HAAD Exam - Health Authority of Abu Dhabi - High-Level Practice Exam Prompt practice questions

Question 1

A nurse is about to administer an IV antibiotic. Which action best aligns with safe medication administration standards?

Accepted Answer

Verify two patient identifiers against the medication administration record before administration

Answer

Ask the patient to confirm the medication name and proceed

Answer

Administer the medication first and document later to avoid delays

Answer

Rely on the bed label because the patient is known to the unit

Question 2

A patient with a central venous catheter develops fever and chills 30 minutes after a line access for blood sampling. Which nursing action is the priority?

Accepted Answer

Stop any infusions through the line, assess vital signs, and notify the provider while preparing to obtain ordered cultures

Answer

Remove the catheter immediately and send the tip for culture

Answer

Administer antipyretics and reassess in 2 hours

Answer

Flush the line with normal saline to clear possible occlusion

Question 3

A nurse finds that a patient received a double dose of insulin due to a documentation error. The patient is currently asymptomatic. What is the most appropriate immediate action?

Accepted Answer

Assess the patient, check capillary blood glucose, initiate hypoglycemia precautions, and notify the provider

Answer

Complete an incident report after the shift ends

Answer

Inform the patient’s family first to maintain transparency

Answer

Delete the incorrect documentation entry to prevent confusion

Question 4

Which intervention is most effective to prevent pressure injuries in a bedbound patient?

Accepted Answer

Reposition the patient at least every 2 hours and use pressure-redistributing surfaces as indicated

Answer

Massage reddened bony prominences every shift

Answer

Apply heat packs to areas of redness to improve circulation

Answer

Keep the head of bed elevated at 45 degrees at all times

Question 5

During a quality review, a unit notes an increase in patient falls. Which measure best evaluates whether a new fall-prevention bundle is improving outcomes?

Accepted Answer

Monthly fall rate per 1,000 patient-days before and after implementation

Answer

Number of staff educated on the bundle

Answer

Percentage of patients with completed fall-risk assessments each shift

Answer

Number of posters placed in patient rooms about calling for help

Question 6

A patient with COPD is receiving oxygen via nasal cannula at 4 L/min. The patient becomes drowsy with a respiratory rate of 8/min. What is the priority nursing action?

Accepted Answer

Assess airway and breathing, reduce oxygen to the lowest level to maintain target saturation per order/protocol, and notify the provider/rapid response as indicated

Answer

Increase oxygen to 6 L/min to improve saturation

Answer

Encourage pursed-lip breathing and reassess in 30 minutes

Answer

Place the patient in Trendelenburg position to improve ventilation

Question 7

Which assessment finding is most concerning in a patient with suspected acute myocardial infarction?

Accepted Answer

Diaphoresis with chest pressure radiating to the left arm

Answer

Chest pain relieved by position change

Answer

Sharp chest pain that increases with deep inspiration

Answer

Localized tenderness over the chest wall

Question 8

A postoperative patient has a urine output of 20 mL/hour for the last 2 hours. Which action should the nurse take first?

Accepted Answer

Assess for kinks/obstruction in the urinary catheter tubing and assess hydration status

Answer

Administer a diuretic as needed

Answer

Document the finding as expected after surgery

Answer

Restrict oral fluids to prevent fluid overload

Question 9

A patient with diabetic ketoacidosis (DKA) is receiving IV insulin. Which laboratory trend requires the most immediate nursing intervention?

Accepted Answer

Serum potassium decreases from 4.8 mmol/L to 3.2 mmol/L

Answer

Serum glucose decreases from 28 mmol/L to 18 mmol/L (504 to 324 mg/dL)

Answer

Anion gap decreases from 24 to 18

Answer

Serum bicarbonate increases from 10 mmol/L to 14 mmol/L

Question 10

A patient on warfarin therapy has an INR of 6.0 and reports black, tarry stools. What is the priority nursing action?

Accepted Answer

Hold warfarin and notify the provider immediately for evaluation and reversal orders

Answer

Encourage the patient to increase intake of green leafy vegetables

Answer

Administer the next dose at a reduced amount

Answer

Recheck INR in one week

HAAD Exam - Health Authority of Abu Dhabi - High-Level Practice Exam Prompt practice questions

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