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HAAD Licensure Examination for Registered Nurses Sample Questions:

1. A male patient with a right pleural effusion noted on a chest X-ray is being prepared for thoracentesis. The patient experiences severe dizziness when sitting upright. To provide a safe environment, the nurse assists the patient to which position for the procedure?

A) Left side-lying with the head of the bed elevated 45 degrees
B) Right side-lying with the head of the bed elevated 45 degrees
C) Sims' position with the head of the bed flat
D) Prone with head turned toward the side supported by a pillow

2. The nurse is preparing teaching plans for several patients. The nurse should recognize which of the following patients is at greatest risk for fluid and electrolyte imbalance?

A) A 20-year-old patient with a sigmoid colostomy
B) A 40-year-old patient who is 3 days post-operative with an ileostomy
C) A 60-year-old patient who is 8 hours post-renal arteriography
D) A 2-year-old patient who is receiving gastrostomy feedings

3. In caring for a woman and baby day 3 postnatally, she tells you that her baby has not had a bowel action since delivery. Your appropriate response would be:

A) Tell the mother that you will let the physician know, so the baby can be checked for any obstruction
B) Encourage more frequent warm baths for the neonate with gentle abdomen massages
C) Start a bowel chart, document all findings, and wait another 48 hours before reporting to the physician
D) Reassure the mother that it is quite normal for a baby to not move their bowels until day 5 after a few days of milk feeding

4. The rationale for having the patient void before an abdominal paracentesis procedure is to:

A) Avoid abdominal distention
B) Reduce infection rate
C) Minimize discomfort
D) Prevent bladder puncture

5. Collection urine bag should be emptied as necessary and at least every 8 - 9 hours to prevent:

A) Bacterial contamination
B) Pulling on catheter
C) Pooling of urine in the tube
D) Reflux of urine into the bladder

Solutions: