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HEALTHSTREAM TEST ACTUAL EXAM COMPLETE 200- QUESTIONS AND CORRECT DETAILED ANSWERS

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HEALTHSTREAM TEST ACTUAL EXAM COMPLETE 200- QUESTIONS AND CORRECT DETAILED ANSWERS

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HEALTHSTREAM TEST 2024-2025 ACTUAL EXAM COMPLETE 200-

QUESTIONS AND CORRECT DETAILED ANSWERS

Quiz A patient assessment reveals distended neck veins, pulsus paradoxus, and
decreased systolic pressure. This assessment is most consistent with:

Ans: cardiac tamponade.

Quiz 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:

Ans: transcutaneous pacing.

Quiz 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:

Ans: immobilize his head.

Quiz 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:

Ans: this is an excessive amount of drainage

Quiz 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:

Ans: the synergy model for patient care.

Quiz 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:

, Ans: monitor electrolyte levels and signs of fluid depletion.

Quiz A patient has an elevated central venous pressure (CVP) measurement. The
most likely reason is:

Ans: right heart failure.

Quiz Diabetes insipidus is usually treated with

Ans: vasopressin.

Quiz Which physiologic effect is produced by alpha-1 receptors?

Ans: Vasoconstriction

Quiz 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:

Ans: discontinue the TPA.

Quiz 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:

Ans: dobutamine and nitroprusside infusions

Quiz 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?

Ans: 60 mL/hr

Quiz 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?

Ans: 2.8 mL

Quiz 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?

Ans: 3 ml/hr

Quiz 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?

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