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ICU Exam Questions and Answers 2025: Ultimate Study Guide & Practice Test

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Prepare for your 2025 ICU certification exam with confidence. This comprehensive PDF contains a wide range of practice questions and detailed answers covering critical care nursing essentials, including hemodynamics, ventilator management, EKG interpretation, and pharmacology. Use this as your key study resource to test your knowledge and identify areas for review.

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1|Page



BKAT ICU EXAM QUESTIONS AND ANSWERS
2025




while receiving tpa, what would warrant for you to stop
the medication - .....ANSWER... ✔✔ change in mental
status


systolic murmur that is ausculatated at the 2nd
intercostal space, right sternal border is ? -
.....ANSWER... ✔✔ aortic stenosis


removing a line hold pressure for? - .....ANSWER...
✔✔ 8-10 minutes


CVP reading directly reflects presue in the -
.....ANSWER... ✔✔ right atrium


elevated CVP may indicate? - .....ANSWER... ✔✔
right heart failure

,2|Page



pulmonary artery occlusive wedge pressure reflects
pressure where? - .....ANSWER... ✔✔ left ventricle


normal pulmonary artery pressure is - .....ANSWER...
✔✔ 10-20/0-4 mean 5-10


mmhg normal PAOP - .....ANSWER... ✔✔ 6-12


elevated PAOP indicates - .....ANSWER... ✔✔ Left
ventricle failure


68 year old complains of feeling a little funny in his
chest and ecg shows afib/flutter. what medication should
be used to treat? - .....ANSWER... ✔✔ diltizepam


qrs complex longer that .12 indicates - .....ANSWER...
✔✔ bundle branch block


care should be excercised when administering IV
dopamine becuase? - .....ANSWER... ✔✔ infiltration
leads to tissue necrosis

,3|Page



strong ventricular stimulus is potentially dangerous when
it lands where - .....ANSWER... ✔✔ t wave


indication for use of external cardiac pacemaker
includes - .....ANSWER... ✔✔ symptomatic complete
heart block


initial durg treatment for sustained ventricular
tachycardia when a pulse is present - .....ANSWER...
✔✔ amiodarone 150mgIV bolus over 10 minutes


patient become apneic and pulseless . the monitor shows
asytole. the drug used initially? - .....ANSWER... ✔✔
epineprhine


antidote for heparin - .....ANSWER... ✔✔ protamine
sulfate


most improatnt step in preventing central venous related
sepsis is - .....ANSWER... ✔✔ thorough handwashing


excessive amount of chest tube drainage during the first
few hours following surgery is how many ml/hr -
.....ANSWER... ✔✔ 150

, 4|Page




ph 7.4, pO2 98, pco2 38, HCO3 25 --? what is this -
.....ANSWER... ✔✔ normal values (22-28 HCO3, 35-
45 PCO2 normal)


before sucitioning a patient, you should adjust the
vacuum pressure so that it is - .....ANSWER... ✔✔
120mmHg of __ pressure


your post op patient has left anterior chest tube. Whn
you ausculatate the lung fields bilaterally you hear
dminshed breath sounds in the right posterior base. THis
is most likely due to? - .....ANSWER... ✔✔ atelectasis


patient on ventilator and low volume alarm sounds. THis
is due to? - .....ANSWER... ✔✔ disconnected tubing


high pressure alarm on respirator will NOT be triggered
by what? - .....ANSWER... ✔✔ leaking cuff


most important reason for diminshing breath sounds in
motor vechile crash victim with closed chest trauma is -
.....ANSWER... ✔✔ development of pneumothorax

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