BKAT 9R EXAM 2025-2026 ACTUAL
EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS
Your ||post-operative ||patient ||has ||a ||left ||anterior ||chest ||tube. ||When ||you ||auscultate ||the ||lung
||fields ||bilaterally, ||you ||hear ||diminished ||breath ||sounds ||in ||the ||right ||posterior ||base. ||This ||would
||most ||likely ||be ||due ||to:
1. pleuritis
2. consolidation
3. the ||chest ||tube
4. atelectasis ||- ||ANSWER-atelectasis
Your ||patient ||is ||on ||a ||ventilator. ||The ||low ||volume ||alarm ||sounds. ||This ||may ||be ||due ||to:
1. pulmonary ||edema
2. increasing ||secretions
3. a ||disconnected ||tube
4. biting ||the ||tube ||- ||ANSWER-a ||disconnected ||tube
To ||assess ||proper ||positioning ||of ||an ||endotracheal ||tube, ||the ||most ||appropriate ||nursing ||action ||would
||be ||to:
1. check ||for ||a ||change ||in ||the ||respiratory ||rate
2. listen ||for ||bilateral ||breath ||sounds
3. check ||for ||chest ||expansion
4. listen ||for ||minimal ||leak ||of ||the ||cuff ||- ||ANSWER-Listen ||for ||bilateral ||breath ||sounds
Mr. ||Ray ||has ||an ||endotracheal ||tube. ||While ||you ||are ||making ||rounds, ||you ||ask ||if ||his ||breathing ||is
||okay. ||In ||an ||audible ||tone, ||he ||says ||"yes". ||You ||should ||first:
1. raise ||the ||head ||of ||the ||bed
2. ask ||the ||patient ||to ||cough
3. notify ||the ||physician
,4. check ||the ||functioning ||of ||the ||cuff ||- ||ANSWER-check ||the ||functioning ||of ||the ||cuff
The ||high ||pressure ||alarm ||on ||a ||volume ||respirator ||will ||not ||be ||triggered ||by ||which ||response ||below?
1. biting ||on ||the ||tube
2. pulmonary ||edema
3. leaking ||cuff
4. decreased ||lung ||compliance ||- ||ANSWER-leaking ||cuff
The ||most ||important ||reason ||for ||diminishing ||breath ||sounds ||in ||a ||motor ||vehicle ||crash ||victim ||with
||closed ||chest ||trauma ||is:
1. chest ||pain ||when ||breathing ||normally
2. a ||pulmonary ||bleed
3. development ||of ||a ||pneumothorax
4. cervical ||spinal-cord ||injury ||- ||ANSWER-Development ||of ||a ||pneumothorax
A ||moderately ||burned ||trauma ||patient ||is ||admitted ||to ||your ||unit. ||The ||most ||important ||treatment
||related ||to ||the ||burns ||during ||the ||first ||24 ||hours ||after ||injury ||is:
1. fluid ||replacement
2. accurate ||administration ||of ||antibiotics
3. pain ||relief ||measures
4. early ||wound ||cultures ||- ||ANSWER-fluid ||replacement
Your ||trauma ||patient, ||who ||is ||4 ||days ||post ||fracture ||of ||the ||right ||femur, ||suddenly ||develops
||shortness ||of ||breath. ||The ||most ||likely ||cause ||is:
1. Fat ||embolus
2. Pneumonia
3. Pleural ||effusion
4. Pulmonary ||edema ||- ||ANSWER-Fat ||embolism
To ||help ||prevent ||ventilator ||acquired ||pneumonia ||(VAP), ||the ||most ||important ||nursing ||action ||would
||be ||to:
, 1. keeping ||FIO2 ||at ||60%
2. changing ||the ||ventilator ||tubing ||qshift
3. careful ||hand-washing ||and ||use ||of ||gloves ||when ||suctioning
4. treat ||low ||peak-inspiratory ||pressures ||- ||ANSWER-Careful ||hand-washing ||and ||use ||of
||gloves ||when ||suctioning
The ||most ||important ||nursing ||activity ||for ||a ||patient ||admitted ||with ||the ||diagnosis ||of ||cervical ||spinal
||cord ||injury ||is:
1. keeping ||the ||patient ||flat
2. immobilizing ||the ||head
3. noting ||change ||in ||feeling ||extremities
4. doing ||hourly ||neuro ||checks ||- ||ANSWER-Immobilizing ||the ||head
In ||a ||patient ||with ||cervical ||spine ||injury, ||the ||most ||important ||observations ||the ||nurse ||makes
||concerns ||which ||of ||the ||following ||physiological ||parameters?
1. heart ||rate
2. respirations
3. urinary ||output
4. pupillary ||response ||to ||light ||- ||ANSWER-respirations
The ||earliest ||sign ||of ||increased ||intracranial ||pressure ||generally ||involves ||changes ||in:
1. response ||to ||pain
2. level ||of ||consciousness
3. equality ||of ||pupillary ||reactions
4. respiratory ||rate ||- ||ANSWER-level ||of ||consciousness
53. Deepening ||intracranial ||pressure ||is ||characterized ||by:
1. tachycardia
2. pinpoint ||pupils
3. widened ||pulse ||pressure
EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS
Your ||post-operative ||patient ||has ||a ||left ||anterior ||chest ||tube. ||When ||you ||auscultate ||the ||lung
||fields ||bilaterally, ||you ||hear ||diminished ||breath ||sounds ||in ||the ||right ||posterior ||base. ||This ||would
||most ||likely ||be ||due ||to:
1. pleuritis
2. consolidation
3. the ||chest ||tube
4. atelectasis ||- ||ANSWER-atelectasis
Your ||patient ||is ||on ||a ||ventilator. ||The ||low ||volume ||alarm ||sounds. ||This ||may ||be ||due ||to:
1. pulmonary ||edema
2. increasing ||secretions
3. a ||disconnected ||tube
4. biting ||the ||tube ||- ||ANSWER-a ||disconnected ||tube
To ||assess ||proper ||positioning ||of ||an ||endotracheal ||tube, ||the ||most ||appropriate ||nursing ||action ||would
||be ||to:
1. check ||for ||a ||change ||in ||the ||respiratory ||rate
2. listen ||for ||bilateral ||breath ||sounds
3. check ||for ||chest ||expansion
4. listen ||for ||minimal ||leak ||of ||the ||cuff ||- ||ANSWER-Listen ||for ||bilateral ||breath ||sounds
Mr. ||Ray ||has ||an ||endotracheal ||tube. ||While ||you ||are ||making ||rounds, ||you ||ask ||if ||his ||breathing ||is
||okay. ||In ||an ||audible ||tone, ||he ||says ||"yes". ||You ||should ||first:
1. raise ||the ||head ||of ||the ||bed
2. ask ||the ||patient ||to ||cough
3. notify ||the ||physician
,4. check ||the ||functioning ||of ||the ||cuff ||- ||ANSWER-check ||the ||functioning ||of ||the ||cuff
The ||high ||pressure ||alarm ||on ||a ||volume ||respirator ||will ||not ||be ||triggered ||by ||which ||response ||below?
1. biting ||on ||the ||tube
2. pulmonary ||edema
3. leaking ||cuff
4. decreased ||lung ||compliance ||- ||ANSWER-leaking ||cuff
The ||most ||important ||reason ||for ||diminishing ||breath ||sounds ||in ||a ||motor ||vehicle ||crash ||victim ||with
||closed ||chest ||trauma ||is:
1. chest ||pain ||when ||breathing ||normally
2. a ||pulmonary ||bleed
3. development ||of ||a ||pneumothorax
4. cervical ||spinal-cord ||injury ||- ||ANSWER-Development ||of ||a ||pneumothorax
A ||moderately ||burned ||trauma ||patient ||is ||admitted ||to ||your ||unit. ||The ||most ||important ||treatment
||related ||to ||the ||burns ||during ||the ||first ||24 ||hours ||after ||injury ||is:
1. fluid ||replacement
2. accurate ||administration ||of ||antibiotics
3. pain ||relief ||measures
4. early ||wound ||cultures ||- ||ANSWER-fluid ||replacement
Your ||trauma ||patient, ||who ||is ||4 ||days ||post ||fracture ||of ||the ||right ||femur, ||suddenly ||develops
||shortness ||of ||breath. ||The ||most ||likely ||cause ||is:
1. Fat ||embolus
2. Pneumonia
3. Pleural ||effusion
4. Pulmonary ||edema ||- ||ANSWER-Fat ||embolism
To ||help ||prevent ||ventilator ||acquired ||pneumonia ||(VAP), ||the ||most ||important ||nursing ||action ||would
||be ||to:
, 1. keeping ||FIO2 ||at ||60%
2. changing ||the ||ventilator ||tubing ||qshift
3. careful ||hand-washing ||and ||use ||of ||gloves ||when ||suctioning
4. treat ||low ||peak-inspiratory ||pressures ||- ||ANSWER-Careful ||hand-washing ||and ||use ||of
||gloves ||when ||suctioning
The ||most ||important ||nursing ||activity ||for ||a ||patient ||admitted ||with ||the ||diagnosis ||of ||cervical ||spinal
||cord ||injury ||is:
1. keeping ||the ||patient ||flat
2. immobilizing ||the ||head
3. noting ||change ||in ||feeling ||extremities
4. doing ||hourly ||neuro ||checks ||- ||ANSWER-Immobilizing ||the ||head
In ||a ||patient ||with ||cervical ||spine ||injury, ||the ||most ||important ||observations ||the ||nurse ||makes
||concerns ||which ||of ||the ||following ||physiological ||parameters?
1. heart ||rate
2. respirations
3. urinary ||output
4. pupillary ||response ||to ||light ||- ||ANSWER-respirations
The ||earliest ||sign ||of ||increased ||intracranial ||pressure ||generally ||involves ||changes ||in:
1. response ||to ||pain
2. level ||of ||consciousness
3. equality ||of ||pupillary ||reactions
4. respiratory ||rate ||- ||ANSWER-level ||of ||consciousness
53. Deepening ||intracranial ||pressure ||is ||characterized ||by:
1. tachycardia
2. pinpoint ||pupils
3. widened ||pulse ||pressure
