TO ALL NURSES WHO WANT TO PASS THE HAAD-RN EXAMINATION PLEASE TRY TO READ THE MEDICAL SURGICAL NURSING AND FUNDAMENTAL CONCEPT IN SAUNDERS 6' EDITION COMPREHENSIVE REVIEW BOOK AND JUST SCAN ONLY THE MATERNAL AND PEDIATRIC NURSING. PSCHIATRIC NURSING IS NOT A BULK OF THE EXAMINATION. REVIEW THE Q/A OF THE PAST TAKERS AND PRACTICE TO ANSWER THE Q/A ONLINE OF SAUNDERS. BELOW ARE THE QUESTIONS COME OUT DURING MY EXAMINATION AND | HOPE THIS WILL COME OUT DURING YOUR EXAMINATION. GOOD LUCK AND PRAY ALWAYS THAT YOU WILL PASS THE EXAM. 1, The nurse should assess the client for which symptom of duodenal ulcer: A. Nausea and vomiting Food ingestion aggravates the pain : D. Pain at the left mid-epigastric region 2. Which of the following instructions will be given to prevent thrombophlebitis? B. Wear antiembolism stockings C. Do warm compress D. Take an anticoagulant medication 3. The diagnostic test that is helpful in recognizing thalassemia: ‘A. Complete blood count (CBC) B. Serum electrolytes D. Bleeding time 4. Apatient with angina pectoris came to ER with complaints of headache, dizziness and palpitation. What should the nurse to suspect? B. Sign of impending myocardial infarction C. Sign of heart failure D. All of the above 5. Which of the following tasks a registered nurse cannot delegate to a practical nurse? B. Assisting patient in standing and wal C. Taking a blood pressure D. Assisting in daily living activities 6. Aregistered nurse is caring a pregnant mother with a mild pre-eclampsia. What is the advisable diet for the mother? A. Low sodium, B. High protein D. Use salt substitutes7. A patient is candidate for surgery, who is responsible in getting the consent? ‘A. The registered nurse assign to the patient C. The anesthesiologist who will give anesthesia D. The shift in charge nurse in the surgery ward 8. A patient came in ER was admitted and candidate for surgery. When to complete the pre-operative checklist? Al During admission (Basta my kasunod pa to nakalimutan ko lang) B. Before transferring the patient in the operating room C. During the operation D. ***Sorry | forgot. 9. Apatient came in the clinic with a blood pressure from 200/110 to 185/100. What will you expect the physician will order? (In the scenario, they did not state that the patient has history of cardiac disease or any sign and symptoms) A. Refer to cardiologist (This is my answer because hypertension is asymptomatic) C. For follow-up after one week D. Medication therapy for hypertension 10. The physician prescribed 80 mg of furosemide. The pharmacy sends 5 mL of 50mg Furosemide. How many ml you will give? A.10 ml mi D.6ml 11. A human with a urine output of 800 ml have an average fluid intake of: (Actually the question here is fill in the blank | just rephrased it.) ALSL BI2LL (| am not sure please research for the answer.) cab D.6L 12. A patient with chest tube connected to water seal chamber and you observe in the bottle that there is oscillation, what is an appropriate nursing intervention to do? (The term they use actually is “oscillating”. | just rephrased for my convenience) B. Inform the physician immediately C. Position from right side D. Check for air leak 13. A patient is taking an oral iron tablet, what is an important nursing instruction to give? B. Do not take it with fruit juices.C. Drink it with an antacid. D. You will experience a diarrhea. 14. Why is tetracycline contraindicated to a child 12 years old below? A. It will cause nephrotoxicity. C.1 forgot D. | forgot. 15. What is the transmission precaution for pertussis? A. Airborne (just remember the other term of pertussis “whooping cough”) C. Contact (this is possible answer but for me more on droplet precaution according to my research) D. Standard 16. If you are taking MRSA, what you will wear? (I confused in the actual question but please read and find the answer on how you prevent MRSA in the hospital) ‘A. Mask and Gown B. Gown and Gloves C. Mask and Gloves D. All of the above 17. In medication administration, what is the first thing to do? ‘A. Check the name of the drug against the MAR. B. Check the expiration date. C. Check the patient's identification band. D. Verify the