BKAT MED-SURG 2024-2025 EXAM|| ACTUAL
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Post op pt. has a left anterior chest tube. When you auscultate the lung fields
bilaterally, you hear diminished breath sounds in the right posterior bases. this
would most likely be due to: - ANSWER> Atelectasis
Your pt. is on a ventilator. The low volume alarm sounds. This may be due to: -
ANSWER> Disconnected tubing
To assess for proper positioning of an endotracheal tube, the most appropriate
nursing action would be to" - ANSWER> Listen for bilateral breath sounds
Mr. Ray has an endotracheal tube. While you are making rounds, you ask his
breathing is okay. In an audible ton, he sys "yes". You should first: - ANSWER>
Check the functioning of the cuff
The high-pressure alarm on a volume respirator will not be triggered by which
response below? - ANSWER> Leaking cuff
The most important reason for diminishing breath sounds in an MVC victim with
closed chest trauma is: - ANSWER> Development of a pneumothorax
A moderately burned trauma pt. is admitted to your unit. The most important
treatment related to the burns during the first 24 hours after injury is: - ANSWER>
Fluid Replacement
, P a g e |2
Your trauma pt., who is 4 days post fracture of the right femur, suddenly develops
SOB. The most likely cause is: - ANSWER> Fat Embolus
To help prevent VAP, the most important to nursing action would be: -
ANSWER> Careful hand washing and use of gloves when suctioning
The most important nursing activity for a pt. admitted with the diagnosis of
cervical spinal cord injury is: - ANSWER> Immobilizing the head
Initial measures for the treatment of angina pectoris do not include which response
below? - ANSWER> Morphine & Beta Blockers
The classical ECG change with muscle injury in acute myocardial infarction is: -
ANSWER> ST segment elevation
Elevated cardiac iso-enzymes generally do not occur in which response below? -
ANSWER> Congestive Heart Failure
The major therapeutic goal in the treatment of cardiogenic shock is to: -
ANSWER> 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? -
ANSWER> Reduced preload and afterload and improves contractility
Precautions in using IV nitroprusside is not included in which response below? -
ANSWER> Alertness to the development of an acute hypertensive episode