BKAT 9R COMPREHENSIVE ALL ANSWERS AND
QUESTIONS SURE A+
✔✔high volume alarms on the ventilator are caused by - ✔✔ETT obstruction, pulmonary
edema tidal volume, decreased lung compliance
✔✔most appropriate nursing action for proper positioning of the ET tube - ✔✔auscultate
bilaterally
✔✔normal ABG ranges (pH, PaCo2, HCO3, pO2) - ✔✔pH: 7.35-7.45, PaCo2: 35-45,
HCO3: 22-26, pO2: 80-100
✔✔how many mm Hg does it take to suction a patient - ✔✔120 mmHg
✔✔patient with a R anterior chest; you hear diminished breath sounds on the left
posterior base. What could be the cause? - ✔✔atelectasis
✔✔a patient that has an ET tube verbalizes "yes", what would be an appropriate
nursing action? - ✔✔check the cuff
✔✔most likely cause for diminished breath sounds in a patient with closed chest injury -
✔✔pneumothorax
✔✔most important nursing action to prevent VAP - ✔✔handwashing
✔✔deepening of intracranial pressure is characterized by - ✔✔widened pulse pressure
✔✔most important nursing activity for a patient with cervical spine injury - ✔✔immobilize
head
✔✔what is the most important nursing observation for a patient with a cervical spinal
injury - ✔✔respirations
, ✔✔earliest sign of increased ICP - ✔✔change in LOC
✔✔positive babinski response in an adult indicates - ✔✔abnormla response
✔✔most important part of a neuro check - ✔✔LOC
✔✔S&S of DKA - ✔✔fruity breath, Kussmul breath, mentation status, dehydrate, thirsty
✔✔S&S of hypoglycemia - ✔✔weakness, headache, dizziness, diaphoresis
✔✔treatment for DKA - ✔✔insulin drip, potassium replacement, IV fluid
✔✔patients with DM require more/less insulin when acutely ill - ✔✔More
✔✔which insulin when given sub-q will have a peak action in 2-4 hours? - ✔✔regular
✔✔in how many hours would expect NPH to have an insulin reaction - ✔✔8-14 hours
✔✔s/s of diabetes insipidus - ✔✔extreme thirst, increased sodium, change in mentation
status, polyuria, decreased urine osmolity
✔✔minimal urine output per hour - ✔✔30cc
✔✔what would you do with medications excreted through the kidneys during AKI -
✔✔decrease the dose
✔✔diet restrictions for renal failure patient - ✔✔decrease potassium, protein, and fluids
✔✔psychophysiological stress response from acute illness can result in decreased -
✔✔urine output
✔✔in an acute renal failure patient, they become short of breath of tachycardia. what do
you their problem is - ✔✔fluid overload
✔✔a patient has continuous enteral tube feeding, what is the most important nursing
intervention to prevent aspiration - ✔✔keep HOB above 30 degree
✔✔what is the best standard for checking safe placement of an NG tube - ✔✔Xray
✔✔if you suspect your patient is having a blood transfusion reaction, what is the first
thing you should do - ✔✔stop it, check VS, and run NS
QUESTIONS SURE A+
✔✔high volume alarms on the ventilator are caused by - ✔✔ETT obstruction, pulmonary
edema tidal volume, decreased lung compliance
✔✔most appropriate nursing action for proper positioning of the ET tube - ✔✔auscultate
bilaterally
✔✔normal ABG ranges (pH, PaCo2, HCO3, pO2) - ✔✔pH: 7.35-7.45, PaCo2: 35-45,
HCO3: 22-26, pO2: 80-100
✔✔how many mm Hg does it take to suction a patient - ✔✔120 mmHg
✔✔patient with a R anterior chest; you hear diminished breath sounds on the left
posterior base. What could be the cause? - ✔✔atelectasis
✔✔a patient that has an ET tube verbalizes "yes", what would be an appropriate
nursing action? - ✔✔check the cuff
✔✔most likely cause for diminished breath sounds in a patient with closed chest injury -
✔✔pneumothorax
✔✔most important nursing action to prevent VAP - ✔✔handwashing
✔✔deepening of intracranial pressure is characterized by - ✔✔widened pulse pressure
✔✔most important nursing activity for a patient with cervical spine injury - ✔✔immobilize
head
✔✔what is the most important nursing observation for a patient with a cervical spinal
injury - ✔✔respirations
, ✔✔earliest sign of increased ICP - ✔✔change in LOC
✔✔positive babinski response in an adult indicates - ✔✔abnormla response
✔✔most important part of a neuro check - ✔✔LOC
✔✔S&S of DKA - ✔✔fruity breath, Kussmul breath, mentation status, dehydrate, thirsty
✔✔S&S of hypoglycemia - ✔✔weakness, headache, dizziness, diaphoresis
✔✔treatment for DKA - ✔✔insulin drip, potassium replacement, IV fluid
✔✔patients with DM require more/less insulin when acutely ill - ✔✔More
✔✔which insulin when given sub-q will have a peak action in 2-4 hours? - ✔✔regular
✔✔in how many hours would expect NPH to have an insulin reaction - ✔✔8-14 hours
✔✔s/s of diabetes insipidus - ✔✔extreme thirst, increased sodium, change in mentation
status, polyuria, decreased urine osmolity
✔✔minimal urine output per hour - ✔✔30cc
✔✔what would you do with medications excreted through the kidneys during AKI -
✔✔decrease the dose
✔✔diet restrictions for renal failure patient - ✔✔decrease potassium, protein, and fluids
✔✔psychophysiological stress response from acute illness can result in decreased -
✔✔urine output
✔✔in an acute renal failure patient, they become short of breath of tachycardia. what do
you their problem is - ✔✔fluid overload
✔✔a patient has continuous enteral tube feeding, what is the most important nursing
intervention to prevent aspiration - ✔✔keep HOB above 30 degree
✔✔what is the best standard for checking safe placement of an NG tube - ✔✔Xray
✔✔if you suspect your patient is having a blood transfusion reaction, what is the first
thing you should do - ✔✔stop it, check VS, and run NS
