2023-2024 BKAT9R Critical Care Practice Exam With Answers (270 Solved Questions)

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BKAT 9RandICU BKATLatest UpdatedQuestions and CorrectAnswers 2023-2024ICU BKATWhat rhythm is dangerous as the ventricular rate can suddenly increase?-ANSWERS-aflutterMajor therapeuticgoal of cardiogenic shock?-ANSWERS-Increased cardiac outputElevated cardiac iso-enzyme occur when___-ANSWERS-closed chest injury,pericarditis, cardiac surgery, MIECG change with muscle injury in an acute MI-ANSWERS-STEMISystolic murmur that is auscultated 2nd intercostal space, right sternal border is called-ANSWERS-aortic stenosiswhat is the importance of synchronizing during cardioversion?-ANSWERS-to preventaflutter with RVR and R on T waveList some signs of cardiac tamponade-ANSWERS-Decreased systolic blood pressure,JVD, pulsus paradoxusInitial measures for the treatment of angina pectoris are:-ANSWERS-MONA(morphine, oxygen, nitroglycerin, aspirinQRS complex wider than 0.12 seconds most likely indicates-ANSWERS-Bundlebranch blockUpon recognizing ventricular fibrillation, the nurse's first priority is-ANSWERS-responsivenesstreatment of symptomatic complete heart block in an emergency-ANSWERS-transcutaneous pacingWhat is the treatment for apatient in aflutter RVR-ANSWERS-cardioversion andamiodarone (cardizem)using a biphasic defibrillator, how many joules do you use on the first debrillation?-ANSWERS-120-200 joules

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excessive amount of chest tube drainage during the first hours following thoracicsurgery?-ANSWERS-150ccEKG changes in hyperkalemia-ANSWERS-QRS wide, tall peak T wavehow long should you apply pressure over an arterial-ANSWERS-8-10 minutecentral venous pressure directly reflects pressure in the ___-ANSWERS-right atriumpulmonary artery occlusion [wedge] pressure (PAOP) reflects pressure in the-ANSWERS-L ventricleelevated CVP may indicate-ANSWERS-Left ventricle failuremost important nursing step in preventing CLABSI-ANSWERS-handwashinglow volume alarms in the ventilator are caused by-ANSWERS-leak, disconnection, cuffleak, esophageal intubatedhigh volume alarms on the ventilator are caused by-ANSWERS-ETT obstruction,pulmonary edema tidal volume, decreased lung compliancemost appropriate nursing action for proper positioning of the ET tube-ANSWERS-auscultate bilaterallynormal ABG ranges (pH, PaCo2, HCO3, pO2)-ANSWERS-pH: 7.35-7.45, PaCo2: 35-45, HCO3: 22-26, pO2: 80-100how many mm Hg does it take to suction a patient-ANSWERS-120 mmHgpatient with a R anterior chest; you hear diminished breath sounds on the left posteriorbase. What could be the cause?-ANSWERS-atelectasisa patient that has an ET tube verbalizes "yes", what would be an appropriate nursingaction?-ANSWERS-check the cuffmost likely cause for diminished breath sounds in a patient with closed chest injury-ANSWERS-pneumothoraxmost important nursing action to prevent VAP-ANSWERS-handwashingdeepening of intracranial pressure is characterized by-ANSWERS-widened pulsepressure

