NIHSS HEALTHSTREAM UPDATED
COMPREHENSIVE ALL QUESTIONS AND ANSWERS
SURE A+
✔✔where the upper extremity limb leads are placed for continuous ECG
monitoring- - ✔✔(white- right- directly below the clavicle near the shoulder, black-left-
directly below the clavicle near the shoulder)
✔✔The reason that aspirin in high analgesic doses is usually avoided in the treatment
of patients with gout- - ✔✔(high dose aspirin can alter the blood level of urid acid)
✔✔The type of antidepressant that can block the reuptake of dopamine when
prescribed at higher doses - ✔✔-Bupropion(Wellbutrin)
✔✔ECG leads in which changes will be seen during an acute lateral myocardial
infarction - ✔✔anterior leads V2-4 & lateral leads 1, AVL, V5-6
✔✔etiology of atrial flutter - ✔✔(common, abn electrical circuit of upper
chambers of the heart that decreases the squeeze-output- can be asymptomatic,
caused
by birth defects, medications, viruses, metabolic disorders -ie: dehydration)
, ✔✔clinical presentation of right-sided heart failure - ✔✔(JVD, edema, pleural effusions,
fatigue, cool extremities, exercise intolerance, dizziness, syncope, ascites)
✔✔evaluation of patient understanding of instructions given regarding digoxin
administration - ✔✔(Teach back- verbalization of understanding- hr 60-100 (1 full min),
check levels visions changes)
✔✔How to correctly administer ear drops to an adult - ✔✔(earlobe up and out)
✔✔The rate at which IV saline should be administered to a patient with diabetic
ketoacidosis during the first hour of treatment - ✔✔(bolus)
✔✔The action of dexamethasone when given to patients with thyroid storm - ✔✔(inhibit
hormone production and decrease peripheral conversion from T4 to T3)
✔✔The reason that enteric-coated tablets should not be broken - ✔✔(may result in the
drug being released too early, destroyed by stomach acid or irritating the stomach
lining)
✔✔An important characteristic of acetaminophen - ✔✔(raises the body's pain threshold
by inhibiting prostaglandin synthesis in the CNS)
✔✔The thrombolytic drug that is more likely to cause an allergic reaction - ✔✔alteplase
✔✔The length of time the patient should be encouraged to retain a bisacodyl rectal
suppository to relieve constipation - ✔✔15 - 20 min
✔✔most common cardiac valve dysfunction in the United States, often
considered a disease of "wear and tear"- - ✔✔aortic
✔✔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 500mL of IV fluid. At what rate in milliliters per hour should the IV pump
be set? - ✔✔60 mL/hr
✔✔A continuous infusion of regular insulin at 7 units/hour has been ordered for a
patient with type 1 diabetes mellitus. The pharmacy dispensed a standard insulin
infusion containing 100 units of regular U-100 insulin in 100 mL normal saline. At what
rate in milliliters per
hour should the infusion pump be set? - ✔✔7 mL/hr
COMPREHENSIVE ALL QUESTIONS AND ANSWERS
SURE A+
✔✔where the upper extremity limb leads are placed for continuous ECG
monitoring- - ✔✔(white- right- directly below the clavicle near the shoulder, black-left-
directly below the clavicle near the shoulder)
✔✔The reason that aspirin in high analgesic doses is usually avoided in the treatment
of patients with gout- - ✔✔(high dose aspirin can alter the blood level of urid acid)
✔✔The type of antidepressant that can block the reuptake of dopamine when
prescribed at higher doses - ✔✔-Bupropion(Wellbutrin)
✔✔ECG leads in which changes will be seen during an acute lateral myocardial
infarction - ✔✔anterior leads V2-4 & lateral leads 1, AVL, V5-6
✔✔etiology of atrial flutter - ✔✔(common, abn electrical circuit of upper
chambers of the heart that decreases the squeeze-output- can be asymptomatic,
caused
by birth defects, medications, viruses, metabolic disorders -ie: dehydration)
, ✔✔clinical presentation of right-sided heart failure - ✔✔(JVD, edema, pleural effusions,
fatigue, cool extremities, exercise intolerance, dizziness, syncope, ascites)
✔✔evaluation of patient understanding of instructions given regarding digoxin
administration - ✔✔(Teach back- verbalization of understanding- hr 60-100 (1 full min),
check levels visions changes)
✔✔How to correctly administer ear drops to an adult - ✔✔(earlobe up and out)
✔✔The rate at which IV saline should be administered to a patient with diabetic
ketoacidosis during the first hour of treatment - ✔✔(bolus)
✔✔The action of dexamethasone when given to patients with thyroid storm - ✔✔(inhibit
hormone production and decrease peripheral conversion from T4 to T3)
✔✔The reason that enteric-coated tablets should not be broken - ✔✔(may result in the
drug being released too early, destroyed by stomach acid or irritating the stomach
lining)
✔✔An important characteristic of acetaminophen - ✔✔(raises the body's pain threshold
by inhibiting prostaglandin synthesis in the CNS)
✔✔The thrombolytic drug that is more likely to cause an allergic reaction - ✔✔alteplase
✔✔The length of time the patient should be encouraged to retain a bisacodyl rectal
suppository to relieve constipation - ✔✔15 - 20 min
✔✔most common cardiac valve dysfunction in the United States, often
considered a disease of "wear and tear"- - ✔✔aortic
✔✔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 500mL of IV fluid. At what rate in milliliters per hour should the IV pump
be set? - ✔✔60 mL/hr
✔✔A continuous infusion of regular insulin at 7 units/hour has been ordered for a
patient with type 1 diabetes mellitus. The pharmacy dispensed a standard insulin
infusion containing 100 units of regular U-100 insulin in 100 mL normal saline. At what
rate in milliliters per
hour should the infusion pump be set? - ✔✔7 mL/hr
