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

2. Which of the following statements accurately describes the occurrence of dyspnea in patients who are receiving end of life care?

A) Dyspnea that is caused by increased fluid volume may be improved by diuretics
B) Dyspnea occurs in less than 50% of the patients who are receiving end of life care
C) Dyspnea is only experienced by patients who have primary diagnoses that involve the lungs
D) Dyspnea may be caused by antibiotic therapy used over a long period of time

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

4. A patient on diuretics has had vomiting and diarrhea for the past 3 days. Which of the following is this patient most at risk for developing?

A) Dehydration and hyperglycemia
B) Hypokalemia and cardiac arrhythmias
C) Hypercalcemia and polyuria
D) Hyperalimentation and heart block

5. A patient is admitted to a hospital with acute renal failure. The patient wakes up complaining of abdominal pain. On assessment, the nurse observes edema to the patient's ankles and distended neck veins. The patient is dyspneic with a blood pressure of 200/96 mmHg. The proper nursing diagnosis for this patient is:

A) Knowledge deficit related to proper medication regimen
B) Excess fluid volume related to decreased glomerular filtration rate
C) Acute pain related to renal edema
D) Deficient fluid volume related to disease process

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