BKAT 9R EXAM NEWEST 2024-2025 WITH RHYTHM STRIP
FOR INTERPRETATION ACTUAL EXAM 100 QUESTIONS
AND CORRECT DETAILED ANSWERS|AGRADE
Impending insulin shock (hypoglycemia) should be suspected when the diabetic patient complains of or
manifests:
1. Decreased skin turgor, abdominal pain, restlessness
2. Flushed skin, tachycardia, Kussmal breathing
3. Thirst, hypotension, fruity odor to the breath
4. Weakness, headache, diaphoresis - answer-Weakness, headache, diaphoresis
Measures that would be taken to treat a patient in diabetic ketoacidosis coma would not include which
response below?
1. Dextrose 50% IV infusion
2. Insulin IV drip
3. Potassium replacements
4. IV fluid administration - answer-Dextrose 50% IV infusion
Patients with diabetes mellitus who are acutely ill generally require a:
1. higher dose of insulin
2. restricted caloric intake
3. decrease in fluid intake
4. lower dose of insulin - answer-Higher dose of insulin
The psychophysiologic stress response from acute illness and being in an ICU can result in decreased:
1. Heart rate
2. Alertness
3. Systolic blood pressure
4. Urine output - answer-Urine output
,Which of the following types of insulin when given sub-q will have a peak action within 2 to 4 hours?
1. Hummulin Lente
2. NPH
3. Lantus (glargine)
4. Regular - answer-Regular
An unconscious trauma patient who was just admitted to the ICU is a diabetic who received his usual
dose of sub-q NPH insulin at 7 AM. In how many hours after administration might you expect an insulin
reaction to occur?
1. 1 ----------------------------------------------------------------------------------------------------------------------------------- 7
2. 3 ----------------------------------------------------------------------------------------------------------------------------------- 8
3. 8 --------------------------------------------------------------------------------------------------------------------------------- 11
4. 18-24 - answer-8-14
A dangerous effect of rapidly re-warming a hypothermic patient is:
1. bradycardia
2. vasodilation and hypotension
3. seizure activity
4. sudden rise in blood pressure - answer-vasodilation and hypotension
Mrs.Smith, who is post-operative craniotomy patient has a fasting blood sugar of 100mg, complains of
extreme thirst, and has a urine greater than 1,000 ml's over two hours. You should suspect:
1. Increasing intracranial pressure
2. Overproduction of ADH
3. Acute adrenal insufficiency
4. Diabetes insipidus - answer-Diabetes Insipidus
, Mrs. Reece, a 64 yo woman with acute renal failure and oliguria, was admitted with congestive heart
failure. Which of the following tests is abnormal?
1. BUN of 18 mg/dl
2. Urine specific gravity of 1.026
3. Creatinine of 1.0 mg/dl
4. Potassium of 5.8 mEq/L - answer-Potassium 5.8 mEq/L
A patient is admitted with a probable diagnosis of acute renal failure. The normal ml's of urine output
for this 150 pound person per hour is:
1. 75
2. 100
3. 30
4. 10 - answer-30
Practices to decrease catheter associated urinary tract infections does not include which response
below?
1. Having a protocol for limiting urinary catheter use
2. Use of a reminder system for removal of urinary catheters
3. Discontinuing enteral tube feeding if diarrhea occurs
4. Providing perineal care during each nursing shift - answer-Discontinuing enteral tube feeding if
diarrhea occurs
Your patient has acute renal failure. Medications that are normally excreted through the kidneys will
probably be:
1. Decreased in dosage
2. Administered as usual
3. Discontinued
4. Increased in frequency - answer-Decrease dosage
Enteral feeding in acute renal failure commonly includes:
FOR INTERPRETATION ACTUAL EXAM 100 QUESTIONS
AND CORRECT DETAILED ANSWERS|AGRADE
Impending insulin shock (hypoglycemia) should be suspected when the diabetic patient complains of or
manifests:
1. Decreased skin turgor, abdominal pain, restlessness
2. Flushed skin, tachycardia, Kussmal breathing
3. Thirst, hypotension, fruity odor to the breath
4. Weakness, headache, diaphoresis - answer-Weakness, headache, diaphoresis
Measures that would be taken to treat a patient in diabetic ketoacidosis coma would not include which
response below?
1. Dextrose 50% IV infusion
2. Insulin IV drip
3. Potassium replacements
4. IV fluid administration - answer-Dextrose 50% IV infusion
Patients with diabetes mellitus who are acutely ill generally require a:
1. higher dose of insulin
2. restricted caloric intake
3. decrease in fluid intake
4. lower dose of insulin - answer-Higher dose of insulin
The psychophysiologic stress response from acute illness and being in an ICU can result in decreased:
1. Heart rate
2. Alertness
3. Systolic blood pressure
4. Urine output - answer-Urine output
,Which of the following types of insulin when given sub-q will have a peak action within 2 to 4 hours?
1. Hummulin Lente
2. NPH
3. Lantus (glargine)
4. Regular - answer-Regular
An unconscious trauma patient who was just admitted to the ICU is a diabetic who received his usual
dose of sub-q NPH insulin at 7 AM. In how many hours after administration might you expect an insulin
reaction to occur?
1. 1 ----------------------------------------------------------------------------------------------------------------------------------- 7
2. 3 ----------------------------------------------------------------------------------------------------------------------------------- 8
3. 8 --------------------------------------------------------------------------------------------------------------------------------- 11
4. 18-24 - answer-8-14
A dangerous effect of rapidly re-warming a hypothermic patient is:
1. bradycardia
2. vasodilation and hypotension
3. seizure activity
4. sudden rise in blood pressure - answer-vasodilation and hypotension
Mrs.Smith, who is post-operative craniotomy patient has a fasting blood sugar of 100mg, complains of
extreme thirst, and has a urine greater than 1,000 ml's over two hours. You should suspect:
1. Increasing intracranial pressure
2. Overproduction of ADH
3. Acute adrenal insufficiency
4. Diabetes insipidus - answer-Diabetes Insipidus
, Mrs. Reece, a 64 yo woman with acute renal failure and oliguria, was admitted with congestive heart
failure. Which of the following tests is abnormal?
1. BUN of 18 mg/dl
2. Urine specific gravity of 1.026
3. Creatinine of 1.0 mg/dl
4. Potassium of 5.8 mEq/L - answer-Potassium 5.8 mEq/L
A patient is admitted with a probable diagnosis of acute renal failure. The normal ml's of urine output
for this 150 pound person per hour is:
1. 75
2. 100
3. 30
4. 10 - answer-30
Practices to decrease catheter associated urinary tract infections does not include which response
below?
1. Having a protocol for limiting urinary catheter use
2. Use of a reminder system for removal of urinary catheters
3. Discontinuing enteral tube feeding if diarrhea occurs
4. Providing perineal care during each nursing shift - answer-Discontinuing enteral tube feeding if
diarrhea occurs
Your patient has acute renal failure. Medications that are normally excreted through the kidneys will
probably be:
1. Decreased in dosage
2. Administered as usual
3. Discontinued
4. Increased in frequency - answer-Decrease dosage
Enteral feeding in acute renal failure commonly includes:
