BKAT 9R QUESTIONS WITH 100% CORRECT
ANSWERS
Beta Blockers CORRECT ANSWER Initial measures for the treatment of angina
pectoris do not include which response below?
ST segment elevation CORRECT ANSWER The classical ECG change with muscle
injury in acute myocardial infarction is:
CHF CORRECT ANSWER Elevated cardiac iso-enzymes generally do not occur in
which response below?
Increased CO CORRECT ANSWER The major therapeutic goal in the treatment of
cariogenic shock is to:
Reduces preload and after load and improves contractility CORRECT 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 CORRECT ANSWER In dealing
with a depressed pt during the first days post AMI the most appropriate nursing action
would be:
change in mental status CORRECT 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) CORRECT ANSWER The following monitor
pattern would indicate that the pulmonary artery (swan ganz) catheter is in which
position?
Aortic stenosis CORRECT ANSWER A systolic murmur that is auscultated at the 2nd
intercostal space, right sternal border is called:
High to low CORRECT ANSWER Which of the following wave patterns indicates proper
functioning of an arterial line?
8-10 minutes CORRECT ANSWER After an arterial catheter is removed; direct
pressure should be applied to the artery for how long?
Right atrium CORRECT ANSWER A CVP reading directly reflects pressure in the:
Rt heart failure CORRECT ANSWER An elevated CVP reading may indicate:
Lt ventricle CORRECT ANSWER The pulmonary artery occlusive (wedge) pressure
(PAOP) reflects pressure in the:
11-20 CORRECT ANSWER The normal pulmonary artery pressure is:
6-12 CORRECT ANSWER How many mmHg is the normal PAOP?
Lt ventricular failure CORRECT ANSWER An elevated PAOP may indicate:
Diltiazem CORRECT 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 CORRECT ANSWER A QRS complex wider that .12 sec most likely indicates:
Infiltration leads to tissue necrosis CORRECT ANSWER Special care should be
exercised when administering IV Dopamine because
T wave CORRECT ANSWER A strong ventricular stimulus is potentially dangerous
when it lands on the:
symptomatic complete heart block CORRECT ANSWER indication for use of external
cardiac pacemaker includes
Amiodorone 150mg IV over 10 min CORRECT ANSWER Initial drug tx for sustained V
tach when a pulse is present
Hazardous, as the ventricular rate may suddenly increase CORRECT ANSWER The
cardiac rhythm of A flutter is:
Establish Unresponsiveness CORRECT ANSWER Upon recognizing V fib in an ICU,
the next thing the nurse should do is:
Preparing for transcutaneous pacing CORRECT ANSWER The tx in an emergency
situation for complete heart block is:
Amiodarone, Cardizem, Cardioversion CORRECT ANSWER Your pt has A flutter with a
ventricular response of 150 bpm, therapy for this rhythm includes:
Bradycardia CORRECT ANSWER Signs of cardiac tamponade do not include which
response below?
150 CORRECT ANSWER In the pt with V fib, the correct energy setting for the first
defibrillation when using a biphasic defibrillator is how many joules?
