These are the questions I encountered in my HAAD exam.

Computer #25

1. Which vitamin will affect the administration of calcium? (actual first question)
A. Vitamin C
B. Vitamin D
2. Patient who is blind and wants to go to CR what will you do?
A. Clear the way to CR and walk with the patient
B. Let the patient hold your elbow and walk before the patient
3. Patient is on osmotic diuretics, what solution makes fluid to go inside the cell?
A. Hypotonic
B. Hypertonic
4. 24 hours after burn, patient has had infection on what precaution does the nurse will provide to
the patient?
A. Reverse isolation
B. Private room with another child
5. Patient with colostomy blanch appearance indicate?
A. Infection
B. Poor tissue perfusion
6. A child with croup on high oxygen treatment and you noticed that he has dry lips and mucus
membranes, what will you do?
A. Provide humidified oxygen
B. Decrease the oxygen rate
7. A patient is admitted to the hospital, upon assessment patient is experiencing a dry mucus
membrane, tachycardia, hypotension, weight loss and tachypnea. Base on the assessment what
nursing diagnosis is appropriate for the patient
A. Deficient Fluid Volume
B. Excess Fluid Volume
8. The physician ordered Abdominal Paracentesis to a patient with ascites and ask the patient to
empty his bladder for what reason?
A. To prevent voiding during the procedure
B. To prevent accidental puncture of the bladder
9. Doctors ordered 50ml of D5w to run for ½ hour (30 minutes). How many ml/hr to deliver?
A. 50 ml/hr
B. 100 ml/hr
10. What is the immediate treatment in patient with Ventricular Defibrillation?
A. CPR
B. Initiate Defibrillation
11. Patient is diagnosed with Diabetic Ketoacidosis what is the treatment for this patient?
A. Regular Insulin IV
B. NPH SQ
12. Your nurse manager prepared a medication and he ask you to give the medication, how will you
respond?
 A. Take the medication and ask another nurse to give the medication
B. Tell to your nurse manager that “I will not give any medication that I didn’t prepare”
13. Patient is admitted on the unit upon assessment of the patient condition you notice that the
patient has a receptive aphasia, right sided body weakness, hypotension. You will consider that
this patient is experiencing?
A. Cerebro Vascular Accident
B. Parkinson’s Disease
14. You are taking Arterial Blood Gas of a patient admitted on the unit. What is the normal PH?
A. 7.2 5 - 7.35
B. 7.35 – 7.45
15. Patient has encounter an accident, upon assessment you notice a bruise on his head and on the
physicians report cerebral edema is noted. What is the sign and symptoms of Increase
Intracranial Pressure?
A. Hyperthermia, tachycardia, hypertension
B. Hyperthermia, Bradycardia, hypertension
16. Patient has had undergone a total hip replacement. As Registered Nurse on duty your important
teaching is to?
A. Avoid crossing legs
B. Weight bearing exercise
17. A patient is admitted and the physician diagnosis is Thalassemia and he ordered Deferoxamine
for the purpose of?
A. To facilitate iron excretion
B. For hydration
18. Patient with an NGT, what is the effect of fast feeding?
A. Distension
B. Diarrhea
19. What is the characteristics of pain in duodenal peptic ulcer?
A. gnawning sensation relieve with food
B. pain precipitated with food
20. Patient had undergone a tonsillectomy, while on the PACU you noticed that the patient is
experiencing dyspnea and frequent swallowing, what is your immediate action?
A. Assess the patient check his mouth for any bleeding
B. Offer the child a sip of ice chips
21. A patient with a Indwelling Foley Catheter, why we need to empty the urine bag every 8 hours?
A. To prevent bacterial contamination
B. For analysis
22. Patient admitted to the unit undergone subtotal thyroidectomy, the nurse is aware that the
possible complication of the surgery is?
A. Tremors and muscle twitching
B. Damage laryngeal nerve
23. What are the things that the nurse will avoid during suctioning?
A. Suctioning while withdrawing the tube
 B. Suctioning for a minimum of 30 seconds
24. A patient diagnose with angina pectoris is rush him/herself to the emergency department due to
headache, dizziness, dyspnea and palpitation. You will consider that this patient is experiencing?
A. Nitroglycerine overdose
B. Alcohol withdrawal
25. The Physician ask you to irrigate the wound of the patient and you notice that you don’t know
anything about this solution what action should the nurse do?
A. Ask to the pharmacist what is the action of the new solution
B. Ask the patient preference of wound irrigation
C. use the solution if its available in your station
26. A registered nurse is delegated a task to a practical nurse, who will be the responsible for his
action?
