BKAT 9R EXAM - ACTUAL EXAM

BKAT 9R EXAM - 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 1 / 3

• 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. 1-3

2. 6-12

3. 15-20

4. 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 2 / 3

• 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

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