BKAT ICU POST TEST QUESTIONS WITH 100%
CORRECT ANSWERS
Nitroprusside purpose CORRECT ANSWER decreases preload and afterload by
vasodilation (mainly afterload)
Dobutamine mechanism of action CORRECT ANSWER contractility
Dopamine at a low-end dose “renal dose” CORRECT ANSWER 0.5-4mcg/kg/min
increases renal and mesentric perfusion
Dopamine at a mid-range dose CORRECT ANSWER 4-10mcg/kg/min
increases contractility and heart rate
Dopamine at a high-range dose CORRECT ANSWER greater than 10mcg/kg/min
vasoconstriction and increases BP
Dopamine and Levophed infiltration CORRECT ANSWER leads to tissue necrosis
Dopamine antidote CORRECT ANSWER regitine (phentolamine)
TpA monitor for CORRECT ANSWER bleeding-hemorrhagic CVA
diltiazem (cardizem) works by? CORRECT ANSWER (calcium channel blocker) slows
ventricular rate by slowing conduction through the SA and AV node
Diltazem (cardizem) biggest effect on which hemodynamic CORRECT ANSWER
hypotension
diltazem is used for patients with CORRECT ANSWER a-fib or a-flutter
amiodarone (Cordarone) is a CORRECT ANSWER antiarrythmic
prolongs the cardiac duration
You MUST use a _ when using amiodarone infusion CORRECT ANSWER
0.22 micron filter
Watch out for ___ in patients on a amiodarone infusion CORRECT
ANSWER hypotension, prolongation of QT interval and bradycardia
amiodarone is used for patients with CORRECT ANSWER a-fib, a-flutter and VT
how much amiodarone is given to a stable VT with a pulse and a unstable pulseless
VT/VF? CORRECT ANSWER 150mg over 10min for VT with pulse
300mg push; repeat x1 at 150mg
Epinephrine has what effect on the body? CORRECT ANSWER increases HR, BP, and
contractility
what is the first line drug for pulseless arrest? CORRECT ANSWER Epinephrine
What rhythms are considered fatal? CORRECT ANSWER V-fib, Vtach (pulseless), and
asystole
Epinephrine is also given for? CORRECT ANSWER anaphylaxis and as a vasopressor
for hypotension
Heparin is used for? Antidote is? CORRECT ANSWER anticoagulant
Protamine Sulfate
What is the osmotic diuretic of choice to decrease intracranial pressure? CORRECT
ANSWER mannitol
How does mannitol work? CORRECT ANSWER pulls fluids into intravascular space to
be excreted by the kidneys to reduce intracranial pressure
what insulin is given IV?
What is the peak? CORRECT ANSWER Regular insulin can only be given IV
2-4 hr peak time
Which insulin has a peak of 8-14 hrs? CORRECT ANSWER NPH
Atropine is ineffective in which heart rhythms types? CORRECT ANSWER high degree
AV blocks: 2nd degree type2 and 3rd degree
Atropine works by? CORRECT ANSWER increasing heart rate-increasing conduction
through SA node
Atropine is given to treat? CORRECT ANSWER symptomatic bradycardia
Dilantin is given to treat CORRECT ANSWER seizure disorders
DO NOT give __ with dilantin because will happen. CORRECT
ANSWER DO NOT give with dextrose containing solutions because it will crystalize
Which corticosteroid is usually given in insufficient adrenal activity or
hypersensitivity/inflammation reactions? CORRECT ANSWER Cortisone
ICU BKAT QUESTIONS WITH CORRECT
ANSWERS
change in mental status CORRECT ANSWER while receiving tpa, what would warrant
for you to stop the medication
aortic stenosis CORRECT ANSWER systolic murmur that is auscultated at the 2nd
intercostal space, right sternal border is ?
8-10 minutes CORRECT ANSWER removing a line hold pressure for?
right atrium CORRECT ANSWER CVP reading directly reflects pressure in the
right heart failure CORRECT ANSWER elevated CVP may indicate?
left ventricle CORRECT ANSWER pulmonary artery occlusive wedge pressure reflects
pressure where?
10-20/0-4 mean 5-10 CORRECT ANSWER normal pulmonary artery pressure is
6-12 CORRECT ANSWER mmhg normal PAOP
Left ventricle failure CORRECT ANSWER elevated PAOP indicates
diltizepam CORRECT ANSWER 68-year-old complains of feeling a little funny in his
chest and ecg shows afib/flutter. what medication should be used to treat?
bundle branch blocks CORRECT ANSWER qrs complex longer that .12 indicates
infiltration leads to tissue necrosis CORRECT ANSWER care should be exercised when
administering IV dopamine because?
t wave CORRECT ANSWER strong ventricular stimulus is potentially dangerous when it
lands where
symptomatic complete heart block CORRECT ANSWER indication for use of external
cardiac pacemaker includes
amiodarone 150mgIV bolus over 10 minutes CORRECT ANSWER initial drug treatment
for sustained ventricular tachycardia when a pulse is present
epinephrine CORRECT ANSWER patient become apneic and pulseless. the monitor
shows asystole. the drug used initially?
Nurse Extern BKAT questions with correct answers
Recognize vtach and vfib CORRECT ANSWER
What hemodnamic repsonse happens during stress CORRECT ANSWER increased BP and HR
anidote for hepain CORRECT ANSWER protamine sulfate
signs of cardiac tamponade CORRECT ANSWER distended neck vein, decreased SBP
medication used for a fib CORRECT ANSWER cardazime
identify manifestations of dig toxicity CORRECT ANSWER N/V, rapid and irregular HR
signs of LVF CORRECT ANSWER sudden nocturnal coughing
raional for BB use for angina pectoris CORRECT ANSWER decreased myocardial O2 demand
Stroke S/S CORRECT ANSWER FAST, unexplained HA
what med for symptomatic bradycardia CORRECT ANSWER atropine
risk factors for DVT CORRECT ANSWER immobility, obesity, age, a.fib, major sugery
CHF teaching priorities CORRECT ANSWER daily weight at the same time every day
What is the biggest way to prevent CL infections CORRECT ANSWER hand washing
S/S DM CORRECT ANSWER 3 P’s, flushed skin, tachycardia, Kussmaul
insulin requirements of ill DM pts CORRECT ANSWER increased demand
S/S hypoglycemia CORRECT ANSWER chills, shaky, weak, HA, diaphoresis
treatment of DKA CORRECT ANSWER insulin, fluids, potassium replacement
peaks of Regular and NPH CORRECT ANSWER r: 2 hours
NPH: 4-12 hours
S/S DI CORRECT ANSWER increased UO (>1000)
S/S DKA CORRECT ANSWER Kussmaul (deep)
What is important to know regarding cortisone management in relation to endocrine CORRECT
ANSWER increased BS, taper steroids
normal levels of BUN and creatinine CORRECT ANSWER BUN: 9-20
C <1
BUN:creatinine AKI CORRECT ANSWER 20:1
S/S AKI CORRECT ANSWER SOB, increased BUN/creatinine/K
antibiotic therapy in renal failure CORRECT ANSWER rocephin
BKAT Med-Surg ||92 questions|| with correct
answers
Initial measures for the treatment of angina pectoris do not include which response below?
CORRECT ANSWER Morphine & Beta Blockers
The classical ECG change with muscle injury in acute myocardial infarction is: CORRECT
ANSWER ST segment elevation
Elevated cardiac iso-enzymes generally do not occur in which response below? CORRECT
ANSWER Congestive Heart Failure
The major therapeutic goal in the treatment of cardiogenic shock is to: CORRECT ANSWER
Increase cardiac output
You receive orders to start nitroprusside and dobutamine in your patient with end-stage
cardiomyopathy. How will this treatment regimen affect Cardiac Output? CORRECT ANSWER
Reduced preload and afterload and improves contractility
Precautions in using IV nitroprusside is not included in which response below? CORRECT
ANSWER Alertness to the development of an acute hypertensive episode
When packing Nitroprusside, it should be: CORRECT ANSWER Protected from light
In dealing with a depressed pt. during the 1st few days post AMI the most appropriate nursing
action would be: CORRECT 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? CORRECT ANSWER Change in mental status
The following monitor pattern would indicate that the pulmonary artery (Swan Ganz) catheter
is in which position? CORRECT ANSWER Pulmonary artery occlusion (wedge)
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called:
CORRECT ANSWER Aortic Stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? CORRECT
ANSWER High to low
The use of an arterial line may be indicated for all the following except? CORRECT ANSWER For
the administration of routine drugs
After an arterial catheter is removed, direct pressure should be applies to the artery for how
long? CORRECT ANSWER 5-10 minutes
A CVP reading directly reflects pressure in the: CORRECT ANSWER Right Atrium
An elevated CVP reading may indicate: CORRECT ANSWER Right heart failure
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: CORRECT
ANSWER Left Ventricle
The normal pulmonary artery pressure is: CORRECT ANSWER 11-20
How many mmHg is the normal PAOP? CORRECT ANSWER -12
An elevated PAOP may indicate: CORRECT ANSWER Left ventricular failure
BKAT Basic questions with correct answers
Signs of adequate nourishment CORRECT ANSWER 1) baby should regain birthweight by 2
weeks
2) 6+ wet diapers/day
Breastfeeding Tips CORRECT ANSWER 1) put baby to breast ASAP to stimulate milk production
2) colostrum can still be used to provide nourishment
Post-Cranial Bleed CORRECT ANSWER Lift legs to change diaper but not over-head
Axillary Temperature CORRECT ANSWER place thermometer in armpit and hold snugly against
baby’s body; normal 36.5-37.5
Feeding Baby PO CORRECT ANSWER pacing to prevent baby from taking too big of
volumes/endless sucking
Gavage Continuous Feed CORRECT ANSWER change bag q24 hours, unless breastmilk
Gavage Feeding & Vitamin CORRECT ANSWER Mix in with feeding if using NGT to prevent upset
stomach/vomiting
SIDS Prevention CORRECT ANSWER ABC–baby must sleep alone, on its back, in a crib
Risk of antibiotics (general) CORRECT ANSWER developing a fungal infection/superinfection
Lasix main adverse effect CORRECT ANSWER hypokalemia
Gentamicin Risks CORRECT ANSWER hearing loss, harm to kidneys
Caffeine monitoring CORRECT ANSWER heart rate (tachycardia), also NEC
Morphine toxicity CORRECT ANSWER respiratory depression–irregular shallow respirations
Supplement for breastfed babies CORRECT ANSWER Vitamin D
First intervention for apnea of prematurity CORRECT ANSWER mild tactile stimulation
bacterial sepsis–gold standard lab test CORRECT ANSWER blood cultures from 2 different sites
Signs of cold stress CORRECT ANSWER tachycardia, respiratory distress, hypoglycemia
IDM Baby Management CORRECT ANSWER encourage PO feeding, routinely check blood sugars
Jaundiced baby anticipation CORRECT ANSWER starting bili lights, also on a coombs positive
baby
Moro Reflex CORRECT ANSWER index finger and thumb come together to make a C (startle)
Oxygen Therapy Assessments CORRECT ANSWER frequently check skin/nares; attempt to wean
if possible
PIV Assessment CORRECT ANSWER Minimally q1 hour
Abnormal newborn weight loss CORRECT ANSWER greater than 10% of birthweight
Technique to weigh infant CORRECT ANSWER level bed, zero scale
BKAT Medications questions with correct answers
Nitroprusside CORRECT ANSWER Mechanism of Action: Decreases Preload and AFTERLOAD
through vasodilation
Side effects/Precautions:
- No sunlight
- Cyanide toxicity
- Hypotension
Used for:
acute hypertensive episodes
Dobutamine CORRECT ANSWER Mechanism of Action: Positive inotrope- effects contractility
Dopamine CORRECT ANSWER Low dose (0.5-4mcg): Stimulates dopaminergic receptors and
increases renal and mesenteric perfusion “Renal dose”
Mid-range dose (4-10mcg): Stimulates beta receptors to increase contractility and heart rate
High range dose (greater than 10mcg): Stimulates alpha receptors – vasoconstriction and
increase in BP
Side effects: - Ventricular dysrhythmias
- Tachycardia
- Infiltration = necrosis (Vasoconstriction of capillary beds)
Antidote: regitine (phentolamine) – same for levophed necrosis
tPA CORRECT ANSWER Thrombolytic
Monitor for bleeding 9
Risk: hemorrhagic CVA
Diltiazem (Cardizem) CORRECT ANSWER CCB, slows ventricular rate by slowing conduction
through SA and AV node
Watch for:
- hypotension
Used for: Slowing ventricular rate in A-Fib/flutter
Amiodarone (Cordarone) CORRECT ANSWER Anti arrhythmic
Prolongs cardiac potential duration
MUST use a 0.22-micron filter for infusion
watch for: - hypotention
- Prolonged QT
- bradycardia
Used for: A-fib and stable VT (with pulse)- 150mg over 10 min.