Healthstream Post-Test (2023/ 2024 Update) 100% Correct| Questions and Verified Answers| Graded A
Healthstream Post-Test (2023/ 2024 Update)
100% Correct| Questions and Verified
Answers| Graded A
QUESTION
A mechanically ventilated patient from the OR is admitted to the ICU following an MVA. The
patient experienced head trauma and blunt trauma to the abdomen. You are assessing this patient
and notice that his heart rate is 130-145 per minute in sinus tachycardia; his CVP is 2. The
patient remains hypotensive despite the use of vasopressors. The patient has a chest tube
connected to wall suction and the TAC is putting out large amounts of bright red blood. You
recognize that this patient is most likely experiencing:
Answer:
Hypovolemic shock
QUESTION
A patient has an elevated central venous pressure measurement. The most likely reason is:
Answer:
Right heart failure
QUESTION
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:
Answer:
Guillain-Barré syndrome
QUESTION
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:
Answer:
Heart failure
QUESTION
A patient with pancreatitis is admitted to the ICU. Over the next few hours, the nurse notices the
patient has increasing tachypnea. An arterial blood gas is obtained and reveals pH 7.33, pCO2
35, pO2 92, HCO3 20. The patient is most likely experiencing:
Answer:
Metabolic acidosis
QUESTION
Which sign or symptom would affect a patient’s score on the Clinical Institute Withdrawal
Assessment for Alcohol, revised (CIWA-Ar)?
Answer:
Paroxysmal sweats
QUESTION
Right atrial pressures are obtained in order to assess:
Answer:
Right ventricular function
QUESTION
What is the device called that delivers a single positive pressure to stent small airways and
prevent alveolar collapse?
Answer:
Continuous positive airway pressure (CPAP) machine
QUESTION
Which of the following responses might mechanically ventilated patients on elevated levels of
PEEP experience?
Answer:
Hypotension
QUESTION
The nurse is caring for a patient with alcohol use disorder. How soon after the patient’s last
alcoholic drink can mild withdrawal signs and symptoms occur?
Answer:
Within 1-24 hours
QUESTION
When treating a patient with Acute Kidney Injury typically this is used to correct fluid
overload?
Answer:
furosemide
QUESTION
A patient has 10% kidney function. The nurse understands that this patient will likely require:
Answer:
Dialysis
QUESTION
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A patient admitted to the ICU has been diagnosed with blunt abdominal trauma following an altercation. Upon assessment, the patient reports severe pain. Further assessment includes Cullen’s sign, Grey Turner’s sign, and rigid abdomen despite nasogastric tube placement for decompression. The patient is most likely experiencing:
Hemorrhage
A patient is experiencing a cardiogenic shock. The nurse understands the goal of treatment focuses on increasing the:
Cardiac Output
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:
Monitor electrolyte levels and signs of fluid depletion
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:
Acute respiratory distress syndrome
A patient is a victim of a motor vehicle accident and has closed chest trauma. As you assess your patient, you notice that he has diminished breath sounds. Your patient is most likely experiencing a:
pneumothorax.
Which drug is given first to a patient with pulseless electrical activity (PEA)?
Epinephrine
What would be the most effective intervention to be ordered to treat a hemodynamically unstable patient with third-degree heart block?
Transcutaneous pacing
You are 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:
Transcutaneous pacing
A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic pressure. This assessment is most consistent with:
Cardiac tamponade
A mechanically ventilated patient from the OR is admitted to the ICU following an MVA. The patient experienced head trauma and blunt trauma to the abdomen. You are assessing this patient and notice that his heart rate is 130-145 per minute in sinus tachycardia; his CVP is 2. The patient remains hypotensive despite the use of vasopressors. The patient has a chest tube connected to wall suction and the TAC is putting out large amounts of bright red blood. You recognize that this patient is most likely experiencing:
Hypovolemic shock
A patient has an elevated central venous pressure measurement. The most likely reason is:
Right heart failure
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:
Guillain-Barré syndrome
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:
Heart failure
A patient with pancreatitis is admitted to the ICU. Over the next few hours, the nurse notices the patient has increasing tachypnea. An arterial blood gas is obtained and reveals pH 7.33, pCO2 35, pO2 92, HCO3 20. The patient is most likely experiencing:
Metabolic acidosis
Which sign or symptom would affect a patient’s score on the Clinical Institute Withdrawal Assessment for Alcohol, revised (CIWA-Ar)?
Paroxysmal sweats
Right atrial pressures are obtained in order to assess:
Right ventricular function
What is the device called that delivers a single positive pressure to stent small airways and prevent alveolar collapse?
Continuous positive airway pressure (CPAP) machine
Which of the following responses might mechanically ventilated patients on elevated levels of PEEP experience?
Hypotension
The nurse is caring for a patient with alcohol use disorder. How soon after the patient’s last alcoholic drink can mild withdrawal signs and symptoms occur?
Within 1-24 hours
When treating a patient with Acute Kidney Injury typically this is used to correct fluid overload?
furosemide
A patient has 10% kidney function. The nurse understands that this patient will likely require:
Dialysis
Patients with Acute Kidney Injury should avoid which of the following pain medication?
Ibuprophen
To improve renal perfusion many patients with Acute Kidney Injury are treated with ______.
Vasodilators
Preload is defined as the:
Stretch produced within the myocardium at the end of diastole
How do the symptoms of neurogenic shock and hypovolemic shock differ?
In neurogenic shock, the skin is warm and dry
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:
dobutamine and nitroprusside infusions.
What patient parameters should be monitored for the patient receiving ketamine for pain or sedation?
blood pressure, heart rate, and altered mental status
We have an expert-written solution to this problem!
Beta-1 receptors produce which physiologic effect?
Increased heart rate and contractility
Alpha-1 receptors produce which physiologic effect?
Vasoconstriction
____ is described as an ability to interact effectively with people of different cultures.
Cultural respect
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:
The synergy model for patient care
According to the American Nurses Association, the five rights of delegation are:
Right task, right circumstance, right person, right supervision, right direction and communication
Which circumstance is the best example of an internal constraint that may lead to moral distress?
providing end of life care
A transmission-based precaution that is intended to prevent the spread of infectious organisms through respiratory or mucous membrane contact with respiratory secretions of an infected patient via large particles suspended in air is referred to as:
Droplet
The nurse completes a new patient intake assessment. The patient reports a persistent cough for over 3 weeks, fatigue, and noted weight loss. The nurse suspects:
tuberculosis (TB) and should notify the provider immediately, should initiate airborne precautions, and isolate the patient.