not beating at six weeks 18. A physician orders a 4 mg. digoxin I.V. for a client in rapid atrial fibrillation. How should the nurse proceed? Call the doctor’s superior. Talk to the pharmacist privately. Fill the dose as directed. Question the doctor as to the dose Hint 19. To prevent infection a wound should be debrided of any necrotic tissue. If you use a synthetic dressing to cover the wound and allow the enzymes naturally present in the wound fluid to digest the devitalized tissue, this is known as which of the following? sharp debridement mechanical debridement chemical debridement autolytic debridement 20. A 22-year-old is admitted to the unit for substance abuse. The doctor prescribes the client diazepam (Valium). The nurse understands that the drug is used to do what? Diminish anxiety and adverse effects of withdrawal. Prevent encephalopathy Control seizures. Sedate the client. 21. During the assessment of a client with Graves' disease, the nurse may find which of the following? ketosis a goiter hepatospleenomegaly swelling of the tonsils 22. During the assessment, the nurse palpates the lymph nodes of a 3-year- client. The lymph nodes are firm, warm, tender to touch and enlarged. This assessment may indicate what? webbing of the neck a nodule a thyroid condition a local infection 23. When caring for a client with a nursing diagnosis of impaired swallowing related to neuromuscular impairment, the nurse should do what? Elevate the head of the bed 90 degrees during meals. Position the client in a supine position. Encourage the client to remove dentures. Encourage thin liquids for dietary intake 24. Brian has difficulty leaving his apartment because he has to check that all appliances are unplugged. He does this several times even though he has seen that they are all unplugged. Brian is suffering from which of the following disorders? agoraphobia moderate anxiety disorder panic disorder with agoraphobia obsessive-compulsive disorder 25. You have a patient who is suffering from severe anxiety disorder. He attends group therapy and tells you that today the group began to identify their problems. Which phase of group intervention does this characterize? middle phase initial phase orientation termination phase 26. Your pregnant patient suffers from heartburn. She asks you for suggestions as to how to avoid or relieve it. You would tell her all but which of the following? Consult with the health care provider about the use of antacids. Avoid milk between meals. Sit upright for at least 3 hours after a meal Eat small, frequent meals. Avoid fatty and spicy foods. 27. A nurse has a patient who has been diagnosed with Chrohn’s disease and must be placed on a restricted diet. The patient is not eating. She says that she does not like anything that is on this restricted diet and therefore cannot eat. What collaborative action should the nurse take for this patient? Go over the foods with the patient and try to choose those that are least disagreeable. Call a dietitian in to talk to the patient about acceptable foods. Provide the patient and the patient’s family with recipes that use the foods on the restricted diet. Ask the physician to talk to the patient about the dangers of not eating the right foods. 28. A client in a long-term care facility refuses to take his oral medications. The nurse threatens the client and tells him that, if the medication is not taken, restraints will be applied and the medication will be given by injection. The nurse's statement constitutes which legal tort? Battery Assault Right to refuse care Negligence 29. The nurse understands that a side effect of an antipsychotic is what? dystonia tinnitus diarrhea thrombocytopenia 30. Which of the following asthma medications is inhaled? Both A & B. Prednisolone. Azmacort. Flovent Diskus. 31. Which medical diagnosis should the nurse expect while collecting the history from a client who is scheduled for a gastrectomy? encephalorrhagia hyperthyroidism duodenal ulcer phatnorrhagia 32. A client has a diagnosis of AIDS and developed Penumocystis jirovecii pneumonia (PCP). What is important for the nurse to include in the nursing care plan? When providing direct care to the client, wear a mask and gown Whenever he has visitors in his room, put a mask on the client When assisting the client with personal hygiene, wear a gown and gloves. Explain to him for that he is not able to go outside his room. 33. You are reviewing several concepts of arterial pressure with your student nurses. You ask one of the students which concept involves pressure within the right atrium. She is correct if she answers which of the following? peripheral resistance (PR) central venous pressure (CVP) cardiac output (CO) mean arterial pressure (MAP 34. Which of the following is NOT a measure to prevent falls? Keep the lights dim to allow for less stimulation to the client. Lock all beds, wheelchairs, and stretchers. Instruct the client to seek assistance when getting up from the bed. Assign the client at high risk for falls to a room near the nurse's station. 35. You have a patient who has been diagnosed with invasive cervical cancer. The physician tells the patient that in an attempt to stop metastasis he will need to take the most drastic method available. Which of the following would this be? hysterectomy conization pelvic exenteration radiation 36. Of the following medicines used to treat atopic dermatitis, which are topical systemic immunosuppressants? check all answers that apply methotrexate pimecrolimus 1% cream cyclosporine azathioprine tacrolimus 37. A woman who is in her 38th week of pregnancy comes into the maternity unit with contractions. You are assessing her to determine if she is in true labor. Which of the following would be an indicator of false labor? pain in lower back that radiates to abdomen progressive cervical dilatation and effacement contractions that intensify with ambulation contractions decrease in intensity or frequency with ambulation 38. A nurse is getting ready to administer packed red blood cells (PRBCs) to a patient. The first thing that the nurse should do in her preparation is Get the PRBCs from the blood bank Explain to the patient what she is about to do Verify the physician’s order. Take the patient’s vital signs 39. According to Piaget's cognitive development theory, the nurse understands that infants 4 to 8 months of age begin to have which of the following? Awareness of space and time Response to new stimuli Reflexive ability Perceptual recognition 40. A RN is preparing to hang the first bag of total parenteral nutrition (TPN) solution. The client has a central line and this is the first bag he will receive. Which of the following is the most essential piece of equipment to obtain prior to hanging the bag? Blood glucose meter. Urine test strips. Noninvasive blood pressure monitor Electronic infusion pump. 41. The nurse should begin screening for lead poisoning when a child reaches which age? 12 months 24 months 6 months 18 months 42. When assessing a newborn's need for oxygen, which value should the nurse assess as it is the best indicator of low oxygen levels in the baby? Respiratory rate Arterial p02 Skin color Pulse rate 43. A 76-year-old client has dementia. The nurse places a leg band on the client's leg who is confined to the bed. Which of the following positions is best to place the client's leg so the alarm device is triggered when the client gets out of bed? prone vertical supine vertical bent horizontal straight horizontal 44. The nurse is caring for a client who requires intracranial pressure (ICP) monitoring. The nurse should be alert for what major complication of ICP monitoring? High blood pressure. Coma. Infection. Apnea. 45. Which of the following medications has a brand name of Femiron? Ferrous Fumarate Iron Polysaccharide. Ferrous Sulfate. Ferrous Gluconate. 46. Which of the following components of nutrition has a primary function of helping with tissue growth and repair? Vitamin E. Vitamin D. Fat. Protein. 47. The nurse is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse would expect to find what? Hypotension. Weight gain in arms and legs. Deposits of adipose tissue in the trunk and dorsocervical area. Thick, coarse skin. Hint 48. A client scheduled for a skin biopsy asks the nurse how painful the procedure is. The appropriate response by the nurse would be what? "There is some pain, but the physician will prescribe an opioid analgesic following the procedure." "There is no pain associated with this procedure." "A preoperative medication will be given so you will be sleeping and will not feel pain." "The local anesthetic may cause a burning or stinging sensation." 49. A nurse was discharged from the hospital because of numerous errors made in administering medication to patients. When you are called for a reference for this nurse who has applied at another hospital, what should you say? This nurse was discharged because she was incompetent. You must call human resources to answer your questions. This nurse was discharged but I don’t know why. This nurse worked here for three years and was discharged. 50. Which of the following is a short-term medication for asthma? Omalizumab. Systemic glucocorticoids. Anticholinergics. Both B & C. 51. A 3-year-old girl is brought into the clinic with a 102.5 degree fever. Bruising is noted on her abdomen. Which of the following would NOT warrant further evaluation by the nurse? Scratches and scrapes on the arms. A parent who pushes away a frightened child. Welts or bruises in various stages of healing. Circular symmetrical burns on the lower legs. 52. Which of the following medications has a brand name of Estrace? Medroxyprogestrone Acetate. Estradiol. Norethindrone Estradiol Patch 53. A client is hospitalized with Gillain-Barre syndrome. Which nursing assessment finding is most significant? Warm, dry skin. Soft, nondistended abdomen Urine output of 40 ml/hour Even, unlabored respirations. 54. Which of the following is the fifth provision of the Code of Ethics for nurses? “The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development.” “The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy.” “The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth.” “The nurse participates in establishing, maintaining, and improving health care environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action.” 55. All of the following vital signs are in the normal range for a newborn EXCEPT axillary temperature – 97.8° F apical heart rate – 145 beats/min. respirations – 40 breaths/min. blood pressure – 100/60 mm Hg 56. A nurse has a patient returning from surgery who has had a spinal anesthetic. She knows that in order to avoid the side effects of spinal anesthesia the best position for this patient will be which of the following? on her side in a semi-Fowler position in the high-Fowler position on the bed in the semi-Fowler position on the bed flat on the bed 57. Which of the following are dietary practices of Seventh-Day Adventists? check all answers that apply Those who eat meat avoid poultry and poultry products. Alcohol is usually prohibited. 5 to 6 hours between meals without snacking is practiced Members avoid consumption of anything to which blood has been added. 58. Which of the following would be an example of a nurse performing a primary prevention activity? testing a newborn for phenylketonuria dietary teaching for a woman diagnosed with gestational diabetes testing a pregnant woman's urine for protein immunizing a pregnant woman 59. A client scheduled for a skin biopsy asks the nurse how painful the procedure is. The appropriate response by the nurse would be what? "A preoperative medication will be given so you will be sleeping and will not feel pain." "There is no pain associated with this procedure." "The local anesthetic may cause a burning or stinging sensation." "There is some pain, but the physician will prescribe an opioid analgesic following the procedure." 60. A nurse is assessing a day-old infant for jaundice. Which of the following is the best method for this? applying pressure over a bony area such as the forehead and evaluating the skin color after this pressure is removed assessing the infant’s arms and legs assessing the infant’s tongue assessing the color of the infant’s hands and feet 61. Which of the following maternal factors MOST likely contributes to low birth weight in babies? a mother who copes well with stres a mother who receives prenatal care a mother who is underweight before pregnancy a mother who is aged 30 62. Which plane divides the body longitudinally into anterior and posterior regions? Frontal plane. Sagittal plane. Midsagittal plane. Transverse plane. 63. Which of the following are terms associated with eye disorders? check all answers that apply hyperopia presbycusis miosis cycloplegia 64. Which of the following indications is the primary use for electroconvulsive therapy (ECT)? Major depression with psychotic features Antisocial behavior. Noncompliance with treatment. Severe agitation 65. Which of the following factors is important in increasing blood pressure? Parasympathetic nervous system stimulation. Adrenomedulin stimulation. Sympathetic nervous system stimulation. Vasolidation stimulation. 66. You are talking to a group of new parents about what they can expect in their child’s first year of development. Which of the following would be the most accurate statement about the average child? Birth weight will triple by 6 months He or she will be able to understand the game of peek-a-boo by 12 months At one month he or she will turn the head to locate sounds. He or she is likely to walk with assistance at 10 to 12 months. 67. A teaching plan for a client with premenstrual syndrome (PMS) should include a recommendation to restrict her intake of: chicken, eggs, and fish. breads, cereals, and beans. coffee, colas, and chocolate cake. high-starch foods such as potatoes and spaghetti 68. Your patient has been diagnosed with peripheral vascular disease (PVD). You recognize that this disease has a relationship to a number of other diseases. Which of the following diseases is least likely to be associated with PVD? Graves disease Raynaud disease Buerger disease diabetes 69. The nurse obtains vital signs on a 6-hour-old newborn. The nurse would consider which of the following assessment findings indicative of respiratory distress? The nostrils flare with each breath Respirations are irregular and shallow. Respiratory rate is 50. Hands and feet are blue 70. A client has undergone a leg amputation. On the nursing care plan, the nurse lists the nursing diagnosis as impaired physical mobility. Which of the following nursing actions should the nurse performs associated with this nursing diagnosis? Monitor the stump for a reduction in swelling Turn the client every 2 hours while in bed and place the client in the prone position for muscle exercise to prevent contractures of the hip Evaluate the client’s stump for bleeding Wash the stump daily after the wound has healed Be sure to click Submit Exam to see your results! Time's up
