BKAT 9R EXAM QUESTIONS WITH 100%
SOLVED ANSWERS
The major therapeutic goal in the treatment of cardiogenic shock is to:
1. Increase the afterload
2. Improve renal perfusion
3. Increase cardiac output
4. Decrease fluid volume - CORRECT ANSWER-Increase cardiac output
You receive orders to starte Nipride and Dobutamine in your patient with end-stage
cardiomyopathy. How will this treatment regimen affect cardiac output?
1. Increase preload and reduces afterload
2. Reduces preload and increases afterload
3. Reduces preload and afterload and improves contractility
4. Reduces preload and improves contractility - CORRECT ANSWER-Reduces preload
and afterload and improves contractility
In dealing with a depressed patient during the first days post AMI the most appropriate
nursing action would be:
1. Encourage to patient to ventilate his/her concerns
2. Provide for privacy so the patient can rest
3. Limit visits only to family members
4. Provide a quiet environment for the patient - CORRECT ANSWER-Encourage the
patient to ventilate his/her concerns
Initial measure for the treatment of angina pectoris does not include which response
below?
1. resting
2. beta blockers
3. oxygen
4. nitroglycerine - CORRECT ANSWER-beta blockers
The classical ECG change with muscle injury in acute myocardial infarction is:
1. presence of a Q wave
2. ST segment elevation
3. myocardial electrical irritability
4. a peaked T wave - CORRECT ANSWER-ST segment elevation
Elevated cardiac iso-enzyme generally does not occur in which response below?
1. Closed chest injury
, 2. pericarditis
3. congestive heart failure
4. cardiac surgery - CORRECT ANSWER-Congestive heart failure
Mr. Seamore is receiving thrombolytics (TPA) 3 hours after an AMI. Which of the
following would most likely require discontinuing the infusion?
1. PVCs
2. Bleeding gums
3. Oozing at the insertion site
4. Change in mental status - CORRECT ANSWER-Change in mental status
The following monitor would indicate that the pulmonary artery (Swan Ganz) catheter is
in which position?
1. Superior vena cava
2. Right ventricle
3. Pulmonary artery
4. Pulmonary artery occlusion (wedge) - CORRECT ANSWER-Pulmonary artery
occlusion (wedge)
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is
called:
1. aortic insufficiency
2. aortic stenosis
3. pulmonary insufficiency
4. pulmonic stenosis - CORRECT ANSWER-aortic stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? -
CORRECT ANSWER-High to low
After an arterial catheter is removed, direct pressure should generally be applied to the
artery:
1. For 2 full minutes
2. For 8-10 minutes
3. Until the oozing of blood from the puncture site slows
4. Until a pressure dressing is applied - CORRECT ANSWER-For 8-10 minutes
A central venous pressure CVP reading directly reflects pressure in the:
1. Left atrium
2. Right atrium
3. Left ventricle
4. Pulmonary artery - CORRECT ANSWER-Right atrium
An elevated CVP reading may indicate:
1. Right heart failure
2. A fall in blood pressure
3. Acute dehydration
SOLVED ANSWERS
The major therapeutic goal in the treatment of cardiogenic shock is to:
1. Increase the afterload
2. Improve renal perfusion
3. Increase cardiac output
4. Decrease fluid volume - CORRECT ANSWER-Increase cardiac output
You receive orders to starte Nipride and Dobutamine in your patient with end-stage
cardiomyopathy. How will this treatment regimen affect cardiac output?
1. Increase preload and reduces afterload
2. Reduces preload and increases afterload
3. Reduces preload and afterload and improves contractility
4. Reduces preload and improves contractility - CORRECT ANSWER-Reduces preload
and afterload and improves contractility
In dealing with a depressed patient during the first days post AMI the most appropriate
nursing action would be:
1. Encourage to patient to ventilate his/her concerns
2. Provide for privacy so the patient can rest
3. Limit visits only to family members
4. Provide a quiet environment for the patient - CORRECT ANSWER-Encourage the
patient to ventilate his/her concerns
Initial measure for the treatment of angina pectoris does not include which response
below?
1. resting
2. beta blockers
3. oxygen
4. nitroglycerine - CORRECT ANSWER-beta blockers
The classical ECG change with muscle injury in acute myocardial infarction is:
1. presence of a Q wave
2. ST segment elevation
3. myocardial electrical irritability
4. a peaked T wave - CORRECT ANSWER-ST segment elevation
Elevated cardiac iso-enzyme generally does not occur in which response below?
1. Closed chest injury
, 2. pericarditis
3. congestive heart failure
4. cardiac surgery - CORRECT ANSWER-Congestive heart failure
Mr. Seamore is receiving thrombolytics (TPA) 3 hours after an AMI. Which of the
following would most likely require discontinuing the infusion?
1. PVCs
2. Bleeding gums
3. Oozing at the insertion site
4. Change in mental status - CORRECT ANSWER-Change in mental status
The following monitor would indicate that the pulmonary artery (Swan Ganz) catheter is
in which position?
1. Superior vena cava
2. Right ventricle
3. Pulmonary artery
4. Pulmonary artery occlusion (wedge) - CORRECT ANSWER-Pulmonary artery
occlusion (wedge)
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is
called:
1. aortic insufficiency
2. aortic stenosis
3. pulmonary insufficiency
4. pulmonic stenosis - CORRECT ANSWER-aortic stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? -
CORRECT ANSWER-High to low
After an arterial catheter is removed, direct pressure should generally be applied to the
artery:
1. For 2 full minutes
2. For 8-10 minutes
3. Until the oozing of blood from the puncture site slows
4. Until a pressure dressing is applied - CORRECT ANSWER-For 8-10 minutes
A central venous pressure CVP reading directly reflects pressure in the:
1. Left atrium
2. Right atrium
3. Left ventricle
4. Pulmonary artery - CORRECT ANSWER-Right atrium
An elevated CVP reading may indicate:
1. Right heart failure
2. A fall in blood pressure
3. Acute dehydration
