BKAT CRITICAL CARE REVIEW EXAMS UPDATED
QUESTIONS AND ANSWERS SURE A+
✔✔Anti-clotting medications - ✔✔Aspirin, clopidogrel (Plavix), ticagrelor (Brilinta),
warfarin (Coumadin), heparin, apixaban (Eliquis), and enoxaparin (Lovenox)
✔✔Heart rate controlling medications - ✔✔Beta blockers (-lol), calcium channel
blockers (-ipine), Digoxin
✔✔Heart rhythm controlling medications - ✔✔Na+ channel blockers (lidocaine) and K+
channel blockers (amiodarone)
✔✔R on T phenomenon - ✔✔When pacing, a strong ventricular stimulus occurring on
top of the T wave that can initiate a sustained ventricular tachyarrythmia
✔✔Normal PR interval - ✔✔0.12-0.20 seconds
✔✔What can a long PR interval (>0.20 seconds) indicate? - ✔✔1st degree heart block,
hypokalemia, acute rheumatic fever, or carditis associated with Lyme disease
✔✔Normal QRS complex - ✔✔0.12 seconds or less
, ✔✔What could a wide QRS complex (>0.12 seconds) indicate? - ✔✔Right or left BBB,
pacemaker, hyperkalemia, or ventricular pre-excitation associated with Wolf-Parkinson-
White pattern
✔✔Normal QT interval - ✔✔Less than or equal to 0.04 seconds
✔✔What could a long QT interval (>0.04 seconds) indicate? - ✔✔Antibiotic use or
hyperkalemia
✔✔What to watch out for with Dopamine administration in regards to skin - ✔✔Reflex
erythema, central blanching, and piloerection
✔✔Heparin antidote - ✔✔protamine sulfate
✔✔Coumadin antidote - ✔✔Vitamin K
✔✔Antidote for Coumadin - ✔✔Vitamin K
✔✔ACLS drug and dose for symptomatic sinus bradycardia - ✔✔Atropine 0.5 mg
repeated up to a total dose of 3 mg
✔✔Signs and symptoms of digitalis toxicity - ✔✔Loss of appetite, nausea, vomiting,
diarrhea, tachycardia, and vision changes including blind spots, blurred vision, seeing
spots, and changes in how colors look
✔✔Causes of low volume ventilator alarm - ✔✔Tube disconnection
✔✔Causes of high pressure ventilator alarm - ✔✔Biting on ETT, coughing, mucus plug,
bronchospasm, mucus or water in the tube, or kinked tubing
✔✔How much is too much output in chest tube over one hour following surgery? -
✔✔>150 mL
✔✔Appropriate pressure for suctioning is - ✔✔120 mmHg
✔✔Causes of decreased breath sounds - ✔✔Pneumonia, heart failure, pleural effusion,
and increased chest wall thickness
✔✔Nursing action to check for proper ETT placement - ✔✔Listen to bilateral breath
sounds
✔✔Most common reason for development of PE following trauma with multiple long
bone fractures - ✔✔Fat emboli
QUESTIONS AND ANSWERS SURE A+
✔✔Anti-clotting medications - ✔✔Aspirin, clopidogrel (Plavix), ticagrelor (Brilinta),
warfarin (Coumadin), heparin, apixaban (Eliquis), and enoxaparin (Lovenox)
✔✔Heart rate controlling medications - ✔✔Beta blockers (-lol), calcium channel
blockers (-ipine), Digoxin
✔✔Heart rhythm controlling medications - ✔✔Na+ channel blockers (lidocaine) and K+
channel blockers (amiodarone)
✔✔R on T phenomenon - ✔✔When pacing, a strong ventricular stimulus occurring on
top of the T wave that can initiate a sustained ventricular tachyarrythmia
✔✔Normal PR interval - ✔✔0.12-0.20 seconds
✔✔What can a long PR interval (>0.20 seconds) indicate? - ✔✔1st degree heart block,
hypokalemia, acute rheumatic fever, or carditis associated with Lyme disease
✔✔Normal QRS complex - ✔✔0.12 seconds or less
, ✔✔What could a wide QRS complex (>0.12 seconds) indicate? - ✔✔Right or left BBB,
pacemaker, hyperkalemia, or ventricular pre-excitation associated with Wolf-Parkinson-
White pattern
✔✔Normal QT interval - ✔✔Less than or equal to 0.04 seconds
✔✔What could a long QT interval (>0.04 seconds) indicate? - ✔✔Antibiotic use or
hyperkalemia
✔✔What to watch out for with Dopamine administration in regards to skin - ✔✔Reflex
erythema, central blanching, and piloerection
✔✔Heparin antidote - ✔✔protamine sulfate
✔✔Coumadin antidote - ✔✔Vitamin K
✔✔Antidote for Coumadin - ✔✔Vitamin K
✔✔ACLS drug and dose for symptomatic sinus bradycardia - ✔✔Atropine 0.5 mg
repeated up to a total dose of 3 mg
✔✔Signs and symptoms of digitalis toxicity - ✔✔Loss of appetite, nausea, vomiting,
diarrhea, tachycardia, and vision changes including blind spots, blurred vision, seeing
spots, and changes in how colors look
✔✔Causes of low volume ventilator alarm - ✔✔Tube disconnection
✔✔Causes of high pressure ventilator alarm - ✔✔Biting on ETT, coughing, mucus plug,
bronchospasm, mucus or water in the tube, or kinked tubing
✔✔How much is too much output in chest tube over one hour following surgery? -
✔✔>150 mL
✔✔Appropriate pressure for suctioning is - ✔✔120 mmHg
✔✔Causes of decreased breath sounds - ✔✔Pneumonia, heart failure, pleural effusion,
and increased chest wall thickness
✔✔Nursing action to check for proper ETT placement - ✔✔Listen to bilateral breath
sounds
✔✔Most common reason for development of PE following trauma with multiple long
bone fractures - ✔✔Fat emboli
