Healthstream – UPDATED Questions with 100% Verified Answers
Healthstream
Study Questions and Answers
Q1 A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic pressure.
This assessment is most consistent with:
A cardiac tamponade.
Q2 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:
A transcutaneous pacing.
Q3 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:
A immobilize his head.
Q4 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:
A this is an excessive amount of drainage
Q5 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:
A the synergy model for patient care.
Q6 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:
A monitor electrolyte levels and signs of fluid depletion.
Q7 A patient has an elevated central venous pressure (CVP) measurement. The most likely reason is:
A right heart failure.
Q8 Diabetes insipidus is usually treated with
A vasopressin.
Q9 Which physiologic effect is produced by alpha-1 receptors?
Healthstream 1
, A Vasoconstriction
Q10 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:
A discontinue the TPA.
Q11 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:
A dobutamine and nitroprusside infusions
Q12 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?
A 60 mL/hr
Q13 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?
A 2.8 mL
Q14 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?
A 3 ml/hr
Q15 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?
A 1.4 ml
Q16 A practitioner's order prescribes levothyroxine 0.075 mg PO daily. The available medication is levothyroxine
25-mcg tablets. What will the nurse administer?
A 3 tabs
Q17 The actions of nitroglycerin in the management of angina include
A coronary artery dilation and peripheral venous dilation.
Q18 The most common cause of right heart failure is:
Healthstream 2
Healthstream
Study Questions and Answers
Q1 A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic pressure.
This assessment is most consistent with:
A cardiac tamponade.
Q2 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:
A transcutaneous pacing.
Q3 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:
A immobilize his head.
Q4 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:
A this is an excessive amount of drainage
Q5 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:
A the synergy model for patient care.
Q6 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:
A monitor electrolyte levels and signs of fluid depletion.
Q7 A patient has an elevated central venous pressure (CVP) measurement. The most likely reason is:
A right heart failure.
Q8 Diabetes insipidus is usually treated with
A vasopressin.
Q9 Which physiologic effect is produced by alpha-1 receptors?
Healthstream 1
, A Vasoconstriction
Q10 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:
A discontinue the TPA.
Q11 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:
A dobutamine and nitroprusside infusions
Q12 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?
A 60 mL/hr
Q13 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?
A 2.8 mL
Q14 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?
A 3 ml/hr
Q15 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?
A 1.4 ml
Q16 A practitioner's order prescribes levothyroxine 0.075 mg PO daily. The available medication is levothyroxine
25-mcg tablets. What will the nurse administer?
A 3 tabs
Q17 The actions of nitroglycerin in the management of angina include
A coronary artery dilation and peripheral venous dilation.
Q18 The most common cause of right heart failure is:
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