HEALTHSTREAM JANE ASSESSMENT
PRACTICE EXAM QUESTIONS
WITH CORRECT DETAILED
ANSWERS | ALREADY GRADED
A+<RECENT VERSION>
1) A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased
systolic pressure. This assessment is most consistent with: - ANSWER cardiac
tamponade.
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:
- ANSWER transcutaneous pacing.
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:
- ANSWER immobilize his head.
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: - ANSWER this
is an excessive amount of drainage
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: - ANSWER the synergy model for
patient care.
,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: - ANSWER monitor electrolyte levels and signs of
fluid depletion.
7) A patient has an elevated central venous pressure (CVP) measurement. The most
likely reason is: - ANSWER right heart failure.
8) Diabetes insipidus is usually treated with - ANSWER vasopressin.
9) Which physiologic effect is produced by alpha-1 receptors? - ANSWER
Vasoconstriction
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: - ANSWER discontinue the TPA.
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: - ANSWER
dobutamine and nitroprusside infusions
12) 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
13) 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
14) 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? - ANSWER 3 ml/hr
, 15) A dose of 35 mg of a corticosteroid is ordered to be given IM to treat inflammation.
The medication is available as 250 mg/10 mL. How many milliliters should be
administered? - ANSWER 1.4 ml
16) A practitioner's order prescribes levothyroxine 0.075 mg PO daily. The available
medication is levothyroxine 25-mcg tablets. What will the nurse administer? -
ANSWER 3 tabs
17) The actions of nitroglycerin in the management of angina include - ANSWER
coronary artery dilation and peripheral venous dilation.
18) The most common cause of right heart failure is: - ANSWER left heart failure.
19) The nurse is differentiating between right- and left-sided heart failure in an assigned
patient. For right-sided heart failure, the patient presents with edematous extremities,
nausea/vomiting, and: - ANSWER anorexia.
20) The nurse is assigned to a patient with acute adrenal insufficiency (Addisonian crisis).
The practitioner orders the steroids to be discontinued quickly. The nurse knows to
question the order because: - ANSWER steroids should be withdrawn slowly to
allow for pituitary production of ACTH
21) 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: - ANSWER diabetes mellitus.
22) 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: - ANSWER variant (Prinzmetal's) angina.
23) A blood transfusion is: indicated in cases of - ANSWER active hemorrhage
resulting in shock
24) Prior to administering digoxin to a patient, the nurse assesses the: - ANSWER
apical pulse for 1 minute.
PRACTICE EXAM QUESTIONS
WITH CORRECT DETAILED
ANSWERS | ALREADY GRADED
A+<RECENT VERSION>
1) A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased
systolic pressure. This assessment is most consistent with: - ANSWER cardiac
tamponade.
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:
- ANSWER transcutaneous pacing.
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:
- ANSWER immobilize his head.
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: - ANSWER this
is an excessive amount of drainage
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: - ANSWER the synergy model for
patient care.
,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: - ANSWER monitor electrolyte levels and signs of
fluid depletion.
7) A patient has an elevated central venous pressure (CVP) measurement. The most
likely reason is: - ANSWER right heart failure.
8) Diabetes insipidus is usually treated with - ANSWER vasopressin.
9) Which physiologic effect is produced by alpha-1 receptors? - ANSWER
Vasoconstriction
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: - ANSWER discontinue the TPA.
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: - ANSWER
dobutamine and nitroprusside infusions
12) 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
13) 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
14) 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? - ANSWER 3 ml/hr
, 15) A dose of 35 mg of a corticosteroid is ordered to be given IM to treat inflammation.
The medication is available as 250 mg/10 mL. How many milliliters should be
administered? - ANSWER 1.4 ml
16) A practitioner's order prescribes levothyroxine 0.075 mg PO daily. The available
medication is levothyroxine 25-mcg tablets. What will the nurse administer? -
ANSWER 3 tabs
17) The actions of nitroglycerin in the management of angina include - ANSWER
coronary artery dilation and peripheral venous dilation.
18) The most common cause of right heart failure is: - ANSWER left heart failure.
19) The nurse is differentiating between right- and left-sided heart failure in an assigned
patient. For right-sided heart failure, the patient presents with edematous extremities,
nausea/vomiting, and: - ANSWER anorexia.
20) The nurse is assigned to a patient with acute adrenal insufficiency (Addisonian crisis).
The practitioner orders the steroids to be discontinued quickly. The nurse knows to
question the order because: - ANSWER steroids should be withdrawn slowly to
allow for pituitary production of ACTH
21) 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: - ANSWER diabetes mellitus.
22) 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: - ANSWER variant (Prinzmetal's) angina.
23) A blood transfusion is: indicated in cases of - ANSWER active hemorrhage
resulting in shock
24) Prior to administering digoxin to a patient, the nurse assesses the: - ANSWER
apical pulse for 1 minute.
