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Exam (elaborations)

Healthstream Test Exam Questions With 100% Correct Answers

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Healthstream Test Exam Questions With 100% Correct Answers A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic pressure. This assessment is most consistent with: - Answer cardiac tamponade. The nurse is caring for a patient with severe sepsis and thi...

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  • August 31, 2023
  • 8
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • Healthstream
  • Healthstream

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By: PASSINGMASTER01 • 7 months ago

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HealthstreamTestExamQuestionsWith
100%CorrectAnswers2023-2024
Apatientassessmentrevealsdistendedneckveins,pulsusparadoxus,anddecreased
systolicpressure.Thisassessmentismostconsistentwith:-Answercardiac
tamponade.
Thenurseiscaringforapatientwithseveresepsisandthird-degreeheartblock.The
patientishypotensive.Thetreatmentforthislife-threateningrhythmchangeincludes:-
Answertranscutaneouspacing.
ApatientisadmittedtotheICUwithsuspectedcervicalspinalcordinjuryfollowinga
motorvehicleaccident.Themostimportantnursinginterventionforthispatientisto:-
Answerimmobilizehishead.
Thenurseassessesapatient'schesttubedrainage2hoursfollowingthoracicsurgery.
Thetotaldrainageinthesystemis200mL.Thenurseknowsthat:-Answerthisisan
excessiveamountofdrainage
ThepatientbeingadmittedrequiresCRRTtherapy.Thenurseassignedtoadmitthe
patienthasnotbeeneducatedonthistherapy.Thechargenurseadjuststhe
assignmentsothatanursewith3yearsexperienceinCRRTtherapyisassignedtothe
patient.Thistypeof
decisionmakingisanexampleof:-Answerthesynergymodelforpatientcare.
Thepatientdiagnosedwithacutetubularnecrosis(ATN)andexperiencingsevere
dehydration,sepsis,andpneumoniaisnowinthepolyureicstageofATN.Themost
importantnursingactionisto:-Answermonitorelectrolytelevelsandsignsoffluid
depletion.
Apatienthasanelevatedcentralvenouspressure(CVP)measurement.Themostlikely
reasonis:-Answerrightheartfailure.
Diabetesinsipidusisusuallytreatedwith-Answervasopressin.
Whichphysiologiceffectisproducedbyalpha-1receptors?-AnswerVasoconstriction
Thepatientexperiencinganacutemyocardialinfarction(AMI)arrivedontheunitan
houragowithTPAinfusing.Initially,thepatient'sneurologicexamwasnormal.The nurseassessesthepatientandfindshimnowdisoriented.Thenextnursingaction
shouldbeto:-AnswerdiscontinuetheTPA.
Apatienthascardiomyopathyandisunstable.Thenurseunderstandsthatthe
treatmentgoalistoimprovecontractility,reducepreloadandreduceafterload.The
nurseanticipatesthatmedicationmanagementwillinclude:-Answerdobutamineand
nitroprussideinfusions
Acontinuousdripofamedicationisorderedatarateof2mg/min.Thestandardmixture
ofthismedicationtoyieldafinalconcentrationof2mg/mLis1gofthemedicationin
500mLofIVfluid.AtwhatrateinmillilitersperhourshouldtheIVpumpbeset?-
Answer60mL/hr
Apractitionerhasordered700mgofanantibiotic.Themedicationlabelstates,"Add5
mLsterilewaterto1gofthismedication;0.5g=2mL."Howmanymillilitersshouldbe
given?-Answer2.8mL
Apractitionerorderiswrittenforacontinuousinfusionofinsulinat3units/hr;the
premixedsolutioniscomposedof100unitsofregularU-100insulinin100mLnormal
saline.Atwhichrateshouldtheinfusionrun?-Answer3ml/hr
Adoseof35mgofacorticosteroidisorderedtobegivenIMtotreatinflammation.The
medicationisavailableas250mg/10mL.Howmanymillilitersshouldbeadministered?
-Answer1.4ml
Apractitioner'sorderprescribeslevothyroxine0.075mgPOdaily.Theavailable
medicationislevothyroxine25-mcgtablets.Whatwillthenurseadminister?-Answer3
tabs
Theactionsofnitroglycerininthemanagementofanginainclude-Answercoronary
arterydilationandperipheralvenousdilation.
Themostcommoncauseofrightheartfailureis:-Answerleftheartfailure.
Thenurseisdifferentiatingbetweenright-andleft-sidedheartfailureinanassigned
patient.Forright-sidedheartfailure,thepatientpresentswithedematousextremities,
nausea/vomiting,and:-Answeranorexia.
Thenurseisassignedtoapatientwithacuteadrenalinsufficiency(Addisoniancrisis).
Thepractitionerordersthesteroidstobediscontinuedquickly.Thenurseknowsto
questiontheorderbecause:-Answersteroidsshouldbewithdrawnslowlytoallowfor
pituitaryproductionofACTH
Thenurseiscaringforapatientwhohasatrialfibrillation.Thepatientisattemptingto
understandwhythisdysrhythmiadevelopedinhim.Thenurseeducatesthispatient
abouthisriskfactors,including:-Answerdiabetesmellitus.

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