HEALTH STREAM MEDICATION TEST
A/48/year/old/female/arrives/to/your/facility/complaining/of/dizziness,/shortness/of/breath,/
and/mild/chest/pressure./Her/vital/signs/reveal/a/heart/rate/of/32bpm,/blood/pressure/
80/58,/and/oxygen/saturation/of/96%/on/room/air./A/12/lead/EKG/is/ordered/and/
reveals/a/3rd/degree/AV/block/with/wide/QRS/complexes./What/is/the/best/initial/
intervention/for/this/patient?/-/ans✔Transcutaneous/pacing
Your/patient/weighs/75/kg/and/you/are/ordered/to/infuse/250/mg/dobutamine/in/500/ml/
NS/at/10/mcg/kg/min./How/many/milligrams/of/dobutamine/will/infuse/per/hour?/-/
ans✔45mg/hr
During/the/course/of/treatment,/the/patient/experiences/a/respiratory/arrest/and/needs/
ventilatory/assistance./What/drug/will/reverse/the/effects/of/the/opiate/medication/
given?/-/ans✔Narcan/(naloxone)/0.4mg/IV
Calculate/the/intravenous/flow/rate/for/200ml/of/0.9%/normal/saline/over/120/minutes./
Infusion/set/has/drop/factor/of/20/drops/ml./-/ans✔33.33/drops/min
A/victim/of/a/traffic/accident/enters/your/department./He/is/semiconscious,/combative,/
and/in/C-spine/precautions./The/staff/is/unable/to/adequately/assess/him/due/to/his/
combativeness./The/doctor/orders/sedation/for/him./-/ans✔Versed/(midzolam)/2.5/mg/IV
The/order/is/Solumedrol/3mg/kg/for/a/child/weighing/20kg./Solumedrol/is/available/as/
125/mg///2/ml./How/many/ml/must/the/nurse/administer?/-/ans✔0.96/ml
The/order/is/Penicillin/G/1.2/million/units/IM/daily./Available:/Penicillin/G/9/million/units/1/
ml./How/many/ml/will/you/give?/-/ans✔0.13/ml/IM
All/of/the/following/medications/may/be/helpful/in/the/treatment/of/acute/pulmonary/
edema/except:/-/ans✔Epinephrine
The/above/medication/does/not/help./The/doctor/decides/to/use/a/neuromuscular/blocker/
on/this/patient./Which/of/the/following/medications/could/be/ordered?/-/ans✔Vecuronium
A/48/year/old/female/arrives/to/your/facility/complaining/of/dizziness,/shortness/of/breath,/
and/mild/chest/pressure./Her/vital/signs/reveal/a/heart/rate/of/32bpm,/blood/pressure/
80/58,/and/oxygen/saturation/of/96%/on/room/air./A/12/lead/EKG/is/ordered/and/
reveals/a/3rd/degree/AV/block/with/wide/QRS/complexes./What/is/the/best/initial/
intervention/for/this/patient?/-/ans✔Transcutaneous/pacing
Your/patient/weighs/75/kg/and/you/are/ordered/to/infuse/250/mg/dobutamine/in/500/ml/
NS/at/10/mcg/kg/min./How/many/milligrams/of/dobutamine/will/infuse/per/hour?/-/
ans✔45mg/hr
During/the/course/of/treatment,/the/patient/experiences/a/respiratory/arrest/and/needs/
ventilatory/assistance./What/drug/will/reverse/the/effects/of/the/opiate/medication/
given?/-/ans✔Narcan/(naloxone)/0.4mg/IV
Calculate/the/intravenous/flow/rate/for/200ml/of/0.9%/normal/saline/over/120/minutes./
Infusion/set/has/drop/factor/of/20/drops/ml./-/ans✔33.33/drops/min
A/victim/of/a/traffic/accident/enters/your/department./He/is/semiconscious,/combative,/
and/in/C-spine/precautions./The/staff/is/unable/to/adequately/assess/him/due/to/his/
combativeness./The/doctor/orders/sedation/for/him./-/ans✔Versed/(midzolam)/2.5/mg/IV
The/order/is/Solumedrol/3mg/kg/for/a/child/weighing/20kg./Solumedrol/is/available/as/
125/mg///2/ml./How/many/ml/must/the/nurse/administer?/-/ans✔0.96/ml
The/order/is/Penicillin/G/1.2/million/units/IM/daily./Available:/Penicillin/G/9/million/units/1/
ml./How/many/ml/will/you/give?/-/ans✔0.13/ml/IM
All/of/the/following/medications/may/be/helpful/in/the/treatment/of/acute/pulmonary/
edema/except:/-/ans✔Epinephrine
The/above/medication/does/not/help./The/doctor/decides/to/use/a/neuromuscular/blocker/
on/this/patient./Which/of/the/following/medications/could/be/ordered?/-/ans✔Vecuronium
