LATEST BKAT 9R EXAM QUESTIONS AND CORRECT ANSWERS

Beta Blockers - ANSWER Initial measures for the treatment of angina pectoris do not include which response below? ST segment elevation - ANSWER The classical ECG change with muscle injury in acute myocardial infarction is: CHF - ANSWER Elevated cardiac iso-enzymes generally do not occur in which response below? Increased CO - ANSWER The major therapeutic goal in the treatment of cariogenic shock is to: Reduces preload and after load and improves contractility - ANSWER 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 - ANSWER In dealing with a depressed pt during the first days post AMI the most appropriate nursing action would be: change in mental status - ANSWER 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) - ANSWER The following monitor pattern would indicate that the pulmonary artery (swan ganz) catheter is in which position? Aortic stenosis - ANSWER A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called: High to low - ANSWER Which of the following wave patterns indicates proper functioning of an arterial line? 8-10 minutes - ANSWER After an arterial catheter is removed, direct pressure should be applied to the artery for how long? Right atrium - ANSWER A CVP reading directly reflects pressure in the: Rt heart failure - ANSWER An elevated CVP reading may indicate: Lt ventricle - ANSWER The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: 11-20 - ANSWER The normal pulmonary artery pressure is: 6-12 - ANSWER How many mmHg is the normal PAOP? Lt ventricular failure - ANSWER An elevated PAOP may indicate: Diltiazem - ANSWER 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 - ANSWER A QRS complex wider that .12 sec most likely indicates: Infiltration leads to tissue necrosis - ANSWER Special care should be exercised when administering IV Dopamine because T wave - ANSWER A strong ventricular stimulus is potentially dangerous when it lands on the: symptomatic complete heart block - ANSWER indication for use of external cardiac pacemaker includes Amiodorone 150mg IV over 10 min - ANSWER Initial drug tx for sustained V tach when a pulse is present Hazardous, as the ventricular rate may suddenly increase - ANSWER The cardiac rhythm of A flutter is: Establish Unresponsiveness - ANSWER Upon recognizing V fib in an ICU, the next thing the nurse should do is: Preparing for transcutaneous pacing - ANSWER The tx in an emergency situation for complete heart block is: Amiodarone, Cardizem, Cardioversion - ANSWER Your pt has A flutter with a ventricular response of 150 bpm, therapy for this rhythm includes: Bradycardia - ANSWER Signs of cardiac tamponade do not include which response below? 150 - ANSWER In the pt with V fib, the correct energy setting for the first defibrillation when using a biphasic defibrillator is how many joules? Epinephrine - ANSWER A pt becomes apnea and pulseless. The monitor shows systole. The drug that would most likely be used initially is: Protamine sulfate - ANSWER Antidote for Heparin Thorough handwashing - ANSWER Most important step in preventing central venous catheter related sepsis is: 150 - ANSWER An excessive amount of chest tube drainage in the first few hrs following thoracic surgery is how many mL's/hr? Normal values - ANSWER 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 - ANSWER Before suctioning a pt, you adjust the vacuum pressure so that it is: Atelectasis - ANSWER 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 - ANSWER Your pt is on a ventilator. The low volume alarm sounds. This may be due to: Listen for bilateral breath sounds - ANSWER To assess for proper positioning of an endotracheal tube, the most appropriate nursing action would be to: Check the functioning of the cuff - ANSWER Mr Ray has an endotracheal tube. While you are making rounds, you ask his breathing is okay. In an audible tone, he says 'yes'. You should first: Leaking cuff - ANSWER The high pressure alarm on a volume respirator will not be triggered by which response below? Development of a pneumothorax - ANSWER The most important reason for diminishing breath sounds in a MVC victim with closed chest trauma is: Fluid replacement - ANSWER A moderately burned trauma pt is admitted to your unit. The most important tx related to the burns during the first 24 hrs after injury is: