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HAAD Licensure Examination for Registered Nurses Sample Questions:

1. The best example of documentation of patient teaching regarding wound care is:

A) "The patient was instructed about care of wound and dressing changes"
B) "The patient demonstrated correct technique of wound care following instruction"
C) "The patient and family verbalize that they understand the purposes of wound care"
D) "Written instructions regarding wound care and dressing changes were given to the patient"

2. A patient with a central venous line develops sudden clinical manifestations that include a decrease in blood pressure, an elevated heart rate, cyanosis, tachypnea, and changes in mental status. Which of the following is the most likely cause of these symptoms?

A) An air embolism
B) Venous thrombosis
C) Developing bacteremia
D) Circulatory overload

3. A patient presents to the emergency department with diminished and thready pulses, hypotension and an increased pulse rate. The patient reports weight loss, lethargy, and decreased urine output. The lab work reveals increased urine specific gravity. The nurse should suspect:

A) Dehydration
B) Pneumonia
C) Sepsis
D) Renal failure

4. A nurse is not familiar with a particular solution ordered to irrigate a patient's wound. The appropriate action would be to:

A) Check if the solution is available on the ward, and if so, use it to clean the wound
B) Put a neat line through the order and re-write the solution more commonly used
C) Check with the Pharmacist about the uses of the solution ordered
D) Ask the patient what solution he would prefer to be used

5. A medication was ordered by a physician. The nurse believes the medication dose is incorrect. What should the nurse do next?

A) Ask the nurse in charge if the order is correct
B) Call the physician who prescribed the medication
C) Contact the pharmacy department
D) Clarify the order with another physician who is available on the unit

Solutions: