HEALTHSTREAM FINAL EXAM SCRIPT 2026
QUESTIONS WITH FULL SOLUTIONS
◉ 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? Answer: 3 ml/hr
,◉ 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
◉ 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
◉ The actions of nitroglycerin in the management of angina include
Answer: coronary artery dilation and peripheral venous dilation.
◉ The most common cause of right heart failure is: Answer: left
heart failure.
◉ 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.
◉ 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because: Answer: steroids should be withdrawn slowly to allow for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
, ◉ 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.
◉ 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.
◉ A blood transfusion is: indicated in cases of Answer: active
hemorrhage resulting in shock
◉ Prior to administering digoxin to a patient, the nurse assesses the:
Answer: apical pulse for 1 minute.
◉ The nurse has a patient who has sustained paroxysmal
supraventricular tachycardia (PSVT). The medication that is most
effective for treatment is: Answer: adenosine.
◉ A patient with a coronary artery bypass graft (CABG) has a chest
tube in place. The nurse suspects an air leak, because the collection
unit displays: Answer: bubbling in the water seal chamber.
QUESTIONS WITH FULL SOLUTIONS
◉ 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? Answer: 3 ml/hr
,◉ 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
◉ 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
◉ The actions of nitroglycerin in the management of angina include
Answer: coronary artery dilation and peripheral venous dilation.
◉ The most common cause of right heart failure is: Answer: left
heart failure.
◉ 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.
◉ 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
, ◉ 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.
◉ 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.
◉ A blood transfusion is: indicated in cases of Answer: active
hemorrhage resulting in shock
◉ Prior to administering digoxin to a patient, the nurse assesses the:
Answer: apical pulse for 1 minute.
◉ The nurse has a patient who has sustained paroxysmal
supraventricular tachycardia (PSVT). The medication that is most
effective for treatment is: Answer: adenosine.
◉ A patient with a coronary artery bypass graft (CABG) has a chest
tube in place. The nurse suspects an air leak, because the collection
unit displays: Answer: bubbling in the water seal chamber.
