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HEALTHSTREAM Jane Assessment Test 2025/2026 QUESTIONS AND VERIFIED CORRECT SOLUTIONS | GUARANTEED PASS | NEW VERSION

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HEALTHSTREAM Jane Assessment Test 2025/2026 QUESTIONS AND VERIFIED CORRECT SOLUTIONS | GUARANTEED PASS | NEW VERSION 1. The guidelines for use of steroids in the patient with acute adrenal insufficiency (Addisonian crisis) - ANSWER IVF, Steroids, ACTH test, vasopressors hydrocortisone in divided doses- weaned when stable to prednisolone 2. Neuromuscular manifestations of adrenal insufficiency - ANSWER fatigue, muscle weakness, headache skin hyperpigmentation 3. key features of infective endocarditis - ANSWER heart murmur, fever, chills, night sweats, muscle pain, loss of appetite, SOB, chest pain 4. safety profile for the use of combined hormonal contraceptive (CHC) pills by the individual with sickle cell anemia- - ANSWER (progesterone only BC pills to decrease incidence of DVT and bone loss) 5. actions of nitroglycerin in the management of angina- - ANSWER (dilates arteries and veins in the heart- decreasing the workload of the heart- relaxation of vascular smooth muscle) 6. where the upper extremity limb leads are placed for continuous ECG monitoring- - ANSWER (white- right- directly below the clavicle near the shoulder, black-left-directly below the clavicle near the shoulder) 7. The reason that aspirin in high analgesic doses is usually avoided in the treatment of patients with gout- - ANSWER (high dose aspirin can alter the blood level of urid acid) 8. The type of antidepressant that can block the reuptake of dopamine when prescribed at higher doses - ANSWER -Bupropion(Wellbutrin) 9. ECG leads in which changes will be seen during an acute lateral myocardial infarction - ANSWER anterior leads V2-4 & lateral leads 1, AVL, V5-6 10. etiology of atrial flutter - ANSWER (common, abn electrical circuit of upper chambers of the heart that decreases the squeeze-output- can be asymptomatic, caused by birth defects, medications, viruses, metabolic disorders -ie: dehydration) 11. clinical presentation of right-sided heart failure - ANSWER (JVD, edema, pleural effusions, fatigue, cool extremities, exercise intolerance, dizziness, syncope, ascites) 12. evaluation of patient understanding of instructions given regarding digoxin administration - ANSWER (Teach back- verbalization of understanding- hr 60-100 (1 full min), check levels visions changes) 13. How to correctly administer ear drops to an adult - ANSWER (earlobe up and out) 14. The rate at which IV saline should be administered to a patient with diabetic ketoacidosis during the first hour of treatment - ANSWER (bolus) 15. The action of dexamethasone when given to patients with thyroid storm - ANSWER (inhibit hormone production and decrease peripheral conversion from T4 to T3) 16. The reason that enteric-coated tablets should not be broken - ANSWER (may result in the drug being released too early, destroyed by stomach acid or irritating the stomach lining) 17. An important characteristic of acetaminophen - ANSWER (raises the body's pain threshold by inhibiting prostaglandin synthesis in the CNS) 18. The thrombolytic drug that is more likely to cause an allergic reaction - ANSWER alteplase 19. The length of time the patient should be encouraged to retain a bisacodyl rectal suppository to relieve constipation - ANSWER 15 - 20 min 20. most common cardiac valve dysfunction in the United States, often considered a disease of "wear and tear"- - ANSWER aortic 21. 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 500mL of IV fluid. At what rate in milliliters per hour should the IV pump be set? - ANSWER 60 mL/hr 22. A continuous infusion of regular insulin at 7 units/hour has been ordered for a patient with type 1 diabetes mellitus. The pharmacy dispensed a standard insulin infusion containing 100 units of regular U-100 insulin in 100 mL normal saline. At what rate in milliliters per hour should the infusion pump be set? - ANSWER 7 mL/hr 23. 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 24. MI Hallmarks - ANSWER -Crushing chest pain, pain radiating from the left jaw, should and/or arm -Heartburn/ indigestion, n/v (women) -SOB, diaphoresis, pale cool skin, anxiety -ST elevation, High troponin (cardiac enzymes), high RR, high BP, and low O2 25. MI interventions - ANSWER -Perform a focused assessment; cardiopulmonary. -Recheck VS (HR, RR, BP, O2,) - 12 Lead EKG -Establish IV access -Follow ONAM (Oxygen, nitroglycerin, aspirin, morphine) -Contact MD and anticipate orders for labs; cardiac enzymes (CPK-MB) and troponin levels, an ECHO to check EF, CXR, check CBC..

