Critical Care BKAT
Elevated cardiac enzymes occur in all of the following EXCEPT: - CORRECT
ANSWER-CHF
*will occur in trauma, CABG, and pericarditis
What is the classic EKG change in a MI: - CORRECT ANSWER-ST segment elevation
After an arterial catheter is removed direst pressure should be applied for how long? -
CORRECT ANSWER-5-10 minutes
A CVP reading directly measures pressure where? - CORRECT ANSWER-Right Atrium
You can use an arterial line for all the following except: - CORRECT ANSWER-
Administration of drugs
Initial Measures For TX of Angina - CORRECT ANSWER-Morphine, oxygen, nitrogen,
aspirin
Pt. Is depressed in the first few days after having an MI, most appropriate nursing action
is: - CORRECT ANSWER-Encourage the Pt. to ventilate feelings and concerns
Pt. Is a couple days post MI and is getting out of bed for the first time and his HR
increases from 80's to 90's. The nurse should do what? - CORRECT ANSWER-Check
his VS
Major therapeutic goal in the Tx of cardiogenic shock is? - CORRECT ANSWER-
Increase the cardiac output
Causes of ST elevation include: - CORRECT ANSWER-MI, pericarditis, left bundle
branch block, left ventricular hypertrophy, hyperkalemia
Causes of ST depression Include: - CORRECT ANSWER-Hypothermia, hypokalemia,
tachycardia
What is the normal pulmonary capillary wedge pressure? - CORRECT ANSWER-4-12
mmHg
Normal pulmonary artery pressure is? - CORRECT ANSWER-11-20
, Elevated central venous pressure show: - CORRECT ANSWER-Right sided heart
failure
Pulmonary capillary wedge pressure shows pressure where? - CORRECT ANSWER-
Left ventricle
Monitor is showing the correct pattern for a pulmonary capillary wedge pressure, you
can do all of the following except? - CORRECT ANSWER-Flush the line
If the pulmonary capillary wedge pressure is elevated it can be an indication of? -
CORRECT ANSWER-Left ventricular failure
The wave in the cardiac cycle that shows atrial depolarization is? - CORRECT
ANSWER-P-Wave
P-R interval - CORRECT ANSWER-0.12-0.20 seconds
QRS Complex longer that 0.12 may indicate? - CORRECT ANSWER-Bundle branch
block
What is the purpose of enclosing a pacemaker generator in a rubber glove is? -
CORRECT ANSWER-To prevent electrical interference with the pacemaker
In which part of the cardiac cycle would a strong ventricular stimulus be dangerous -
CORRECT ANSWER-T-wave
What is the initial drug Tx for ventricular tachycardia? - CORRECT ANSWER-Lidocaine
50-100MG
Why is A-Flutter so dangerous? - CORRECT ANSWER-It can cause the ventricular rate
to increase
Is the nurse sees V-Fib they should first - CORRECT ANSWER-Establish
unresponsiveness
A drug that can be given in complete heart block is? - CORRECT ANSWER-Atropine
A Pt. Has atrial flutter with a ventricular response into the 150's what could be done? -
CORRECT ANSWER-Cardioversion, verapamil or digoxin
What is the correct setting to defibrillate? - CORRECT ANSWER-200-300 joules
Signs and symptoms of cardiac tampon are include all except? - CORRECT ANSWER-
Bradycardia
Elevated cardiac enzymes occur in all of the following EXCEPT: - CORRECT
ANSWER-CHF
*will occur in trauma, CABG, and pericarditis
What is the classic EKG change in a MI: - CORRECT ANSWER-ST segment elevation
After an arterial catheter is removed direst pressure should be applied for how long? -
CORRECT ANSWER-5-10 minutes
A CVP reading directly measures pressure where? - CORRECT ANSWER-Right Atrium
You can use an arterial line for all the following except: - CORRECT ANSWER-
Administration of drugs
Initial Measures For TX of Angina - CORRECT ANSWER-Morphine, oxygen, nitrogen,
aspirin
Pt. Is depressed in the first few days after having an MI, most appropriate nursing action
is: - CORRECT ANSWER-Encourage the Pt. to ventilate feelings and concerns
Pt. Is a couple days post MI and is getting out of bed for the first time and his HR
increases from 80's to 90's. The nurse should do what? - CORRECT ANSWER-Check
his VS
Major therapeutic goal in the Tx of cardiogenic shock is? - CORRECT ANSWER-
Increase the cardiac output
Causes of ST elevation include: - CORRECT ANSWER-MI, pericarditis, left bundle
branch block, left ventricular hypertrophy, hyperkalemia
Causes of ST depression Include: - CORRECT ANSWER-Hypothermia, hypokalemia,
tachycardia
What is the normal pulmonary capillary wedge pressure? - CORRECT ANSWER-4-12
mmHg
Normal pulmonary artery pressure is? - CORRECT ANSWER-11-20
, Elevated central venous pressure show: - CORRECT ANSWER-Right sided heart
failure
Pulmonary capillary wedge pressure shows pressure where? - CORRECT ANSWER-
Left ventricle
Monitor is showing the correct pattern for a pulmonary capillary wedge pressure, you
can do all of the following except? - CORRECT ANSWER-Flush the line
If the pulmonary capillary wedge pressure is elevated it can be an indication of? -
CORRECT ANSWER-Left ventricular failure
The wave in the cardiac cycle that shows atrial depolarization is? - CORRECT
ANSWER-P-Wave
P-R interval - CORRECT ANSWER-0.12-0.20 seconds
QRS Complex longer that 0.12 may indicate? - CORRECT ANSWER-Bundle branch
block
What is the purpose of enclosing a pacemaker generator in a rubber glove is? -
CORRECT ANSWER-To prevent electrical interference with the pacemaker
In which part of the cardiac cycle would a strong ventricular stimulus be dangerous -
CORRECT ANSWER-T-wave
What is the initial drug Tx for ventricular tachycardia? - CORRECT ANSWER-Lidocaine
50-100MG
Why is A-Flutter so dangerous? - CORRECT ANSWER-It can cause the ventricular rate
to increase
Is the nurse sees V-Fib they should first - CORRECT ANSWER-Establish
unresponsiveness
A drug that can be given in complete heart block is? - CORRECT ANSWER-Atropine
A Pt. Has atrial flutter with a ventricular response into the 150's what could be done? -
CORRECT ANSWER-Cardioversion, verapamil or digoxin
What is the correct setting to defibrillate? - CORRECT ANSWER-200-300 joules
Signs and symptoms of cardiac tampon are include all except? - CORRECT ANSWER-
Bradycardia