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most important nursing activity for a patient with cervical spine injury-ANSWERS-immobilize headwhat is the most important nursing observation for a patient with a cervical spinal injury-ANSWERS-respirationsearliest sign of increased ICP-ANSWERS-change in LOCpositive babinski response in an adult indicates-ANSWERS-abnormla responsemost important part of a neuro check-ANSWERS-LOCS&S of DKA-ANSWERS-fruity breath, Kussmul breath, mentation status,dehydrate,thirstyS&S of hypoglycemia-ANSWERS-weakness, headache, dizziness, diaphoresistreatment for DKA-ANSWERS-insulin drip, potassium replacement, IV fluidpatients with DM require more/less insulin when acutely ill-ANSWERS-Morewhich insulin when given sub-q will have a peak action in 2-4 hours?-ANSWERS-regularin how many hours would expect NPH to have an insulin reaction-ANSWERS-8-14hourss/s of diabetes insipidus-ANSWERS-extreme thirst, increased sodium, change inmentation status, polyuria, decreased urine osmolityminimal urine output per hour-ANSWERS-30ccwhat would you do with medications excreted through the kidneys during AKI-ANSWERS-decrease the dosediet restrictions for renal failure patient-ANSWERS-decrease potassium, protein, andfluidspsychophysiological stress response from acute illness can result in decreased-ANSWERS-urine outputin an acute renal failure patient, they become short of breath of tachycardia. what doyou their problem is-ANSWERS-fluidoverloada patient has continuous enteral tube feeding, what is the most important nursingintervention to prevent aspiration-ANSWERS-keep HOB above 30 degree

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what is the best standard for checking safe placement of an NG tube-ANSWERS-Xrayif you suspect your patient is having a blood transfusion reaction, what is the first thingyou should do-ANSWERS-stop it, check VS, and run NSThe most important treatment related to burns in the first 24 hours-ANSWERS-fluidreplacementa patient suddenly develops shortness of breath post R femur fracture, what do youthink is the cause?-ANSWERS-fat embolismdangerous effect of rapidly re-warning a hypothermic patient-ANSWERS-vasodilationwhat are the manifestations of digitalis toxicity?-ANSWERS-halo, nausea, tachycardia,anorexiawhat affect does nitroprusside (Nipride) and dobutamine (Dobutrex) have on cardiacoutput?-ANSWERS-decrease preload, decrease afterload, increase contractibiltya patient received TPA, what would make you discontinue the infusion?-ANSWERS-change in mentationwhy must you be mindful of your IV site when administering IV dopamine?-ANSWERS-tissue necrosisinitial drug for sustained v-tach with a pulse-ANSWERS-amio 150 over 10 minutesfirst drug used for asystole-ANSWERS-epiTPA must be administered within-ANSWERS-4 hourswhat drugs crystallize when given IV with D5?-ANSWERS-phenytoinantidote for heparin-ANSWERS-proataminname some medications that can treat atrial fibrillation and atrial flutter?-ANSWERS-cardizem and amiodaronedrug of choice to reduce increased ICP-ANSWERS-mannitolwhat medication do you give for symptomatic bradycardia-ANSWERS-atropinewhat aresome precautions to take when infusing IV nitroprusside?-ANSWERS-protectfrom light

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what drug must be tapered off slowly to prevent acute adrenal insufficiency-ANSWERS-cortisonecomplete heart block-ANSWERS-aflutter-ANSWERS-vtach-ANSWERS-arterial line waveform-ANSWERS-failure to capture pacemaker-ANSWERS-vfib-ANSWERS-look up pulmonary wedge pressure waveform-ANSWERS-:pBeta Blockers-ANSWERS-Initial measures for the treatment of angina pectoris do notinclude which response below?ST segment elevation-ANSWERS-The classical ECG change with muscle injury inacute myocardial infarction is:CHF-ANSWERS-Elevated cardiac iso-enzymes generally do not occur in whichresponse below?Increased CO-ANSWERS-The major therapeutic goal inthe treatment of cariogenicshock is to:Reduces preload and after load and improves contractility-ANSWERS-You receiveorders to start nitroprusside and dobutamine in your patient with end-stagecardiomyopathy. How will this tx regimen affect CO?Encourage the patient to ventilate his/her concerns-ANSWERS-In dealing with adepressed pt during the first days post AMI the most appropriate nursing action wouldbe:change in mental status-ANSWERS-Mr Seamore is receiving thrombolytics (TPA) 3hrs afteran AMI. Which of the following would most likely require discontinuing theinfusion?Pulmonary artery occlusion (wedge)-ANSWERS-The following monitor pattern wouldindicate that the pulmonary artery (swan ganz) catheter is in which position?Aortic stenosis-ANSWERS-A systolic murmur that is auscultated at the 2nd intercostalspace, right sternal border is called:

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