BKAT 9R question with answers
Initial measure for the treatment of angina pectoris does not include which response
below?
1. resting
2. beta blockers
3. oxygen
4. nitroglycerine - -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 - -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 - -Congestive heart failure
-The major therapeutic goal in the treatment of cardiogenic shock is to:
1. Increase the afterload
2. Improve renal perfusion
3. Increase cardiac output
4. Decrease fluid volume - -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 - -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 - -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 - -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
4. Pulmonary artery occlusion (wedge) - -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 - -aortic stenosis
-Which of the following wave patterns indicates proper functioning of an arterial
line? - -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 - -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 - -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 - -Right heart failure
-The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the:
1. aorta
2. left ventricle
3. right atrium
4. vena cava - -left ventricle
-The normal pulmonary artery pressure is:
1. (10-20)/(0-4) mean 5-10
2. (21-30)/(5-15) mean 11-20
3. (31-35)/(16-20) mean 21-30
4. (36-45)/(21-23) mean 31-33 - -11-2
-How many mm Hg is the normal PAOP
Initial measure for the treatment of angina pectoris does not include which response
below?
1. resting
2. beta blockers
3. oxygen
4. nitroglycerine - -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 - -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 - -Congestive heart failure
-The major therapeutic goal in the treatment of cardiogenic shock is to:
1. Increase the afterload
2. Improve renal perfusion
3. Increase cardiac output
4. Decrease fluid volume - -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 - -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 - -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 - -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
4. Pulmonary artery occlusion (wedge) - -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 - -aortic stenosis
-Which of the following wave patterns indicates proper functioning of an arterial
line? - -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 - -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 - -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 - -Right heart failure
-The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the:
1. aorta
2. left ventricle
3. right atrium
4. vena cava - -left ventricle
-The normal pulmonary artery pressure is:
1. (10-20)/(0-4) mean 5-10
2. (21-30)/(5-15) mean 11-20
3. (31-35)/(16-20) mean 21-30
4. (36-45)/(21-23) mean 31-33 - -11-2
-How many mm Hg is the normal PAOP
