HEALTHSTREAM JANE ASSESSMENT TEST | QUESTIONS AND
ANSWERS | LATEST EXAM
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
ANSWERS | LATEST EXAM
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
