DHA NURSE EXAM SM KIT-16Welcome to DHA NURSE EXAMSTUDY MODEStudy mode allow you to attend the question without any time limitation. If you want to know the correct answer please move your mouse pointat the hint notificationPlease click on the Next Button to Start the ExamNameBusinessEmailPhone Number1.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.Infection.Apnea.Coma.2.Which of the following would be an example of a nurse performing a primary prevention activity?testing a newborn for phenylketonuriadietary teaching for a woman diagnosed with gestational diabetestesting a pregnant woman's urine for proteinimmunizing a pregnant woman3.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?a thyroid conditiona nodulea local infectionwebbing of the neck4.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?mechanical debridementsharp debridementchemical debridementautolytic debridement5.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?Hands and feet are blueThe nostrils flare with each breathRespirations are irregular and shallow.Respiratory rate is 50.6.Which of the following are terms associated with eye disorders? check all answers that applymiosiscycloplegiapresbycusishyperopia7.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 no pain associated with this procedure.""A preoperative medication will be given so you will be sleeping and will not feel pain.""There is some pain, but the physician will prescribe an opioid analgesic following the procedure.""The local anesthetic may cause a burning or stinging sensation."8.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?Perceptual recognitionAwareness of space and timeReflexive abilityResponse to new stimuli9.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.”10.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?moderate anxiety disorderagoraphobiaobsessive-compulsive disorderpanic disorder with agoraphobia11.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.Thinking and reasoning.Visual acuity.Balance and equilibrium12.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 has rapid weight gainchildren who are dehydrated develop extracelluar volume excesschildren who are dehydrated may experience dizziness and fatiguechildren who are dehydrated experience electrolyte imbalance13.Which of the following maternal factors MOST likely contributes to low birth weight in babies?a mother who is aged 30a mother who is underweight before pregnancya mother who receives prenatal carea mother who copes well with stres14.Which of the following medications has a brand name of Femiron?Ferrous Gluconate.Ferrous Sulfate.Ferrous FumarateIron Polysaccharide.15.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 encephalopathySedate the client.Diminish anxiety and adverse effects of withdrawal.16.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?You must call human resources to answer your questions.This nurse was discharged but I don’t know why.This nurse was discharged because she was incompetent.This nurse worked here for three years and was discharged.17.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?in the high-Fowler position on the bedon her side in a semi-Fowler positionflat on the bedin the semi-Fowler position on the bed18.All of the following vital signs are in the normal range for a newborn EXCEPTblood pressure – 100/60 mm Hgapical heart rate – 145 beats/min.axillary temperature – 97.8° Frespirations – 40 breaths/min.19.The nurse should begin screening for lead poisoning when a child reaches which age?12 months24 months6 months18 months20.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 isVerify the physician’s order.Explain to the patient what she is about to doTake the patient’s vital signsGet the PRBCs from the blood bank21.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.Thick, coarse skin.Deposits of adipose tissue in the trunk and dorsocervical area.Hint22.Which of the following theorists created eight psychosocial stages of development?Erik Erickson.Hildegard Peplau.Sigmund Freud.Abraham Maslow.23.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 monitorElectronic infusion pump.24.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?follow-up caredeep-breathing exercisesactivity restrictionswound care25.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 no pain associated with this procedure.""There is some pain, but the physician will prescribe an opioid analgesic following the procedure.""The local anesthetic may cause a burning or stinging sensation.""A preoperative medication will be given so you will be sleeping and will not feel pain."26.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?A parent who pushes away a frightened child.Scratches and scrapes on the arms.Welts or bruises in various stages of healing.Circular symmetrical burns on the lower legs.27.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?A normal finding, which indicates a funnel chest in the infanA normal finding for the age of the infantAn abnormal finding, which identifies an obstructive lung disease.An abnormal finding, which indicates a pigeon chest is present.28.Which of the following medications has a brand name of Estrace?Estradiol PatchNorethindroneEstradiol.Medroxyprogestrone Acetate.29.Which of the following components of nutrition has a primary function of helping with tissue growth and repair?Fat.Vitamin E.Vitamin D.Protein.30.A client is hospitalized with Gillain-Barre syndrome. Which nursing assessment finding is most significant?Even, unlabored respirations.Urine output of 40 ml/hourWarm, dry skin.Soft, nondistended abdomen31.When caring for an immobile client, the nurse understands that a potential problem isdecrepitationconstipationrisk for urinary defluxurinary frequency32.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?Call a dietitian in to talk to the patient about acceptable foods.Go over the foods with the patient and try to choose those that are least disagreeable.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.33.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 ratePulse rateSkin colorArterial p0234.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?contractions that intensify with ambulationcontractions decrease in intensity or frequency with ambulationprogressive cervical dilatation and effacementpain in lower back that radiates to abdomen35.During the assessment of a client with Graves' disease, the nurse may find which of the following?ketosisa goiterswelling of the tonsilshepatospleenomegaly36.