Healthstream questions and answers
A patient admitted to the ICU has been diagnosed with blunt abdominal
trauma following an altercation. Upon assessment, the patient reports severe
pain. Further assessment includes Cullen's sign, Grey Turner's sign, and rigid
abdomen despite nasogastric tube placement for decompression. The patient
is most likely experiencing:✔✔Hemorrhage
A patient is experiencing a cardiogenic shock. The nurse understands the goal
of treatment focuses on increasing the:✔✔Cardiac Output
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:✔✔Monitor electrolyte levels
and signs of fluid depletion
The mechanically ventilated patient has increased respiratory rate ranging
from 12-24 and oxygen saturation decreased to 90% despite oxygen increase
to 100%. The patient assessment reveals basilar crackles that were not
previously present, high peak airway pressures, and use of accessory muscles.
Arterial blood gas reveals pH 7.50, pCO2 32, and pO2 49. Chest X-ray results
are significant for diffuse ground glass opacities. The patient is likely
experiencing:✔✔Acute respiratory distress syndrome
A patient is a victim of a motor vehicle accident and has closed chest trauma.
As you assess your patient, you notice that he has diminished breath sounds.
Your patient is most likely experiencing a:✔✔pneumothorax.
Which drug is given first to a patient with pulseless electrical activity
(PEA)?✔✔Epinephrine
, What would be the most effective intervention to be ordered to treat a
hemodynamically unstable patient with third-degree heart
block?✔✔Transcutaneous pacing
You are 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:✔✔Transcutaneous pacing
A patient assessment reveals distended neck veins, pulsus paradoxus, and
decreased systolic pressure. This assessment is most consistent
with:✔✔Cardiac tamponade
A mechanically ventilated patient from the OR is admitted to the ICU following
an MVA. The patient experienced head trauma and blunt trauma to the
abdomen. You are assessing this patient and notice that his heart rate is 130-
145 per minute in sinus tachycardia; his CVP is 2. The patient remains
hypotensive despite the use of vasopressors. The patient has a chest tube
connected to wall suction and the TAC is putting out large amounts of bright
red blood. You recognize that this patient is most likely
experiencing:✔✔Hypovolemic shock
A patient has an elevated central venous pressure measurement. The most
likely reason is:✔✔Right heart failure
A 46-year-old patient states that he has had weakness in his lower extremities
that has worsened in an ascending manner over the past 3 days. The patient
also states he is having difficulty breathing. The nurse is most concerned that
this patient is at high risk for respiratory failure caused by:✔✔Guillain-Barré
syndrome
A patient is experiencing a change in condition. Your assessment is significant
for oliguria, jugular vein distention, and dyspnea on exertion. You review
A patient admitted to the ICU has been diagnosed with blunt abdominal
trauma following an altercation. Upon assessment, the patient reports severe
pain. Further assessment includes Cullen's sign, Grey Turner's sign, and rigid
abdomen despite nasogastric tube placement for decompression. The patient
is most likely experiencing:✔✔Hemorrhage
A patient is experiencing a cardiogenic shock. The nurse understands the goal
of treatment focuses on increasing the:✔✔Cardiac Output
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:✔✔Monitor electrolyte levels
and signs of fluid depletion
The mechanically ventilated patient has increased respiratory rate ranging
from 12-24 and oxygen saturation decreased to 90% despite oxygen increase
to 100%. The patient assessment reveals basilar crackles that were not
previously present, high peak airway pressures, and use of accessory muscles.
Arterial blood gas reveals pH 7.50, pCO2 32, and pO2 49. Chest X-ray results
are significant for diffuse ground glass opacities. The patient is likely
experiencing:✔✔Acute respiratory distress syndrome
A patient is a victim of a motor vehicle accident and has closed chest trauma.
As you assess your patient, you notice that he has diminished breath sounds.
Your patient is most likely experiencing a:✔✔pneumothorax.
Which drug is given first to a patient with pulseless electrical activity
(PEA)?✔✔Epinephrine
, What would be the most effective intervention to be ordered to treat a
hemodynamically unstable patient with third-degree heart
block?✔✔Transcutaneous pacing
You are 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:✔✔Transcutaneous pacing
A patient assessment reveals distended neck veins, pulsus paradoxus, and
decreased systolic pressure. This assessment is most consistent
with:✔✔Cardiac tamponade
A mechanically ventilated patient from the OR is admitted to the ICU following
an MVA. The patient experienced head trauma and blunt trauma to the
abdomen. You are assessing this patient and notice that his heart rate is 130-
145 per minute in sinus tachycardia; his CVP is 2. The patient remains
hypotensive despite the use of vasopressors. The patient has a chest tube
connected to wall suction and the TAC is putting out large amounts of bright
red blood. You recognize that this patient is most likely
experiencing:✔✔Hypovolemic shock
A patient has an elevated central venous pressure measurement. The most
likely reason is:✔✔Right heart failure
A 46-year-old patient states that he has had weakness in his lower extremities
that has worsened in an ascending manner over the past 3 days. The patient
also states he is having difficulty breathing. The nurse is most concerned that
this patient is at high risk for respiratory failure caused by:✔✔Guillain-Barré
syndrome
A patient is experiencing a change in condition. Your assessment is significant
for oliguria, jugular vein distention, and dyspnea on exertion. You review