doctor’s order, (Actually | confused to the question maybe of super analyze that’s why | got the wrong answer letter C hehe) 18, The following are the signs and symptoms of diabetic insipidus EXCEPT: A. Polydipsia B. Polyuria D. Diluted urine 19. Which of the following cardiac rhythm is for defibrillation? A. Ventricular tachycardia with a pulse . Atrial fibrillation D. Supraventricular tachycardia 20. You are reviewing the chart of the other nurse in the previous shift and you observe an error in the nurse’s notes. How you will correct the wrong entry? (Actually | confused to my answer so please review about nursing documentation) A. | forgot. B. | forgot.C. You and the other nurse will draw a single line in the wrong entry and sign. D. The other nurse only will draw a single line in the wrong entry and sign. 21. Which of the following is an example of nursing assessment as an “objective”? A. The patient says that he has pain. C. The patient states that he has nausea and vomiting, D. The patient states that he has itchiness. 22. A patient complaint of abdominal cramping during colostomy irrigation, what will be your appro sou tervention? B. Inform the physician. C. Increase the flow of the irrigation. D. Adjust the irrigation bottle up. 23. Which of the following WBC differential count is abnormal during allergic reaction? (The exact choices for this question has a value) A. WBC 100% BL Eosinophils (| forgot the percentage value but this is my answer base on their physiologic function that will rise also during allergic reaction aside from basophils) C. Neutrophils 67% D. | forgot but no basophi in the choices 24, The patient is on postural drainage, what you will do FIRST: (Please research for the answer | am not sure to my answer) ‘A, Coughing 8. Clubbing the chest wall C. Deep breathing D. Vibrating the chest wall 25. Which of the following describe first-degree burn? ‘A. Partial thickness burn that involves injury deeper into the dermis. C. Deep partial that extends deeper into the skin dermis. D. Deep full that injury extends beyond the skin. 26. What happen in the first degree AV Block? A. There is a block in the bundle of his. C. There is a complete block in the AV node. D. | forgot. 27. How many joules you will set in the defibrillator for biphasic? A.50 Joules 8B. 100 JoulesC. 360 Joules 28. Complication of emphysema: A. Cor pulmonale B. Left Sided Heart Failure C. 1 forgot D. | forgot 29, The patient is taking loop diuretics and digoxin, what is an important nursing intervention you will do? B. Instruct to eat foods low in potassium. C.| forgot D. | forgot 30. The patient has COPD, what method of oxygen delivery you will give: A. Venturi mask at 4. B. Nasal prongs at 2L €. Venturi mask at 6L D. Nasal prongs at 4L 31. How you will take care a patient with oxygen therapy at home via nasal cannula? A. Change the nasal cannula every 4 hours. B. Change the position of the nasal cannula. C. Remove the condensation in the nasal tube every 4 hours. D. | fogot. (Just read about oxygenation and its nursing care) 32, Nursing intervention for pediatric patient with cystic fibrosis: - Put the patient in humidified environment, (Sorry | forgot the other choices but 'm sure this is the answer) 33, How you will approach an elderly patient with a visual impairment? A. Tell him/her that you will come in and out in his/her room. B. Guide him in going to bathroom by verbal. D. | forgot. 34. A patient with hypokalemia have an ECG changes of: A. Widened QRS complexes B. ST elevation C. Prolonged PR intervals 35. A patient came in the clinic with history of several appointment to other clinic. This kind of situation is risk for: (Please research the answer.) A. False insurance claims B. MisdiagnosisC. Malpractice D. | forgot 36. The appropriate fluid to give before and after blood transfusion is: (This is the actual question and not a during blood transfusion.) B. Ringers Lactate c. DSW D. DSNormal Saline 37. A patient with diabetes mellitus has undergone amputation of the left leg and acs of pain, how you will intervene the complaint? B, Tell him that this pain is normally occur for patient with DM C.1 forgot D. forgot 38. After 24 hours post-operative, what is to be reported immediately to the physician? A. Temperature of 37.6C B. Respiratory rate of 18 C. Blood pressure of 115/80 39. A patient with PIC line and you are about to give medication for the first time. What intervention you will do first? ‘A. Check for the blood flow. B. Check for dressing. D. | forgot 40. Ascites is a/an: + Fluid accumulation in the peritoneum (| forgot the other choices) 41, Wound debridement is/an: ~ Removal of dead, damogeerinteCea HUE (forgot the other choices) 42, What is the meaning of “competence” in nursing profession? 