DHA NURSE EXAM MODE Welcome to DHA NURSE EXAM EXAM MODE Exam 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 answers Please click on the Next Button to Start the Exam Name Business Email Phone Number 1. 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? insertion of a nasogastric tube and Hematest of emesis thorough investigation of precipitating events complete abdominal examination assessment of vital signs 2. 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 apply nares dilation upper chest synchronization skin color crying lower chest retractions 3. The nurse is planning to teach couples the factors that influence fertility. What should not be included in the teaching plan? Sexual intercourse should occur 4 times a week. Do not douche Stress reduction techniques Get up to urinate 1 hour after intercourse. 4. 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? Temperature Hydration Skin turgor Organs 5. 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 week Once a month 1 time per week Once every 6 months 6. 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? cryptosporidiosis perirectal mucocutaneous herpes simplex virus Kaposi’s sarcoma CMV colitis Hint 7. A client has surgical repair for a detached right retina. Which of the following should the nurse NOT do? Discourage bending down Administer a stool softener. Approach the client from the right side. Orient the client to the environment of the room. 8. 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 that A Western blot test needs to be performed and the results evaluated before immunizations Household members need to avoid receiving the varicella vaccine. Hepatitis B vaccine will not be given to this child. Pneumococcal and influenza vaccines a.re recommended 9. 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? Tell her that she has no reason to cry because her baby is healthy and beautiful. Call her family in to cheer her up Ask her about the birth experience and allow her to talk about it Call her health care provider to report the situation 10. Which of the following activity levels should the nurse assess for in a 26-year-old female with an anxiety disorder? 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 gives responses to questions from the nurse very fast. The client does not sit still for 5 minutes before she is standing and pacing the floor. Hint 11. When assessing an infant's foot for the Babinski reflex, the nurse would watch the toes for which of the following responses? Tickling Fanning Forsenberg Cardian 12. A client is having a seizure. Which of the following is a nursing action? Restrain the client. Tighten clothing around the client's neck. Stay with the client until the seizure is over Insert a spoon in the client's mouth to open the breathing pathways. 13. What treatment is the most appropriate in reducing cancer-related pain? Have the client perform mild exercise to increase strength Use biofeedback techniques. Give aspirin as needed Use heat or cold as needed. 14. Which of the following is the fourth step of the grieving process? Acceptance. Denial. Bargaining Depression 15. 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. 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? "That is the same thing you said in yesterday's session." "If you have something to say, you must do it according to our group rules." "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?" 17. 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? negative cognitive positive affective 18. Which of the following is the most common reason for a patient with progressive valvular heart disease to have ongoing medical care? dysrhythmias endocarditis embolic disease heart failure 19. What would the nurse expect to see in an elderly client's skin? Increased sweat production Increased elasticity. Increased nail growth. Slowed healing. 20. 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 massage start intravenous Pitocin infusion notify her obstetrician notify the nursing supervisor 21. 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? report severe pain to the physician immediately elevate the extremity for 24 – 48 hours apply ice to the area involved intermittently resume normal activities within 12 hours so as to help reduce the swelling 22. Which of the following clinical signs could be assessed while obtaining a peripheral pulse? dyspnea elasticity of the aterial wall rhythms of the diaphragm jaundice 23. A client is seen in the clinic with a diagnosis of conjunctivitis. What is the cause of conjunctivitis? melena excessive sodium in the body bacterial infection fever 24. 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 swelling Encourage the client to walk daily a few feet in the hallway Wrap the client’s joints with a compression dressing Engage the client in range of motion activities 25. 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 day Take calcium supplements daily. Contact the physician immediately when experiencing a coughing sensation in the chest. Make position changes quickly to reduce orthostatic hypotension 26. 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 severe dehydration The child has moderate dehydration The child is not dehydrated any longer The child has mild dehydration 27. A client with respiratory failure had a PaCO2 of 99. The nurse knows an elevated PaCO2 can cause symptoms of hypertension hypercapnia hyperthyroidism hyperacidosis 28. 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 except causes fluid to move from extracellular fluid to intracellular fluid may be a normal saline solution of 0.9% NS does not cause red blood cells to swell or shrink has an osmolality close to the extracellular fluid 29. 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 consciousness health literacy cultural competence health disparity 30. 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? bradycardia nausea and vomiting tachycardia pulse rate over 90 bpm 31. 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.” “I will be glad to get home and drink a few beers.” “I can still take my normal aspirin dosage.” “Since I can't use a regular razor while I am on Coumadin, I guess I'll have to go buy an electric one. 32. Which of the following occurs when a newborn looses heat? the newborn becomes hyperglycemic the newborn is unable to cry the newborn reduces its failure to thrive the newborn uses more oxygen 33. 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? autograft xenograft isograft homograft 34. 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? Physical assessment Diagnosis section. Medical history System review form 35. 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? surgery a high fiber diet oral medication a steroid-based cream 36. 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?" I am so frustrated with your behavior." To ignore the behavior and allow him to vent. Your behavior is obnoxious and drains the group. 37. 