Healthstream Test Questions And Answers
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.
A patient has an elevated central venous pressure (CVP) measurement. The most likely reason is:
right heart failure.
Diabetes insipidus is usually treated with vasopressin.
Which physiologic effect is produced by alpha-1 receptors? 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: discontinue
the TPA.
, Healthstream Test Questions And Answers
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: 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? 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?
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? 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?
1.4 ml
, Healthstream Test Questions And Answers
A practitioner's order prescribes levothyroxine 0.075 mg PO daily. The available medication is
levothyroxine 25-mcg tablets. What will the nurse administer? 3 tabs
The actions of nitroglycerin in the management of angina include coronary artery dilation
and peripheral venous dilation.
The most common cause of right heart failure is: left 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:
anorexia.
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: steroids 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: diabetes mellitus.
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.
A patient has an elevated central venous pressure (CVP) measurement. The most likely reason is:
right heart failure.
Diabetes insipidus is usually treated with vasopressin.
Which physiologic effect is produced by alpha-1 receptors? 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: discontinue
the TPA.
, Healthstream Test Questions And Answers
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: 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? 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?
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? 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?
1.4 ml
, Healthstream Test Questions And Answers
A practitioner's order prescribes levothyroxine 0.075 mg PO daily. The available medication is
levothyroxine 25-mcg tablets. What will the nurse administer? 3 tabs
The actions of nitroglycerin in the management of angina include coronary artery dilation
and peripheral venous dilation.
The most common cause of right heart failure is: left 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:
anorexia.
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: steroids 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: diabetes mellitus.
