Healthstream Test Questions with
Solutions
A patient has an elevated central venous pressure (CVP) measurement. The most likely reason is
Correct Ans-right heart failure.
A patient is experiencing a cardiogenic shock. You understand the goal of treatment focuses on
increasing the:Correct Answer: Correct Ans-cardiac output.
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
Preload is defined as the: Correct Ans-stretch produced within the myocardium at the end of
diastole.
A patient has an elevated central venous pressure measurement. The most likely reason is:
Correct Ans-right heart failure.
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-congestive heart failure.
You are caring for a post-gastrectomy patient. You understand that the patient may have
absorption complications primarily as a result of: Correct Ans-dumping syndrome
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 has an elevated central venous pressure measurement. The most likely reason is:
Correct Ans-right heart failure.
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.
A patient is newly intubated. He has normal breath sounds on the right side of his chest, but
diminished, distant breath sounds on the left side of his chest. These findings likely indicate:
Correct Ans-intubation in the right mainstem bronchus.
Which of the following responses might mechanically ventilated patients on elevated levels of
PEEP experience? Correct Ans-hypotension
Solutions
A patient has an elevated central venous pressure (CVP) measurement. The most likely reason is
Correct Ans-right heart failure.
A patient is experiencing a cardiogenic shock. You understand the goal of treatment focuses on
increasing the:Correct Answer: Correct Ans-cardiac output.
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
Preload is defined as the: Correct Ans-stretch produced within the myocardium at the end of
diastole.
A patient has an elevated central venous pressure measurement. The most likely reason is:
Correct Ans-right heart failure.
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-congestive heart failure.
You are caring for a post-gastrectomy patient. You understand that the patient may have
absorption complications primarily as a result of: Correct Ans-dumping syndrome
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 has an elevated central venous pressure measurement. The most likely reason is:
Correct Ans-right heart failure.
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.
A patient is newly intubated. He has normal breath sounds on the right side of his chest, but
diminished, distant breath sounds on the left side of his chest. These findings likely indicate:
Correct Ans-intubation in the right mainstem bronchus.
Which of the following responses might mechanically ventilated patients on elevated levels of
PEEP experience? Correct Ans-hypotension
