BKAT Med-Surg Exam Questions and Answers Solved 100%

Morphine & Beta Blockers - ANSWER-Initial measures for the treatment of angina pectoris do not include which response below? ST segment elevation - ANSWER-The classical ECG change with muscle injury in acute myocardial infarction is: Congestive Heart Failure - ANSWER-Elevated cardiac iso-enzymes generally do not occur in which response below? Increase cardiac output - ANSWER-The major therapeutic goal in the treatment of cardiogenic shock is to: Reduced preload and afterload and improves contractility - ANSWER-You receive orders to start nitroprusside and dobutamine in your patient with end-stage cardiomyopathy. How will this treatment regimen affect Cardiac Output? Alertness to the development of an acute hypertensive episode - ANSWER-Precautions in using IV nitroprusside is not included in which response below? Protected from light - ANSWER-When packing Nitroprusside, it should be: Encourage the patient to ventilate his/her concerns - ANSWER-In dealing with a depressed pt. during the 1st few days post AMI the most appropriate nursing action would be: Change in mental status - 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) - ANSWER-The following monitor pattern would indicate that the pulmonary artery (Swan Ganz) catheter is in which position? Aortic Stenosis - ANSWER-A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called: High to low - ANSWER-Which of the following wave patterns indicates proper functioning of an arterial line? For the administration of routine drugs - ANSWER-The use of an arterial line may be indicated for all the following except? 5-10 minutes - ANSWER-After an arterial catheter is removed, direct pressure should be applies to the artery for how long? Right Atrium - ANSWER-A CVP reading directly reflects pressure in the: Right heart failure - ANSWER-An elevated CVP reading may indicate: Left Vetricle - ANSWER-The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: 11-20 - ANSWER-The normal pulmonary artery pressure is: -12 - ANSWER-How many mmHg is the normal PAOP? Left ventricular failure - ANSWER-An elevated PAOP may indicate: Diltiazem/Cardizem - ANSWER-Mr. Adams, a 68 y/o 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? Bundle Branch Block (BBB) - ANSWER-A QRS complex wider than 0.12 sec most likely indicates: Infiltration leads to tissue necrosis - ANSWER-Special care should be exercised when administering IV Dopamine because T Wave - ANSWER-A strong ventricular stimulus is potentially dangerous when it lands on the Symptomatic complete heart block - ANSWER-Indication for use of external cardiac pacemaker includes: Amiodarone 150mg IV over 10 minutes - ANSWER-Initial drug treatment for sustained V-Tach when a pulse is present Hazardous, as the ventricular rate may suddently increase - ANSWER-The cardiac rhythm of A Flutter is: Establish Unresponiveness - ANSWER-Upon recognizing V-Fib in an ICU, the next thing the nurse should do it: Preparing for transcutaneous pacing - ANSWER-The treatment in an emergency situation for complete heart block is: Amiodarone, Cardizem, Cardioversion - ANSWER-Your pt. has A-Flutter with a ventricular response of 150 bpm, therapy for this rhythm includes: Bradycardia - ANSWER-Signs of cardiac tamponade do not include which response below? 150 - ANSWER-In the pt. with V-Fib, the correct energy setting for the first defibrillation when using a biphasic defibrillatior is how many joules? 350 - ANSWER-In the pt. with V-Fib, the correct energy settings for the first defibrillation when using a monophasic defibrillator is how many joules? Epinephrine - ANSWER-A pt. becomes apneic and pulseless. The monitor shows systole. The drug that would most likely be used initially is: Protamine Sulfate - ANSWER-Antidote for Heparin Vitamin K - ANSWER-Antidote for Warfarin Thorough handwashing - ANSWER-Most important step in preventing central venous catheter related sepsis is: 150 - ANSWER-An excessive amount of chest tube drainage in the first few hours following thoracic surgery in how many mL's/hr? Normal Values - ANSWER-A routine check of your patient's blood gas values shows a pH of 7.40, pO2 of 98 mmHg, pCO2 of 38 mmHg, and HCO2 of 25 mEq. These results reflect: 120 mmHg of pressure - ANSWER-Before suctioning a pt., you adjust the vacuum pressure so that it is: Atelectasis - ANSWER-Post op pt. has a left anterior chest tube. When you auscultate the lung fields bilaterally, you hear diminished breath sounds in the right posterior bases. this would most likely be due to: Disconnected tubing - ANSWER-Your pt. is on a ventilator. The low volume alarm sounds. This may be due to: Listen for bilateral breath sounds - ANSWER-To assess for proper positioning of an endotracheal tube, the most appropriate nursing action would be to" Check the functioning of the cuff - ANSWER-Mr. Ray has an endotracheal tube. While you are making rounds, you ask his breathing is okay. In an audible ton, he sys "yes". You should first: