HealthStream Test Exam Questions and Answers
2025 (Complete Study Guide with 100% Correct
Answers)
Introduction:
This document is a complete and updated 2025 HealthStream Test
Exam guide containing verified questions and answers covering key
healthcare topics. It includes comprehensive explanations of clinical
scenarios, pharmacology, patient care, cardiac monitoring, respiratory
management, and ethical standards. The second part of the document
provides institutional and procedural information about the
HealthStream Test Exam itself—its format, purpose, scoring,
preparation, and professional development relevance. Ideal for nurses,
medical students, and healthcare professionals preparing for
competency and compliance assessments through HealthStream.
Exam Questions and Answers
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--- correct answer --- bubbling in the water seal chamber.
A patient has been admitted to the telemetry unit with infective
endocarditis. During the nursing assessment, the nurse notes the
confirmatory findings of petechiae, splinter hemorrhages, and---
correct answer --- Osler's nodes.
A patient reports unrelenting, crushing chest pain; nausea; and
dyspnea. The nurse suspects an acute myocardial infarction. What
,change should the nurse expect to see on the patient's ECG? ---
correct answer --- ST-segment elevation
During an acute lateral myocardial infarction, changes will be seen in
which ECG leads?
--- correct answer --- I, aVL, V5, V6
Acute pericarditis is most commonly associated with---
correct answer --- renal failure. The primary sign that
indicates an intraoperative stroke is--- correct answer ---
seizures.
Rather than impeding lung blood flow, pulmonary emboli composed of
injure blood vessels and cause acute respiratory distress syndrome
(ARDS). --- correct answer --- fat
The most common lethal arrhythmia in the first hour of a myocardial
infarction- --- correct answer ---
v. fib
Evaluation of the comprehension of instructions given to a new nurse
regarding the QT interval on an ECG strip- --- correct answer ---
Beginning of QRS to end of T-wave- less than ó of preceding R-R
interval- <.4, prolongation leads to torsades
The mechanism of action for calcium channel blockers in the
treatment of angina --- correct answer --- allows blood vessels to
relax and open
,The primary classifications of physical traits that are manifested by
patients with acute onset delirium --- correct answer --- Restlessness,
pacing, agitation, mood change, hallucination, uncooperative, reduced
motor activity, sluggishness, in a daze
Cardiovascular manifestations of adrenal insufficiency- --- correct
answer --- low bp, arrhythmias, CHF
An imaging test used to confirm the presence of hypercortisolism
(Cushing's disease) --- correct answer --- MRI
The length of time that digoxin must be held prior to elective
cardioversion- --- correct answer --- 24- 48 hr
The single most important laboratory test in a patient who appears to
be intoxicated with ethanol- --- correct answer --- glucose
The most accurate test to use in diagnosing sleep apnea --- correct
answer --- polysomnography
Risk factors that may lead to the development of atrial fibrillation- ---
correct answer --- HTN, MI, DAD, Congenital, Thyroid, drugs, abn
heart valves, SSS, Pulmonary disease, viral infection, stress, OSA
The ECG leads in which changes will be seen during an acute lateral
myocardial infarction --- correct answer --- ST segment elevation in
anterior leads (V3 and V4)
, The priority assessment the nurse should make prior to administering
digoxin (Lanoxin®) to a patient- --- correct answer --- HR
Indications for thrombolytic therapy for acute MI- --- correct answer
--- St elevation MI or new left bundle branch block presenting w/in 12
hours of onset of symptoms
The guidelines for use of steroids in the patient with acute adrenal
insufficiency (Addisonian crisis) --- correct answer --- IVF, Steroids,
ACTH test, vasopressors
hydrocortisone in divided doses- weaned when stable to prednisolone
Neuromuscular manifestations of adrenal insufficiency --- correct
answer --- -fatigue, muscle weakness, headache skin
hyperpigmentation
key features of infective endocarditis --- correct answer --- heart
murmur, fever, chills, night sweats, muscle pain, loss of appetite, SOB,
chest pain
safety profile for the use of combined hormonal contraceptive (CHC)
pills by the individual with sickle cell anemia- --- correct answer ---
(progesterone only BC pills to decrease incidence of DVT and bone
loss) actions of nitroglycerin in the management of angina- ---
correct answer --- (dilates arteries and veins in the heart- decreasing
the workload of the heart- relaxation of vascular smooth muscle)
2025 (Complete Study Guide with 100% Correct
Answers)
Introduction:
This document is a complete and updated 2025 HealthStream Test
Exam guide containing verified questions and answers covering key
healthcare topics. It includes comprehensive explanations of clinical
scenarios, pharmacology, patient care, cardiac monitoring, respiratory
management, and ethical standards. The second part of the document
provides institutional and procedural information about the
HealthStream Test Exam itself—its format, purpose, scoring,
preparation, and professional development relevance. Ideal for nurses,
medical students, and healthcare professionals preparing for
competency and compliance assessments through HealthStream.
Exam Questions and Answers
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--- correct answer --- bubbling in the water seal chamber.
A patient has been admitted to the telemetry unit with infective
endocarditis. During the nursing assessment, the nurse notes the
confirmatory findings of petechiae, splinter hemorrhages, and---
correct answer --- Osler's nodes.
A patient reports unrelenting, crushing chest pain; nausea; and
dyspnea. The nurse suspects an acute myocardial infarction. What
,change should the nurse expect to see on the patient's ECG? ---
correct answer --- ST-segment elevation
During an acute lateral myocardial infarction, changes will be seen in
which ECG leads?
--- correct answer --- I, aVL, V5, V6
Acute pericarditis is most commonly associated with---
correct answer --- renal failure. The primary sign that
indicates an intraoperative stroke is--- correct answer ---
seizures.
Rather than impeding lung blood flow, pulmonary emboli composed of
injure blood vessels and cause acute respiratory distress syndrome
(ARDS). --- correct answer --- fat
The most common lethal arrhythmia in the first hour of a myocardial
infarction- --- correct answer ---
v. fib
Evaluation of the comprehension of instructions given to a new nurse
regarding the QT interval on an ECG strip- --- correct answer ---
Beginning of QRS to end of T-wave- less than ó of preceding R-R
interval- <.4, prolongation leads to torsades
The mechanism of action for calcium channel blockers in the
treatment of angina --- correct answer --- allows blood vessels to
relax and open
,The primary classifications of physical traits that are manifested by
patients with acute onset delirium --- correct answer --- Restlessness,
pacing, agitation, mood change, hallucination, uncooperative, reduced
motor activity, sluggishness, in a daze
Cardiovascular manifestations of adrenal insufficiency- --- correct
answer --- low bp, arrhythmias, CHF
An imaging test used to confirm the presence of hypercortisolism
(Cushing's disease) --- correct answer --- MRI
The length of time that digoxin must be held prior to elective
cardioversion- --- correct answer --- 24- 48 hr
The single most important laboratory test in a patient who appears to
be intoxicated with ethanol- --- correct answer --- glucose
The most accurate test to use in diagnosing sleep apnea --- correct
answer --- polysomnography
Risk factors that may lead to the development of atrial fibrillation- ---
correct answer --- HTN, MI, DAD, Congenital, Thyroid, drugs, abn
heart valves, SSS, Pulmonary disease, viral infection, stress, OSA
The ECG leads in which changes will be seen during an acute lateral
myocardial infarction --- correct answer --- ST segment elevation in
anterior leads (V3 and V4)
, The priority assessment the nurse should make prior to administering
digoxin (Lanoxin®) to a patient- --- correct answer --- HR
Indications for thrombolytic therapy for acute MI- --- correct answer
--- St elevation MI or new left bundle branch block presenting w/in 12
hours of onset of symptoms
The guidelines for use of steroids in the patient with acute adrenal
insufficiency (Addisonian crisis) --- correct answer --- IVF, Steroids,
ACTH test, vasopressors
hydrocortisone in divided doses- weaned when stable to prednisolone
Neuromuscular manifestations of adrenal insufficiency --- correct
answer --- -fatigue, muscle weakness, headache skin
hyperpigmentation
key features of infective endocarditis --- correct answer --- heart
murmur, fever, chills, night sweats, muscle pain, loss of appetite, SOB,
chest pain
safety profile for the use of combined hormonal contraceptive (CHC)
pills by the individual with sickle cell anemia- --- correct answer ---
(progesterone only BC pills to decrease incidence of DVT and bone
loss) actions of nitroglycerin in the management of angina- ---
correct answer --- (dilates arteries and veins in the heart- decreasing
the workload of the heart- relaxation of vascular smooth muscle)
