ANSWERS |LATEST 2026/2027 UPDATE|GRADED A+
Question 1
A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased
systolic pressure. This assessment is most consistent with:
CORRECT ANSWER
cardiac tamponade.
Question 2
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.
Question 3
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.
Question 4
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
1
@THE STUDY VAULT
,this is an excessive amount of drainage
Question 5
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.
Question 6
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.
Question 7
A patient has an elevated central venous pressure (CVP) measurement. The most likely
reason is:
CORRECT ANSWER
right heart failure.
Question 8
2
@THE STUDY VAULT
, Diabetes insipidus is usually treated with
CORRECT ANSWER
vasopressin.
Question 9
Which physiologic effect is produced by alpha-1 receptors?
CORRECT ANSWER
Vasoconstriction
Question 10
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.
Question 11
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
Question 12
3
@THE STUDY VAULT
Question 1
A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased
systolic pressure. This assessment is most consistent with:
CORRECT ANSWER
cardiac tamponade.
Question 2
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.
Question 3
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.
Question 4
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
1
@THE STUDY VAULT
,this is an excessive amount of drainage
Question 5
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.
Question 6
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.
Question 7
A patient has an elevated central venous pressure (CVP) measurement. The most likely
reason is:
CORRECT ANSWER
right heart failure.
Question 8
2
@THE STUDY VAULT
, Diabetes insipidus is usually treated with
CORRECT ANSWER
vasopressin.
Question 9
Which physiologic effect is produced by alpha-1 receptors?
CORRECT ANSWER
Vasoconstriction
Question 10
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.
Question 11
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
Question 12
3
@THE STUDY VAULT
