BKAT MED-SURG ACTUAL EXAM
QUESTIONS AND ANSWERS |
2026/2027 UPDATED
1. Initial measures for the treatment of angina pectoris do not include which
response below?
Morphine & Beta Blockers
2. The classical ECG change with muscle injury in acute myocardial infarction is:
ST segment elevation
3. Elevated cardiac iso-enzymes generally do not occur in which response below?
Congestive Heart Failure
4. The major therapeutic goal in the treatment of cardiogenic shock is to:
Increase cardiac output
5. You receive orders to start nitroprusside and dobutamine in your patient with
end-stage cardiomyopathy. How will this treatment regimen affect cardiac output?
Reduced preload and afterload and improves contractility
6. Precautions in using IV nitroprusside do not include which response below?
Alertness to the development of an acute hypertensive episode
7. A patient with acute myocardial infarction develops crackles in both lung bases.
The nurse should suspect:
Left ventricular failure
,8. Which finding is most indicative of right-sided heart failure?
Jugular vein distention
9. The first-line medication for a patient with stable angina during activity is:
Nitroglycerin sublingual
10. A patient on a loop diuretic reports muscle cramping and weakness. The most
likely electrolyte imbalance is:
Hypokalemia
11. In a patient with chronic heart failure, a low-sodium diet is prescribed primarily
to:
Decrease fluid retention
12. Which laboratory value is most critical to check before administering digoxin?
Serum potassium
13. A patient with atrial fibrillation is started on warfarin. The nurse should
monitor:
International Normalized Ratio (INR)
14. The hallmark symptom of peripheral artery disease is:
Intermittent claudication
15. A patient with deep vein thrombosis develops sudden chest pain and dyspnea.
The nurse should first suspect:
Pulmonary embolism
, 16. Which of the following is a contraindication to thrombolytic therapy?
History of intracranial hemorrhage
17. A patient post-cardiac catheterization reports sudden severe back pain. The
priority action is:
Assess for retroperitoneal bleeding
18. The most common complication of an implanted pacemaker is:
Infection at the generator site
19. In a patient with hypertension, which lifestyle modification has the strongest
evidence for blood pressure reduction?
Dietary Approaches to Stop Hypertension (DASH) diet
20. A patient with aortic stenosis is at greatest risk for:
Syncope during exertion
21. Which breath sound is typically heard in a patient with pneumonia?
Crackles (rales)
22. A patient with chronic obstructive pulmonary disease (COPD) has a PaCO₂ of
58 mm Hg. The nurse should assess for:
Change in level of consciousness
23. The most effective way to deliver high-concentration oxygen to a
spontaneously breathing patient is:
Non-rebreather mask
QUESTIONS AND ANSWERS |
2026/2027 UPDATED
1. Initial measures for the treatment of angina pectoris do not include which
response below?
Morphine & Beta Blockers
2. The classical ECG change with muscle injury in acute myocardial infarction is:
ST segment elevation
3. Elevated cardiac iso-enzymes generally do not occur in which response below?
Congestive Heart Failure
4. The major therapeutic goal in the treatment of cardiogenic shock is to:
Increase cardiac output
5. You receive orders to start nitroprusside and dobutamine in your patient with
end-stage cardiomyopathy. How will this treatment regimen affect cardiac output?
Reduced preload and afterload and improves contractility
6. Precautions in using IV nitroprusside do not include which response below?
Alertness to the development of an acute hypertensive episode
7. A patient with acute myocardial infarction develops crackles in both lung bases.
The nurse should suspect:
Left ventricular failure
,8. Which finding is most indicative of right-sided heart failure?
Jugular vein distention
9. The first-line medication for a patient with stable angina during activity is:
Nitroglycerin sublingual
10. A patient on a loop diuretic reports muscle cramping and weakness. The most
likely electrolyte imbalance is:
Hypokalemia
11. In a patient with chronic heart failure, a low-sodium diet is prescribed primarily
to:
Decrease fluid retention
12. Which laboratory value is most critical to check before administering digoxin?
Serum potassium
13. A patient with atrial fibrillation is started on warfarin. The nurse should
monitor:
International Normalized Ratio (INR)
14. The hallmark symptom of peripheral artery disease is:
Intermittent claudication
15. A patient with deep vein thrombosis develops sudden chest pain and dyspnea.
The nurse should first suspect:
Pulmonary embolism
, 16. Which of the following is a contraindication to thrombolytic therapy?
History of intracranial hemorrhage
17. A patient post-cardiac catheterization reports sudden severe back pain. The
priority action is:
Assess for retroperitoneal bleeding
18. The most common complication of an implanted pacemaker is:
Infection at the generator site
19. In a patient with hypertension, which lifestyle modification has the strongest
evidence for blood pressure reduction?
Dietary Approaches to Stop Hypertension (DASH) diet
20. A patient with aortic stenosis is at greatest risk for:
Syncope during exertion
21. Which breath sound is typically heard in a patient with pneumonia?
Crackles (rales)
22. A patient with chronic obstructive pulmonary disease (COPD) has a PaCO₂ of
58 mm Hg. The nurse should assess for:
Change in level of consciousness
23. The most effective way to deliver high-concentration oxygen to a
spontaneously breathing patient is:
Non-rebreather mask
