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120 HAAD exam question

You have to do your part in finding the answers for some questions.

1- patient is on digoxin. What is the drug of choice?


- Lasix

2- post operation patient always asking for analgesic (over seeking). What is the most
appropriate nursing intervention?
- inform the physician to put the patient on regular analgesic
- tell the patient that it’s a fake feeling
- Increase patients analgesic dose

3- patient with Digoxin with Hyperkalemia, what do you expect the ECG rythem
- peaked,?? (check)

*Flat P waves, Prolonged Pr interval, widened QRS complex, Tall peaked T wave

4- a woman with dysmennorhea, how can the RN know that she is pregnant without any
investigations?
-

5- A patient with diabetic foot, during the discharge plan, how can the nurse know that
the patient understands the correct way to take care of his feet?
- I’ll check my foot every day (inspect)

6- when foleys is inserted, how does it fixed?


- inflation of the balloon.
- rotate the cathter and fix it by tape.

7- patient with acute renal failure, after investigation (Blood and urine) what do you
expect to have?
- creatinine is high.

8- how can you assess the severity of CVA (Cerebrovascular Accident)


- the affected area in the brain
- block of the artery
- Nerves affected

9- What the suitable position for CVA patient, during doing oral cavity care.
- Supine
- lateral
- prone
10- During NGT (Nasogastric Tube) insertion, the nurse noticed a resistance, what is
the suitable Nursing intervention?
- remove the NGT.
- apply more power
- Rotate the tube

11- During NGT insertion the patient become cyanosed, Nsg intervention?
- remove the NG and monitor.
- Give O2.

12- During NG feeding, why it suppose to be slowly feeding (by gravity)?


- because the patient may develop Diarrhea
- because may develop abdominal destention.

13- what is the ideal way when you make suctioning to a patient on
Mechanical Ventilator?
- Hyperventilation (by Ampobag) pre and post suctioning.

14- How the RN assess that the Chest tube s are working proberly?
- fluctuation (oxalating)

15- How to assess an emphysema with palpitation?


- When crackles sensation under the skin is felt (palpated)

16- the most common risk factors of developing a pneumonia?


- pts on Mechanical Ventilator.

17- Pneumonic Patient , has purulent mucous, how the nurse can assist the excretion of
this mucous?
- by percussion.

18- patient is planned for discharge on diuretics, how the nurse can know
the patient understood the care plan ?
- “ will measure and document the intake/ output”
- “ I’ll weigh my self daily”

19- Renal Failure patient for discharge, health education??


- avoid food with high K (potassium), Banana,etc

20- Patient with Hyperkalemia, which is the best way to decrease the K (potassium)
level in the blood?
- insulin, lasix pumps
- kay oxalate
21- the Description of good granulation tissue formation?
- pink, soft and may bleed when being touched

22- patient on diuretic, what the RN must keep in mind to monitor.


- Pulse.
- Potassium level.
- Blood Pressure.

23- Patient with GI (Gastrointestinal) (GI Bleeding), stool color?


- Dark (Upper GI Bleeding), (Bright Lower GI B.) + bed odor (Melena)
24- the purpose of let the patient with esophagus Varices having cold water ?
- cold water makes Vasoconstriction, prevent bleeding.

25- the Evidence that the patient may have Anorexia nervosa?
- Anemia

26- During Dealing with a Geriatric Patient , what the nurse should expect?
- difficulty swallowing
- Speaking slowly

27- .patient with CVA, how the nurse can assist to enhance the facial movement?
- encourage chewing and smiling.

28- patient with an amputated leg above the knee, complaing of pain in the his
amputated knee, what is the appropriate Nsg intervention?
- tell the pt that this a fake feeling.
- “I understand what you feel, bla bla. The nurse have to realize the fantom Pain).

29- post op patient had a thyroidectomy, how can the nurse realize that the pt
developed a parathyroid injury?
- muscle twitching.

30- the most dangerous arrhythmia?


- V-tach (Ventricular tachycardia.
- VF (Ventricular fibrillation)
- braycaria

31- a pediatric patient with VSD (Ventricular-Septal Defect), the nurse must know that
this disease is?
- Cyanotic disease.
- may or may not need surgical repair.
32- during assessing the understanding of health education for a patient about elastic
stocking, the patientstates?
- “ I will wear them during the day, and take them of before sleeping”.

