BKAT Exam 2023/2024
LIS - Answer- does not control bleeding
NG - Answer- best verified by xray
expect to see what in an ex-lap? - Answer-
... [Show More] coffee ground
Dilantin crystallizes in what solution? - Answer- D5%
Nitroprusside needs to be packed how? - Answer- protected from light
Cortisone - Answer- needs to be tapered down to protect renal
Digitalis toxicity includes... - Answer- Nausea, yellow vision, PAT w/ block
Lidocaine toxicity - Answer- Increases BP
Initial measure for the treatment of angina pectoris includes all of the following EXCEPT:
a. resting
b.morphine and Beta blocker
c. O2
d. Nitroglycerine - Answer- b. morphine and beta blocker
the classing EKG change in AMI is?
a. wide Q wave
b. ST segment elevation
c. frequent PVCs
d. prolonged P-R interval - Answer- b. ST segment elevation
Elevated cardiac iso-enzymes generally occure in all of the following EXCEPT:
a. congestive heart failure
b. Pericarditis
c. closed chest injury
4. cardiac surgery - Answer- A. CHF
The major therapeutic goal in the treatment of cardiogenic shock is to:
a. increase afterload
b. lower BUN
c. Increased CO
d. decrease fluid volume - Answer- C. increase CO
How does nitroprusside and doubatmine affect CO?
a. reduced preload and improved contractility
b. increases preload and reduced contractility
c. reduced afterload and reduced contractility
d. reduces preload and afterload and improves contractiltiy - Answer- D. reduces preload and afterload and improves contractility.
In dealing with a depressed patient during the 1st days post AMI the most appropriate nursing action would be?
a. encourage to vent about concerns
b. provide privacy
c. limit visitors
d. provide quiet enviroment - Answer- a. encourage the pt to vent about concerns
Pt recieved TpA 3 hours after AMI. Which of the following would most likely require discontinuing the infusion?
a. PVCs.
b. bleeding gums
c. ooziing at insertion site
d. change in mental status - Answer- d. change in mental status
The use of an A-line may be indicated for all of the following except?
a. shock with too low BP to be read by cuff
b. pt being treated with IV vasopressors
c. vented pt requiring frequent ABGs
d. for the admin of routine drugs - Answer- d. for the admin of routine drugs
After a a-line is removed pressure should be held for how long?
a. 2 minutes
b. 5-10 minutes
c. until oozing stops
d. until pressure dressing is applied - Answer- b. 5-10 minutes
CVP reads what pressure?
a. left atrium
b. right atrium
c. Left ventricle
d. pulm. artery - Answer- b. right atrium
an elevated CVP may indicate?
a. right HF
b. fall in hematocrit
c. actue dehydration
d. onset of left ventricular failure - Answer- a. Right HF
PAOP reflects pressure where?
a. aorta
b. left ventricle
c. right atrium
d. vena cava - Answer- b. left ventricle
Normal PA pressures
a. 10-20/ 0-4 - 5-10
b. 21-30/5-15 - 11-20
c. 31-36/16-20 - 21-30
d. 36-45/ 21-23 - 31-33 - Answer- B. 21-30/5-15 mean - 11-12
How many mmHg is the noraml PAOP?
a. 1-3
b. 6-12
c.15-20
d. 21-26 - Answer- b. 6-12 (in the book its 8-12)
an elevated PAOP may indicate?
a. hypovolemia
b. peripheral vasodilation
c. systemic hypotension
d. left ventricular failure - Answer- d. Left ventricular failure
treatment for a-fib/ a-flutter?
a. levophed
b. nifedipine
c. cardizem
d. adenosine - Answer- c. cardizem
QRS complex wider than 0.12 seconds most likely indicates?
a. NS nod conduction
b. BBB
c. second degree heart block
d. myocardial infarction - Answer- b. BBB
special care should be excersided when adminstering IV dopamine because?
a. infiltration leads to tissure necrosis
b. high doses may lead to a profound bradycardia
c. precipitation can occur when used in a dextrose solution
d. even low doses decrease renal perfusion - Answer- a. infiltration leads to tissue necrosis
A strong ventricular stimulation is potentially dangerous when it lands on the:
a. u wave
b. p wave
c. t wave
d. QRS complex - Answer- c. t-wave
Indication for use of external cardiac pacemaker include?
a. PAT with block
b. V-fib
c. Wenchbach (Type 1)
d. symptomatic complete heart block - Answer- d. symptomatic complete heart block
initial drug treatment for sustained v-tach when a pulse is present is:
a. Isuprel 1.0 mg in 250 mL D5W.
b. epi 1.0 mg IV push
c. atropine 0.5 mg IV push
d. Amiodarone 150mg IV over 10 minutes - Answer- d. amio 150mg IV over 10 minutes
the cardiac rhythm of atrial flutter is
a. benign condition in most people
b. normal following AMI
c. hazardous as a ventricular rate may suddenly increase
d. hazardous as it may progress to second degree heart block - Answer- c. hazardous as a ventricular rate may suddenly increase
upon recognizing v-fib in a safe enviroment the nurse should then:
a. perform a precordial thump
b. establish unresponsiveness
c. give IV amio
d. check EKG leads - Answer- b. establish unresponsivness.
one of the first therapies to be administered in the treatment of complete heart block is?
a. atropine
b. trancutaneous pacing
c metoprolol
d. digoxin - Answer- b. trancutaneous pacing
pt is in a flutter with ventricular response of 150 bpm. therapy includes?
a. amiodarone, cardizem, cardiovert
b. lidocaine, sodium bicard, cardioversion
c. digoxin, KCl, pacemaker
d. Isodril, nitropaste, amiodarone - Answer- a. amiodarone, cardizem, cardiovert
signs of cardiac tampnade may include all of the following except?
a. distended neck veins
b. pulsus paradoxus
c. decreased SBP
d. bradycardia - Answer- d. bradycardia
Pt in V-fib, in 1st defib how many joules do you set it to?
monphasic and biphasic? - Answer- mono- 350
biphasic- 150
pt becomes apneic and pulsesless. the monitor shoes systole. The drug that would most likley be used initially is?
a. amio
b. atropine
c. epi
4. lidocaine - Answer- c. epi
antedote for heparin? - Answer- protamine sulfate
antedote for warfain? - Answer- vit k
an excessive amount of CT draining in the first few hours following surgery is how many ccs? - Answer- 150
before suctioning a patient, you adjust the vacuum pressure so that it is?
a. 120 mmHg of vacuum pressure
b. as high as needed to remove secretions
c. 40 mmHg of vacuum pressure
d. no highter than the DBP - Answer- a. 120 mmHg of vacuum pressure
post op pt has CT on anterior left side, you notice diminished LS on right posterior base. What does this indicate?
a. pleuritis
b. consolidation
c. atelectasis
d. the CT - Answer- c. atelectasis
pt is on vent, low volume alarm sounds. This may be due to?
a. pulm edema
b. decreased secretions
c. disconnected tube
4. biting tube - Answer- c. disconnected tube
to assess proper ET postioning, the most appropriate nursing action is?
a. listen for minimal leak of cuff
b. listen for bilateral breath sounds
c. check for chest expansion
d. check RR on vent - Answer- b. listen for bilateral BS
Pt has an ET tube and starts talking. You should first?
a. ask pt to cough
b. record this in nursing notes
c. notify MD
d. check functioning of the cuff - Answer- d. check functioning of the cuff [Show Less]