BKAT CRITICAL CARE UPDATED EXAMS SCRIPT
QUESTIONS AND ANSWERS SURE A+
✔✔Earliest sign of increased ICP - ✔✔Headache and vomiting
✔✔Drug frequently used to decrease ICP - ✔✔Mannitol
✔✔How many hours can lapse between onset of stroke symptoms and administration of
tPA? - ✔✔Up to 4.5 hours
✔✔Most important part of neurological assessment - ✔✔Evaluation of LOC
✔✔Signs of diabetes insipidus in a post operative craniotomy patient - ✔✔Extreme thirst
and urine output >1000 mL
✔✔What anti-seizure medication should never be mixed with D5W and why? -
✔✔Dilantin because it causes crystallization
✔✔Signs and symptoms of DKA - ✔✔Frequent urination, extreme thirst, elevated
glucose, elevated urine ketones, nausea and/or vomiting, abdominal pain, confusion,
and fruity-smelling breath
, ✔✔Signs and symptoms of hypoglycemia - ✔✔Shakiness, dizziness, hunger, irritability,
anxiety, and headache
✔✔Treatment for DKA - ✔✔IV fluids and correction of potassium of </= 3.3 before
insulin, administration of 0.1 unit/kg bolus of insulin, and insulin infusion at 0.1
units/kg/hr
✔✔Peak action time of regular insulin - ✔✔2-4 hours
✔✔Peak action time of NPH insulin - ✔✔8-14 hours
✔✔What is cortisone? - ✔✔A synthetic form a cortisol for replacement of cortisol, a
hormone produced in then adrenal gland
✔✔Normal BUN ranges - ✔✔7-20
✔✔Normal creatinine range - ✔✔0.5-1.3
✔✔Normal potassium range - ✔✔3.5-5
✔✔Normal urine specific gravity range - ✔✔1.003-1.030
✔✔Adequate urine output level - ✔✔At least 0.5 mL/kg/hr
✔✔Is medication that is excreted through the kidneys increased or decreased in dosage
for patients in acute renal failure? - ✔✔Decreased
✔✔Recommended renal diet - ✔✔Low Na+, low phosphorus, and low protein
✔✔Sudden development of dyspnea and tachycardia in acute renal failure patients in
most indicative of what? - ✔✔Fluid overload
✔✔Low intermittent suction is used with OGT and NGT to do what? - ✔✔Decompress
the stomach and prevent vomiting
✔✔Best way to confirm OGT/NGT placement - ✔✔X-ray
✔✔"Coffee ground" NGT aspirate may indicate what? - ✔✔Bleeding that has occurred
in the recent past and become partially digested
✔✔Signs and symptoms of blood transfusion reactions - ✔✔Back pain, dark urine,
chills, fainting, dizziness, fever, flank pain, skin flushing, and shortness of breath
QUESTIONS AND ANSWERS SURE A+
✔✔Earliest sign of increased ICP - ✔✔Headache and vomiting
✔✔Drug frequently used to decrease ICP - ✔✔Mannitol
✔✔How many hours can lapse between onset of stroke symptoms and administration of
tPA? - ✔✔Up to 4.5 hours
✔✔Most important part of neurological assessment - ✔✔Evaluation of LOC
✔✔Signs of diabetes insipidus in a post operative craniotomy patient - ✔✔Extreme thirst
and urine output >1000 mL
✔✔What anti-seizure medication should never be mixed with D5W and why? -
✔✔Dilantin because it causes crystallization
✔✔Signs and symptoms of DKA - ✔✔Frequent urination, extreme thirst, elevated
glucose, elevated urine ketones, nausea and/or vomiting, abdominal pain, confusion,
and fruity-smelling breath
, ✔✔Signs and symptoms of hypoglycemia - ✔✔Shakiness, dizziness, hunger, irritability,
anxiety, and headache
✔✔Treatment for DKA - ✔✔IV fluids and correction of potassium of </= 3.3 before
insulin, administration of 0.1 unit/kg bolus of insulin, and insulin infusion at 0.1
units/kg/hr
✔✔Peak action time of regular insulin - ✔✔2-4 hours
✔✔Peak action time of NPH insulin - ✔✔8-14 hours
✔✔What is cortisone? - ✔✔A synthetic form a cortisol for replacement of cortisol, a
hormone produced in then adrenal gland
✔✔Normal BUN ranges - ✔✔7-20
✔✔Normal creatinine range - ✔✔0.5-1.3
✔✔Normal potassium range - ✔✔3.5-5
✔✔Normal urine specific gravity range - ✔✔1.003-1.030
✔✔Adequate urine output level - ✔✔At least 0.5 mL/kg/hr
✔✔Is medication that is excreted through the kidneys increased or decreased in dosage
for patients in acute renal failure? - ✔✔Decreased
✔✔Recommended renal diet - ✔✔Low Na+, low phosphorus, and low protein
✔✔Sudden development of dyspnea and tachycardia in acute renal failure patients in
most indicative of what? - ✔✔Fluid overload
✔✔Low intermittent suction is used with OGT and NGT to do what? - ✔✔Decompress
the stomach and prevent vomiting
✔✔Best way to confirm OGT/NGT placement - ✔✔X-ray
✔✔"Coffee ground" NGT aspirate may indicate what? - ✔✔Bleeding that has occurred
in the recent past and become partially digested
✔✔Signs and symptoms of blood transfusion reactions - ✔✔Back pain, dark urine,
chills, fainting, dizziness, fever, flank pain, skin flushing, and shortness of breath
