Questions and Correct Answers 2025-2026
ICU BKAT
What rhythm is dangerous as the ventricular rate can suddenly increase? - ANSWERS- aflutter
Major therapeutic goal of cardiogenic shock? - ANSWERS-Increased cardiac output
Elevated cardiac iso-enzyme occur when - ANSWERS-closed chest injury, pericarditis, cardiac
surgery, MI
ECG change with muscle injury in an acute MI - ANSWERS-STEMI
Systolic murmur that is auscultated 2nd intercostal space, right sternal border is called - ANSWERS-
aortic stenosis
what is the importance of synchronizing during cardioversion? - ANSWERS-to prevent aflutter with
RVR and R on T wave
List some signs of cardiac tamponade - ANSWERS-Decreased systolic blood pressure, JVD, pulsus
paradoxus
Initial measures for the treatment of angina pectoris are: - ANSWERS-MONA (morphine, oxygen,
nitroglycerin, aspirin
QRS complex wider than 0.12 seconds most likely indicates - ANSWERS-Bundle branch block
Upon recognizing ventricular fibrillation, the nurse's first priority is - ANSWERS- responsiveness
treatment of symptomatic complete heart block in an emergency - ANSWERS- transcutaneous pacing
What is the treatment for a patient in aflutter RVR - ANSWERS-cardioversion and amiodarone
(cardizem)
using a biphasic defibrillator, how many joules do you use on the first debrillation? - ANSWERS-120-
200 joules
,excessive amount of chest tube drainage during the first hours following thoracic surgery? -
ANSWERS-150cc
EKG changes in hyperkalemia - ANSWERS-QRS wide, tall peak T wave
how long should you apply pressure over an arterial - ANSWERS-8-10 minute
central venous pressure directly reflects pressure in the - ANSWERS-right atrium
pulmonary artery occlusion [wedge] pressure (PAOP) reflects pressure in the - ANSWERS-L ventricle
elevated CVP may indicate - ANSWERS-Left ventricle failure
most important nursing step in preventing CLABSI - ANSWERS-handwashing
low volume alarms in the ventilator are caused by - ANSWERS-leak, disconnection, cuff leak,
esophageal intubated
high volume alarms on the ventilator are caused by - ANSWERS-ETT obstruction, pulmonary edema
tidal volume, decreased lung compliance
most appropriate nursing action for proper positioning of the ET tube - ANSWERS- auscultate
bilaterally
normal ABG ranges (pH, PaCo2, HCO3, pO2) - ANSWERS-pH: 7.35-7.45, PaCo2: 35- 45, HCO3: 22-26,
pO2: 80-100
how many mm Hg does it take to suction a patient - ANSWERS-120 mmHg
patient with a R anterior chest; you hear diminished breath sounds on the left posterior base. What
could be the cause? - ANSWERS-atelectasis
a patient that has an ET tube verbalizes "yes", what would be an appropriate nursing action? -
ANSWERS-check the cuff
,most likely cause for diminished breath sounds in a patient with closed chest injury - ANSWERS-
pneumothorax
most important nursing action to prevent VAP - ANSWERS-handwashing
deepening of intracranial pressure is characterized by - ANSWERS-widened pulse pressure
, most important nursing activity for a patient with cervical spine injury - ANSWERS- immobilize head
what is the most important nursing observation for a patient with a cervical spinal injury -
ANSWERS-respirations
earliest sign of increased ICP - ANSWERS-change in LOC
positive Babinski response in an adult indicates - ANSWERS-abnormal response
most important part of a neuro check - ANSWERS-LOC
S&S of DKA - ANSWERS-fruity breath, Kussmul breath, mentation status, dehydrate, thirsty
S&S of hypoglycemia - ANSWERS-weakness, headache, dizziness, diaphoresis
treatment for DKA - ANSWERS-insulin drip, potassium replacement, IV fluid
patients with DM require more/less insulin when acutely ill - ANSWERS-More
which insulin when given sub-q will have a peak action in 2-4 hours? - ANSWERS- regular
in how many hours would expect NPH to have an insulin reaction - ANSWERS-8-14 hours
s/s of diabetes insipidus - ANSWERS-extreme thirst, increased sodium, change in mentation status,
polyuria, decreased urine osmolity
minimal urine output per hour - ANSWERS-30cc
what would you do with medications excreted through the kidneys during AKI - ANSWERS-decrease
the dose
diet restrictions for renal failure patient - ANSWERS-decrease potassium, protein, and fluids
psychophysiological stress response from acute illness can result in decreased - ANSWERS-urine