BKAT ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ What to do first if patient has chest pain..
Answer: Rest!
◍ ECG changes in an acute MI.
Answer: ST elevation in 2 or more contiguous leads. Ischemia d/t full
thickness loss of muscle. EMERGENCY.
◍ Initial measures for treatment of angina pector include.
Answer: Rest, oxygen, nitro
◍ After having TPA running for 3 hrs, what would cause you to stop it.
Answer: Change in mental status
◍ Inferior leads.
Answer: II, III, aVF. RCA occlusion.
◍ Septal leads.
Answer: V1 & V2.
◍ Anterior leads.
Answer: V1 - V4. LAD lesion.
◍ Lateral leads.
Answer: V5, V6, I, and aVL. Circumflex lesion.
◍ You would not see elevated cardiac iso-enzyme in.
Answer: Chronic heart failure
◍ Cardiac enzymes.
Answer: Troponins, CK-MB, and CK
,◍ Changes in CK.
Answer: Rise: 3-6 hoursPeak: 24 hoursNormal: 3-4 days
◍ Changes in CK-MB.
Answer: Released after myocardial necrosis. Specific for myocardial
damage.Rise: 3-12 hoursPeak: 24 hoursNormal: 2-3 days
◍ Therapeutic goal for caridogenic shock.
Answer: Increase cardiac output
◍ Troponin I.
Answer: Protein found in cardiac muscle. High sensitivity.Rise: 3-12
hoursPeak: 24 hoursNormal: 5-10 days
◍ Troponin T.
Answer: Protein found in cardiac muscle. High sensitivity.Rise: 3-12
hoursPeak: 12-48 hoursNormal: 5-14 days
◍ Common conditions that cause a murmur.
Answer: Aortic dissection, aortic regurgitation (both acute & chronic),
mitral valve regurgitation (both acute & chronic), mitral valve stenosis
◍ With depressed patients, the nurse should.
Answer: Encourage the patient to vent about their concerns
◍ ECG change in AMI is.
Answer: ST elevation
◍ Elevated CVP?.
Answer: Rt. HF
◍ Drugs to decrease afterload/SVR/PVR.
Answer: (Arterial Dilators) Nitroprusside, nitroglycerin, amrinone, alpha
(Regitine) & Ca channel blockers
◍ Mr. Adams is feeling " a little funny", EKG shows a fib/ aflutter. What do
you give.
Answer: Cardizem
, ◍ Wide QRS?.
Answer: Bundle branch block
◍ Drugs to increased afterload/SVR/PVR.
Answer: (Vasopressors) Epinepherine, norepinepherine, dopamine,
neosynephrine
◍ Drugs to decrease contractility/SVI.
Answer: Beta blockers (atenolol, metoprolol, propranolol, labetolol,
esmolol) and Ca channel blockers
◍ Special care when giving IV dopamine.
Answer: Infilatration leads to tissue necrosis
◍ Drugs to increase contractility/SVI.
Answer: Positive inotropes, dobutamine, dopamine, milrinone, and digoxin
◍ Drugs to decrease preload/CVP/PAWP.
Answer: Venous Dilators - Nitroglycerin, nitroprusside, amrinone, alpha &
Ca channel blockersDiuretics - Furosemide, bumex, mannitol
◍ A strong ventricular stimulus is dangerous when it lands on the.
Answer: T wave
◍ Use for external cardiac pacemaker.
Answer: Symptomatic heart block
◍ Initial treatment for VT with pulse.
Answer: Amiaodrone 150mg over 10min
◍ Signs of cardiac tamponad include.
Answer: Distended neck veins Pulsus paradox Hypotension
◍ Drugs to increase preload/CVP/PAWP.
Answer: Volume - Colloid, crystalloids, blood, hetastarchDysrhythmia
control - antirhythmics, pacemaker, AICD
◍ A patient asystole, you would administer.
Answer: Epi
QUESTIONS WITH ANSWERS GRADED
A+
◍ What to do first if patient has chest pain..
Answer: Rest!
◍ ECG changes in an acute MI.
Answer: ST elevation in 2 or more contiguous leads. Ischemia d/t full
thickness loss of muscle. EMERGENCY.
◍ Initial measures for treatment of angina pector include.
Answer: Rest, oxygen, nitro
◍ After having TPA running for 3 hrs, what would cause you to stop it.
Answer: Change in mental status
◍ Inferior leads.
Answer: II, III, aVF. RCA occlusion.
◍ Septal leads.
Answer: V1 & V2.
◍ Anterior leads.
Answer: V1 - V4. LAD lesion.
◍ Lateral leads.
Answer: V5, V6, I, and aVL. Circumflex lesion.
◍ You would not see elevated cardiac iso-enzyme in.
Answer: Chronic heart failure
◍ Cardiac enzymes.
Answer: Troponins, CK-MB, and CK
,◍ Changes in CK.
Answer: Rise: 3-6 hoursPeak: 24 hoursNormal: 3-4 days
◍ Changes in CK-MB.
Answer: Released after myocardial necrosis. Specific for myocardial
damage.Rise: 3-12 hoursPeak: 24 hoursNormal: 2-3 days
◍ Therapeutic goal for caridogenic shock.
Answer: Increase cardiac output
◍ Troponin I.
Answer: Protein found in cardiac muscle. High sensitivity.Rise: 3-12
hoursPeak: 24 hoursNormal: 5-10 days
◍ Troponin T.
Answer: Protein found in cardiac muscle. High sensitivity.Rise: 3-12
hoursPeak: 12-48 hoursNormal: 5-14 days
◍ Common conditions that cause a murmur.
Answer: Aortic dissection, aortic regurgitation (both acute & chronic),
mitral valve regurgitation (both acute & chronic), mitral valve stenosis
◍ With depressed patients, the nurse should.
Answer: Encourage the patient to vent about their concerns
◍ ECG change in AMI is.
Answer: ST elevation
◍ Elevated CVP?.
Answer: Rt. HF
◍ Drugs to decrease afterload/SVR/PVR.
Answer: (Arterial Dilators) Nitroprusside, nitroglycerin, amrinone, alpha
(Regitine) & Ca channel blockers
◍ Mr. Adams is feeling " a little funny", EKG shows a fib/ aflutter. What do
you give.
Answer: Cardizem
, ◍ Wide QRS?.
Answer: Bundle branch block
◍ Drugs to increased afterload/SVR/PVR.
Answer: (Vasopressors) Epinepherine, norepinepherine, dopamine,
neosynephrine
◍ Drugs to decrease contractility/SVI.
Answer: Beta blockers (atenolol, metoprolol, propranolol, labetolol,
esmolol) and Ca channel blockers
◍ Special care when giving IV dopamine.
Answer: Infilatration leads to tissue necrosis
◍ Drugs to increase contractility/SVI.
Answer: Positive inotropes, dobutamine, dopamine, milrinone, and digoxin
◍ Drugs to decrease preload/CVP/PAWP.
Answer: Venous Dilators - Nitroglycerin, nitroprusside, amrinone, alpha &
Ca channel blockersDiuretics - Furosemide, bumex, mannitol
◍ A strong ventricular stimulus is dangerous when it lands on the.
Answer: T wave
◍ Use for external cardiac pacemaker.
Answer: Symptomatic heart block
◍ Initial treatment for VT with pulse.
Answer: Amiaodrone 150mg over 10min
◍ Signs of cardiac tamponad include.
Answer: Distended neck veins Pulsus paradox Hypotension
◍ Drugs to increase preload/CVP/PAWP.
Answer: Volume - Colloid, crystalloids, blood, hetastarchDysrhythmia
control - antirhythmics, pacemaker, AICD
◍ A patient asystole, you would administer.
Answer: Epi
