Healthstream Test UPDATED ACTUAL
Questions and CORRECT Answers
A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic
pressure. This assessment is most consistent with: - CORRECT ANSWER - cardiac
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: - CORRECT
ANSWER - transcutaneous 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: - CORRECT
ANSWER - immobilize 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: - CORRECT ANSWER - this 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: - CORRECT ANSWER - the 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: - CORRECT ANSWER - monitor electrolyte levels and signs of fluid depletion.
A patient has an elevated central venous pressure (CVP) measurement. The most likely reason is:
- CORRECT ANSWER - right heart failure.
, Diabetes insipidus is usually treated with - CORRECT ANSWER - vasopressin.
Which physiologic effect is produced by alpha-1 receptors? - CORRECT ANSWER -
Vasoconstriction
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: - CORRECT
ANSWER - discontinue 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: - CORRECT ANSWER - dobutamine 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? - CORRECT
ANSWER - 60 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? -
CORRECT ANSWER - 2.8 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? - CORRECT ANSWER - 3 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? -
CORRECT ANSWER - 1.4 ml
Questions and CORRECT Answers
A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic
pressure. This assessment is most consistent with: - CORRECT ANSWER - cardiac
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: - CORRECT
ANSWER - transcutaneous 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: - CORRECT
ANSWER - immobilize 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: - CORRECT ANSWER - this 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: - CORRECT ANSWER - the 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: - CORRECT ANSWER - monitor electrolyte levels and signs of fluid depletion.
A patient has an elevated central venous pressure (CVP) measurement. The most likely reason is:
- CORRECT ANSWER - right heart failure.
, Diabetes insipidus is usually treated with - CORRECT ANSWER - vasopressin.
Which physiologic effect is produced by alpha-1 receptors? - CORRECT ANSWER -
Vasoconstriction
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: - CORRECT
ANSWER - discontinue 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: - CORRECT ANSWER - dobutamine 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? - CORRECT
ANSWER - 60 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? -
CORRECT ANSWER - 2.8 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? - CORRECT ANSWER - 3 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? -
CORRECT ANSWER - 1.4 ml