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? CT scan PET scan endoscopy and biopsy tracheostomy and biopsy 38. A nurse assesses a 76-year-old client. Which of the following should the nurse recognize to determine the differences in dementia and delirium? Delirium has an acute onset Slowed, slurred speech Auditory hallucinations Short-term memory loss 39. 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? Inform the doctor immediately of the break in sterile procedure and provide him with new sterile gloves. Inform the doctor after the procedure is complete Report the incident to the supervisor. File an incident report immediately after the procedure. 40. 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 dressing Hydrocolloid dressing Alginates dressing. Clear absorbent acrylic dressing. 41. 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? Blood relationship. Compatible blood and tissue types. Need. Sex and size 42. The physician orders Lispro for a client with diabetes. What type of preparation is Lispro? Long acting. Short acting Intermediate acting. Rapid acting. 43. Which of the following is an example of a primary preventive measure? avoiding overexposure to the sun obtaining an annual physical examination participating in a cardiac rehabilitation program practicing monthly breast self-examination 44. Which procedure or practice requires surgical asepsis? Hand washing. Nasogastric tube irrigation I.V. catheter insertion. Colostomy irrigation. 45. 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? Maintain IV hydration. Position the infant on the right side lying flat position after feeding. 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. 46. Which of the following statements about antihistamines is NOT accurate? check all answers that apply They increase nasopharyngeal, gastrointestinal, and bronchial secretions They are especially helpful for persons with COPD. They can cause CNS depression if taken with alcohol. They are used for the common cold and rhinitis. They compete with histamine for receptor sites. 47. 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 anxiety moderate anxiety severe anxiety panic 48. 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? Encourage the use of a comfortable walking shoe with a medium heel Further assessment of her weight, blood pressure, and urine Reassurance that weight gain is normal as long as it does not exceed 25 pounds Teaching about the food pyramid and the importance of a well-balanced diet. 49. 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. Brain fog. Possession by “Zar”. Anorexia nervosa. 50. Which of the following would NOT be an appropriate nursing intervention for a preterm newborn? Monitor vital signs every 2 to 4 hours. Monitor weight daily. Avoid touching the infant as much as possible. Monitor intake and output along with electrolyte balance 51. Which clinical indicator is the nurse most likely to identify when exploring the history of a client with insomnia? Sleepwalking. Enuresis Sleep talking. Irritability. 52. 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: 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. 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. 53. When caring for a client during the second stage of labor, which action would be least appropriate? ensuring the client's legs are positioned appropriately monitoring the fetal heart rate assisting the client with pushing allowing the client clear liquids Hint 54. 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? Use proper hand washing techniques. Cough into tissues and immediately dispose of them in a special bag. Take all prescribed medication daily for 9 – 12 months as ordered by the health care provider Report the status of your condition to health department once a month. 55. When removing a client's nasogatric tube, the nurse asks the client to take a deep breath and hold it. This nurse's instruction helps keeps excessive amounts of secretion from entering the client's nasal passages disconnect the nasogastric tube from the suctioning device prevent aspiration prevent the transmission of microorganisms 56. Which of the following is a risk factor for the development of aortic dissections? Stroke. Diabetes mellitus Hypertension. Anemia. 57. 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 mucosa a confluent rash that begins on the face and spreads downward parotid gland swelling photophobia 58. 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 by delayed psychosexual development dysfunctional family system reaction to environmental factors internal biologic deficiency 59. Distributing HIV brochures and holding a presentation at a health fair is an example of which of the following? Health risk appraisal and wellness assessment Environmental control program Lifestyle and behavior change Information dissemination 60. A client suspected of having colorectal cancer will require which diagnostic study to confirm the diagnosis? Abdominal computed tomography (CT) scan Stool Hematest Carcinoembryonic antigen (CEA) Sigmoidoscopy 61. What is the most appropriate instruction for a patient with COPD? Walk every morning Eat 3 regular meals per day. Call the doctor if you get a cold. Do not receive a flu shot this year. 62. 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? Explain calmly to the patient that what he thinks is impossible Agree with the patient. Turn on the television to show him that what he is thinking is not true. Do not argue with the patient. Just listen. 63. You have a diabetic patient whose usually has pre-breakfast hyperglycemia. This is known as which of the following? Somogyi phenomenon dawn phenomenon sundowning lipodystrophy 64. 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 are legal documents that indicate the client's permission to receive a type of treatment or procedure The nurse must find a non-medical professional to witness the informed consent form signature. These consents may be signed by a client over 18 years of age that is competent. 65. After a gastrectomy, the nurse should evaluate the client carefully for which of the following complications? Septicemia. Postprandial hyperglycemia. Gangrene of the bowel. Dumping syndrome. 66. 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 that The pressure in both eyes is high. The pressure in the right eye is low, but the pressure in the left eye is normal The pressure in both eyes is normal. The pressure in the right eye is normal, but the pressure in the left eye is high 67. When assessing a child with muscular dystrophy, the nurse expects which finding? Limited range of motion (ROM). Joint swelling Waddling gait. Pain. 68. When caring for a client with chest pain, which of the following should the nurse assess as an indictor of pain? Rubbing of the jaw Excessive yawning Raising the hands over the head Rapid leg movement 69. The nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should do what? Use commercial preparations to remove corns Wash and inspect the feet daily Walk barefoot at least once each day. Cut the toenails by rounding edges. 70. 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 airways are so swollen that no air can get through. The attack is over. The swelling has decreased. Be sure to click Submit Exam to see your results! Time's up