A. Practical nurse who do the task
B. Registered nurse who delegated the task
27. Patient is to undergo bronchoscopy the next day, he is anxious and worried regarding the
procedure how will you respond?
A. Reassure the patient and express his/her feelings
B. Tell the patient that there’s no need to worry everything will be alright
28. A baby with a diagnosis of nephrotic syndrome his mother ask the nurse why they need to
weigh his diaper the nurse will respond?
A. To monitor nutritional status
B. To check for water retention
29. You are in the delivery room and assessing a newborn with apgar score of 6, weak cry, flaccid
extremities, pinkish but bluish extremities what is your action as a registered nurse?
A. Needs special assistance
B. Resuscitation
30. In collecting a urine specimen for urine analysis voided at 9:00am should send to laboratory
within?
A. 9:30am
B. 10:00am
31. Pregnant mother is experiencing a pregnancy-induce hypertension, what diet is appropriate for
him?
A. Low salt diet
B. Maintain well-balanced diet
32. Patient is admitted for surgery his BP=117/68, on admission on the PACU his BP=124/72 and
after 30 minutes his BP=112/60, his pulse is 72 what is the next action?
A. Inform the surgeon
B. Inform the anesthetist
C. Inform your supervisor
33. Morphine 2.5 mg ordered. In hand 1000 mcg/ml. How much to give?
A. 1.5 ml
B. 2.5 ml
34. Patent post casting of upper extremity and complains of severe pain, what is your nursing
action?
A. Administer analgesic as order
B. Notify physician
C. Pedal the edges
35. Patient encounter accidental burn on his face, neck, chest and shoulders. Patient is at risk for?
A. Respiratory depression
B. Infection
36. In caring patient with pancreatitis what is the important thing to consider?
A. Fluid and Electrolyte imbalance
B. Control of pain
37. Patient is to undergo EEG on the next day, you will instruct the patient to?
A. NPO
B. Do not take coffee
38. Patient diagnose with hepatic encephalopathy what lab do you expect to decreased?
A. Albumin
B. Ammonia
C. Billirubin
D. ALT and AST
39. A patient post surgery is admitted in PACU, in assessing for occurrence of the DVT you will
notice that?
A. Intermittent claudication
B. Localized warm and tenderness
40. How to prevent post op Thrombophlebitis?
A. Elevated legs with 2 pillows
B. Massage frequently
41. Proper way to prevent infection?
A. Wearing gloves
B. Proper Handwashing and hygiene
42. In instilling ear drops to a otitis media patient you must consider?
A. Instilling ear wick before medication administration
B. Avoid touching the tip of the ear drops to the ear auricle and instill to the ear canal
and then pull the pinna upward for 2 minutes.
43. Color of the stool for patient with Upper GI bleeding?
A. Red
B. Black
44. A patient is connected to a water seal bottle with chest tube in place, the nurse must observe
that?
A. Continuous water fluctuation
B. Intermittent flactuation
45. Patient with cerebral edema with increase intracranial pressure, what position is appropriate for
the patient?
 A. Trendelenburg’s position
B. Head of the bed 30-45 degrees
C. Fowlers Position
46. A 12 year old child treated with tetracycline will manifest what side effects of the medication?
A. Staining of the teeth
B. Renal failure
C. Immunodepressant
47. The physician orders eye drops to the patient and administer it “OS”, means?
A. Left eye
B. Right ear
C. Both eyes
48. A child diagnose with ventricular septal defect will manifest?
A. Harsh heart murmur
B. Stridor
C. High pitch cry
49. A patient was prescribed Piperacillin for antibiotic treatment, must watch out for?
A. Hypersensitivity
B. Steven’s Johnson syndrome
C. Immunodepressant
D. Antibiotic resistant
50. How is wet to dry dressing being done?
A. Wrap fingers tightly
B. Wet the gauze in minimal amount
C. Wet the gauze with the normal saline
51. Patient post op weighing 60 kgs what is the minimum output?
A. 30 ml
B. 60 ml
C. 20 ml
52. In taking vital sign in various patient which is abnormal?
A. 11 year old BP=100/60, pulse 90, RR 24
B. 5 years old BP=95/60, pulse 95, RR 20
C. 13 year old BP=110/70, pulse 90, RR 22
D. 6 years old BP=95/60, pulse 95, RR 26
53. Patient is on droplet precaution what to do?
A. wear HEPA mask
B. Use gloves, mask and gown in rendering care
C. Use surgical gloves upon rendering care with distance of 2-3 feet
54. You are a staff nurse for almost 6 year in your unit and the other unit is under staff and your
supervisor ask you to float to another unit that you are not assigned how will you respond?