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?Avoid milk between meals.Consult with the health care provider about the use of antacids.Sit upright for at least 3 hours after a mealEat small, frequent meals.Avoid fatty and spicy foods.37.The nurse understands that a side effect of an antipsychotic is what?tinnitusdystoniathrombocytopeniadiarrhea38.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?orientationinitial phasemiddle phasetermination phase39.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 swellingTurn the client every 2 hours while in bed and place the client in the prone position for muscle exercise to prevent contractures of the hipWash the stump daily after the wound has healedEvaluate the client’s stump for bleeding40.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?Buerger diseaseGraves diseaseRaynaud diseasediabetes41.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?pyogenic bacteriakeloid bacteriasubdural bacteriahematoma bacteria42.Which of the following factors is important in increasing blood pressure?Parasympathetic nervous system stimulation.Vasolidation stimulation.Adrenomedulin stimulation.Sympathetic nervous system stimulation.43.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 whatlaser ablation, followed by chemotherapyplacement of a vaginal pessaryKegel exercises daily.complete hysterectomy44.Of the following medicines used to treat atopic dermatitis, which are topical systemic immunosuppressants? check all answers that applytacrolimuscyclosporinepimecrolimus 1% creammethotrexateazathioprine45.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 intake46.A nurse is assessing a day-old infant for jaundice. Which of the following is the best method for this?assessing the infant’s arms and legsapplying pressure over a bony area such as the forehead and evaluating the skin color after this pressure is removedassessing the infant’s tongueassessing the color of the infant’s hands and feet47.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?SardinesDried fruits.Chocolate.Whole grains.48.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?central venous pressure (CVP)mean arterial pressure (MAPperipheral resistance (PR)cardiac output (CO)49.The nurse understands a client who is taking a diuretic agent may experience which of the following?Anorexia.Increased blood pressure.Orthostatic hypotension.Dyspnea.50.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?straight horizontalsupine verticalbent horizontalprone vertical51.Which of the following nursing diagnoses is the most appropriate for a child diagnosed with autism?Chronic low self-esteem related to negative self-evaluation.Impaired verbal communication related to altered perception.Imbalanced nutrition: more than body requirements related to eating in response to internal cues other than hunger.Powerlessness related to sense of helplessness.52.Which of the following asthma medications is inhaled?Azmacort.Both A & B.Flovent Diskus.Prednisolone.53.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?hysterectomyconizationpelvic exenterationradiation54.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?Right to refuse careBatteryNegligenceAssault55.Which medical diagnosis should the nurse expect while collecting the history from a client who is scheduled for a gastrectomy?duodenal ulcerhyperthyroidismphatnorrhagiaencephalorrhagia56.Which of the following indications is the primary use for electroconvulsive therapy (ECT)?Antisocial behavior.Severe agitationNoncompliance with treatment.Major depression with psychotic features57.Which plane divides the body longitudinally into anterior and posterior regions?Midsagittal plane.Frontal plane.Sagittal plane.Transverse plane.58.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 his own roomin a far corner of the activity roomin a secluded place away from all other patientsin an out-of-the-way corner near the nursing station59.Which of the following is NOT a measure to prevent falls?Assign the client at high risk for falls to a room near the nurse's station.Lock all beds, wheelchairs, and stretchers.Instruct the client to seek assistance when getting up from the bed.Keep the lights dim to allow for less stimulation to the client.60.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 reactionsguilt and disappointmentacceptanceanger and a sense of lossgrief61.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? At one month he or she will turn the head to locate sounds.Birth weight will triple by 6 monthsHe or she will be able to understand the game of peek-a-boo by 12 monthsHe or she is likely to walk with assistance at 10 to 12 months.62.Which of the following is a short-term medication for asthma?Both B & C.Systemic glucocorticoids.Omalizumab.Anticholinergics.63.Which of the following diagnostics tests looks at the inner airway and analyzes the trachea, larynx and bronchi?BronchoscopyPulmonary function testThoracentesisChest X-ray64.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.Control seizuresPrevent encephalopathySedate the client.65.The final stage of family recovery involves working with the mental health system so the client will obtain treatment, a stage which reflects what?Discovery and denial.CompetencePersonal and political advocacy.Recognition and acceptance.66.Which of the following are dietary practices of Seventh-Day Adventists? check all answers that apply5 to 6 hours between meals without snacking is practicedThose who eat meat avoid poultry and poultry products.Members avoid consumption of anything to which blood has been added.Alcohol is usually prohibited.67.A teaching plan for a client with premenstrual syndrome (PMS) should include a recommendation to restrict her intake of:high-starch foods such as potatoes and spaghettichicken, eggs, and fish.coffee, colas, and chocolate cake.breads, cereals, and beans.68.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?Explain to him for that he is not able to go outside his room.Whenever he has visitors in his room, put a mask on the clientWhen assisting the client with personal hygiene, wear a gown and gloves.When providing direct care to the client, wear a mask and gown69.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.Question the doctor as to the doseTalk to the pharmacist privately.Fill the dose as directed.Hint70.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 does not start beating until 20 weeks gestation.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 is not beating at six weeksBe sure to click Submit Exam to see your results! 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