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Healthstream Test|96 Questions and Answers
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Healthstream Test|96 Questions andAnswers
A patient assessment reveals distended neck veins, pulsus paradoxus, and
decreased systolic pressure. This assessment is most consistent with: - -
cardiac tamponade.
-The nurse is caring for a patient with severe sepsis and third-degree heart
block. The patient is hypotensive. The treatment for this life-threatening
rhythm change includes: - -transcutaneous pacing.
-A patient is admitted to the ICU with suspected cervical spinal cord injury
following a motor vehicle accident. The most important nursing intervention
for this patient is to: - -immobilize his head.
-The nurse assesses a patient's chest tube drainage 2 hours following
thoracic surgery. The total drainage in the system is 200 mL. The nurse
knows that: - -this is an excessive amount of drainage
-The patient being admitted requires CRRT therapy. The nurse assigned to
admit the patient has not been educated on this therapy. The charge nurse
adjusts the assignment so that a nurse with 3 years experience in CRRT
therapy is assigned to the patient. This type of
decision making is an example of: - -the synergy model for patient care.
-The patient diagnosed with acute tubular necrosis (ATN) and experiencing
severe dehydration, sepsis, and pneumonia is now in the polyureic stage of
ATN. The most important nursing action is to: - -monitor electrolyte levels
and signs of fluid depletion.
-A patient has an elevated central venous pressure (CVP) measurement. The
most likely reason is: - -right heart failure.
-Diabetes insipidus is usually treated with - -vasopressin.
-Which physiologic effect is produced by alpha-1 receptors? - -
Vasoconstriction
-The patient experiencing an acute myocardial infarction (AMI) arrived on
the unit an hour ago with TPA infusing. Initially, the patient's neurologic
exam was normal. The nurse assesses the patient and finds him now
disoriented. The next nursing action should be to: - -discontinue the TPA.
, -A patient has cardiomyopathy and is unstable. The nurse understands that
the treatment goal is to improve contractility, reduce preload and reduce
afterload. The nurse anticipates that medication management will include: -
-dobutamine and nitroprusside infusions
-A continuous drip of a medication is ordered at a rate of 2 mg/min. The
standard mixture of this medication to yield a final concentration of 2 mg/mL
is 1 g of the medication in 500 mL of IV fluid. At what rate in milliliters per
hour should the IV pump be set? - -60 mL/hr
-A practitioner has ordered 700 mg of an antibiotic. The medication label
states, "Add 5 mL sterile water to 1 g of this medication; 0.5 g = 2 mL." How
many milliliters should be given? - -2.8 mL
-A practitioner order is written for a continuous infusion of insulin at 3
units/hr; the premixed solution is composed of 100 units of regular U-100
insulin in 100 mL normal saline. At which rate should the infusion run? - -3
ml/hr
-A dose of 35 mg of a corticosteroid is ordered to be given IM to treat
inflammation. The medication is available as 250 mg/10 mL. How many
milliliters should be administered? - -1.4 ml
-A practitioner's order prescribes levothyroxine 0.075 mg PO daily. The
available medication is levothyroxine 25-mcg tablets. What will the nurse
administer? - -3 tabs
-The actions of nitroglycerin in the management of angina include - -
coronary artery dilation and peripheral venous dilation.
-The most common cause of right heart failure is: - -left heart failure.
-The nurse is differentiating between right- and left-sided heart failure in an
assigned patient. For right-sided heart failure, the patient presents with
edematous extremities, nausea/vomiting, and: - -anorexia.
-The nurse is assigned to a patient with acute adrenal insufficiency
(Addisonian crisis). The practitioner orders the steroids to be discontinued
quickly. The nurse knows to question the order because: - -steroids should
be withdrawn slowly to allow for pituitary production of ACTH
-The nurse is caring for a patient who has atrial fibrillation. The patient is
attempting to understand why this dysrhythmia developed in him. The nurse
educates this patient about his risk factors, including: - -diabetes mellitus.
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