BKAT ICU POST TEST LATEST EXAM ACTUAL EXAM 140
QUESTIONS AND CORRECT DETAILED ANSWERS
|ALREADY GRADED A+
what is not a treatment for higher degree AV blocks - CORRECT ANSWER ✔✔ -
atropine
because of the impaired conduction through the AV node
A-flutter happens because? - CORRECT ANSWER ✔✔ - an irritable spot of the
atrium fires rapidly
A-flutter can cause _______ - CORRECT ANSWER ✔✔ - an increase in ventricular
rate
A-flutter is treated by: - CORRECT ANSWER ✔✔ - antiarrhythmics (cardizem, beta
blockers)
cardioversion
What do you do if you notice a lethal rhythm on the monitor (VT/VF)? - CORRECT
ANSWER ✔✔ - check the patient first
-establish unresponsiveness
call for help
-begin CPR if needed
1|Page
,When defibrillating VT/VF use _____ joules for biphasic defibrillator or _____
joules for monophasic. - CORRECT ANSWER ✔✔ - 200
360
Normal PR interval is - CORRECT ANSWER ✔✔ - 0.12-0.20 seconds
Patient presents with anginal pectoris. what is initial management? - CORRECT
ANSWER ✔✔ - allow rest, amdinister oxygen, nitroglycerin, etc.
Causes of elevated cardiac enzymes - CORRECT ANSWER ✔✔ - MI, pericarditis,
closed chest trauma, cardiac surgery
Goal of treatment for cardiogenic shock (any shock) - CORRECT ANSWER ✔✔ -
increase the patient's cardiac output
A patient exhibits depression after their recent MI, you should - CORRECT
ANSWER ✔✔ - encourage the patient to verbalize their concerns and allow
interaction with family
How does a cardiac tamponade occur - CORRECT ANSWER ✔✔ - blood or fluid
accumulates in the pericardial space
what does a cardiac tamponade do to the heart - CORRECT ANSWER ✔✔ -
prevents the heart to pump effectively (impaired ventricular filling and
contraction)
2|Page
, S/S of cardiac tamponade - CORRECT ANSWER ✔✔ - pulsus paradoxus, decreased
BP, JVD, tachycardia, muffled heart sounds
PAP values - CORRECT ANSWER ✔✔ - Systolic: 15-25
Diastolic: 8-18
PAOP (wedge) - CORRECT ANSWER ✔✔ - 6-12
PAOP (wedge) reflects pressures in the - CORRECT ANSWER ✔✔ - left ventricle
An elevated PAOP may indicate - CORRECT ANSWER ✔✔ - left ventricular failure
If you notice a continual PAOP wave form is present you should - CORRECT
ANSWER ✔✔ - ensure the balloon is deflated, reposition the patient and try have
the patient cough
You should not do what to PA catheter if a continual wedge pressure is present -
CORRECT ANSWER ✔✔ - Flush the line
What reading reflects the right atrium - CORRECT ANSWER ✔✔ - CVP
An elevated CVP may indicate - CORRECT ANSWER ✔✔ - fluid overload, right
ventricular failure, pulmonary HTN, cardiac tamponade
3|Page
QUESTIONS AND CORRECT DETAILED ANSWERS
|ALREADY GRADED A+
what is not a treatment for higher degree AV blocks - CORRECT ANSWER ✔✔ -
atropine
because of the impaired conduction through the AV node
A-flutter happens because? - CORRECT ANSWER ✔✔ - an irritable spot of the
atrium fires rapidly
A-flutter can cause _______ - CORRECT ANSWER ✔✔ - an increase in ventricular
rate
A-flutter is treated by: - CORRECT ANSWER ✔✔ - antiarrhythmics (cardizem, beta
blockers)
cardioversion
What do you do if you notice a lethal rhythm on the monitor (VT/VF)? - CORRECT
ANSWER ✔✔ - check the patient first
-establish unresponsiveness
call for help
-begin CPR if needed
1|Page
,When defibrillating VT/VF use _____ joules for biphasic defibrillator or _____
joules for monophasic. - CORRECT ANSWER ✔✔ - 200
360
Normal PR interval is - CORRECT ANSWER ✔✔ - 0.12-0.20 seconds
Patient presents with anginal pectoris. what is initial management? - CORRECT
ANSWER ✔✔ - allow rest, amdinister oxygen, nitroglycerin, etc.
Causes of elevated cardiac enzymes - CORRECT ANSWER ✔✔ - MI, pericarditis,
closed chest trauma, cardiac surgery
Goal of treatment for cardiogenic shock (any shock) - CORRECT ANSWER ✔✔ -
increase the patient's cardiac output
A patient exhibits depression after their recent MI, you should - CORRECT
ANSWER ✔✔ - encourage the patient to verbalize their concerns and allow
interaction with family
How does a cardiac tamponade occur - CORRECT ANSWER ✔✔ - blood or fluid
accumulates in the pericardial space
what does a cardiac tamponade do to the heart - CORRECT ANSWER ✔✔ -
prevents the heart to pump effectively (impaired ventricular filling and
contraction)
2|Page
, S/S of cardiac tamponade - CORRECT ANSWER ✔✔ - pulsus paradoxus, decreased
BP, JVD, tachycardia, muffled heart sounds
PAP values - CORRECT ANSWER ✔✔ - Systolic: 15-25
Diastolic: 8-18
PAOP (wedge) - CORRECT ANSWER ✔✔ - 6-12
PAOP (wedge) reflects pressures in the - CORRECT ANSWER ✔✔ - left ventricle
An elevated PAOP may indicate - CORRECT ANSWER ✔✔ - left ventricular failure
If you notice a continual PAOP wave form is present you should - CORRECT
ANSWER ✔✔ - ensure the balloon is deflated, reposition the patient and try have
the patient cough
You should not do what to PA catheter if a continual wedge pressure is present -
CORRECT ANSWER ✔✔ - Flush the line
What reading reflects the right atrium - CORRECT ANSWER ✔✔ - CVP
An elevated CVP may indicate - CORRECT ANSWER ✔✔ - fluid overload, right
ventricular failure, pulmonary HTN, cardiac tamponade
3|Page
