DHA Nursing Licensing Assessment

A nurse is preparing to insert an indwelling urinary catheter. Which principle is most important to prevent catheter-associated urinary tract infection (CAUTI)?

• AMaintain a sterile, closed drainage system at all times
• BIrrigate the catheter every 8 hours with normal saline
• CClamp the catheter for 2 hours before each emptying
• DChange the catheter every 24 hours routinely

When performing hand hygiene, in which situation should the nurse wash hands with soap and water rather than use alcohol-based hand rub?

• ABefore donning sterile gloves for IV insertion
• BAfter caring for a patient with Clostridioides difficile diarrhea
• CBefore patient contact when hands are visibly clean
• DAfter touching a patient's intact skin

A nurse is caring for four patients. Using the principles of prioritization, which patient should be assessed FIRST?

• AA patient requesting pain medication for chronic back pain
• BA patient awaiting discharge teaching
• CA patient reporting sudden-onset shortness of breath and chest tightness
• DA patient with a scheduled dressing change

A nurse measures an adult patient's vital signs as: temperature 38.9 C, heart rate 112, respirations 24, blood pressure 92/58 mmHg. These findings are most consistent with which condition?

• AHypothermia
• BVasovagal syncope
• CNormal post-exercise physiology
• DEarly sepsis (systemic inflammatory response)

According to Maslow's hierarchy of needs, which patient need should the nurse address FIRST?

• AProviding emotional reassurance about surgery
• BMaintaining a patent airway
• CArranging a visit from family
• DTeaching about a new medication

A patient is to receive 1,000 mL of 0.9% sodium chloride over 8 hours using a gravity set with a drop factor of 15 gtt/mL. What is the correct flow rate in drops per minute (rounded to the nearest whole number)?

• A21 gtt/min
• B42 gtt/min
• C31 gtt/min
• D15 gtt/min

A physician orders 500 mg of an antibiotic. The vial available is labeled 250 mg/5 mL. How many milliliters should the nurse administer?

• A5 mL
• B2.5 mL
• C20 mL
• D10 mL

Which set of actions correctly reflects the 'rights' of medication administration the nurse must verify before giving a drug?

• ARight patient, right drug, right dose, right route, right time
• BRight diagnosis, right physician, right pharmacy, right cost
• CRight shift, right unit, right chart, right color
• DRight family member, right room, right meal, right bed

A nurse is administering an intramuscular injection to an adult using the ventrogluteal site. Which technique is correct?

• AInsert at a 15-degree angle to deposit the drug intradermally
• BPinch the skin and inject at a 45-degree angle into subcutaneous tissue
• CInsert the needle at a 90-degree angle after locating the greater trochanter and iliac cr…
• DInject into the deltoid using a 1-inch needle without site identification

A nurse identifies a stage 2 pressure injury on a bedbound patient. Which description matches a stage 2 pressure injury?

• AIntact skin with non-blanchable erythema
• BFull-thickness skin loss with visible subcutaneous fat
• CFull-thickness loss exposing bone, tendon, or muscle
• DPartial-thickness skin loss with exposed dermis, presenting as a shallow open ulcer or in…

A nurse is teaching a patient deep-breathing and coughing exercises after abdominal surgery. What is the primary purpose of these exercises?

• ATo prevent atelectasis and pneumonia by promoting lung expansion and secretion clearance
• BTo increase intra-abdominal pressure and speed wound closure
• CTo reduce the need for postoperative analgesia
• DTo lower blood pressure through controlled breathing

A nurse must transfer a weak but cooperative patient from bed to chair. Which body-mechanics action best protects the nurse from injury?

• ABend at the waist and lift with the back muscles
• BBend at the knees and hips, keeping the back straight and the load close to the body
• CKeep the feet together for a narrow base of support
• DTwist the trunk while lifting to speed the transfer

A patient's morning fasting capillary blood glucose is 3.0 mmol/L (54 mg/dL) and the patient is alert and able to swallow. What is the nurse's most appropriate immediate action?

• AAdminister IV insulin per sliding scale
• BWithhold all food and notify the physician
• CEncourage the patient to ambulate to raise the glucose
• DGive 15 grams of fast-acting oral carbohydrate and recheck glucose in 15 minutes

Which laboratory value should the nurse report immediately before administering oral digoxin?

• ASerum potassium of 2.8 mmol/L
• BSerum sodium of 140 mmol/L
• CHemoglobin of 13 g/dL
• DWhite blood cell count of 7,000/microL

A nurse documents in the patient's record. Which entry best meets legal and professional documentation standards?

• AA summary written from memory at the end of the shift for all patients
• BObjective, factual, timed, signed entry made as soon as possible after care
• CAn entry using correction fluid to remove an error
• DA subjective note stating the nurse's opinion of the patient's character

A nurse is caring for a patient on contact precautions for MRSA. Which personal protective equipment is required on room entry for routine care?

• AN95 respirator and goggles only
• BSurgical mask only
• CGown and gloves
• DNo PPE is needed for routine contact