A. I will float to another unit but I will only perform those procedures that I’m familiar
B. Do not go to another unit to float
C. I will float to another and do all the procedures needed
55. Patient is with heart problem and implanted a pacemaker, what is the use?
A. Initiate heart beat when the SA node fail to do so
B. Regulates heart beat when it detect irregular heart beats
56. Patient experiencing severe vomiting, what fluid and electrolyte imbalance will you expect that
the patient will manifest?
A. Increase sodium, decrease chloride
B. Decrease potassium, decrease chloride
C. Increase potassium, decrease sodium
57. A patient rush himself to ED, upon assessment the patient has had bee sting, what action does
the nurse will be appropriate?
A. Remove the sting with tweezers
B. Watch out for allergic reaction
58. Patient is on diuretics experiencing vomiting and diarrhea, excessive urine output what will you
expect?
A. Hypokalemia and Cardiac problem
B. Dehydration
59. A pre-school child is playing in the ground, suddenly the child got accident and you notice that
he develop hematoma in his head, what will you do?
A. Let the child continue playing
B. Apply ice and monitor V/S
60. What is the characteristic of pain in patient with pancreatitis?
A. severe epigastric pain radiating to back
B. burning pain left upper quadrant pain radiating to back
61. What two characteristics to measure the depth of patient with depression?
A. Helplessness and hopelessness
B. Seeking attention and affect
C. Affect and Responsiveness
62. Upon assessment where can you best heard the apical pulse?
A. Left 5th intercostal space mid clavicular line
B. Left 5th intercostal space mid axillary line
63. Patient has develop head injury and manifest right sided body, weakness arms and legs, what
assistive device is appropriate for him?
A. Quad cane
B. Crutches
64. What is your nursing consideration during defibrillation?
A. Avoid touching the bed
B. Restrain the patient
C. Put jelly on defib
65. Physician ordered Acitane 45 mg and aspirin 650 mg but the available stock of Acitane is 15 mg
per tab and aspirin 325 mg per tab, how many tablet will you administer?
A. 2 tabs of Acitane, 3 tabs of aspirin
B. 3 tabs of Acitane, 2 tabs of aspirin
66. What is the proper position of defibrillator?
A. Below right clavicle, left just below the nipple
B. Below left clavicle, right just below the nipple
67. You are administering rectal suppository how should be given?
A. Insert 2-3 inches above the sphincter
B. Insert above the muscle of the anal sphincter
68. Which patient is most risk for fluid and electrolyte imbalance?
A. Patient 22 years old with 1 week colostomy
B. Patient 45 years old with 2 days ileostomy
C. Patient 65 years old with 8 hrs post renal angiography
69. Patient is to undergo renal biopsy in what position will you place the patient?
A. Supine
B. Prone with sand bag on the abdomen
70. Patient with right pleural effusion is about to undergo with thoracentesis procedure but the
patient stated that he cannot tolerate sitting position, how will you position the patient?
A. Left side lying with the head of the bed elevated 30-45 degress
B. Right side lying with the head of the bed elevated 30-45 degress
C. Trendelenburg position
71. Appropriate nursing diagnosis for patient with stage 4 pressure ulcer?
A. Risk for poor tissue perfusion
B. Risk for infection
72. In bed ridden patients how to prevent pressure ulcers?
A. Provide soft mattress
B. Reposition every 2 hours
C. Ambulation
73. The physician ordered a medication and you believe in yourself that the dosage is too large for
the patient, what will be your action?
A. Call the physician and discuss
B. Inform your supervisor
74. Patient with pneumonia with thick and purulent sputum how to loosen the secretion?
A. Postural drainage
B. Cupping
C. Deep Breathing
D. Vibration
75. Doctor ordered 1000 ml of D5 water to run for 8 hours how many drops will you deliver using
microdrip set?
A. 30 ugtts/min
B. 125 ugtts/min
76. Physician ordered a 40 mg of lasix and the available stock is 40mg/2ml, how many milligram will
you administer?
A. 2 ml
B. 4 ml
77. Patient with hypertensive crisis the doctor ordered Hydralazine 20mg through IV for BP more
than 210/100 mmHg, what is your nursing consideration?
A. Give the dose once a day
B. Immediately give the dose only once
C. Give the medicine for BP >210/110
D. Call the physician because the ordered is not clear
78. During colostomy irrigation patient complain of abdominal cramps, what will be your nursing
consideration?