43. At what stage in wound healing is bacterial proliferation is high? (Please research for the answer) 44, When the RN delegates a PN to do @ procedure who will be responsible for the PN action? B. Practical Nurse C. SupervisorD. Physician 45, Patient is on warfarin therapy, what an important health teaching to include in the nursing care EXCEPT? A. L will shave by razor. B. | will inspect my body for bruises. Continuously follo matron workout of INR. 46. Usually patients on warfarin must regularly check for: A. Bleeding time C.ESR D.PIT 47. Which of the following laboratory values will usually remain normal to a patient with hemophilia? PT. C. Bleeding time D. | forgot but no platelet in the choices 48. A patient on heparin therapy must have a regular follow-up of: A. Bleeding time B. INR/PT C.ESR 49. A bed ridden patient has a weight loss, poor nutrition, and immobilized is high risk for: A. DVT B. Pneumonia D. | forgot 50. What is the expected finding in the CSF of a pediatric patient with meningitis? B. High glucose level C. Low protein D. Low WBC 51. How you will assess the effectiveness of opioid analgesics to a 6 years old patient? A. Observe his facial expression. Ask him to rate the pain from 1 O scale. D. Ask him to rate the pain using the face scale. 52. A pregnant mother is for fetal heart monitoring, what you will expect to be done?A. Contraction stress test C. Chorionic Villa Sampling D. Amniocentesis 53. What is the purpose of giving atropine sulphate during electroconvulsive therapy? A. Provide anesthesia for the patient B. Provide an amnesia bla bla bla. D. 1 forgot 54, Important nursing intervention for patient taking carbamazepine (tegretol): = | forgot the choices in the question so just review the important nursing intervention for this medication. 55. Which nursing care is an important to include in the discharged teaching to a patient diagnosed with seizure (epilepsy)? A. Loosen restrictive clothing and move away all dangerous objects. B. | forgot (Gills downline GSE IASIGS WIRE BOSIIGA (This is my answer but letter A is correct based on my reading. | just choose letter C based on the word “important” which means priority for me.) D. | forgot 56. An elderly patient is admitted in the ward with history of fall, what is an important hursing intervention to carry out? B. Putin arestrain, C. Provide a well-lighted room. D. I forgot 57. Wt of the following is glucose-related problem EXCEPT? A. Diabetic ketoacidosis B. Hyperglycemic hyperosmolar nonketotic syndrome (HHNS) . This is stated in a very long statement in the actual exam probably this is not the answer for me. DUHypoglycemia bla...bla....bla... (I forgot the continuation of the statement but this is, my answer) 58. What is an important assessment to take before giving a digoxin? A. Check the blood pressure. B. Monitor the respiratory rate. D. Assess the 02 saturation. 59. The patient is connected to chest tube is for chest x-ray in the radiology department. What you will do before transferring the patient in the radiology?60. 61. 62. 63. 64. 65. 