BKAT 9R EXAM ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS|AGRADE
Initial measures for the treatment of angina pectoris do not include which response
below? - ANSWER: Beta Blockers
The classical ECG change with muscle injury in acute myocardial infarction is: -
ANSWER: ST segment elevation
Elevated cardiac iso-enzymes generally do not occur in which response below? -
ANSWER: CHF
The major therapeutic goal in the treatment of cariogenic shock is to: - ANSWER:
Increased CO
You receive orders to start nitroprusside and dobutamine in your patient with end-
stage cardiomyopathy. How will this tx regimen affect CO? - ANSWER: Reduces
preload and after load and improves contractility
In dealing with a depressed pt during the first days post AMI the most appropriate
nursing action would be: - ANSWER: Encourage the patient to ventilate his/her
concerns
Mr Seamore is receiving thrombolytics (TPA) 3 hrs after an AMI. Which of the
following would most likely require discontinuing the infusion? - ANSWER: change in
mental status
The following monitor pattern would indicate that the pulmonary artery (swan ganz)
catheter is in which position? - ANSWER: Pulmonary artery occlusion (wedge)
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal
border is called: - ANSWER: Aortic stenosis
Which of the following wave patterns indicates proper functioning of an arterial line?
- ANSWER: High to low
After an arterial catheter is removed, direct pressure should be applied to the artery
for how long? - ANSWER: 8-10 minutes
A CVP reading directly reflects pressure in the: - ANSWER: Right atrium
An elevated CVP reading may indicate: - ANSWER: Rt heart failure
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: -
ANSWER: Lt ventricle
, The normal pulmonary artery pressure is: - ANSWER: 11-20
How many mmHg is the normal PAOP? - ANSWER: 6-12
An elevated PAOP may indicate: - ANSWER: Lt ventricular failure
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? -
ANSWER: Diltiazem
A QRS complex wider that .12 sec most likely indicates: - ANSWER: BBB
Special care should be exercised when administering IV Dopamine because -
ANSWER: Infiltration leads to tissue necrosis
A strong ventricular stimulus is potentially dangerous when it lands on the: -
ANSWER: T wave
indication for use of external cardiac pacemaker includes - ANSWER: symptomatic
complete heart block
Initial drug tx for sustained V tach when a pulse is present - ANSWER: Amiodorone
150mg IV over 10 min
The cardiac rhythm of A flutter is: - ANSWER: Hazardous, as the ventricular rate may
suddenly increase
Upon recognizing V fib in an ICU, the next thing the nurse should do is: - ANSWER:
Establish Unresponsiveness
The tx in an emergency situation for complete heart block is: - ANSWER: Preparing
for transcutaneous pacing
Your pt has A flutter with a ventricular response of 150 bpm, therapy for this rhythm
includes: - ANSWER: Amiodarone, Cardizem, Cardioversion
Signs of cardiac tamponade do not include which response below? - ANSWER:
Bradycardia
In the pt with V fib, the correct energy setting for the first defibrillation when using a
biphasic defibrillator is how many joules? - ANSWER: 150
A pt becomes apnea and pulseless. The monitor shows systole. The drug that would
most likely be used initially is: - ANSWER: Epinephrine
Antidote for Heparin - ANSWER: Protamine sulfate
CORRECT DETAILED ANSWERS|AGRADE
Initial measures for the treatment of angina pectoris do not include which response
below? - ANSWER: Beta Blockers
The classical ECG change with muscle injury in acute myocardial infarction is: -
ANSWER: ST segment elevation
Elevated cardiac iso-enzymes generally do not occur in which response below? -
ANSWER: CHF
The major therapeutic goal in the treatment of cariogenic shock is to: - ANSWER:
Increased CO
You receive orders to start nitroprusside and dobutamine in your patient with end-
stage cardiomyopathy. How will this tx regimen affect CO? - ANSWER: Reduces
preload and after load and improves contractility
In dealing with a depressed pt during the first days post AMI the most appropriate
nursing action would be: - ANSWER: Encourage the patient to ventilate his/her
concerns
Mr Seamore is receiving thrombolytics (TPA) 3 hrs after an AMI. Which of the
following would most likely require discontinuing the infusion? - ANSWER: change in
mental status
The following monitor pattern would indicate that the pulmonary artery (swan ganz)
catheter is in which position? - ANSWER: Pulmonary artery occlusion (wedge)
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal
border is called: - ANSWER: Aortic stenosis
Which of the following wave patterns indicates proper functioning of an arterial line?
- ANSWER: High to low
After an arterial catheter is removed, direct pressure should be applied to the artery
for how long? - ANSWER: 8-10 minutes
A CVP reading directly reflects pressure in the: - ANSWER: Right atrium
An elevated CVP reading may indicate: - ANSWER: Rt heart failure
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: -
ANSWER: Lt ventricle
, The normal pulmonary artery pressure is: - ANSWER: 11-20
How many mmHg is the normal PAOP? - ANSWER: 6-12
An elevated PAOP may indicate: - ANSWER: Lt ventricular failure
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? -
ANSWER: Diltiazem
A QRS complex wider that .12 sec most likely indicates: - ANSWER: BBB
Special care should be exercised when administering IV Dopamine because -
ANSWER: Infiltration leads to tissue necrosis
A strong ventricular stimulus is potentially dangerous when it lands on the: -
ANSWER: T wave
indication for use of external cardiac pacemaker includes - ANSWER: symptomatic
complete heart block
Initial drug tx for sustained V tach when a pulse is present - ANSWER: Amiodorone
150mg IV over 10 min
The cardiac rhythm of A flutter is: - ANSWER: Hazardous, as the ventricular rate may
suddenly increase
Upon recognizing V fib in an ICU, the next thing the nurse should do is: - ANSWER:
Establish Unresponsiveness
The tx in an emergency situation for complete heart block is: - ANSWER: Preparing
for transcutaneous pacing
Your pt has A flutter with a ventricular response of 150 bpm, therapy for this rhythm
includes: - ANSWER: Amiodarone, Cardizem, Cardioversion
Signs of cardiac tamponade do not include which response below? - ANSWER:
Bradycardia
In the pt with V fib, the correct energy setting for the first defibrillation when using a
biphasic defibrillator is how many joules? - ANSWER: 150
A pt becomes apnea and pulseless. The monitor shows systole. The drug that would
most likely be used initially is: - ANSWER: Epinephrine
Antidote for Heparin - ANSWER: Protamine sulfate
