BKAT 9R EXAM 2023-2024 ACTUAL EXAM
150 QUESTIONS AND CORRECT DETAILED
ANSWERS|AGRADE
The following monitor would indicate that the pulmonary artery (Swan Ganz)
catheter is in which position?
- Superior vena cava
- Right ventricle
- Pulmonary artery
- Pulmonary artery occlusion (wedge) – ANSWER- Pulmonary artery occlusion
(wedge)
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal
border is called: - aortic insufficiency
- aortic stenosis
- pulmonary insufficiency
- pulmonic stenosis – 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 generally be applied to
the artery: - For 2 full minutes
- For 8-10 minutes
- Until the oozing of blood from the puncture site slows
- Until a pressure dressing is applied – ANSWER- For 8-10 minutes
A central venous pressure CVP reading directly reflects pressure in the: - Left atrium
- Right atrium
- Left ventricle
- Pulmonary artery – ANSWER- Right atrium
An elevated CVP reading may indicate: - Right heart failure
- A fall in blood pressure
- Acute dehydration
- Onset of left ventricle failure – ANSWER- Right heart failure
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: - aorta
- left ventricle
- right atrium
- vena cava – ANSWER- left ventricle
The normal pulmonary artery pressure is: - (10-20)/(0-4) mean 5-10
- (21-30)/(5-15) mean 11-20
- (31-35)/(16-20) mean 21-30
- (36-45)/(21-23) mean 31-33 – ANSWER- 11-2
How many mm Hg is the normal PAOP - 1-3
- 6-12
- 15-20
- 21-26 – ANSWER- 6-12
An elevated PAOP may indicate: - Hypovolemia
- Peripheral vasodilation
- systemic hypotension
- left ventricular failure – ANSWER- left ventricular failure
Mr. Adams, a 68 yo patient, complains of feeling “a little funny in his chest.” His
ECG shows atrial fibrillation/flutter. Which of the following medications could be
used to treat his cardiac rhythm? - Digoxin
- Nifedipine
- Diltiazem
- Adenosine – ANSWER- Diltiazem
A QRS complex wider than 0.12 seconds most likely indicates: - Normal sinus node conduction
- Bundle branch block
- Second degree heart block
- myocardial infarction – ANSWER- bundle branch block
Special care should be exercised when administering IV dopamine because: - Infiltration leads to tissue necrosis
- High doses may lead to a profound bradycardia
- Precipitation can occur when used in a dextrose IV solution
- even low doses decrease renal perfusion – ANSWER- Infiltration leads to tissue
necrosis
The following strip is: – ANSWER- Aflutter
A strong ventricular stimulus is potentially dangerous when it lands on the: - U wave
- P wave
- T wave
- QRS complex – ANSWER- T wave
The rhythm strip below shows: – ANSWER- VTach
An indication for use of an external cardiac pacemaker includes: - paroxysmal atria tachycardia
- Ventricular fibrillation
- Wenckebach (Mobitz Block Type 1)
- Symptomatic complete heart block – ANSWER- Symptomatic complete heart
block
In the following rhythm strip the transvenous pacemaker shows: - Failure to sense
- Demand pacing
- Failure to fire
- Failure to capture – ANSWER- Failure to sense
The initial drug treatment for sustained ventricular tachycardia when a pulse is
present is: - Isuprel 1.0 mg in 250 ml D5W drip
- Epinephrine 1.0 mg IV push
- Atropine 0.5 mg IV push
- Amiodarone 150 mg IV over 10 mn – ANSWER- Amiodarone 150 mg IV over
10 min