Healthstream Test Questions with Correct Answers
A patient assessment reveals distended neck veins, pulsus paradoxus,
and decreased systolic pressure. This assessment is most consistent with:
Correct Answer-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: Correct Answer-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: Correct Answer-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: Correct Answer-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: Correct Answer-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:
Correct Answer-monitor electrolyte levels and signs of fluid depletion.
A patient has an elevated central venous pressure (CVP) measurement.
The most likely reason is: Correct Answer-right heart failure.
Diabetes insipidus is usually treated with Correct Answer-vasopressin.
Which physiologic effect is produced by alpha-1 receptors? Correct
Answer-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: Correct
Answer-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: Correct Answer-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? Correct Answer-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? Correct Answer-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? Correct Answer-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? Correct Answer-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? Correct Answer-3 tabs
The actions of nitroglycerin in the management of angina include
Correct Answer-coronary artery dilation and peripheral venous dilation.
The most common cause of right heart failure is: Correct Answer-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
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