Healthstream Test
A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic
pressure. This assessment is most consistent with: - ANScardiac 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: -
ANStranscutaneous 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: - ANSimmobilize
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: - ANSthis 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: - ANSthe 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: - ANSmonitor electrolyte levels and signs of fluid depletion.
A patient has an elevated central venous pressure (CVP) measurement. The most likely reason
is: - ANSright heart failure.
Diabetes insipidus is usually treated with - ANSvasopressin.
Which physiologic effect is produced by alpha-1 receptors? - ANSVasoconstriction
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: - ANSdiscontinue
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: - ANSdobutamine 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? - ANS60 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? -
ANS2.8 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? - ANS3 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? -
ANS1.4 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? - ANS3 tabs
The actions of nitroglycerin in the management of angina include - ANScoronary artery dilation
and peripheral venous dilation.
The most common cause of right heart failure is: - ANSleft 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 with edematous extremities, nausea/vomiting, and:
- ANSanorexia.
The nurse is assigned to a patient with acute adrenal insufficiency (Addisonian crisis). The
practitioner orders the steroids to be discontinued quickly. The nurse knows to question the
order because: - ANSsteroids should be withdrawn slowly to allow for pituitary production of
ACTH
The nurse is caring for a patient who has atrial fibrillation. The patient is attempting to
understand why this dysrhythmia developed in him. The nurse educates this patient about his
risk factors, including: - ANSdiabetes mellitus.
The nurse is assigned a patient who is experiencing chest pain resulting from coronary artery
spasms while at rest. The nurse quickly realizes that the patient is suffering from: - ANSvariant
(Prinzmetal's) angina.
A blood transfusion is: indicated in cases of - ANSactive hemorrhage resulting in shock
A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic
pressure. This assessment is most consistent with: - ANScardiac 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: -
ANStranscutaneous 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: - ANSimmobilize
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: - ANSthis 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: - ANSthe 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: - ANSmonitor electrolyte levels and signs of fluid depletion.
A patient has an elevated central venous pressure (CVP) measurement. The most likely reason
is: - ANSright heart failure.
Diabetes insipidus is usually treated with - ANSvasopressin.
Which physiologic effect is produced by alpha-1 receptors? - ANSVasoconstriction
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: - ANSdiscontinue
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: - ANSdobutamine 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? - ANS60 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? -
ANS2.8 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? - ANS3 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? -
ANS1.4 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? - ANS3 tabs
The actions of nitroglycerin in the management of angina include - ANScoronary artery dilation
and peripheral venous dilation.
The most common cause of right heart failure is: - ANSleft 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 with edematous extremities, nausea/vomiting, and:
- ANSanorexia.
The nurse is assigned to a patient with acute adrenal insufficiency (Addisonian crisis). The
practitioner orders the steroids to be discontinued quickly. The nurse knows to question the
order because: - ANSsteroids should be withdrawn slowly to allow for pituitary production of
ACTH
The nurse is caring for a patient who has atrial fibrillation. The patient is attempting to
understand why this dysrhythmia developed in him. The nurse educates this patient about his
risk factors, including: - ANSdiabetes mellitus.
The nurse is assigned a patient who is experiencing chest pain resulting from coronary artery
spasms while at rest. The nurse quickly realizes that the patient is suffering from: - ANSvariant
(Prinzmetal's) angina.
A blood transfusion is: indicated in cases of - ANSactive hemorrhage resulting in shock
