HEALTHSTREAM TEST EXAM QUESTIONS WITH DETAILED VERIFIED SOLUTIONS GRADED A+ NEWEST 2025

A patient admitted to the ICU has been diagnosed with blunt abdominal trauma following an altercation. Upon assessment, the patient reports severe pain. Further assessment includes Cullen's sign, Grey Turner's sign, and rigid abdomen despite nasogastric tube placement for decompression. The patient is most likely experiencing: - Correct Ans-Hemorrhage A patient is experiencing a cardiogenic shock. The nurse understands the goal of treatment focuses on increasing the: - Correct Ans-Cardiac Output 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 Ans-Monitor electrolyte levels and signs of fluid depletion The mechanically ventilated patient has increased respiratory rate ranging from 12-24 and oxygen saturation decreased to 90% despite oxygen increase to 100%. The patient assessment reveals basilar crackles that were not previously present, high peak airway pressures, and use of accessory muscles. Arterial blood gas reveals pH 7.50, pCO2 32, and pO2 49. Chest X-ray results are significant for diffuse ground glass opacities. The patient is likely experiencing: - Correct Ans-Acute respiratory distress syndrome A patient is a victim of a motor vehicle accident and has closed chest trauma. As you assess your patient, you notice that he has diminished breath sounds. Your patient is most likely experiencing a: - Correct Ans-pneumothorax. Which drug is given first to a patient with pulseless electrical activity (PEA)? - Correct Ans-Epinephrine What would be the most effective intervention to be ordered to treat a hemodynamically unstable patient with third-degree heart block? - Correct Ans-Transcutaneous pacing You are 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 Ans-Transcutaneous pacing A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic pressure. This assessment is most consistent with: - Correct Ans-Cardiac tamponade HEALTH STREAM HEALTH STREAM A mechanically ventilated patient from the OR is admitted to the ICU following an MVA. The patient experienced head trauma and blunt trauma to the abdomen. You are assessing this patient and notice that his heart rate is 130-145 per minute in sinus tachycardia; his CVP is 2. The patient remains hypotensive despite the use of vasopressors. The patient has a chest tube connected to wall suction and the TAC is putting out large amounts of bright red blood. You recognize that this patient is most likely experiencing: - Correct Ans-Hypovolemic shock A patient has an elevated central venous pressure measurement. The most likely reason is: - Correct Ans-Right heart failure A 46-year-old patient states that he has had weakness in his lower extremities that has worsened in an ascending manner over the past 3 days. The patient also states he is having difficulty breathing. The nurse is most concerned that this patient is at high risk for respiratory failure caused by: - Correct Ans-Guillain-Barré syndrome A patient is experiencing a change in condition. Your assessment is significant for oliguria, jugular vein distention, and dyspnea on exertion. You review laboratory values and notice that the isoenzymes are not elevated. The most likely explanation is that the patient is experiencing: - Correct Ans-Heart failure A patient with pancreatitis is admitted to the ICU. Over the next few hours, the nurse notices the patient has increasing tachypnea. An arterial blood gas is obtained and reveals pH 7.33, pCO2 35, pO2 92, HCO3 20. The patient is most likely experiencing: - Correct Ans-Metabolic acidosis Which sign or symptom would affect a patient's score on the Clinical Institute Withdrawal Assessment for Alcohol, revised (CIWA-Ar)? - Correct Ans-Paroxysmal sweats Right atrial pressures are obtained in order to assess: - Correct Ans-Right ventricular function What is the device called that delivers a single positive pressure to stent small airways and prevent alveolar collapse? - Correct Ans-Continuous positive airway pressure (CPAP) machine Which of the following responses might mechanically ventilated patients on elevated levels of PEEP experience? - Correct Ans-Hypotension The nurse is caring for a patient with alcohol use disorder. How soon after the patient's last alcoholic drink can mild withdrawal signs and symptoms occur? - Correct Ans Within 1-24 hours HEALTH STREAM HEALTH STREAM When treating a patient with Acute Kidney Injury typically this is used to correct fluid overload? - Correct Ans-furosemide A patient has 10% kidney function. The nurse understands that this patient will likely require: - Correct Ans-Dialysis Patients with Acute Kidney Injury should avoid which of the following pain medication? - Correct Ans-Ibuprophen To improve renal perfusion many patients with Acute Kidney Injury are treated with __________________. - Correct Ans-Vasodilators Preload is defined as the: - Correct Ans-Stretch produced within the myocardium at the end of diastole How do the symptoms of neurogenic shock and hypovolemic shock differ? - Correct Ans-In neurogenic shock, the skin is warm and dry A patient has cardiomyopathy and is unstable. You understand that the treatment goal is to improve contractility, reduce preload, and reduce afterload. You anticipate that medication management will include starting: - Correct Ans-dobutamine and nitroprusside infusions. What patient parameters should be monitored for the patient receiving ketamine for pain or sedation? - Correct Ans-blood pressure, heart rate, and altered mental status Beta-1 receptors produce which physiologic effect? - Correct Ans-Increased heart rate and contractility Alpha-1 receptors produce which physiologic effect? - Correct Ans-Vasoconstriction ________________ is described as an ability to interact effectively with people of different cultures. - Correct Ans-Cultural respect 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 Ans-The synergy model for patient care According to the American Nurses Association, the five rights of delegation are: - Correct Ans-Right task, right circumstance, right person, right supervision, right direction and communication Which circumstance is the best example of an internal constraint that may lead to moral distress? - Correct Ans-providing end of life care HEALTH STREAM HEALTH STREAM A transmission-based precaution that is intended to prevent the spread of infectious organisms through respiratory or mucous membrane contact with respiratory secretions of an infected patient via large particles suspended in air is referred to as: - Correct Ans Droplet The nurse completes a new patient intake assessment. The patient reports a persistent cough for over 3 weeks, fatigue, and noted weight loss. The nurse suspects: - Correct Ans-tuberculosis (TB) and should notify the provider immediately, should initiate