33- the most common risk factor after thigh open fracture injury is?
- Pulmonary empolism.(fat embolism)
- Bleeding.
- Severe pain.

34- ICP (IntraCranial pressure) normal value is?


- 10-20 cm h2o.

35- how is the appropriate nursing care for a diabetic (DM) patient’s nails?
- cut straight, then file.
36- Health Education for a diabetic patient, before having a bath the patient must
measure the water temperature by?
- put his elbow in the water.
- use a thermometer.

37- Physician order “give 10 IU mixtard (mixed) with 5 IU actrapid (clear) insulin …..) ,
the nurse should?
- withdraw actrapid then Mixtard.
- withdraw mix then actrapid.

38- During medication preparation, the nurse noticed unclear label, or unclear expiary
date of a medication, what the appropriate nsg intervention?
- return to the pharmacy to be replaced.

39-When a nurse write an incident report about an error he/she does, it is an example
of?
- confidentiality
- accountability

40- when the RN delegates a PN to do a procedure, in case of any mistakes who will be
responsible?
- RN
- PN
- Supervisor
- Physician.

41- Patient on Warfarin (Anti coagulation), how the nurse know that the pt understood
his health education, all are correct expcept?
- I will shave by raser instead of shaving set.
- I check (inspect) my body daily of bruises.
- Continuously lab check especially INR level.
- its normal to have dark urine

42- usually pts on warfarin, they must regularly check..


- bleeding time
- INR or PT
- ESR (Estimated sedemintation rate).
- PTT

43– usually pts on Heparin, the nurse must regularly check..


- bleeding time
- INRor PT
- ESR (Estimated sedemintation rate).
- PTT?

44- Bed ridden patients hoe have low weight (slim), with poor nutrition, immobilized, are
at high risk to develop..
- Bed Sores
- DVT (Deep Vein Thrimbosis)

45- when changing the position for a patient with skin traction (with fractured leg), the
appropriate nsg intervention?
- Hold the weight (the traction) before changing the position.

46- the protective infection precaution equipment when dealing with a meningitis case
is?
- surgical face mask (droplet)
- Gloves.

47- to have the best effectiveness when using a skin traction is?
- free hanging.

48- when the nurse deals with a psycho patient with severe depression, the nurse
needs toilet, the appropriate nsg intervention is?
- tell the patient that he will come back in 5 minutes, and instruct him not to move until
he come.
- make any other nurse to cover (replacement).

49- in an Acute Bacterial Meningitis, the CSF (CerebriSpinal Fluid) investigation will be:
- low glucose level.
- high glucose level
- high protein level.
- low protein level
50- in PACU (Post Anesthesia care Unit), the nurse priority during monitoring the pt is?
- Blood pressure (BP)
(in case you have an airways and o2 saturation in the choices not the BP that will be the
correct answer)

51- the drug of choice for bradycardia


- Atropine.
- Digoxin.
- epinephrine (Adrenaline)
- norepinephrine.

52- for terminal stages pts who complaining of pain, asking (Morphine)
- give when they complain pain.

53- the best position during having a kidney biopsy is?


- Prone with sand bag support behind the Rt- Lt abdominal area.
- lateral

54- the most complication may the patient have after the liver biopsy procedure is?
- severe Pain.
- Bleeding (Bile)

55- Nsg intervention for an amputated leg with a biological patch is?
- Elevation above pillow – to prevent contractures.

56- severe dehydrated baby, which of the following the nurse must expect as a sign:
- crying without tears.

57- Apgar score:


- 0-3 severe distress
- 4-6 Need observation
- 7-10 No problem

57- In Renal calculi case, urine analysis will appear:


- high WBC (white Blood Cells)
- High creatinine.
- high RBC (Red Blood cells)

58- when you are speaking (communicating) to a CVA patient:


- give the patient enough time to speak (because he/she speaking moving slowly)
- Encourage the patient to speak faster.
- act as you understand what he was speaking then ignore.
59- A patient with high ICP (Intracranial Pressure), What do you expect the patient to
develop:
- coma
- Seizure
- Blindness

60- How to assess the pediatric tissue perfusion/ Breathing


- Capillary refill to be < 2 seconds.

61- a patient who recently lost his mother, after being informed he said “No she is
coming today to visit me”, this patient considered in which stage of grieving process?
- Acceptance.
- Denial
- Depression
- Stress

62- Before giving Digoxin, what Must the nurse do?


- Assess the BP
- Assess the RR
- Assess the HR
- assess the O2 saturation

63- signs of Bipolar:


- hyperactivity

64- Health Education for a patient who had total Knee replacement?
- not to cross the legs

65- First choice for feeding a patient with Dysphagia and stroke:
- NG tube.
- PEG
- TPN

66- Heavy smoker are at high risk to have:


- Hypertension
- CAD (Coronary Artery Diseases)
- stroke (CVA)

67- which of the following considered as (Plasma Expander)?


- Mannitol
- RBCS
- Albumin
- Perfalgan
68- why its contraindication to give high flow O2 to a COPD (Chronic Obstructive
Pulmonary Disease) patients?
- because it may cause O2 toxicity.
- to maintain breathing stimulation which initiated by the CO2

69- Picc line , when be used for the first time, what you expect from the physician to do?
- withdraw to check if you have food blood flow before using.
- CXR (Chest X-Ray)
- good and firm dressing.

70- which of the following is correct regarding Chest drainage system Discontinue?
- slowly remove the tube – suture- dressing
- clamp- instruct of inhalation then hold on- remove – tie the wound- dressing

71- post Bronchoscopy patient, the nurse should observe before starting feeding:
- Gag reflex
- wait bowel movement
- NPO (Nothing Per Oss) for 6 hrs then feed.

72- to irrigate a colostomy stoma, the nurse should use:


- Tepid water
- normal Saline
- Ringer lactate
- Distilled water

73- Nursing diagnosis as priority for a patient with Renal calcholie:


- Fluid volume deficit
- Pain
- risk for bleeding
- risk for oligurea

74- what should the nurse advice a Dm patient regarding insulin use?
- Small meal – Exercise- insulin
- insulin – sleep- exercise
- sleep- exercise – insulin

75- a patient with pancreatitis clinical investigation markers are all except:
-Amailaise
- Lipase
- low serum Ca level
- high serum glucose level
- hypernatremia

76- B-Blocker acts as anti arrhythmic agent is?


- isoptine
- lidocain
- Norvasc
- Tenormin

77- signs of duodenal ulcer:


- continuous pain
- intermittent pain.
- pain relieved by meals
- pain increased by meals

78- one of the following is correct regarding Dehydration signs (pediatric)


- high HR
- low skin turgor
- crying with no tears

79- Adult patient admitted the ICU, at night he became agitated, what do you expect this
patient have:
- schizophrenia
- depression
- Hospital (ICU) psychosis
- Stress or anxiety

80- post laparatomy patient, your advice when he wants to cough is:
- to support the abdomen by his hand before coughing

81- with pre-exlampsia , the nurse expect: (check the textbook)


- high Na (hypernatremia), low K (Hypokalemia)?
-

82- Nsg diagnosis for a patient with Gestationl DM? (check the textbook)
- CVA
- Low BP
- Placenta Previa
- Poly Hydro minus

83- Type of Anemia, why..? (check the textbook)


- Low folic acid
- ….

84- DM insepidus, with old patient , you expect : (check the textbook)
- Hyponatremia
- Hypoglycemia
- high crealtinine – urine analysis
- …..
85- Most Priority Nsg action post “ Electroconvulsion Therapy” is?
- Put the pt on lateral position
- change position every 15 min
- ask how doe the pt feel.

86- When the RN prepare a dose of 75mg of pethidine, what must the nure do with the
residual amount in the 100 mg pethidine ampule?
- Discard it

87- Nursing meaning for the pts principle of Autonomy?


- pt has the right to be informed about results and procedures.
- the nurse respects the patients principles of freedom, choices, self determination and
privacy.
- pt has the right for high quality of nsg care and international standards.

88- Effectiveness of O2 therapy for a pt with COPD ?


