BKAT ICU ACTUAL FINAL EXAM QUESTIONS AND
ANSWERS SURE A+
✔✔A patient exhibits depression after their recent MI, you should - ✔✔encourage the
patient to verbalize their concerns and allow interaction with family
✔✔How does a cardiac tamponade occur - ✔✔blood or fluid accumulates in the
pericardial space
✔✔what does a cardiac tamponade do to the heart - ✔✔prevents the heart to pump
effectively (impaired ventricular filling and contraction)
✔✔S/S of cardiac tamponade - ✔✔pulsus paradoxus, decreased BP, JVD, tachycardia,
muffled heart sounds
✔✔PAP values - ✔✔Systolic: 15-25
Diastolic: 8-18
✔✔PAOP (wedge) - ✔✔6-12
✔✔PA Catheter waveforms - ✔✔
✔✔PAOP (wedge) reflects pressures in the - ✔✔left ventricle
✔✔An elevated PAOP may indicate - ✔✔left ventricular failure
✔✔If you notice a continual PAOP wave form is present you should - ✔✔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 -
✔✔Flush the line
✔✔What reading reflects the right atrium - ✔✔CVP
✔✔An elevated CVP may indicate - ✔✔fluid overload, right ventricular failure,
pulmonary HTN, cardiac tamponade
✔✔Eventually ______ sided heart failure will lead to an elevated _______. - ✔✔right
sided HF will eventually lead to increased CVP
✔✔decreased CVP can be from - ✔✔hypovolemia
✔✔True/False
, Medication can be administered through an a-line - ✔✔False: no medications are to be
given via a-line
✔✔Arterial line waveform:
-Overdampened
-Underdampened - ✔✔-dicrotic notch on the downslope
-overdampened: air bubbles, blood clots, kinked tubing, loose connections
-underdampened:excessive tubing length or too many stopcocks
✔✔How long should pressure be held when removing an a-line - ✔✔5-10 minutes
✔✔Why would a ventilators high pressure alarm be sounding - ✔✔increased secretions
or mucus plugs
patient biting on the tube
coughing or trying to talk
pulmonary edema
*anything that would cause decreased airway compliance
✔✔Why would a ventilators low pressure alarm be sounding - ✔✔not enough air moving
through the ventilator circuit
*most commonly due to disconnection of tubing
✔✔You have a patient that just received thoracic surgery.
-You should observe/assess for?
-how much is considered excess drainage output for this patient post op
-how do you know it is working properly
-you should never..... - ✔✔-assess for air leaks, chest tube drainage quality, breath
sounds
-anything greater than 150ml/hr is excessive drainage
-the water seal chamber should fluctuate with respiration, but there should not be
bubbles
-never raise the chest tube drainage system above the level of the chest
✔✔in a chest tube what breath sound would indicate atelectasis - ✔✔diminished
✔✔After a patient is intubated you should? - ✔✔get an x-ray to confirm placement and
confirmed by a physician
RN should listen for bilateral breath sounds
✔✔When caring for patients with ETT or trach always assess - ✔✔placement and cuff
function
ANSWERS SURE A+
✔✔A patient exhibits depression after their recent MI, you should - ✔✔encourage the
patient to verbalize their concerns and allow interaction with family
✔✔How does a cardiac tamponade occur - ✔✔blood or fluid accumulates in the
pericardial space
✔✔what does a cardiac tamponade do to the heart - ✔✔prevents the heart to pump
effectively (impaired ventricular filling and contraction)
✔✔S/S of cardiac tamponade - ✔✔pulsus paradoxus, decreased BP, JVD, tachycardia,
muffled heart sounds
✔✔PAP values - ✔✔Systolic: 15-25
Diastolic: 8-18
✔✔PAOP (wedge) - ✔✔6-12
✔✔PA Catheter waveforms - ✔✔
✔✔PAOP (wedge) reflects pressures in the - ✔✔left ventricle
✔✔An elevated PAOP may indicate - ✔✔left ventricular failure
✔✔If you notice a continual PAOP wave form is present you should - ✔✔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 -
✔✔Flush the line
✔✔What reading reflects the right atrium - ✔✔CVP
✔✔An elevated CVP may indicate - ✔✔fluid overload, right ventricular failure,
pulmonary HTN, cardiac tamponade
✔✔Eventually ______ sided heart failure will lead to an elevated _______. - ✔✔right
sided HF will eventually lead to increased CVP
✔✔decreased CVP can be from - ✔✔hypovolemia
✔✔True/False
, Medication can be administered through an a-line - ✔✔False: no medications are to be
given via a-line
✔✔Arterial line waveform:
-Overdampened
-Underdampened - ✔✔-dicrotic notch on the downslope
-overdampened: air bubbles, blood clots, kinked tubing, loose connections
-underdampened:excessive tubing length or too many stopcocks
✔✔How long should pressure be held when removing an a-line - ✔✔5-10 minutes
✔✔Why would a ventilators high pressure alarm be sounding - ✔✔increased secretions
or mucus plugs
patient biting on the tube
coughing or trying to talk
pulmonary edema
*anything that would cause decreased airway compliance
✔✔Why would a ventilators low pressure alarm be sounding - ✔✔not enough air moving
through the ventilator circuit
*most commonly due to disconnection of tubing
✔✔You have a patient that just received thoracic surgery.
-You should observe/assess for?
-how much is considered excess drainage output for this patient post op
-how do you know it is working properly
-you should never..... - ✔✔-assess for air leaks, chest tube drainage quality, breath
sounds
-anything greater than 150ml/hr is excessive drainage
-the water seal chamber should fluctuate with respiration, but there should not be
bubbles
-never raise the chest tube drainage system above the level of the chest
✔✔in a chest tube what breath sound would indicate atelectasis - ✔✔diminished
✔✔After a patient is intubated you should? - ✔✔get an x-ray to confirm placement and
confirmed by a physician
RN should listen for bilateral breath sounds
✔✔When caring for patients with ETT or trach always assess - ✔✔placement and cuff
function