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HEALTHSTREAM Jane Assessment
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HEALTHSTREAM Jane Assessment

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HEALTHSTREAM Jane Assessment
Test 2025/2026 QUESTIONS AND
VERIFIED CORRECT SOLUTIONS |
GUARANTEED PASS | NEW VERSION

1. The guidelines for use of steroids in the patient with acute adrenal
insufficiency (Addisonian crisis) - ANSWER IVF, Steroids, ACTH test,
vasopressors hydrocortisone in divided doses- weaned when stable to
prednisolone


2. Neuromuscular manifestations of adrenal insufficiency - ANSWER -
fatigue, muscle weakness, headache skin hyperpigmentation


3. key features of infective endocarditis - ANSWER heart murmur, fever,
chills, night sweats, muscle pain, loss of appetite, SOB, chest pain


4. safety profile for the use of combined hormonal contraceptive (CHC) pills
by the individual with sickle cell anemia- - ANSWER (progesterone only
BC pills to decrease incidence of DVT and bone loss)


5. actions of nitroglycerin in the management of angina- - ANSWER (dilates
arteries and veins in the heart- decreasing the workload of the heart-
relaxation of vascular smooth muscle)


6. where the upper extremity limb leads are placed for continuous ECG
monitoring- - ANSWER (white- right- directly below the clavicle near the
shoulder, black-left-directly below the clavicle near the shoulder)

,7. The reason that aspirin in high analgesic doses is usually avoided in the
treatment of patients with gout- - ANSWER (high dose aspirin can alter the
blood level of urid acid)


8. The type of antidepressant that can block the reuptake of dopamine when
prescribed at higher doses - ANSWER -Bupropion(Wellbutrin)


9. ECG leads in which changes will be seen during an acute lateral myocardial
infarction - ANSWER anterior leads V2-4 & lateral leads 1, AVL, V5-6


10.etiology of atrial flutter - ANSWER (common, abn electrical circuit of
upper chambers of the heart that decreases the squeeze-output- can be
asymptomatic, caused by birth defects, medications, viruses, metabolic
disorders -ie: dehydration)


11.clinical presentation of right-sided heart failure - ANSWER (JVD, edema,
pleural effusions, fatigue, cool extremities, exercise intolerance, dizziness,
syncope, ascites)


12.evaluation of patient understanding of instructions given regarding digoxin
administration - ANSWER (Teach back- verbalization of understanding- hr
60-100 (1 full min), check levels visions changes)


13.How to correctly administer ear drops to an adult - ANSWER (earlobe up
and out)


14.The rate at which IV saline should be administered to a patient with diabetic
ketoacidosis during the first hour of treatment - ANSWER (bolus)

, 15.The action of dexamethasone when given to patients with thyroid storm -
ANSWER (inhibit hormone production and decrease peripheral conversion
from T4 to T3)


16.The reason that enteric-coated tablets should not be broken - ANSWER
(may result in the drug being released too early, destroyed by stomach acid
or irritating the stomach lining)


17.An important characteristic of acetaminophen - ANSWER (raises the body's
pain threshold by inhibiting prostaglandin synthesis in the CNS)


18.The thrombolytic drug that is more likely to cause an allergic reaction -
ANSWER alteplase


19.The length of time the patient should be encouraged to retain a bisacodyl
rectal suppository to relieve constipation - ANSWER 15 - 20 min


20.most common cardiac valve dysfunction in the United States, often
considered a disease of "wear and tear"- - ANSWER aortic


21.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 500mL of IV fluid. At what rate in
milliliters per hour should the IV pump be set? - ANSWER 60 mL/hr


22.A continuous infusion of regular insulin at 7 units/hour has been ordered for
a patient with type 1 diabetes mellitus. The pharmacy dispensed a standard
insulin infusion containing 100 units of regular U-100 insulin in 100 mL
normal saline. At what rate in milliliters per hour should the infusion pump
be set? - ANSWER 7 mL/hr

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HEALTHSTREAM Jane Assessment

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