BKAT 9R with guaranteed solutions 2023
Beta Blockers
Initial measures for the treatment of angina pectoris do not include which response
below?
ST segment elevation
The classical ECG change with muscle injury in acute myocardial infarction is:
CHF
Elevated cardiac iso-enzymes generally do not occur in which response below?
Increased CO
The major therapeutic goal in the treatment of cariogenic shock is to:
Reduces preload and after load and improves contractility
You receive orders to start nitroprusside and dobutamine in your patient with end-stage
cardiomyopathy. How will this tx regimen affect CO?
Encourage the patient to ventilate his/her concerns
In dealing with a depressed pt during the first days post AMI the most appropriate
nursing action would be:
change in mental status
Mr Seamore is receiving thrombolytics (TPA) 3 hrs after an AMI. Which of the following
would most likely require discontinuing the infusion?
Pulmonary artery occlusion (wedge)
The following monitor pattern would indicate that the pulmonary artery (swan ganz)
catheter is in which position?
Aortic stenosis
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is
called:
High to low
Which of the following wave patterns indicates proper functioning of an arterial line?
8-10 minutes
After an arterial catheter is removed, direct pressure should be applied to the artery for
how long?
Right atrium
A CVP reading directly reflects pressure in the:
Rt heart failure
An elevated CVP reading may indicate:
Lt ventricle
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the:
11-20
The normal pulmonary artery pressure is:
6-12
How many mmHg is the normal PAOP?
Lt ventricular failure
An elevated PAOP may indicate:
Diltiazem
Mr Adams, a 68 yo pt, c/o feeling "a little funny in his chest". His ECG shows Afib/flutter.
Which of the following meds could be used to tx his cardiac rhythm?
, BBB
A QRS complex wider that .12 sec most likely indicates:
Infiltration leads to tissue necrosis
Special care should be exercised when administering IV Dopamine because
T wave
A strong ventricular stimulus is potentially dangerous when it lands on the:
symptomatic complete heart block
indication for use of external cardiac pacemaker includes
Amiodorone 150mg IV over 10 min
Initial drug tx for sustained V tach when a pulse is present
Hazardous, as the ventricular rate may suddenly increase
The cardiac rhythm of A flutter is:
Establish Unresponsiveness
Upon recognizing V fib in an ICU, the next thing the nurse should do is:
Preparing for transcutaneous pacing
The tx in an emergency situation for complete heart block is:
Amiodarone, Cardizem, Cardioversion
Your pt has A flutter with a ventricular response of 150 bpm, therapy for this rhythm
includes:
Bradycardia
Signs of cardiac tamponade do not include which response below?
150
In the pt with V fib, the correct energy setting for the first defibrillation when using a
biphasic defibrillator is how many joules?
Epinephrine
A pt becomes apnea and pulseless. The monitor shows systole. The drug that would
most likely be used initially is:
Protamine sulfate
Antidote for Heparin
Thorough handwashing
Most important step in preventing central venous catheter related sepsis is:
150
An excessive amount of chest tube drainage in the first few hrs following thoracic
surgery is how many mL's/hr?
Normal values
A routine check of your patient's blood gas values show a pH of 7.40, pO2 of 98 mmHg,
pCO2 of 38 mmHg, and HCO3 25 mEq. These results reflect:
120 mmHg of pressure
Before suctioning a pt, you adjust the vacuum pressure so that it is:
Atelectasis
Post op pt has a left anterior chest tube. When you auscultate the lung fields bilaterally,
you hear diminished breath sounds in the right posterior bases. This would most likely
be due to:
Disconnected tubing
Your pt is on a ventilator. The low volume alarm sounds. This may be due to:
Listen for bilateral breath sounds
Beta Blockers
Initial measures for the treatment of angina pectoris do not include which response
below?
ST segment elevation
The classical ECG change with muscle injury in acute myocardial infarction is:
CHF
Elevated cardiac iso-enzymes generally do not occur in which response below?
Increased CO
The major therapeutic goal in the treatment of cariogenic shock is to:
Reduces preload and after load and improves contractility
You receive orders to start nitroprusside and dobutamine in your patient with end-stage
cardiomyopathy. How will this tx regimen affect CO?
Encourage the patient to ventilate his/her concerns
In dealing with a depressed pt during the first days post AMI the most appropriate
nursing action would be:
change in mental status
Mr Seamore is receiving thrombolytics (TPA) 3 hrs after an AMI. Which of the following
would most likely require discontinuing the infusion?
Pulmonary artery occlusion (wedge)
The following monitor pattern would indicate that the pulmonary artery (swan ganz)
catheter is in which position?
Aortic stenosis
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is
called:
High to low
Which of the following wave patterns indicates proper functioning of an arterial line?
8-10 minutes
After an arterial catheter is removed, direct pressure should be applied to the artery for
how long?
Right atrium
A CVP reading directly reflects pressure in the:
Rt heart failure
An elevated CVP reading may indicate:
Lt ventricle
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the:
11-20
The normal pulmonary artery pressure is:
6-12
How many mmHg is the normal PAOP?
Lt ventricular failure
An elevated PAOP may indicate:
Diltiazem
Mr Adams, a 68 yo pt, c/o feeling "a little funny in his chest". His ECG shows Afib/flutter.
Which of the following meds could be used to tx his cardiac rhythm?
, BBB
A QRS complex wider that .12 sec most likely indicates:
Infiltration leads to tissue necrosis
Special care should be exercised when administering IV Dopamine because
T wave
A strong ventricular stimulus is potentially dangerous when it lands on the:
symptomatic complete heart block
indication for use of external cardiac pacemaker includes
Amiodorone 150mg IV over 10 min
Initial drug tx for sustained V tach when a pulse is present
Hazardous, as the ventricular rate may suddenly increase
The cardiac rhythm of A flutter is:
Establish Unresponsiveness
Upon recognizing V fib in an ICU, the next thing the nurse should do is:
Preparing for transcutaneous pacing
The tx in an emergency situation for complete heart block is:
Amiodarone, Cardizem, Cardioversion
Your pt has A flutter with a ventricular response of 150 bpm, therapy for this rhythm
includes:
Bradycardia
Signs of cardiac tamponade do not include which response below?
150
In the pt with V fib, the correct energy setting for the first defibrillation when using a
biphasic defibrillator is how many joules?
Epinephrine
A pt becomes apnea and pulseless. The monitor shows systole. The drug that would
most likely be used initially is:
Protamine sulfate
Antidote for Heparin
Thorough handwashing
Most important step in preventing central venous catheter related sepsis is:
150
An excessive amount of chest tube drainage in the first few hrs following thoracic
surgery is how many mL's/hr?
Normal values
A routine check of your patient's blood gas values show a pH of 7.40, pO2 of 98 mmHg,
pCO2 of 38 mmHg, and HCO3 25 mEq. These results reflect:
120 mmHg of pressure
Before suctioning a pt, you adjust the vacuum pressure so that it is:
Atelectasis
Post op pt has a left anterior chest tube. When you auscultate the lung fields bilaterally,
you hear diminished breath sounds in the right posterior bases. This would most likely
be due to:
Disconnected tubing
Your pt is on a ventilator. The low volume alarm sounds. This may be due to:
Listen for bilateral breath sounds
