BKAT Med-Surg
Precautions in using IV nitroprusside is not included in which response below? -
CORRECT ANSWER-Alertness to the development of an acute hypertensive episode
When packing Nitroprusside, it should be: - CORRECT ANSWER-Protected from light
In dealing with a depressed pt. during the 1st few days post AMI the most appropriate
nursing action would be: - CORRECT ANSWER-Encourage the patient to ventilate
his/her concerns
Mr. Seamore is receiving thrombolytics (TPA) 3 hrs. after an AMI, Which of the following
would most likely require discontinuing the infusion? - CORRECT ANSWER-Change in
mental status
Initial measures for the treatment of angina pectoris do not include which response
below? - CORRECT ANSWER-Morphine & Beta Blockers
The classical ECG change with muscle injury in acute myocardial infarction is: -
CORRECT ANSWER-ST segment elevation
Elevated cardiac iso-enzymes generally do not occur in which response below? -
CORRECT ANSWER-Congestive Heart Failure
The major therapeutic goal in the treatment of cardiogenic shock is to: - CORRECT
ANSWER-Increase cardiac output
You receive orders to start nitroprusside and dobutamine in your patient with end-stage
cardiomyopathy. How will this treatment regimen affect Cardiac Output? - CORRECT
ANSWER-Reduced preload and afterload and improves contractility
The following monitor pattern would indicate that the pulmonary artery (Swan Ganz)
catheter is in which position? - CORRECT ANSWER-Pulmonary artery occlusion
(wedge)
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is
called: - CORRECT ANSWER-Aortic Stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? -
CORRECT ANSWER-High to low
The use of an arterial line may be indicated for all the following except? - CORRECT
ANSWER-For the administration of routine drugs
, After an arterial catheter is removed, direct pressure should be applies to the artery for
how long? - CORRECT ANSWER-5-10 minutes
A CVP reading directly reflects pressure in the: - CORRECT ANSWER-Right Atrium
An elevated CVP reading may indicate: - CORRECT ANSWER-Right heart failure
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: -
CORRECT ANSWER-Left Vetricle
The normal pulmonary artery pressure is: - CORRECT ANSWER-11-20
How many mmHg is the normal PAOP? - CORRECT ANSWER--12
An elevated PAOP may indicate: - CORRECT ANSWER-Left ventricular failure
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? -
CORRECT ANSWER-Diltiazem/Cardizem
A QRS complex wider than 0.12 sec most likely indicates: - CORRECT ANSWER-
Bundle Branch Block (BBB)
Special care should be exercised when administering IV Dopamine because -
CORRECT ANSWER-Infiltration leads to tissue necrosis
A strong ventricular stimulus is potentially dangerous when it lands on the - CORRECT
ANSWER-T Wave
Indication for use of external cardiac pacemaker includes: - CORRECT ANSWER-
Symptomatic complete heart block
Initial drug treatment for sustained V-Tach when a pulse is present - CORRECT
ANSWER-Amiodarone 150mg IV over 10 minutes
The cardiac rhythm of A Flutter is: - CORRECT ANSWER-Hazardous, as the ventricular
rate may suddently increase
Upon recognizing V-Fib in an ICU, the next thing the nurse should do it: - CORRECT
ANSWER-Establish Unresponiveness
The treatment in an emergency situation for complete heart block is: - CORRECT
ANSWER-Preparing for transcutaneous pacing
Precautions in using IV nitroprusside is not included in which response below? -
CORRECT ANSWER-Alertness to the development of an acute hypertensive episode
When packing Nitroprusside, it should be: - CORRECT ANSWER-Protected from light
In dealing with a depressed pt. during the 1st few days post AMI the most appropriate
nursing action would be: - CORRECT ANSWER-Encourage the patient to ventilate
his/her concerns
Mr. Seamore is receiving thrombolytics (TPA) 3 hrs. after an AMI, Which of the following
would most likely require discontinuing the infusion? - CORRECT ANSWER-Change in
mental status
Initial measures for the treatment of angina pectoris do not include which response
below? - CORRECT ANSWER-Morphine & Beta Blockers
The classical ECG change with muscle injury in acute myocardial infarction is: -
CORRECT ANSWER-ST segment elevation
Elevated cardiac iso-enzymes generally do not occur in which response below? -
CORRECT ANSWER-Congestive Heart Failure
The major therapeutic goal in the treatment of cardiogenic shock is to: - CORRECT
ANSWER-Increase cardiac output
You receive orders to start nitroprusside and dobutamine in your patient with end-stage
cardiomyopathy. How will this treatment regimen affect Cardiac Output? - CORRECT
ANSWER-Reduced preload and afterload and improves contractility
The following monitor pattern would indicate that the pulmonary artery (Swan Ganz)
catheter is in which position? - CORRECT ANSWER-Pulmonary artery occlusion
(wedge)
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is
called: - CORRECT ANSWER-Aortic Stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? -
CORRECT ANSWER-High to low
The use of an arterial line may be indicated for all the following except? - CORRECT
ANSWER-For the administration of routine drugs
, After an arterial catheter is removed, direct pressure should be applies to the artery for
how long? - CORRECT ANSWER-5-10 minutes
A CVP reading directly reflects pressure in the: - CORRECT ANSWER-Right Atrium
An elevated CVP reading may indicate: - CORRECT ANSWER-Right heart failure
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: -
CORRECT ANSWER-Left Vetricle
The normal pulmonary artery pressure is: - CORRECT ANSWER-11-20
How many mmHg is the normal PAOP? - CORRECT ANSWER--12
An elevated PAOP may indicate: - CORRECT ANSWER-Left ventricular failure
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? -
CORRECT ANSWER-Diltiazem/Cardizem
A QRS complex wider than 0.12 sec most likely indicates: - CORRECT ANSWER-
Bundle Branch Block (BBB)
Special care should be exercised when administering IV Dopamine because -
CORRECT ANSWER-Infiltration leads to tissue necrosis
A strong ventricular stimulus is potentially dangerous when it lands on the - CORRECT
ANSWER-T Wave
Indication for use of external cardiac pacemaker includes: - CORRECT ANSWER-
Symptomatic complete heart block
Initial drug treatment for sustained V-Tach when a pulse is present - CORRECT
ANSWER-Amiodarone 150mg IV over 10 minutes
The cardiac rhythm of A Flutter is: - CORRECT ANSWER-Hazardous, as the ventricular
rate may suddently increase
Upon recognizing V-Fib in an ICU, the next thing the nurse should do it: - CORRECT
ANSWER-Establish Unresponiveness
The treatment in an emergency situation for complete heart block is: - CORRECT
ANSWER-Preparing for transcutaneous pacing
