HealthStream Jane Assessment Test
Exam 2026/2027 – Verified Questions
with Correct Solutions | Latest Update
Verified Questions with Correct Solutions & Detailed Rationales (100% Guaranteed Pass)
1. A client is admitted with confusion, fever, and hypotension. The nurse suspects sepsis.
Which action should the nurse take first? Obtain blood cultures before starting
antibioticsRationale: Blood cultures identify the pathogen and guide targeted therapy;
drawing before antibiotics prevents false negatives.
2. A client with diabetes reports nausea, vomiting, and abdominal pain. Blood glucose is
350 mg/dL. The nurse should anticipate which diagnosis? Diabetic
ketoacidosisRationale: Classic triad in type 1 or uncontrolled type 2; high glucose with
ketosis.
3. The nurse is caring for a client receiving IV vancomycin. Which finding requires
immediate intervention? Red flushing of the neck and faceRationale: "Red man
syndrome" from rapid infusion; slow rate or pre-medicate with antihistamine.
4. A client post-op day 2 has sudden dyspnea and pleuritic chest pain. The nurse suspects
pulmonary embolism. Priority action: Administer oxygen and notify providerRationale:
Hypoxia and pain indicate clot; oxygen stabilizes while anticoagulation started.
5. A client with heart failure is prescribed spironolactone. The nurse teaches to avoid which
food? BananasRationale: High potassium; spironolactone spares potassium, risking
hyperkalemia.
6. The nurse is assessing a client with cirrhosis. Which finding indicates hepatic
encephalopathy? AsterixisRationale: Flapping tremor from ammonia toxicity.
, 7. A client with chronic kidney disease has phosphorus 6.5 mg/dL. The nurse anticipates
which medication? SevelamerRationale: Phosphate binder reduces hyperphosphatemia.
8. The nurse is caring for a client with rheumatoid arthritis on methotrexate. Which lab
should be monitored weekly initially? CBC (for bone marrow suppression)Rationale:
Methotrexate can cause leukopenia and thrombocytopenia.
9. A client with asthma reports using albuterol daily. The nurse recognizes this as: Poorly
controlled asthmaRationale: Rescue inhaler daily indicates need for controller
medication.
10. The nurse is teaching a client with osteoporosis about alendronate. Key instruction: Take
first thing in morning with full glass of water and remain upright 30 minutesRationale:
Reduces esophageal irritation and improves absorption.
11. A client with type 2 diabetes has HbA1c 9%. The nurse anticipates adding which
medication? GLP-1 agonist or SGLT2 inhibitorRationale: Guidelines recommend
beyond metformin for cardiovascular/renal protection.
12. The nurse is assessing a client with Parkinson’s disease. Expected finding: Cogwheel
rigidityRationale: Ratchet-like resistance on passive movement.
13. A client with multiple sclerosis reports heat intolerance worsening symptoms. This is
known as: Uhthoff's phenomenonRationale: Heat slows nerve conduction in
demyelinated fibers.
14. The nurse is caring for a client with myasthenia gravis. Crisis trigger: Infection or
medication changeRationale: Increases acetylcholine demand.
Exam 2026/2027 – Verified Questions
with Correct Solutions | Latest Update
Verified Questions with Correct Solutions & Detailed Rationales (100% Guaranteed Pass)
1. A client is admitted with confusion, fever, and hypotension. The nurse suspects sepsis.
Which action should the nurse take first? Obtain blood cultures before starting
antibioticsRationale: Blood cultures identify the pathogen and guide targeted therapy;
drawing before antibiotics prevents false negatives.
2. A client with diabetes reports nausea, vomiting, and abdominal pain. Blood glucose is
350 mg/dL. The nurse should anticipate which diagnosis? Diabetic
ketoacidosisRationale: Classic triad in type 1 or uncontrolled type 2; high glucose with
ketosis.
3. The nurse is caring for a client receiving IV vancomycin. Which finding requires
immediate intervention? Red flushing of the neck and faceRationale: "Red man
syndrome" from rapid infusion; slow rate or pre-medicate with antihistamine.
4. A client post-op day 2 has sudden dyspnea and pleuritic chest pain. The nurse suspects
pulmonary embolism. Priority action: Administer oxygen and notify providerRationale:
Hypoxia and pain indicate clot; oxygen stabilizes while anticoagulation started.
5. A client with heart failure is prescribed spironolactone. The nurse teaches to avoid which
food? BananasRationale: High potassium; spironolactone spares potassium, risking
hyperkalemia.
6. The nurse is assessing a client with cirrhosis. Which finding indicates hepatic
encephalopathy? AsterixisRationale: Flapping tremor from ammonia toxicity.
, 7. A client with chronic kidney disease has phosphorus 6.5 mg/dL. The nurse anticipates
which medication? SevelamerRationale: Phosphate binder reduces hyperphosphatemia.
8. The nurse is caring for a client with rheumatoid arthritis on methotrexate. Which lab
should be monitored weekly initially? CBC (for bone marrow suppression)Rationale:
Methotrexate can cause leukopenia and thrombocytopenia.
9. A client with asthma reports using albuterol daily. The nurse recognizes this as: Poorly
controlled asthmaRationale: Rescue inhaler daily indicates need for controller
medication.
10. The nurse is teaching a client with osteoporosis about alendronate. Key instruction: Take
first thing in morning with full glass of water and remain upright 30 minutesRationale:
Reduces esophageal irritation and improves absorption.
11. A client with type 2 diabetes has HbA1c 9%. The nurse anticipates adding which
medication? GLP-1 agonist or SGLT2 inhibitorRationale: Guidelines recommend
beyond metformin for cardiovascular/renal protection.
12. The nurse is assessing a client with Parkinson’s disease. Expected finding: Cogwheel
rigidityRationale: Ratchet-like resistance on passive movement.
13. A client with multiple sclerosis reports heat intolerance worsening symptoms. This is
known as: Uhthoff's phenomenonRationale: Heat slows nerve conduction in
demyelinated fibers.
14. The nurse is caring for a client with myasthenia gravis. Crisis trigger: Infection or
medication changeRationale: Increases acetylcholine demand.
