NIHSS HEALTHSTREAM ACTUAL EXAMS SCRIPT
QUESTIONS AND ANSWERS SURE A+
✔✔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 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: - ✔✔variant (Prinzmetal's) angina.
✔✔A blood transfusion is: indicated in cases of - ✔✔active hemorrhage resulting in
shock
✔✔Prior to administering digoxin to a patient, the nurse assesses the: - ✔✔apical pulse
for 1 minute.
✔✔The nurse has a patient who has sustained paroxysmal supraventricular tachycardia
(PSVT). The medication that is most effective for treatment is: - ✔✔adenosine.
, ✔✔A patient with a coronary artery bypass graft (CABG) has a chest tube in place. The
nurse suspects an air leak, because the collection unit displays: - ✔✔bubbling in the
water seal chamber.
✔✔A patient has been admitted to the telemetry unit with infective endocarditis. During
the nursing assessment, the nurse notes the confirmatory findings of petechiae, splinter
hemorrhages, and: - ✔✔Osler's nodes.
✔✔A patient reports unrelenting, crushing chest pain; nausea; and dyspnea. The nurse
suspects an acute myocardial infarction. What change should the nurse expect to see
on the patient's ECG? - ✔✔ST-segment elevation
✔✔During an acute lateral myocardial infarction, changes will be seen in which ECG
leads? - ✔✔I, aVL, V5, V6
✔✔Acute pericarditis is most commonly associated with: - ✔✔renal failure.
✔✔The primary sign that indicates an intraoperative stroke is: - ✔✔seizures.
✔✔Rather than impeding lung blood flow, pulmonary emboli composed of
_____________ injure blood vessels and cause acute respiratory distress syndrome
(ARDS). - ✔✔fat
✔✔The most common lethal arrhythmia in the first hour of a myocardial infarction- -
✔✔v. fib
✔✔Evaluation of the comprehension of instructions given to a new nurse regarding the
QT interval on an ECG strip- - ✔✔Beginning of QRS to end of T-wave- less than ó of
preceding R-R interval- <.4, prolongation leads to torsades
✔✔The mechanism of action for calcium channel blockers in the treatment of angina -
✔✔allows blood vessels to relax and open
✔✔The primary classifications of physical traits that are manifested by patients with
acute onset delirium - ✔✔Restlessness, pacing, agitation, mood change, hallucination,
uncooperative, reduced motor activity, sluggishness, in a daze
✔✔Cardiovascular manifestations of adrenal insufficiency- - ✔✔low bp, arrhythmias,
CHF
✔✔An imaging test used to confirm the presence of hypercortisolism (Cushing's
disease) - ✔✔MRI
QUESTIONS AND ANSWERS SURE A+
✔✔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 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: - ✔✔variant (Prinzmetal's) angina.
✔✔A blood transfusion is: indicated in cases of - ✔✔active hemorrhage resulting in
shock
✔✔Prior to administering digoxin to a patient, the nurse assesses the: - ✔✔apical pulse
for 1 minute.
✔✔The nurse has a patient who has sustained paroxysmal supraventricular tachycardia
(PSVT). The medication that is most effective for treatment is: - ✔✔adenosine.
, ✔✔A patient with a coronary artery bypass graft (CABG) has a chest tube in place. The
nurse suspects an air leak, because the collection unit displays: - ✔✔bubbling in the
water seal chamber.
✔✔A patient has been admitted to the telemetry unit with infective endocarditis. During
the nursing assessment, the nurse notes the confirmatory findings of petechiae, splinter
hemorrhages, and: - ✔✔Osler's nodes.
✔✔A patient reports unrelenting, crushing chest pain; nausea; and dyspnea. The nurse
suspects an acute myocardial infarction. What change should the nurse expect to see
on the patient's ECG? - ✔✔ST-segment elevation
✔✔During an acute lateral myocardial infarction, changes will be seen in which ECG
leads? - ✔✔I, aVL, V5, V6
✔✔Acute pericarditis is most commonly associated with: - ✔✔renal failure.
✔✔The primary sign that indicates an intraoperative stroke is: - ✔✔seizures.
✔✔Rather than impeding lung blood flow, pulmonary emboli composed of
_____________ injure blood vessels and cause acute respiratory distress syndrome
(ARDS). - ✔✔fat
✔✔The most common lethal arrhythmia in the first hour of a myocardial infarction- -
✔✔v. fib
✔✔Evaluation of the comprehension of instructions given to a new nurse regarding the
QT interval on an ECG strip- - ✔✔Beginning of QRS to end of T-wave- less than ó of
preceding R-R interval- <.4, prolongation leads to torsades
✔✔The mechanism of action for calcium channel blockers in the treatment of angina -
✔✔allows blood vessels to relax and open
✔✔The primary classifications of physical traits that are manifested by patients with
acute onset delirium - ✔✔Restlessness, pacing, agitation, mood change, hallucination,
uncooperative, reduced motor activity, sluggishness, in a daze
✔✔Cardiovascular manifestations of adrenal insufficiency- - ✔✔low bp, arrhythmias,
CHF
✔✔An imaging test used to confirm the presence of hypercortisolism (Cushing's
disease) - ✔✔MRI
