{"id":117638,"date":"2023-08-29T15:58:52","date_gmt":"2023-08-29T15:58:52","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117638"},"modified":"2023-08-29T15:58:54","modified_gmt":"2023-08-29T15:58:54","slug":"bkat-exams-complete-bundle-package","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/29\/bkat-exams-complete-bundle-package\/","title":{"rendered":"BKAT Exams |Complete Bundle Package"},"content":{"rendered":"\n<p>BKAT 9R QUESTIONS WITH 100% CORRECT<br>ANSWERS<br>Beta Blockers CORRECT ANSWER Initial measures for the treatment of angina<br>pectoris do not include which response below?<br>ST segment elevation CORRECT ANSWER The classical ECG change with muscle<br>injury in acute myocardial infarction is:<br>CHF CORRECT ANSWER Elevated cardiac iso-enzymes generally do not occur in<br>which response below?<br>Increased CO CORRECT ANSWER The major therapeutic goal in the treatment of<br>cariogenic shock is to:<br>Reduces preload and after load and improves contractility CORRECT ANSWER You<br>receive orders to start nitroprusside and dobutamine in your patient with end-stage<br>cardiomyopathy. How will this tx regimen affect CO?<br>Encourage the patient to ventilate his\/her concerns CORRECT ANSWER In dealing<br>with a depressed pt during the first days post AMI the most appropriate nursing action<br>would be:<br>change in mental status CORRECT ANSWER Mr Seamore is receiving thrombolytics<br>(TPA) 3 hrs after an AMI. Which of the following would most likely require discontinuing<br>the infusion?<br>Pulmonary artery occlusion (wedge) CORRECT ANSWER The following monitor<br>pattern would indicate that the pulmonary artery (swan ganz) catheter is in which<br>position?<br>Aortic stenosis CORRECT ANSWER A systolic murmur that is auscultated at the 2nd<br>intercostal space, right sternal border is called:<br>High to low CORRECT ANSWER Which of the following wave patterns indicates proper<br>functioning of an arterial line?<br>8-10 minutes CORRECT ANSWER After an arterial catheter is removed; direct<br>pressure should be applied to the artery for how long?<br>Right atrium CORRECT ANSWER A CVP reading directly reflects pressure in the:<br>Rt heart failure CORRECT ANSWER An elevated CVP reading may indicate:<\/p>\n\n\n\n<p>Lt ventricle CORRECT ANSWER The pulmonary artery occlusive (wedge) pressure<br>(PAOP) reflects pressure in the:<br>11-20 CORRECT ANSWER The normal pulmonary artery pressure is:<br>6-12 CORRECT ANSWER How many mmHg is the normal PAOP?<br>Lt ventricular failure CORRECT ANSWER An elevated PAOP may indicate:<br>Diltiazem CORRECT ANSWER Mr Adams, a 68 yo pt, c\/o feeling &#8220;a little funny in his<br>chest&#8221;. His ECG shows Afib\/flutter. Which of the following meds could be used to tx his<br>cardiac rhythm?<br>BBB CORRECT ANSWER A QRS complex wider that .12 sec most likely indicates:<br>Infiltration leads to tissue necrosis CORRECT ANSWER Special care should be<br>exercised when administering IV Dopamine because<br>T wave CORRECT ANSWER A strong ventricular stimulus is potentially dangerous<br>when it lands on the:<br>symptomatic complete heart block CORRECT ANSWER indication for use of external<br>cardiac pacemaker includes<br>Amiodorone 150mg IV over 10 min CORRECT ANSWER Initial drug tx for sustained V<br>tach when a pulse is present<br>Hazardous, as the ventricular rate may suddenly increase CORRECT ANSWER The<br>cardiac rhythm of A flutter is:<br>Establish Unresponsiveness CORRECT ANSWER Upon recognizing V fib in an ICU,<br>the next thing the nurse should do is:<br>Preparing for transcutaneous pacing CORRECT ANSWER The tx in an emergency<br>situation for complete heart block is:<br>Amiodarone, Cardizem, Cardioversion CORRECT ANSWER Your pt has A flutter with a<br>ventricular response of 150 bpm, therapy for this rhythm includes:<br>Bradycardia CORRECT ANSWER Signs of cardiac tamponade do not include which<br>response below?<br>150 CORRECT ANSWER In the pt with V fib, the correct energy setting for the first<br>defibrillation when using a biphasic defibrillator is how many joules?<\/p>\n\n\n\n<p>BKAT ICU POST TEST QUESTIONS WITH 100%<br>CORRECT ANSWERS<br>Nitroprusside purpose CORRECT ANSWER decreases preload and afterload by<br>vasodilation (mainly afterload)<br>Dobutamine mechanism of action CORRECT ANSWER contractility<br>Dopamine at a low-end dose &#8220;renal dose&#8221; CORRECT ANSWER 0.5-4mcg\/kg\/min<br>increases renal and mesentric perfusion<br>Dopamine at a mid-range dose CORRECT ANSWER 4-10mcg\/kg\/min<br>increases contractility and heart rate<br>Dopamine at a high-range dose CORRECT ANSWER greater than 10mcg\/kg\/min<br>vasoconstriction and increases BP<br>Dopamine and Levophed infiltration CORRECT ANSWER leads to tissue necrosis<br>Dopamine antidote CORRECT ANSWER regitine (phentolamine)<br>TpA monitor for CORRECT ANSWER bleeding-hemorrhagic CVA<br>diltiazem (cardizem) works by? CORRECT ANSWER (calcium channel blocker) slows<br>ventricular rate by slowing conduction through the SA and AV node<br>Diltazem (cardizem) biggest effect on which hemodynamic CORRECT ANSWER<br>hypotension<br>diltazem is used for patients with CORRECT ANSWER a-fib or a-flutter<br>amiodarone (Cordarone) is a CORRECT ANSWER antiarrythmic<br>prolongs the cardiac duration<br>You MUST use a <strong><em><strong><em>_<\/em><\/strong> when using amiodarone infusion CORRECT ANSWER<br>0.22 micron filter<br>Watch out for <strong><em>___<\/em><\/strong><\/em><\/strong> in patients on a amiodarone infusion CORRECT<br>ANSWER hypotension, prolongation of QT interval and bradycardia<br>amiodarone is used for patients with CORRECT ANSWER a-fib, a-flutter and VT<br>how much amiodarone is given to a stable VT with a pulse and a unstable pulseless<br>VT\/VF? CORRECT ANSWER 150mg over 10min for VT with pulse<\/p>\n\n\n\n<p>300mg push; repeat x1 at 150mg<br>Epinephrine has what effect on the body? CORRECT ANSWER increases HR, BP, and<br>contractility<br>what is the first line drug for pulseless arrest? CORRECT ANSWER Epinephrine<br>What rhythms are considered fatal? CORRECT ANSWER V-fib, Vtach (pulseless), and<br>asystole<br>Epinephrine is also given for? CORRECT ANSWER anaphylaxis and as a vasopressor<br>for hypotension<br>Heparin is used for? Antidote is? CORRECT ANSWER anticoagulant<br>Protamine Sulfate<br>What is the osmotic diuretic of choice to decrease intracranial pressure? CORRECT<br>ANSWER mannitol<br>How does mannitol work? CORRECT ANSWER pulls fluids into intravascular space to<br>be excreted by the kidneys to reduce intracranial pressure<br>what insulin is given IV?<br>What is the peak? CORRECT ANSWER Regular insulin can only be given IV<br>2-4 hr peak time<br>Which insulin has a peak of 8-14 hrs? CORRECT ANSWER NPH<br>Atropine is ineffective in which heart rhythms types? CORRECT ANSWER high degree<br>AV blocks: 2nd degree type2 and 3rd degree<br>Atropine works by? CORRECT ANSWER increasing heart rate-increasing conduction<br>through SA node<br>Atropine is given to treat? CORRECT ANSWER symptomatic bradycardia<br>Dilantin is given to treat CORRECT ANSWER seizure disorders<br>DO NOT give <strong><em><strong>__<\/strong><\/em> with dilantin because<\/strong> will happen. CORRECT<br>ANSWER DO NOT give with dextrose containing solutions because it will crystalize<br>Which corticosteroid is usually given in insufficient adrenal activity or<br>hypersensitivity\/inflammation reactions? CORRECT ANSWER Cortisone<\/p>\n\n\n\n<p>ICU BKAT QUESTIONS WITH CORRECT<br>ANSWERS<br>change in mental status CORRECT ANSWER while receiving tpa, what would warrant<br>for you to stop the medication<br>aortic stenosis CORRECT ANSWER systolic murmur that is auscultated at the 2nd<br>intercostal space, right sternal border is ?<br>8-10 minutes CORRECT ANSWER removing a line hold pressure for?<br>right atrium CORRECT ANSWER CVP reading directly reflects pressure in the<br>right heart failure CORRECT ANSWER elevated CVP may indicate?<br>left ventricle CORRECT ANSWER pulmonary artery occlusive wedge pressure reflects<br>pressure where?<br>10-20\/0-4 mean 5-10 CORRECT ANSWER normal pulmonary artery pressure is<br>6-12 CORRECT ANSWER mmhg normal PAOP<br>Left ventricle failure CORRECT ANSWER elevated PAOP indicates<br>diltizepam CORRECT ANSWER 68-year-old complains of feeling a little funny in his<br>chest and ecg shows afib\/flutter. what medication should be used to treat?<br>bundle branch blocks CORRECT ANSWER qrs complex longer that .12 indicates<br>infiltration leads to tissue necrosis CORRECT ANSWER care should be exercised when<br>administering IV dopamine because?<br>t wave CORRECT ANSWER strong ventricular stimulus is potentially dangerous when it<br>lands where<br>symptomatic complete heart block CORRECT ANSWER indication for use of external<br>cardiac pacemaker includes<br>amiodarone 150mgIV bolus over 10 minutes CORRECT ANSWER initial drug treatment<br>for sustained ventricular tachycardia when a pulse is present<br>epinephrine CORRECT ANSWER patient become apneic and pulseless. the monitor<br>shows asystole. the drug used initially?<\/p>\n\n\n\n<p>Nurse Extern BKAT questions with correct answers<br>Recognize vtach and vfib CORRECT ANSWER<br>What hemodnamic repsonse happens during stress CORRECT ANSWER increased BP and HR<br>anidote for hepain CORRECT ANSWER protamine sulfate<br>signs of cardiac tamponade CORRECT ANSWER distended neck vein, decreased SBP<br>medication used for a fib CORRECT ANSWER cardazime<br>identify manifestations of dig toxicity CORRECT ANSWER N\/V, rapid and irregular HR<br>signs of LVF CORRECT ANSWER sudden nocturnal coughing<br>raional for BB use for angina pectoris CORRECT ANSWER decreased myocardial O2 demand<br>Stroke S\/S CORRECT ANSWER FAST, unexplained HA<br>what med for symptomatic bradycardia CORRECT ANSWER atropine<br>risk factors for DVT CORRECT ANSWER immobility, obesity, age, a.fib, major sugery<br>CHF teaching priorities CORRECT ANSWER daily weight at the same time every day<br>What is the biggest way to prevent CL infections CORRECT ANSWER hand washing<\/p>\n\n\n\n<p>S\/S DM CORRECT ANSWER 3 P&#8217;s, flushed skin, tachycardia, Kussmaul<br>insulin requirements of ill DM pts CORRECT ANSWER increased demand<br>S\/S hypoglycemia CORRECT ANSWER chills, shaky, weak, HA, diaphoresis<br>treatment of DKA CORRECT ANSWER insulin, fluids, potassium replacement<br>peaks of Regular and NPH CORRECT ANSWER r: 2 hours<br>NPH: 4-12 hours<br>S\/S DI CORRECT ANSWER increased UO (>1000)<br>S\/S DKA CORRECT ANSWER Kussmaul (deep)<br>What is important to know regarding cortisone management in relation to endocrine CORRECT<br>ANSWER increased BS, taper steroids<br>normal levels of BUN and creatinine CORRECT ANSWER BUN: 9-20<br>C &lt;1<br>BUN:creatinine AKI CORRECT ANSWER 20:1<br>S\/S AKI CORRECT ANSWER SOB, increased BUN\/creatinine\/K<br>antibiotic therapy in renal failure CORRECT ANSWER rocephin<\/p>\n\n\n\n<p>BKAT Med-Surg ||92 questions|| with correct<br>answers<br>Initial measures for the treatment of angina pectoris do not include which response below?<br>CORRECT ANSWER Morphine &amp; Beta Blockers<br>The classical ECG change with muscle injury in acute myocardial infarction is: CORRECT<br>ANSWER ST segment elevation<br>Elevated cardiac iso-enzymes generally do not occur in which response below? CORRECT<br>ANSWER Congestive Heart Failure<br>The major therapeutic goal in the treatment of cardiogenic shock is to: CORRECT ANSWER<br>Increase cardiac output<br>You receive orders to start nitroprusside and dobutamine in your patient with end-stage<br>cardiomyopathy. How will this treatment regimen affect Cardiac Output? CORRECT ANSWER<br>Reduced preload and afterload and improves contractility<br>Precautions in using IV nitroprusside is not included in which response below? CORRECT<br>ANSWER Alertness to the development of an acute hypertensive episode<br>When packing Nitroprusside, it should be: CORRECT ANSWER Protected from light<br>In dealing with a depressed pt. during the 1st few days post AMI the most appropriate nursing<br>action would be: CORRECT ANSWER Encourage the patient to ventilate his\/her concerns<br>Mr. Seamore is receiving thrombolytics (TPA) 3 hrs. after an AMI, Which of the following would<br>most likely require discontinuing the infusion? CORRECT ANSWER Change in mental status<\/p>\n\n\n\n<p>The following monitor pattern would indicate that the pulmonary artery (Swan Ganz) catheter<br>is in which position? CORRECT ANSWER Pulmonary artery occlusion (wedge)<br>A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called:<br>CORRECT ANSWER Aortic Stenosis<br>Which of the following wave patterns indicates proper functioning of an arterial line? CORRECT<br>ANSWER High to low<br>The use of an arterial line may be indicated for all the following except? CORRECT ANSWER For<br>the administration of routine drugs<br>After an arterial catheter is removed, direct pressure should be applies to the artery for how<br>long? CORRECT ANSWER 5-10 minutes<br>A CVP reading directly reflects pressure in the: CORRECT ANSWER Right Atrium<br>An elevated CVP reading may indicate: CORRECT ANSWER Right heart failure<br>The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: CORRECT<br>ANSWER Left Ventricle<br>The normal pulmonary artery pressure is: CORRECT ANSWER 11-20<br>How many mmHg is the normal PAOP? CORRECT ANSWER -12<br>An elevated PAOP may indicate: CORRECT ANSWER Left ventricular failure<\/p>\n\n\n\n<p>BKAT Basic questions with correct answers<br>Signs of adequate nourishment CORRECT ANSWER 1) baby should regain birthweight by 2<br>weeks<br>2) 6+ wet diapers\/day<br>Breastfeeding Tips CORRECT ANSWER 1) put baby to breast ASAP to stimulate milk production<br>2) colostrum can still be used to provide nourishment<br>Post-Cranial Bleed CORRECT ANSWER Lift legs to change diaper but not over-head<br>Axillary Temperature CORRECT ANSWER place thermometer in armpit and hold snugly against<br>baby&#8217;s body; normal 36.5-37.5<br>Feeding Baby PO CORRECT ANSWER pacing to prevent baby from taking too big of<br>volumes\/endless sucking<br>Gavage Continuous Feed CORRECT ANSWER change bag q24 hours, unless breastmilk<br>Gavage Feeding &amp; Vitamin CORRECT ANSWER Mix in with feeding if using NGT to prevent upset<br>stomach\/vomiting<br>SIDS Prevention CORRECT ANSWER ABC&#8211;baby must sleep alone, on