Healthstream post test Questions AND Answers.docx

  The priority intervention for diabetic ketoacidosis (DKA) is: - Correct Answers: fluid replacement. What is the sign that a pressure ulcer is beginning to develop - Correct Answers: Discoloration A 72-year-old female patient presents to the Emergency Department reporting substernal chest pain that she describes as "ripping"; it radiates into her back and is associated with cough and shortness of breath. Her blood pressure is 150/90 and her heart rate is 110. The emergency nurse anticipates administering: - Correct Answers: What is the priority when assessing a patient with dysphagia who has experienced a cerebrovascular accident (CVA)? - Correct Answers: Airway An oral dose of 0.25 mg of an inotropic antidysrhythmic medication is ordered. This medication is available as 0.125 mg per tablet. How many tablets should be administered? - Correct Answers: 2 Nurses should tell patients who are receiving ophthalmic medications that they will possibly experience: - Correct Answers: Which emergency medication may cause cerebral hemorrhage? - Correct Answers: Epinephrine A practitioner's order prescribes levothyroxine 0.05 mg po daily. The available medication is levothyroxine 25 mcg tabs. What will the nurse administer? - Correct Answers: 2 Patients who have advance directives may receive pain medication when it is needed. - Correct Answers: true What should be the nurse's first action to aid a near-drowning victim - Correct Answers: A patient with COPD requires oxygen therapy via nasal cannula. In order to help reduce anxiety in this patient, the nurse should tell her: - Correct Answers: This is oxygen; it will aid your breathing. When patient information is unavailable in an emergency, which blood type can be given immediately? - Correct Answers: o- Paramedics transported a 50-year-old female patient from a house fire to the Emergency Department without any obvious burns. She is covered in soot, coughing, and reporting nausea and anxiety. The emergency department provider plans to treat the patient for possible cyanide poisoning. In addition to oxygen, what medication should the nurse anticipate administering? - Correct Answers: Hydroxocobalamin Which of the following is a side effect of atropine? - Correct Answers: Nitroglycerin (Nitrostat®) is administered for anginal attacks because it causes - Correct Answers: coronary artery dilation and peripheral venous dilation. When a patient is admitted into the emergency room with a suspected fracture of the cervical spine, what is the nurse's priority? - Correct Answers: Immobilize the cervical spine. The initial treatment for most dermatophyte infections (Tinea corporis, Tinea pedis, and Tinea cruris) is: - Correct Answers: ketoconazol The tympanic membrane is found in the: - Correct Answers: ear A patient had a right below the knee amputation (BKA) 4 days ago. His incision is healing well, and he has gotten out of bed several times. Each time after returning to bed, he has experienced pain as if it were located in his right foot. The nurse should explain to the patient that: - Correct Answers: it is phantom pain and may occur because the nerves still carry pain sensation to the brain, even though the limb has been amputated. The pain is real and intense; it should be treated as such. The nurse is reviewing discharge instructions with a patient who received treatment in the Emergency Department for epistaxis. Which of the following statements is correct? - Correct Answers: "Open your mouth while sneezing." Following a motor vehicle accident, a young adult male presents to the emergency room with a bruise on his forehead. On initial assessment, the patient is oriented to himself, but is not able to state the current time or situation. Which diagnosis would the nurse suspect? - Correct Answers: Concussion A 36-year-old female presents to the Emergency Department reporting pelvic pain that started several hours ago, dizziness, and left shoulder pain. Her heart rate is 128 beats per minute and her blood pressure is 100/52; a urine pregnancy test is positive. The provider should immediately evaluate this patient for: - Correct Answers: ectopic pregnancy. Which of the following diagnoses is a surgical emergency? - Correct Answers: Testicular torsio As the patient's digoxin level reaches a therapeutic range, how does the heart rate respond? - Correct Answers: It will decrease to normal To confirm the diagnosis of an acute myocardial infarction in a patient admitted with crushing chest pain, which ECG change is expected? - Correct Answers: st elevation An 8-month-old male patient is diagnosed with acute otitis media. In addition to the antibiotics that the provider prescribed, the parents ask about the correct dose of acetaminophen. The emergency nurse knows that the appropriate dose for acetaminophen for pediatric patients is: - Correct Answers: At what rate should IV saline be administered to a patient with diabetic ketoacidosis during the first hour of treatment? - Correct Answers: What position should a patient assume in order to receive medication rectally? - Correct Answers: left side What sequence of assessment activities should the nurse use to evaluate the abdomen of a patient suspected of having a small bowel obstruction? - Correct Answers: Auscultate, palpate, percuss A 42-year-old male patient presents to the Emergency Department reporting a sensation of spinning, nausea and vomiting, and tinnitus. He has been sick for the last few days with an upper respiratory infection. His heart rate is 80 and his blood pressure is 132/70 without orthostatic changes. The emergency nurse anticipates that the patient will be treated for: - Correct Answers: Thirty minutes after starting a packed red blood cells (PRBC) infusion, your patient reports that his hands and arms itch and are starting to swell. What is the nurse's first priority? - Correct Answers: Immediately stop the infusion. Which class of diuretics retains its diuretic properties in patients with poor renal function? - Correct Answers: loop diuretics A staff member wants to know her coworker's due date so that she can plan a baby shower for her. She accesses her coworker's prenatal record through a facility computer to find out her coworker's due date so that the shower will be a surprise. This action is: - Correct Answers: a violation of HIPAA standards. The signs and symptoms of mononucleosis may be clinically indistinguishable from what other condition? - Correct Answers: Streptococcal pharyngitis Which analgesic drug is available in an intramuscular preparation? - Correct Answers: ketorolac