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