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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) Prone with head turned toward the side supported by a pillow
D) Sims' position with the head of the bed flat

2. A patient becomes angry and threatens to leave the hospital unless the physician reviews the reason for the patient's delay in discharge. The patient has a medication order for agitation available p.m.. but refuses the medication and requests a drink of orange juice instead. What should the nurse do?

A) Give the patient the orange juice and tell the patient that a staff member is attempting to call the physician
B) Inform the patient that staff is unable to force anyone to stay in the hospital
C) Secretly slip the p.r.n. medication into the orange juice and give it to the patient
D) Inform the patient that nothing can be done until the morning

3. A patient is ordered 75mg of pethidine which comes in an ampoule of 100mg/2ml. What would the nurse do with the remaining pethidine after drawing up the required dose?

A) Lock up the remaining dose in the medication cupboard to use later
B) Ask a fellow staff nurse to witness the disposal of the remaining drug
C) Pour the remaining dose down the nearest sink
D) Use the remaining dose within 2 hours for another patient

4. A patient arrives at the emergency department with slurred speech and a right facial droop. The patient's relative states the patient "is not himself." Upon assessment, the nurse finds paresthesia to the right side of the body, receptive aphasia, hemianopia and altered cognitive abilities. The nurse should suspect:

A) A cerebrovascular accident (CVA)
B) A narcotic overdose
C) Parkinson's disease
D) Alcohol withdrawal

5. Which of the following tasks requires specialized education and should be performed by the nurse only after the training has been completed?

A) Administering a dose of promethazine (Phenergan) via intravenous push (IVP)
B) Instilling tobramycin (Tobrex) ophthalmic solution
C) Beginning an intravenous infusion of cyclophosphamide (Cytoxan)
D) Applying a transdermal fentanyl (Duragesic)

Solutions: