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  • Exam Name: HAAD Licensure Examination for Registered Nurses
  • Last Update: Sep 12, 2025
  • Questions and Answers: 150
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HAAD-RN Practice Exam Questions with Answers HAAD Licensure Examination for Registered Nurses Certification

Question # 6

The urinary catheter is kept securely in the bladder by:

A.

Taping the urinary catheter to the leg

B.

Securing catheter and collection bag connections

C.

Inflating the balloon of the catheter

D.

Anchoring the catheter bag to the bed

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Question # 7

The nurse notes that there are no physician's orders regarding Fatima's post operative daily insulin dose. The most appropriate action by the nurse is to:

A.

Withhold any insulin dose since none is ordered and the patient is NPO

B.

Call the physician to clarify whether insulin should be given and at what dose

C.

Give half the usual daily insulin dose since she will not be eating in the morning

D.

Give the patient her usual daily insulin dose since the stress of surgery will increase her blood glucose

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Question # 8

A newborn is diagnosed with ventricular septal defect. The baby is discharged with a prescription for digoxin syrup 20 micrograms bid. The bottle of digoxin is labeled as 0.05 mg/ml. The nurse should teach the mother to administer on each dose:

A.

0.1 ml

B.

0.2 ml

C.

0.4 ml

D.

0.8 ml

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Question # 9

Pain management for terminally ill patients is most effective when analgesics are given:

A.

Around the clock

B.

Only when clearly needed

C.

After non-pharmacological methods fail

D.

As the patient requests them

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Question # 10

A patient with duodenal peptic ulcer would describe his pain as:

A.

Generalized burning sensation

B.

Intermittent colicky pain

C.

Gnawing sensation relieved by food

D.

Colicky pain intensified by food

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Question # 11

What two behaviors are important when documenting the depth of the patient’s depression?

A.

Orientation and appearance

B.

Helplessness and hopelessness

C.

Affect and thought processes

D.

Mood and impulse control

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Question # 12

A patient has been taking Aluminum Hydroxide daily for 3 weeks. The nurse should be alert for which of the following side effects?

A.

Constipation

B.

Flatulence

C.

Nausea

D.

Vomiting

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Question # 13

A 13 year old girl with manifestations of rheumatic heart disease is admitted to hospital. Which of the following laboratory blood findings would confirm that she likely has had a streptococcal infection within the past two weeks?

A.

Decreased leukocyte count

B.

Elevated hemoglobin count

C.

Elevated ASO titer

D.

Decreased ESR

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Question # 14

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:

A.

Only received 3 doses of tetanus toxoid

B.

Received less than 3 doses of tetanus toxoid

C.

Not had a dose of tetanus toxoid in the past 4 years

D.

Not had a dose of tetanus toxoid in the past 10 years

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Question # 15

A patient requires tracheal suctioning through the nose. Which of the following nursing action would be incorrect?

A.

Lubricating the catheter with sterile water

B.

Applying suction while withdrawing the catheter from the nose

C.

Applying suction for a minimum of 30 seconds

D.

Rotating the catheter while withdrawing it

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Question # 16

Which of the following interventions is most significant in the prevention of pressure sores?

A.

Increasing fluid intake

B.

Changing soiled linen

C.

Regular changing of position

D.

Use of a water mattress

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Question # 17

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.

Deficient fluid volume related to disease process

B.

Excess fluid volume related to decreased glomerular filtration rate

C.

Knowledge deficit related to proper medication regimen

D.

Acute pain related to renal edema

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Question # 18

The best example of documentation of patient teaching regarding wound care is:

A.

"The patient was instructed about care of wound and dressing changes"

B.

"The patient demonstrated correct technique of wound care following instruction"

C.

"The patient and family verbalize that they understand the purposes of wound care"

D.

"Written instructions regarding wound care and dressing changes were given to the patient"

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Question # 19

The nurse teaches a patient recovering from a total hip replacement that it is important to avoid:

A.

Putting a pillow between the legs while sleeping

B.

Sitting with the legs crossed

C.

Abduction exercises of the affected leg

D.

Bearing weight exercises on the affected leg for 6 weeks

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Question # 20

The nurse should suspect that a patient has bleeding in the upper gastrointestinal tract when the color of the patient's stool is:

A.

Yellow

B.

Black

C.

Clay

D.

Red

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Question # 21

The nurse is caring for a patient who is receiving dialysis. The patient has an arteriovenous (AV) fistula. Appropriate care for this patient would include which one of the following options?

A.

Infusing medications through the AV fistula

B.

Drawing blood samples from the AV fistula

C.

Massaging the AV fistula

D.

Palpating the AV fistula for a thrill

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Question # 22

The physician orders 20 u of U-100 regular insulin. The only syringe on hand is a 1 ml tuberculin syringe. How many milliliters should be administered?

A.

0.02 ml

B.

0.2 ml

C.

1 ml

D.

2 ml

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Question # 23

The priority nursing diagnosis for a hospitalized patient with a Stage IV pressure ulcer on the hip would be:

A.

Altered body image

B.

Acute pain

C.

Risk for infection

D.

Altered nutrition

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Question # 24

When caring for a patient with impaired mobility that occurred as a result of a stroke (right sided arm and leg weakness). The nurse would suggest that the patient use which of the following assistive devices that would provide the best stability for ambulating?

A.

Crutches

B.

Single straight-legged cane

C.

Quad cane

D.

Walker

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Question # 25

Which of the following is the most appropriate first action for the nurse to take for a pre-schooler who has fallen and has a hematoma formed on the temporal bone?

A.

Encourage a nap

B.

Give pain medication

C.

Apply ice and monitor vital signs

D.

Allow the child to continue activities

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Question # 26

A patient is to receive 50mL of fluid in 1/2 hour (30 min). The infusion pump should be set to deliver how many milliters per hour?

A.

25 ml/hr

B.

50 ml/hr

C.

75 ml/hr

D.

100 ml/hr

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Question # 27

One factor affecting the pharmokinetics of older patients' drug absorption is:

A.

Decreased gastrointestinal motility

B.

A difficulty in swallowing

C.

A prevalence of obesity

D.

Numerous medications

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Question # 28

The nurse knows that the greatest risk for a patient with a ruptured ectopic pregnancy is:

A.

Hemorrhage leading to hypovolemic shock

B.

Strictures and scarring of the fallopian tube

C.

Adhesions and scarring from blood in the abdomen

D.

Infertility resulting from treatment with a salpingectomy

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Question # 29

When inserting a rectal suppository for a patient the nurse should?

A.

Insert the suppository while the patient performs the 'valsava maneuver'

B.

Place the patient in a supine position

C.

Position the suppository beyond the muscle sphincter of the rectum

D.

Insert the suppository 1/2 inch into the rectum

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Question # 30

While preparing for a kidney biopsy the nurse should position the patient:

A.

Prone with a sandbag under the abdomen

B.

Lateral opposite to biopsy site

C.

Supine in bed with knee flexion

D.

Lateral flexed knee-chest

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Question # 31

A nursing measure that is helpful in communicating with a hearing impaired patient is to:

A.

Use simple sentences

B.

Talk while close to patient's ear

C.

Raise the voice

D.

Write out all questions and responses

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Question # 32

Extrapyramidal adverse effects and symptoms are most often associated with which of the following drug classes?

A.

Antidepressants

B.

Antipsychotics

C.

Antihypertensives

D.

Antidysrhythmics

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Question # 33

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.

Prone with head turned toward the side supported by a pillow

B.

Sims’ position with the head of the bed flat

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

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Question # 34

A patient complains of pain in his right arm. The physician orders codeine 45 mg and aspirin 650 mgs every 4 hours PRN. Each codeine tablet contains 15mg of codeine and each aspirin tablet contains 325mg of aspirin. What should the nurse administer?

A.

2 codeine tablets and 4 aspirin tablets

B.

4 codeine tablets and 3 ½ aspirin tablets

C.

3 codeine tablets and 2 aspirin tablets

D.

3 codeine tablets and 3 aspirin tablets

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Question # 35

When taking routine post-operative observations on a patient who underwent an exploratory laparotomy, the nurse plans to monitor which important finding over the next hour?

A.

Serosanguinous drainage on the surgical dressing

B.

Blood pressure of 105/65 mmHg

C.

Urinary output of 20 mls in the last hour

D.

Temperature of 37.6 °C

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Question # 36

Which of the following actions is the most appropriate when the nurse is responding to a patient during a tonic-clonic seizure?

A.

Restrain the patient

B.

Protect the patient from harm

C.

Minimize noise and light stimulus

D.

Apply oxygen by mask or nasal cannula

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Question # 37

The patient with liver cirrhosis receives 100 ml of 25% serum albumin intravenously. Which of the following findings would best indicate that the albumin is having its desired effect?

A.

Decreased blood pressure

B.

Increased serum albumin level

C.

Increased urine output

D.

Improved breathing pattern

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Question # 38

A patient has had a total hip joint replacement. Which of the following actions should the nurse consider for the patient's daily recommended exercise program?

A.

Administering an analgesic before exercising

B.

Discontinuing the program if the patient dislikes it

C.

Continuing exercises inspire of severe pain

D.

Evaluating effectiveness of exercise based on pain scale

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Question # 39

Nursing management of the patient with external otitis includes:

A.

Irrigating the ear canal with warm saline several hours after instilling lubricating ear drops

B.

Inserting an ear wick into the external canal before instilling the ear drops to disperse the medication

C.

Teaching the patient how to instill antibiotic drops into the ear canal before swimming

D.

Instilling ear drops without the dropper touching the auricle and positioning the ear upward for 2 minutes afterwards

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Question # 40

The nurse plans the care for a patient with increased intracranial pressure, she knows that the best way to position the patient is to:

A.

Keep patient in a supine position until stable

B.

Elevate the head of the bed to 30 degrees

C.

Maintain patient on right side with head supported on a pillow

D.

Keep patient in a semi-sitting position

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Question # 41

Which of the following laboratory blood values is expected to be decreased in hepatic dysfunction?

A.

Albumin

B.

Bilirubin

C.

Ammonia

D.

ALT and AST

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Question # 42

You have started work on a new ward. One of the patient's allocated to you has been on the ward for the last 7 months since she had a cerebrovascular accident (CVA). You notice that her nursing care plan says strict bed rest, but on assessment you can not see any reason why this patient can not sit out of bed for short periods. Your nursing action would be:

A.

Check with the other nursing staff as to reasons behind the nursing care plan then update the plan based on your assessment

B.

Follow the nursing care plan strictly as this would have been developed after a detailed and collaborative assessment

C.

Seek physician's orders so that you have permission to move the patient

D.

Try and move the patient without consulting with anyone to see how she manages

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Question # 43

The apical pulse can be best auscultated at the:

A.

Left 2nd intercostal space lateral to the mid clavicular line

B.

Left 2nd intercostal space at the left sternal border

C.

Left 5th intercostal space at the mid clavicular line

D.

Left 5th intercostal space at the mid axillary line

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Question # 44

To remove soft contact lenses from the eyes of an unconscious patient the nurse should:

A.

Uses a small suction cup placed on the lenses

B.

Pinches the lens off the eye then slides it off the cornea

C.

Lifts the lenses with a dry cotton ball that adheres to the lenses

D.

Tenses the lateral canthus while stimulating a blink reflex by the patient

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Question # 45

A nurse can ensure she maintains her competency to practice through:

A.

Being involved in continuing education programs

B.

Making sure that what was learnt at nursing school is strictly followed

C.

Closely carrying out instructions given by the Charge Nurse

D.

Working on the same ward for at least 2 years

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