A. Stop the infusion
B. Slow the infusion
79. Patient with indwelling foley catheter while inflating patient complain of pain, what will you do?
A. Deflate the balloon and remove
B. Aspirate and reinsert then reinflate
80. How will you ensure that the patient is measuring his blood glucose level accurately?
A. Rotate the sites
B. Obtain a new strip
81. What solution you will use to irrigate colostomy?
A. Normal saline
B. Tepid water
82. A 60 years old patient undergone total hip replacement, while in PACU patient suddenly
experience difficulty breathing, cyanosis, base on assessment what is this most probably cause?
A. Pulmonary embolism
B. Fat embolism
83. Patient on warfarin therapy, on what laboratory finding will you check?
A. CBC
B. INR/PT
C. PTT
84. During blood transfusion patient suddenly experiences hyperthermia, DOB, low back pain,
patient is experiencing?
A. Hemolytic reaction
B. Allergy
85. Initial sign of respiratory depression?
A. Lethargy
B. Restlessness
86. Post op patient what will alert the nurse?
A. 20 ml urine output in 1 hour
B. Soak dressing
87. 97. Post craniotomy patient, what will you report to the doctor?
A. Blood tinged
B. Foul smell
88. Doctor ordered antibiotics to be given as secondary line, the patient has a primary IV fluids NS
0.9 Na Cl the nurse notes that the correct position of IV line is?
 A. The primary IVF is lower than the secondary
B. The primary IVF is higher than the secondary
89. Iron rich food?
A. Lettuce
B. Green leafy vegetable
C. EGG
90. What does the nurse need to write on the assessment in the 3rd day post hemicolectomy?
A. Temperature
B. Drainage output
91. You are about to give the medication to the patient and you noticed that the medication label is
not clear, what will be your action?
A. Give the medication
B. Ask the pharmacist to give a clear label of the medication
92. A new medication was prescribed to the patient and you don’t know about this medication,
what will be your action?
A. Do not give the medication
B. Call the doctor to prescribe the old medication that were used
93. Doctor ordered 2.5 mg of morphine and the stock on hand is 1000 mcg/ml, how much you will
give?
A. 3 ml
B. 2.5 ml
94. Patient post ORIF of right tibia, what position to prevent complication?
A. Elevate the affected limb for the minimum effect
B. Abduction
C. Bed rest, straight legs for good healing
95. Patient is admitted to ED who suffer from wound lacerations. Which patient should receive a
dose of tetanus toxoid?
A. Patient who didn’t receive tetanus toxoid for 3 year
B. Patient who didn’t receive tetanus toxoid for 10 years
96. Patient develop edema and cellulitis on his leg, what position is appropriate to limit the
occurrence of edema?
A. Elevate the leg
B. Massage the leg
97. Upon assessment patient who had known a history of food allergies and some medications,
what will be your action?
A. Instruct him to carry a epinephrine kit always
B. Be alert to any allergic reaction to a prescribed medication
98. In diuretics administration the nurse should alert for?
A. Blood pressure
B. Weak pulse
99. What is the most important thing you will consider in giving medication?
A. Check the physicians order
 B. Check the expiration of the medication
100. 8 weeks pregnant mother was rush to the hospital due to abdominal pain and bright red
vaginal bleeding, the nurse must be aware of?
A. Spontaneous abortion
B. Ectopic pregnancy
101. A patient came to ER expecting anaphylactic reaction because he ingested shellfish, the
patient stated that every time he ate shellfish it always happen, the patient have normal vital
signs, no respiratory distress, the patient have no signs of allergic reaction what should the
nurse do:
A. Administer epinephrine
B. Insert IV line
102. Patient was rush to the emergency department due to vehicular accident, what will be
the most important question to ask?
A. When was the last time he ingested alcohol
B. What kind of alcohol he ingested prior to accident
103. Patient in hosp with on-going tonic-clonic seizure what will be your action?
A. Administer oxygen
B. Remove the furniture in the area
104. You are caring for a patient with hearing impairment, how will you communicate to that
patient?
A. Use simple sentences
B. Write the conversation in a piece of paper
106. A family brought their child to a clinic, having difficulty in breathing, wheezes, flared nose,
and slightly cyanotic lips. The nurse priority action?
A. Ask him to go to the nearest hosp
B. Assess respiratory distress and expiration lung capacity
C. Put him in the assessment table and ask him to bend forward and breath
D. Sit with him and offer 2 puffs of Ventolin
107. Patient is terminally ill how should the pain medication given?
A. Round the clock
B. As patient requested