BKAT 9R Questions & Answers
Beta Blockers - ANSWERInitial measures for the treatment of angina pectoris do not
include which response below?
AnswerST segment elevation - ANSWERThe classical ECG change with muscle injury
in acute myocardial infarction is:
AnswerCHF - ANSWERElevated cardiac iso-enzymes generally do not occur in which
response below?
AnswerIncreased CO - ANSWERThe major therapeutic goal in the treatment of
cariogenic shock is to:
AnswerReduces preload and after load and improves contractility - ANSWERYou
receive orders to start nitroprusside and dobutamine in your patient with end-stage
cardiomyopathy. How will this tx regimen affect CO?
AnswerEncourage the patient to ventilate his/her concerns - ANSWERIn dealing with a
depressed pt during the first days post AMI the most appropriate nursing action would
be:
Answerchange in mental status - ANSWERMr Seamore is receiving thrombolytics
(TPA) 3 hrs after an AMI. Which of the following would most likely require discontinuing
the infusion?
AnswerPulmonary artery occlusion (wedge) - ANSWERThe following monitor pattern
would indicate that the pulmonary artery (swan ganz) catheter is in which position?
AnswerAortic stenosis - ANSWERA systolic murmur that is auscultated at the 2nd
intercostal space, right sternal border is called:
AnswerHigh to low - ANSWERWhich of the following wave patterns indicates proper
functioning of an arterial line?
Answer8-10 minutes - ANSWERAfter an arterial catheter is removed, direct pressure
should be applied to the artery for how long?
AnswerRight atrium - ANSWERA CVP reading directly reflects pressure in the:
AnswerRt heart failure - ANSWERAn elevated CVP reading may indicate:
AnswerLt ventricle - ANSWERThe pulmonary artery occlusive (wedge) pressure
(PAOP) reflects pressure in the:
, Answer11-20 - ANSWERThe normal pulmonary artery pressure is:
Answer6-12 - ANSWERHow many mmHg is the normal PAOP?
AnswerLt ventricular failure - ANSWERAn elevated PAOP may indicate:
AnswerDiltiazem - ANSWERMr Adams, a 68 yo 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?
AnswerBBB - ANSWERA QRS complex wider that .12 sec most likely indicates:
AnswerInfiltration leads to tissue necrosis - ANSWERSpecial care should be exercised
when administering IV Dopamine because
AnswerT wave - ANSWERA strong ventricular stimulus is potentially dangerous when it
lands on the:
Answersymptomatic complete heart block - ANSWERindication for use of external
cardiac pacemaker includes
AnswerAmiodorone 150mg IV over 10 min - ANSWERInitial drug tx for sustained V
tach when a pulse is present
AnswerHazardous, as the ventricular rate may suddenly increase - ANSWERThe
cardiac rhythm of A flutter is:
AnswerEstablish Unresponsiveness - ANSWERUpon recognizing V fib in an ICU, the
next thing the nurse should do is:
AnswerPreparing for transcutaneous pacing - ANSWERThe tx in an emergency
situation for complete heart block is:
AnswerAmiodarone, Cardizem, Cardioversion - ANSWERYour pt has A flutter with a
ventricular response of 150 bpm, therapy for this rhythm includes:
AnswerBradycardia - ANSWERSigns of cardiac tamponade do not include which
response below?
Answer150 - ANSWERIn the pt with V fib, the correct energy setting for the first
defibrillation when using a biphasic defibrillator is how many joules?
AnswerEpinephrine - ANSWERA pt becomes apnea and pulseless. The monitor shows
systole. The drug that would most likely be used initially is:
Beta Blockers - ANSWERInitial measures for the treatment of angina pectoris do not
include which response below?
AnswerST segment elevation - ANSWERThe classical ECG change with muscle injury
in acute myocardial infarction is:
AnswerCHF - ANSWERElevated cardiac iso-enzymes generally do not occur in which
response below?
AnswerIncreased CO - ANSWERThe major therapeutic goal in the treatment of
cariogenic shock is to:
AnswerReduces preload and after load and improves contractility - ANSWERYou
receive orders to start nitroprusside and dobutamine in your patient with end-stage
cardiomyopathy. How will this tx regimen affect CO?
AnswerEncourage the patient to ventilate his/her concerns - ANSWERIn dealing with a
depressed pt during the first days post AMI the most appropriate nursing action would
be:
Answerchange in mental status - ANSWERMr Seamore is receiving thrombolytics
(TPA) 3 hrs after an AMI. Which of the following would most likely require discontinuing
the infusion?
AnswerPulmonary artery occlusion (wedge) - ANSWERThe following monitor pattern
would indicate that the pulmonary artery (swan ganz) catheter is in which position?
AnswerAortic stenosis - ANSWERA systolic murmur that is auscultated at the 2nd
intercostal space, right sternal border is called:
AnswerHigh to low - ANSWERWhich of the following wave patterns indicates proper
functioning of an arterial line?
Answer8-10 minutes - ANSWERAfter an arterial catheter is removed, direct pressure
should be applied to the artery for how long?
AnswerRight atrium - ANSWERA CVP reading directly reflects pressure in the:
AnswerRt heart failure - ANSWERAn elevated CVP reading may indicate:
AnswerLt ventricle - ANSWERThe pulmonary artery occlusive (wedge) pressure
(PAOP) reflects pressure in the:
, Answer11-20 - ANSWERThe normal pulmonary artery pressure is:
Answer6-12 - ANSWERHow many mmHg is the normal PAOP?
AnswerLt ventricular failure - ANSWERAn elevated PAOP may indicate:
AnswerDiltiazem - ANSWERMr Adams, a 68 yo 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?
AnswerBBB - ANSWERA QRS complex wider that .12 sec most likely indicates:
AnswerInfiltration leads to tissue necrosis - ANSWERSpecial care should be exercised
when administering IV Dopamine because
AnswerT wave - ANSWERA strong ventricular stimulus is potentially dangerous when it
lands on the:
Answersymptomatic complete heart block - ANSWERindication for use of external
cardiac pacemaker includes
AnswerAmiodorone 150mg IV over 10 min - ANSWERInitial drug tx for sustained V
tach when a pulse is present
AnswerHazardous, as the ventricular rate may suddenly increase - ANSWERThe
cardiac rhythm of A flutter is:
AnswerEstablish Unresponsiveness - ANSWERUpon recognizing V fib in an ICU, the
next thing the nurse should do is:
AnswerPreparing for transcutaneous pacing - ANSWERThe tx in an emergency
situation for complete heart block is:
AnswerAmiodarone, Cardizem, Cardioversion - ANSWERYour pt has A flutter with a
ventricular response of 150 bpm, therapy for this rhythm includes:
AnswerBradycardia - ANSWERSigns of cardiac tamponade do not include which
response below?
Answer150 - ANSWERIn the pt with V fib, the correct energy setting for the first
defibrillation when using a biphasic defibrillator is how many joules?
AnswerEpinephrine - ANSWERA pt becomes apnea and pulseless. The monitor shows
systole. The drug that would most likely be used initially is:
