BKAT 9R 2024-2025 UPDATE ACTUAL EXAM ALL QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS/GRANDED A+)
Initial measure for the treatment of angina pectoris does not include which response below?
1. resting
2. beta blockers
3. oxygen
4. nitroglycerine - 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 - 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 - ANSWER - Congestive heart failure
The major therapeutic goal in the treatment of cardiogenic shock is to:
1. Increase the afterload
2. Improve renal perfusion
pg. 1
,3. Increase cardiac output
4. Decrease fluid volume - 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 - 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 - ANSWER - Encourage the patient to ventilate his/her
concerns
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 - 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
pg. 2
, 4. Pulmonary artery occlusion (wedge) - 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 - ANSWER - aortic stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? - 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 - 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 - ANSWER - Right atrium
An elevated CVP reading may indicate:
1. Right heart failure
2. A fall in blood pressure
3. Acute dehydration
4. Onset of left ventricle failure - ANSWER - Right heart failure
pg. 3
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS/GRANDED A+)
Initial measure for the treatment of angina pectoris does not include which response below?
1. resting
2. beta blockers
3. oxygen
4. nitroglycerine - 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 - 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 - ANSWER - Congestive heart failure
The major therapeutic goal in the treatment of cardiogenic shock is to:
1. Increase the afterload
2. Improve renal perfusion
pg. 1
,3. Increase cardiac output
4. Decrease fluid volume - 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 - 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 - ANSWER - Encourage the patient to ventilate his/her
concerns
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 - 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
pg. 2
, 4. Pulmonary artery occlusion (wedge) - 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 - ANSWER - aortic stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? - 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 - 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 - ANSWER - Right atrium
An elevated CVP reading may indicate:
1. Right heart failure
2. A fall in blood pressure
3. Acute dehydration
4. Onset of left ventricle failure - ANSWER - Right heart failure
pg. 3
