HAAD-RN practice questions, page 12 of 12, with answer review and explanations.
Question 56
A patient requires tracheal suctioning through the nose. Which of the following nursing action would be incorrect?
Lubricating the catheter with sterile water
Applying suction while withdrawing the catheter from the nose
Applying suction for a minimum of 30 seconds
Rotating the catheter while withdrawing it
Question 57
Pain management for terminally ill patients is most effective when analgesics are given:
Around the clock
Only when clearly needed
After non-pharmacological methods fail
As the patient requests them
Question 58
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:
Deficient fluid volume related to disease process
Excess fluid volume related to decreased glomerular filtration rate
Knowledge deficit related to proper medication regimen
Acute pain related to renal edema
Question 59
The nurse knows that the greatest risk for a patient with a ruptured ectopic pregnancy is:
Hemorrhage leading to hypovolemic shock
Strictures and scarring of the fallopian tube
Adhesions and scarring from blood in the abdomen
Infertility resulting from treatment with a salpingectomy
Question 60
A trauma patient with open wounds arrives in the emergency department. The nurse would know that a tetanus injection is needed if the patient has:
Only received 3 doses of tetanus toxoid
Received less than 3 doses of tetanus toxoid
Not had a dose of tetanus toxoid in the past 4 years
Not had a dose of tetanus toxoid in the past 10 years