DHA NURSE EXAM KIT-12 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 suspected of having colorectal cancer will require which diagnostic study to confirm the diagnosis? Carcinoembryonic antigen (CEA) Abdominal computed tomography (CT) scan Sigmoidoscopy Stool Hematest 2. You have a diabetic patient whose usually has pre-breakfast hyperglycemia. This is known as which of the following? sundowning lipodystrophy dawn phenomenon Somogyi phenomenon 3. 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? nausea and vomiting tachycardia bradycardia pulse rate over 90 bpm 4. 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 are legal documents that indicate the client's permission to receive a type of treatment or procedure These consents may be signed by a client over 18 years of age that is competent. 5. 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 Call her health care provider to report the situation Ask her about the birth experience and allow her to talk about it 6. 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? "If you have something to say, you must do it according to our group rules." "Why do you think there is a bomb in the elevator?" "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." 7. 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 supervisor notify her obstetrician start intravenous Pitocin infusion perform fundal massage 8. Which of the following is the fourth step of the grieving process? Depression Denial. Acceptance. Bargaining 9. What treatment is the most appropriate in reducing cancer-related pain? Use biofeedback techniques. Give aspirin as needed Use heat or cold as needed. Have the client perform mild exercise to increase strength 10. 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 panic severe anxiety 11. A client is seen in the clinic with a diagnosis of conjunctivitis. What is the cause of conjunctivitis? fever excessive sodium in the body melena bacterial infection 12. 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 internal biologic deficiency reaction to environmental factors dysfunctional family system 13. 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? Compatible blood and tissue types. Blood relationship. Need. Sex and size 14. 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 dehydration The child has mild dehydration The child is not dehydrated any longer The child has severe dehydration 15. 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 urine Reassurance that weight gain is normal as long as it does not exceed 25 pounds Encourage the use of a comfortable walking shoe with a medium heel Teaching about the food pyramid and the importance of a well-balanced diet. 16. 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 prevent the transmission of microorganisms disconnect the nasogastric tube from the suctioning device keeps excessive amounts of secretion from entering the client's nasal passages prevent aspiration 17. A client is having a seizure. Which of the following is a nursing action? Stay with the client until the seizure is over Tighten clothing around the client's neck. Restrain the client. Insert a spoon in the client's mouth to open the breathing pathways. 18. 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.” Hint 19. 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 can still take my normal aspirin dosage.” “I will be glad to get home and drink a few beers.” “I only have to be careful of big cuts, since small ones won't hurt me.” 20. Which of the following should the nurse assess when completing the history and physical examination of a client diagnosed with polyradiculoneuritis? Paresthesia. Weight gain. Anemia. Pain in the joints. 21. 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 form Diagnosis section. Physical assessment Medical history 22. 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 positive cognitive affective 23. 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. 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. 24. 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 assisting the client with pushing allowing the client clear liquids monitoring the fetal heart rate Hint 25. Which of the following clinical signs could be assessed while obtaining a peripheral pulse? dyspnea elasticity of the aterial wall jaundice rhythms of the diaphragm 26. What information is most important to teach a client who is receiving furosemide (Lasix)? Take calcium supplements daily. Report to the physician a weight gain of 3lbs. or more in one day Make position changes quickly to reduce orthostatic hypotension Contact the physician immediately when experiencing a coughing sensation in the chest. 27. 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? Alginates dressing. Hydrocolloid dressing Polyurethane foam dressing Clear absorbent acrylic dressing. 28. 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 apply ice to the area involved intermittently elevate the extremity for 24 – 48 hours resume normal activities within 12 hours so as to help reduce the swelling 29. Which of the following is an example of a primary preventive measure? practicing monthly breast self-examination avoiding overexposure to the sun participating in a cardiac rehabilitation program obtaining an annual physical examination 30. The nurse is planning to teach couples the factors that influence fertility. What should not be included in the teaching plan? Do not douche Stress reduction techniques Get up to urinate 1 hour after intercourse. Sexual intercourse should occur 4 times a week. 31. 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 attack is over. The airways are so swollen that no air can get through. The swelling has decreased. Crackles have replaced wheezes. 32. 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. Wash and inspect the feet daily Walk barefoot at least once each day. Use commercial preparations to remove corns 33. The physician orders Lispro for a client with diabetes. What type of preparation is Lispro? Rapid acting. Intermediate acting. Long acting. Short acting 34. 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 literacy health disparity consumer consciousness cultural competence 35. 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 sarcoma cryptosporidiosis perirectal mucocutaneous herpes simplex virus CMV colitis Hint 36. 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 biopsy tracheostomy and biopsy CT scan PET scan 37. 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 does not cause red blood cells to swell or shrink has an osmolality close to the extracellular fluid may be a normal saline solution of 0.9% NS causes fluid to move from extracellular fluid to intracellular fluid 38. 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? thorough investigation of precipitating events complete abdominal examination assessment of vital signs insertion of a nasogastric tube and Hematest of emesis 39. A client with respiratory failure had a PaCO2 of 99. The nurse knows an elevated PaCO2 can cause symptoms of hypercapnia hyperacidosis hyperthyroidism hypertension 40. 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 down Administer a stool softener. Approach the client from the right side. 41. When assessing a child with muscular dystrophy, the nurse expects which finding? Limited range of motion (ROM). Pain. Waddling gait. Joint swelling 42. 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?" To ignore the behavior and allow him to vent. I am so frustrated with your behavior." Your behavior is obnoxious and drains the group. 43. Which of the following is a risk factor for the development of aortic dissections? Diabetes mellitus Stroke. Hypertension. Anemia. 44. Distributing HIV brochures and holding a presentation at a health fair is an example of which of the following? Environmental control program Information dissemination Lifestyle and behavior change Health risk appraisal and wellness assessment 45. 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? File an incident report immediately after the procedure. Inform the doctor after the procedure is complete Report the incident to the supervisor. Inform the doctor immediately of the break in sterile procedure and provide him with new sterile gloves. 46. Which of the following would NOT be an appropriate nursing intervention for a preterm newborn? Monitor vital signs every 2 to 4 hours. Monitor intake and output along with electrolyte balance Avoid touching the infant as much as possible. Monitor weight daily. 47. Which of the following occurs when a newborn looses heat? the newborn is unable to cry the newborn becomes hyperglycemic the newborn reduces its failure to thrive the newborn uses more oxygen 48. Which clinical indicator is the nurse most likely to identify when exploring the history of a client with insomnia? Sleep talking. Irritability. Sleepwalking. Enuresis 49. When caring for a client with chest pain, which of the following should the nurse assess as an indictor of pain? Rapid leg movement Excessive yawning Raising the hands over the head Rubbing of the jaw 50. Which procedure or practice requires surgical asepsis? Colostomy irrigation. Nasogastric tube irrigation Hand washing. I.V. catheter insertion. 51. Which of the following is the most common reason for a patient with progressive valvular heart disease to have ongoing medical care? dysrhythmias heart failure endocarditis embolic disease 52. 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 turgor Organs Temperature Hydration 53. 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. 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. Cough into tissues and immediately dispose of them in a special bag. 54. A 40-year-old client has undergone a knee arthroscopy. Which of the following postoperative actions should the nurse perform to prevent swelling? Encourage the client to walk daily a few feet in the hallway Engage the client in range of motion activities Wrap the client’s joints with a compression dressing Apply hot packs over the knee area to diminish swelling 55. 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. Agree with the patient. Explain calmly to the patient that what he thinks is impossible Do not argue with the patient. Just listen. 56. 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? Once every 6 months 1 time per week 2-3 times per week Once a month 57. 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? homograft isograft autograft xenograft 58. Which of the following statements about antihistamines is NOT accurate? check all answers that apply They can cause CNS depression if taken with alcohol. They are especially helpful for persons with COPD. They increase nasopharyngeal, gastrointestinal, and bronchial secretions They are used for the common cold and rhinitis. They compete with histamine for receptor sites. 59. 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 the right eye is normal, but the pressure in the left eye is high The pressure in both eyes is normal. 60. 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 hallucinations Slowed, slurred speech Short-term memory loss Delirium has an acute onset 61. 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. 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. 62. 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 lower chest retractions crying nares dilation skin color upper chest synchronization 63. When assessing an infant's foot for the Babinski reflex, the nurse would watch the toes for which of the following responses? Fanning Tickling Cardian Forsenberg 64. 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? Brain fog. Possession by “Zar”. Running amok. Anorexia nervosa. 65. 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 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 A Western blot test needs to be performed and the results evaluated before immunizations 66. 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. 67. What would the nurse expect to see in an elderly client's skin? Increased sweat production Slowed healing. Increased elasticity. Increased nail growth. 68. 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? a steroid-based cream a high fiber diet oral medication surgery 69. You are examining a child who is suspected of having measles. Which of the following would NOT be an indication of measles? photophobia a confluent rash that begins on the face and spreads downward parotid gland swelling Koplik spots on the buccal mucosa 70. What is the most appropriate instruction for a patient with COPD? Call the doctor if you get a cold. Walk every morning Do not receive a flu shot this year. Eat 3 regular meals per day. Be sure to click Submit Exam to see your results! Time's up Submit 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.