66. A. Place the chest tube bottle below the chest. C. Disconnect the tube and reconnect after. D. | forgot, Signs and symptoms of hypovolemic shock/fluid volume deficit: = 2items come out in my exam just review the signs and symptoms particularly their early sign. Sorry | forgot the exact choices for this item. When to a RhoGam? B. If there is profuse vaginal bleeding C. If there is an Rh-negative baby D. forgot A patient with infection came in the clinic with the same symptoms after antibiotic treatment. What you will expect to do? (W'm not sure the word “specimen” but C/S is there as | remember) B. Inform the physician to change the antibiotic treatment C. Advise to continue the present antibiotic treatment D. Tell him that is normal and will subside soon Which of the following is a sign of hypothyroidism? A. Weight loss B. Diaphoresis D. Diarrhea Early sign of retinopathy is: - Please research on this because | forgot the choices and my answer. Hehehe Sign and symptoms of digoxin toxicity: ~ Vellow-green halos (I forgot the other choices but this is my answer) A patient with gastrointestinal bleeding came in ER with a stable vital sign. How you categorized the case? A. Category 2 B. Category 4 C. Category 3 D. Category 5 NOTE: The original choices has a description each category. | am sorry because | forgot my answer in this item. Actually, this question has a scenario in the exam. Some questions is asking prioritization. Please review your triage category. If your hospital is JCI accredited it will be easy for you to remember this concept particularly if you are67. If the patient is allergic to penicillin therefore you will expect the physician not to prescribed: B. Fluoroquinolones C. Macrolides D. Tetracycline 68, Why the patient with (Sorry | forgot the case) is having a penicillin therapy? A.To prevent cardiomyopathy B. To prevent the reoccurrence of the infection C.1 forgot D. | forgot NOTE: Just review some diseases undergoing penicillin therapy and some important health teaching about the medication. 69. Which of the following causes endocarditis. - Bahtal extraction (Actually this is not the phrase/word in the exam but this is my answer because some of the important teachings to a patient with endocarditis is avoid dental floss and tell to the dentist that you have the disease before any tooth extraction.) 70. How you will position the patient with right carpal spasm induced by inflating a blood pressure cuff above the systolic pressure for a few minutes? - Lam sorry | forgot my answer to this question actually; this is TROUSSEAU'S SIGN in hypocalcemia. The HAAD question is asking how you will position the patient if the affected is the right arm. Please search for the answer. 71. A psychiatric patient is telling that there is someone will hurt him. The patient is experiencing: Delusion of Jealousy C. Delusion of Grandeur D. Confabulation Mga 15 items po ay Bonus computation, mga basic drug computation at fluid computation. halos lahat po nang sa set ko is pareho p okay mam Bebhie N file kaya copy paste ako tas dagd: at repgrase nalang nang questions at choices... sana makatulong po. 1. Signs of ICP? A. Bradycardia, hypertension, hyperthermia hypotension, hypothermiaC. Tachycardia, hypotension, hyperthermia effect of fast NGT feeding- diarrhea 3. you saw the patient post tonsillectomy who have frequent swallowing , what you will do? — assess the mouth for bleeding and call the doctor 4. peptic ulcer pain — gnawing pain relieve by food 5, assessment complication of DVT — sinagot ko is localized warm and tenderness 6. Why empty urine bag 6-8 hours? To prevent bacterial contamination 7. In Thalassemia, why give deferoxamine? To relieve the toxic effect of iron overload 8, Post sub thyroidectomy, monitor signs of? - muscle twitching 9. Why empty urine bag 6-8 hours? To prevent bacterial contamination 10. Oral suctioning, what to avoid? -suctioning for 30 seconds (10 seconds Ing dapat) 11, . You are about to give a medication, and the medication label is not clear? Call the pharmacist and ask to give a clear label medicine 12. A new medication was prescribed to the patient. You don't know about this medication. What to do? A. Call pharmacist to ask for the drug preparation B. Call the doctor to prescribed old medication that you were used to C. Compare to the ward if they were giving such medication D. Do not give the medieation. 13. Patient with Angina Pectoris came to the ER with headache, dizziness, palpitations, What to suspect? -Overdose of sublingual nitroglycerin 14, Registered nurse delegated task to Practical Nurse, who is responsible? Regsitered Nurse who deligated the practical nurse 15, Patient for Bronchoscopy the next day, but he is worried about the procedure. What you will do as a nurse? Reassure patient and explore the feelings 16. In nephrotic syndrome, mother ask why to weigh diaper? to check for water retention 17. Apgar score of 6, what to do? needs special assistance 18. At 9 AM urine collection, when to send to lab? before 9:30 AM 19. Diet for Pregnancy Induced Hypertension A. Increased protein intake B. Follow strict sodium dietC. Maintain well balanced diet 20. Pre-op Patient with BP 117/68 mmHg, on admission BP 125/72 mmHg, now 112/60 mmlHg. What is the next aetion? Inform anesthetist 21. . Morphine 2.5 mg ordered. In hand 1000 meg/ml. How much to give. ~ 2.5 ml 22. Patient is post casting of lower extremity and complaints of severe pain, Nursing action a. administer analgesies as ordered. b. Notify physician 23. Patient with burn on the face and chest _what to monitor? Respiratory depre ion 24. patient is with heaptic disease, what is the purpose of avoiding protein intake, and administration of lactulose - to eliminate ammonia 25. Assessment of DVT shows a. pain when elevating the legs b. localized warm and tenderness 26, 30.To prevent post op Thrombophlebitis a. Elevate with 2 pillows b. compression stockings at night ¢. leg exereises d. massage 27. Best way to prevent hospital acquired infection — proper Handwashing n for 2 minutes 28. In giving ear drop — pinna pull upward, and maintain upward pos 29. . Patient with upper GI ble jing? A. black B. Red C. Green 30. why is it needed to empty bladder prior to abdominal tapping- to prevent puncture of the bladder 31. What to observe to patient with water seal bottle and with chest tube ~ fluctuation 32. patient with cerebral edema, what position sa patient? - elevate head of the bed 30-45 degrees 33. How to secure /FC in the bladder - Inflate the balloon 34. Patient taking Oral Iron Tablet - causes gastrointestinal upset . why is tetracycline contraindicated to a 12 yo child- can cause staining of teeth36. patient has an order of eyedrops in OS, where to administer?- Left eye 37. what will you hear in patient with VSD- harsh heart murmur 38. how is wet to dry dressing being done( di kao sure sa sagot ko kaya basahin niyo nalang) 39. you are doing a routine VS monitoring, what is abnormal? Re view niyo nor.al values nang VS sa 6-13 y/o patients, 40. Patient post op. weighing 60 kgs, what is the minimal urine output a. 30 mi/hr b. 60 mV/hr(ito sinagot ko kasi nabasa ko sa saunders 5"* is normal U/O is 1-2mV/kg/hr 42, Position of patient post ORIF tibia— ELEVATE the affected limb 43. patient is for droplet precaution, what to do as a nurse? a. let the patient wear heap mask( di ko na maalala whole name) b. wear a mask and maint in Imeter or 3/t distance from the patient 44. yur senior Nurse prepares a medication and she ask you to give it, how would you response? a. Give the med b. don’t give and tell her that who prepared the med should be the one to give 45, you were ask to float in a ward where is you are not familiar( ito ang thought), how would you respond? a. tell them that you can’t b. go for duty but you should taje only the procedures that you are familiar with( ganito ang thoughn)ito sinagot ko 46. patient wth DKA, what is the appropriate insulin to give? a. NPH b.RIIV 47. what is the immediate treatment for Vfibrilation? Defib sinagot ko: 48. Patient complains of abdominal cramping during colostomy irrigation, what to do? a. Slow the infusion 49. Normal :pH 7.35-7.4550, Patient had a bee bite, as a nurse what will you observe? A.Be alert for alergic reaction B, Use a tweezer to remove the sting immediately 51. Patient with Hypertensive Crisis, the doctor ordered Hydralazine 20 mg/ IV/ STAT for BP more than 210/ 100 mmHg, what is the nursing action? Immediately give the dose, ONCE only 52, Patient with diarthea, during observation found with dry mucous membrane, low urine ‘output, hypotensive, what is the nursing diagnosis? FLUID VOLUME DEFICIT 53. Patient with pneumonia with thick purulent sputum, what to do? A. Postural drainage B. Deep breathing C. Cupping D. CPT 54, Doctor ordered medication which you belived could harm the patient, What to do? A. Call supervisor B. Call the physician to clarify 55. To prevent pressure sore a, remove soiled linens b. Reposition every 2 hours 36. appropriate nursing diagnosis to a patient with stage 4 pressure ulcer(risk for infection sinagot ko kasi di na relevant ibang options) 57. how would you position a patient with right pleaural effusion for thoracentesis who compaints of dyspnea if sitted upright? a. right sidelying with HOB at 30-45 degrees b. left sidelying with the HOB at 30-45 degrees ¢, flat on bed 58. patient is for renal biopsy, what position? Prone with sandbag on the abdomen 59. Position of defibrilation pad — below right clavicular area, left below nipple area 60. What to advice patient post hip surgery - avoid sitting with eross legs\ 61. Doctor ordered to give tab Acitane 45 mg and Aspirin 650 mg, available stock is Acitane 15 mg and Aspirin 325 mg, How many tabs each you will give? Acitane 3 tabs, Aspirin 2 tabs 62. . IVE of 100m! to run over 10 hrs in microdrip, how many ml per hour to deliver? 100mL/ br 63. How should rectal suppository be given? Insert above the muscle of the sphincter 64. A diagnosis of fluid electrolyte imbalance is for patient? a, Patient with colostomy b. 40 y/o 3 days Post op patient with ileostomy C . With Net65. what patient ahould receive a dose of Tetanus toxoide?- patient who haven’t receive TT for 10 years 66. what is the cause of poor absorption aof vitamins in old patiens? Decrease intrinsic motility(di ko sure) 67. What deficiency can affect calcium absorption? — Vitamin D 68. A patient has an 02 inhalation with mucous secretion drying up, what should the nurse do? Put Humidifier 69. Ps jent with hearing impairment — a. Approach with simple sentence b. write the eonversation(ito ang thought ito sinagot ko haha) 70. Safety before doing defibrillation — do not touch the bed, 71. Patient has right sided weakness both arms and legs. What assistive device? A. Quad cane B. Walker C. Crutches 72. Where can you best hear the apical pulse? left Sth ICS, mid clavicular area 73, Patient with depression, what is the assessment for him? Hoplessness and Helplessness 74. Acute pancreatitis A-Epigastric pain radiating to back 75. . Afler laminectomy ~ check VS and lower extremities for pulse 76. cellulitisledema on leg — priority to decrease the swelling? - elevate the leg 77..a child has an hematoma on the occipital area after a trauma, what to do? a. apply cold compress and monitor VS b. let the child continue playing 78. patient is receiving diuretics and is experiencing diarrhea, what to expect? Hypokalemia 79. In assessing the patient who had a known history a of food allergy and some medications, what will you do? A. Be alert to any allergic reaction to a prescribed medication B. Advise patient to carry epinephrine kit always 80. 24 hours post op, what is to be reported immediately the doctor? A. urine output of 20ml/hour b. Temp of 37.6¢ 81. lab results are increased in lipase and amylase, what to suspect? Acute panereatitis 82. patient with severe vomiting, what electrolyte imbalance will you expect?a. increased potassium, increased sodium b. deerease potassium decrease ehloride( ito sinagot ko nanginginig pa pero do ko sure) c.increase potassium decrease chloride 82, what is the purpose of pace maker?- basahin niyo nalang di ko alam sagot ditto haha Kapareho ko po nang set si Mam Bebhie N kaya copy paste at konting revision nalang po nang Questions at Choices ginawa ko... tatlo lang po ang sekreto nang pagpasa sa kahit na anu mang exam, Tiyaga, Tiis at higit sa lahat Dasal at tiwala sa kakayanan nan gating Panginoon... sana ay makatulong poi to... salamat talaga sa grupo dahil nagunga lahat nang pinaghrapan ko...120 HAAD exam questions Health Authority-Abu Dhabi Reliable Excllence in Heattcare ‘You have to do your part in finding the answers for some questions, @ ‘patients on digoxin. What is the drug of choice? Laste 2- post operation patient always asking for analgesic (over seeking), What is the most appropriate nursing intervention? inform the physician to put the patent on regular analgesic = tel the patient that ifs a fake feeting Increase patients anslgesic dose ‘3+ patient with Digoxin with Hyperkalemia, what do you expect the ECG rythem = peeked, Inverted T wave?? (check) 4a woman with dysmennomea, how can the RN know that she is pregnant without any investigations? 5: A patient with diabetic foot, during the discharge plan, how can the nurse know that the patient understands the Correct way to take care of his feet? Hi. check my foot every day (inspect) 6 when foleys is inserted, hoe does it fixed? = inflation ofthe balloon rotate the cathter and fait by tape 7- patient with scute renal failure, after investigation (Blood and urine) what do you axpect to have? creatinine is high 5- how can you assess the severity of CVA (Cerebrovascular Accident) ‘he affected area in the brain = block of the artery Nerves affected '9- What the suitable positon for CVA patent, during ceing ora cavity care ~ Supinelateral prone 10- During NGT (Nasogastric Tube) insertion the nurse noticed a resistance, what isthe suitable Nursing intervention? + remove the NGT - apply mare power Rotate the tube 11- During NGT insertion the patient become cyanosed, Neg intervention? remove the NG and monitor = Give 02 12- During NG feeding, why it suppese tobe slowly Feeding (oy gravity)? because the patent may develop Diarrhea. because may develop abdominal destination 1: what isthe ideal way when you make suctioning to a patient on Mechanical Ventilator? = Hyperventilaion (by Ampobag) pre and post suctioning 414 How the RN assess thatthe Chest tube s are working proberiy? ~ fyctuation (oxatating) 15: How to assess an emphysema with palpitation? -Wnen crackles sensstion under the skin is fel (pslpsted)) 16- the mast common risk factors of developing @ pneumonia? = pts on Mechanical Ventiator? 17. Pneumenic Patient has purulent mucous, how the nurse can assist the excretion of this mucous? by percussion, 18: patient is planned for discharge on diuretics. how the nurse can know the patient understood the care plan?” ~* will measure and document the intake/ output ~/ Mweigh my seit daily” 19: Renal Failure patent for discharge. health education? avoid food with high K (potassium), Banana.etc! 20- Patient with Hyperkslemia, whichis the best way fo decrease the K (polassium) level inthe blood? = inulin, lasix pumps kay oxalate21 the Description of goed granulation tssue formation? pink. soft and may bleed when being touched 4 22 patient on duretic, what the RN must keep in mind to mentor. Pulse = Potassium level vw - Blood Pressure, 25: Patient with Gl Gastrointestinal) (GI Bleeding, stool colo? = Dark (Upper GI Bleeding), (Bright Lower GI B.) + bed odor (Melena) © 24- the purpose of let the patient with esophagus Varices having cold water 7 - cold Water makes Vatoconsticton prevent bleeding 26- the Evidence thatthe patient may have Anorexa nervosa? = Anemig 26- During Dealing with a Geriatric Patint what the nurse should expect? - diffeuty swallowing Y= Speaking slowly 27- patient with CVA. how the nurse can assist enhance the facial movement? encourage chewing and smiling: 2. patient with an amputated leg above the knee, complaing of pain inthe his amputated knee, what is the _2poropriate Nsg intervention? = tel the pt that this fake feeling ~"Vunderstang what you feel, blabla. The nurse have to realize the fantom Pain)» 28. post op patient had a thyroidectomy. how can the nurse realize that he pt developed a parathy‘oid injury? “wre iene. 30: the most dangerous anhythmia? |= Vatach (Ventricular tachycardia VF (Ventricular firitation + braycaria .£31- 8 pediatic patient with VSO (Ventricuar-Sepial Defect), the nurse must know that this disease is? Cyanotic cisease may or may not ni surgical repair 32- during assessing the understanding of heath education fora patent about elastic stocking, the patient states? ~/ will wear them during the day, ane take them of before sleeping’y35: the mast common risk factor after thigh open facture injury is? Pulmonary empolism (at embolism) Biesaing = Severe pain 34: ICP (IntraCranial pressure) normal value is? =10-20 om ho" '35- haw isthe epproprate nursing care fore clabetic (DM) patent's nals? cut straight then file ‘4.36: Health Education fora diabetic patient, before having a bath the patient must mesure the water temperature by? ~ put his elbow in the water = use a thermometer 237- Physician order “give 10 1U mivtard (mixed) with § IU actrapid (clear) insulin.) the nurse should? = wihdraw acirape then Mixtard - withdraw mic then actrapid '38- During megicaton preparation the nurse noticed uneleer label or unclear expiary date of a medication what the ‘appropriate nsg intervention? return tothe pharmacy to be replaced? ‘38.Whan a nurse write an incident report about an error he/she does, itis an example of? = confidentiality “40. when the RN delegates @ PN to do procedure in case of any mistakes who will be responsible? =RN -PN - Supervisor Physician 41 Pationt on Warfarin (Ant coagulation), how the nurse krow thatthe pt understoad his health education, all are conect expcept? - Lill shave by raser instead of shaving set - I check tinspect) my bedy dally of trusses Continuously iab check especially INF level ‘te normal io have dark urine 42- usually pts on warfarin, they must regulary check bleeding time “=INR OFT ESR (Estimated sedemintation rate) cheeck pts name check the expiry date ~ check physician order - cheek medication name: 117- preparation for thoracentesis? ~ give pre medication Koo pt NPO for 8 his. + keep the pt on upright position and mark the ste 118: the ideal way to remove the eye lenses? 119- Documentation error (with 2 words) hae the nurse fixes this error? use the corrector | flattin ever then sign 120- documentation- while the nurse documentin apts file. he discovered that he was writing inthe wrong pl what i the appropriate action should the nurse do? “+ make oblique ne in the whole page ane sign.»Normal Laboratory Reference Intervals Included here are some of the most common tests and their reference intervals (formally referred ‘to as normal values). Laboratory values may vary depending on different techniques or different laboratories. Laboratory Test Normal Reference Interval “Arterial Blood Gases oH 735-745 Poo: 35-45 mm Hg cos 22.27 mm Hg Pox 80%-100% Savy 96%-100% Renal Function Studies Blood urea nitrogen (BUN) 8.25 mgidL. Creatinine 0.6-1.3 mg/dl. Gastrointestinal Studies Cholesterol Total: 140-199 mg/dL. High-density lipoprotein (HDL): 30-70 mg/dl. Low-density lipoprotein (LDL): less than 130 mg/dL. Triglycerides Lower than 200 mg/dl Protei 6-8 pial. Albumin 3.4-5 g/dL. Amylase 25-151 units/L. Lipase 10-140 units. Ammonia 10-80 meg/dl. Alanine aminotransferase (ALT) 10-40 units/L Aspartate aminotransferase (AST) 10-30 units/L Bilirubin * Bilirubin, direct (conjugated): 0-0.3 mg/dl * Bilirubin, indirect (unconjugated): 0.1-1 mg/dl. *# Bilirubin, total: lower than 1.5 mg/dl,Laboratory Test Normal Reference Interval Glucose Studies Glucose 70-110 mpi Hemoglobin Ai. 4%-5.9%: nondiabetic 7% or lower: 7% to 8%: fail Higher than 8%: poor diabetic control Erythrocyte Studies Hemoglobin Female: 12-15 g/dL. Male: 14-16.5 g/dL. Hematocrit Female: 35%-47% Male: 42%-52% Coagulation Studies Platelets 150,000-400,000 cells/mm? Activated partial thromboplastin time (@PTT) 20-36 see, depending on testing method Prothrombin time (PT) 9.5-11.8 see International normalized ratio (INR) ‘* 2t0 3 for standard warfarin therapy + 3 104.5 for high-dose warfarin therapy Electrolyte Values Potassium 3.5-5.0 mEq/L Sodium 135-145 mEq/L Chloride 98-107 mEq/L Bicarbonate (venous) 22-29 mEq/L.Laboratory Test Normal Reference Interval White Blood Cell and Differential Count White blood cells Neutrophils Bands Eosinophils Basophils Lymphocytes Monocytes 4500-11,000 cells/mm’ 1800-7800 cells/mm? 0-700 cellsmm* 0-450 cells/mm? 200 cells/mm’ 1000-4800 cells/mm? 0-800 cells/mm? Cardiac Markers Creatine kinase (CK) CK-MB: 0%-5% of total CK value CK-MM: 95%-100% of total CK value CK-BB: 0% of CK value ‘Troponin | Lower than 0.6 ng/mL. Troponin T Lower than 0.1-0,2 ng/mL. Myoglobin Lower than 90 megiL. Natriuretic peptides Atrial natriuretic peptides (ANP): 22-27 pe/mL Brain natriuretic peptides (BNP): less than 100 pe/mL ype natriuretic peptides (CNP): not determined Elements Magnesium 1.6-2.6 mg/dL. Phosphorus 2.7-4.5 mg/dl. Calcium 8.6-10 mgd. Copyright © 2014, 2013, 2010 by Saunders, an imprint of Elsevier Ine