its back, in a crib<br>Risk of antibiotics (general) CORRECT ANSWER developing a fungal infection\/superinfection<br>Lasix main adverse effect CORRECT ANSWER hypokalemia<br>Gentamicin Risks CORRECT ANSWER hearing loss, harm to kidneys<\/p>\n\n\n\n<p>Caffeine monitoring CORRECT ANSWER heart rate (tachycardia), also NEC<br>Morphine toxicity CORRECT ANSWER respiratory depression&#8211;irregular shallow respirations<br>Supplement for breastfed babies CORRECT ANSWER Vitamin D<br>First intervention for apnea of prematurity CORRECT ANSWER mild tactile stimulation<br>bacterial sepsis&#8211;gold standard lab test CORRECT ANSWER blood cultures from 2 different sites<br>Signs of cold stress CORRECT ANSWER tachycardia, respiratory distress, hypoglycemia<br>IDM Baby Management CORRECT ANSWER encourage PO feeding, routinely check blood sugars<br>Jaundiced baby anticipation CORRECT ANSWER starting bili lights, also on a coombs positive<br>baby<br>Moro Reflex CORRECT ANSWER index finger and thumb come together to make a C (startle)<br>Oxygen Therapy Assessments CORRECT ANSWER frequently check skin\/nares; attempt to wean<br>if possible<br>PIV Assessment CORRECT ANSWER Minimally q1 hour<br>Abnormal newborn weight loss CORRECT ANSWER greater than 10% of birthweight<br>Technique to weigh infant CORRECT ANSWER level bed, zero scale<\/p>\n\n\n\n<p>BKAT Medications questions with correct answers<br>Nitroprusside CORRECT ANSWER Mechanism of Action: Decreases Preload and AFTERLOAD<br>through vasodilation<br>Side effects\/Precautions:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>No sunlight<\/li>\n\n\n\n<li>Cyanide toxicity<\/li>\n\n\n\n<li>Hypotension<br>Used for:<br>acute hypertensive episodes<br>Dobutamine CORRECT ANSWER Mechanism of Action: Positive inotrope- effects contractility<br>Dopamine CORRECT ANSWER Low dose (0.5-4mcg): Stimulates dopaminergic receptors and<br>increases renal and mesenteric perfusion &#8220;Renal dose&#8221;<br>Mid-range dose (4-10mcg): Stimulates beta receptors to increase contractility and heart rate<br>High range dose (greater than 10mcg): Stimulates alpha receptors &#8211; vasoconstriction and<br>increase in BP<br>Side effects:<\/li>\n\n\n\n<li>Ventricular dysrhythmias<\/li>\n\n\n\n<li>Tachycardia<\/li>\n\n\n\n<li>Infiltration = necrosis (Vasoconstriction of capillary beds)<br>Antidote: regitine (phentolamine) &#8211; same for levophed necrosis<\/li>\n<\/ul>\n\n\n\n<p>tPA CORRECT ANSWER Thrombolytic<br>Monitor for bleeding 9<br>Risk: hemorrhagic CVA<br>Diltiazem (Cardizem) CORRECT ANSWER CCB, slows ventricular rate by slowing conduction<br>through SA and AV node<br>Watch for:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>hypotension<br>Used for: Slowing ventricular rate in A-Fib\/flutter<br>Amiodarone (Cordarone) CORRECT ANSWER Anti arrhythmic<br>Prolongs cardiac potential duration<br>MUST use a 0.22-micron filter for infusion<br>watch for:<\/li>\n\n\n\n<li>hypotention<\/li>\n\n\n\n<li>Prolonged QT<\/li>\n\n\n\n<li>bradycardia<br>Used for: A-fib and stable VT (with pulse)- 150mg over 10 min.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>BKAT 9R QUESTIONS WITH 100% CORRECTANSWERSBeta Blockers CORRECT ANSWER Initial measures for the treatment of anginapectoris do not include which response below?ST segment elevation CORRECT ANSWER The classical ECG change with muscleinjury in acute myocardial infarction is:CHF CORRECT ANSWER Elevated cardiac iso-enzymes generally do not occur inwhich response below?Increased CO CORRECT ANSWER The major therapeutic 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