HEALTHSTREAM CERTIFICATION
EVALUATION 2026 FULL SOLUTION VIEW
AHEAD QUESTIONS
◉ 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:
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:
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:
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:
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:
Answer: monitor electrolyte levels and signs of fluid depletion.
◉ A patient has an elevated central venous pressure (CVP)
measurement. The most likely reason is:
Answer: right heart failure.
◉ Diabetes insipidus is usually treated with
Answer: vasopressin.
◉ Which physiologic effect is produced by alpha-1 receptors?
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:
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:
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?
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?
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?
EVALUATION 2026 FULL SOLUTION VIEW
AHEAD QUESTIONS
◉ 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:
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:
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:
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:
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:
Answer: monitor electrolyte levels and signs of fluid depletion.
◉ A patient has an elevated central venous pressure (CVP)
measurement. The most likely reason is:
Answer: right heart failure.
◉ Diabetes insipidus is usually treated with
Answer: vasopressin.
◉ Which physiologic effect is produced by alpha-1 receptors?
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:
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:
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?
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?
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?