- HB
- PH and O2 sat
- CBC, ABGs, O2 Sat.
89- with duretics administration, the nurse must be aware of:
- high BP
- weak pulse
- muscle twitching

90- first priority Nsg interventions purpose with Alzhaimer pts is:
- to cure the disease
- giving medicaton to minimize the Signs and symptoms of Alzhaimer.

91- first priority when dealing with unconscious traumatic pt received in the ER?
- jaw thrust maneuver.
- maintain airways and breathing and O2 therapy
- assess level of consciousness.

92- Rectal tube insertion procedure, all of the following steps are correct except:
- Lubricate the rectal tube.
- insert 4-6 inches
- assess for abdominal distention before and after insertion.
- leave the tube for 40 minutes.

93- if the pt complains of pain when inflation of the balloon during the foleys catheter
insertion procedure, the proper nsg action is?
- Aspirate the fluid and remove.
- withdraw the fluid and insert more in then re inflate.
- put lower amount of fluid inside the balloon
94- Diagnosis markers of thalassemia? (check the textbook)
- HB, Electrolytes
- CBC
- PTT,PT

95- Which of the following regarding the Nsg diagnosis?


- Medical Pathology
- Treatment
- Actual problem
- Lab result

100- Health Education how to make wound care, the nurse knows that the pt
understands by:
- states the steps of sterile techniques while dealing with his wound.

101- to prevent lipo dystrophy with DM patient?


- Rotate injection sites.
- deep injection
- use 25 gauge syringe.

102- Meningitis therapy (Nursing Care) includes:


- ventilate the room
- Allow frequent visitor.
- use low lighting system. (light sensitivity)

103- the purpose of giving “Anti D” for a pregnant woman?


- to prevent the RBCs destruction for the next baby

104- a pregnant woman 2nd-3rd trimester, planned for C/S, the nsg priority is?
- Assess pain
- start IV fluids

105- Post normal vaginal Delivery, the pt developed vaginal bleeding, uterus is soft,
what is the most appropriate Nsg intervention?
- Uterus message to make the uterus rigid and decrease bleeding.

106- The most suitable diet for a woman with pre- exlampsia is?
- high protein, low salt diet

107- the reason of gum bleeding for a pregnant woman?


- high estrogen level

108- 20 weeks pregnant woman, first fatal movement called?


- Quickening
109- when you let the patient suddenly down, the normal newborn’s reflex is called?
(revise reflexes)
- Moro reflex
- Babiniski reflex
- rotating (sucking) reflex
- grasping

110- to prevent uterus laceration during delivery…


‘- Episeotomy

111- Marker diagnostic investigation for Breast CA (Cancer) is?


- ERP test
- CD and T

112- the priority, pt with facial and chest burn is?


- maintain airways and breathing. (laryngeal edema)

113- Post ETT (Endotracheal Intubation), patient’s breathing with gargling, this gargling
is evidence that the tube is located in:
- Bronchioles
- Trachea
- Carina
- Esophagous

114- the drug of choice for Supra ventricular tachycardia is …


- D/C shock
- Atropine
- Adrenaline
- Adenosine

Adenosine, an ultra short acting AV nodal blocking agent, is indicated if vagal


maneuvers are not effective.[9] If successful, followup therapy with diltiazem, verapamil
or metoprolol may be indicated. Adenosine may be safely used during pregnancy.[10]

SVT that does not involve the AV node may respond to other anti-arrhythmic drugs such
as sotalol or amiodarone.

115- the In charge nurse prepared a medication and asked the RN to give it to patient in
room 4, the appropriate RN intervention:
- refuse giving this medication ( who prepared will give, no deligation)
- give it, and sign instead of the in charge.
116- the first priority regarding medication administration ?
- chceck pts name
- check the expiry date
- check physician order
- check medication name

117- preparation for thoracentesis?


- give pre medication
- keep pt NPO for 8 hrs.
- keep the pt on upright position and mark the site.

118- the ideal way to remove the eye lenses?


- apply a pressure to the eyelids then instruct to clinch.

119- Documentation error (with 2 words) hoe the nurse fixes this error?
- use the corrector
- flat line over then sign

120- documentation- while the nurse document in a pts file, he discovered that he was
writing in the wrong pt, what is the appropriate action should the nurse do?
- make oblique line in the whole page and sign.

Again, there are no answers for most of the HAAD exam questions above; do your
part.