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HEALTH STREAM TEST 2025 UPDATE| COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS (COMPLETE SOLUTIONS) EXAM |GRADE
A+!!
1. A patient assessment reveals distended neck veins, pulsus paradoxus,
and decreased systolic pressure. This assessment is most consistent
with:: car- diac tamponade.
2. 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:: transcutaneous pacing.
3. 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:: immobilize his head.
4. 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:: this is an excessive amount of drainage
5. 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.
6. 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.
