BKAT Study Set Exam Questions And
Answers
Normal blood gases; pH
- correct answer ✅7.35-7.45
Normal blood gases: CO2
- correct answer ✅35-45
Normal blood gases: HcO3
- correct answer ✅22-26
Normal blood gases: PO2
- correct answer ✅80 or above
Normal vacuum pressures for suction?
- correct answer ✅120-140 mmHg
What may a high pressure vent alarm indicate?
- correct answer ✅Pt is biting on the tubing, excessive secretions
in the tubing, kinked tubing
,BKAT Study Set Exam Questions And
Answers
What may a low pressure vent alarm indicate?
- correct answer ✅cuff leak or the tubing is disconnected
somewhere
How do you verify positioning of an endotracheal tube?
- correct answer ✅-auscultate lung bases and apices for bilateral
breath sounds
-observe chest for symmetric chest wall movement
-confirm with end tidal CO2 measure
GOLD STANDARD: chest x-ray
t/f: people with ET tubes should be suctioned routinely
- correct answer ✅FALSE-- they should be suctioned on an as
needed basis
what should ET tube cuff pressure be kept at?
- correct answer ✅20-25 mmHg
What measures should nurses take to avoid ET tube problems?
- correct answer ✅-confirm that exit mark on ET tube remains
,BKAT Study Set Exam Questions And
Answers
constant when providing patient care, repositioning, and
transporting patient
-maintain proper cuff inflation (listen for an air leak-- if pt can talk,
you must inflate more)
-continually monitor SpO2, RR, HR and rhythm, mental status, and
ABGs
-pre-oxygenate before suctioning
What should be done if a patient is not tolerating ET tube
suctioning?
- correct answer ✅STOP and manually hyperventilate with 100%
oxygen
Measures to prevent aspiration?
- correct answer ✅-avoid bolus tube feedings
-monitor tube feeding residuals
-maintain HOB at LEAST 30 degrees or greater
-maintain proper ET tube cuff inflation
-perform frequent oral pharyngeal suctioning
-maintain an NG tube connected to low, intermittent suction if
feeding tube is placed below the pylorus
, BKAT Study Set Exam Questions And
Answers
what are recommendations for preventing ventilator associated
pneumonia?
- correct answer ✅-manage ventilated patients without sedatives
whenever possible
-interrupt sedation once a day (spontaneous breathing trials)
-provide early exercise and mobility
-provide regular oral care
-minimize pooling of secretions above the ET tube cuff
-use ET tubes with subglottic secretion drainage for patients likely
to require greater than 72 hours of intubation
-keep HOB elevated 30-45 degress
-change ventilator circuit only if visibly soiled or malfunctioning
What is the biggest complication associated with high cervical
spinal cord injuries?
- correct answer ✅BREATHING-- the diaphragm is innervated by
C3-C5 levels
C4-diaphragm
Answers
Normal blood gases; pH
- correct answer ✅7.35-7.45
Normal blood gases: CO2
- correct answer ✅35-45
Normal blood gases: HcO3
- correct answer ✅22-26
Normal blood gases: PO2
- correct answer ✅80 or above
Normal vacuum pressures for suction?
- correct answer ✅120-140 mmHg
What may a high pressure vent alarm indicate?
- correct answer ✅Pt is biting on the tubing, excessive secretions
in the tubing, kinked tubing
,BKAT Study Set Exam Questions And
Answers
What may a low pressure vent alarm indicate?
- correct answer ✅cuff leak or the tubing is disconnected
somewhere
How do you verify positioning of an endotracheal tube?
- correct answer ✅-auscultate lung bases and apices for bilateral
breath sounds
-observe chest for symmetric chest wall movement
-confirm with end tidal CO2 measure
GOLD STANDARD: chest x-ray
t/f: people with ET tubes should be suctioned routinely
- correct answer ✅FALSE-- they should be suctioned on an as
needed basis
what should ET tube cuff pressure be kept at?
- correct answer ✅20-25 mmHg
What measures should nurses take to avoid ET tube problems?
- correct answer ✅-confirm that exit mark on ET tube remains
,BKAT Study Set Exam Questions And
Answers
constant when providing patient care, repositioning, and
transporting patient
-maintain proper cuff inflation (listen for an air leak-- if pt can talk,
you must inflate more)
-continually monitor SpO2, RR, HR and rhythm, mental status, and
ABGs
-pre-oxygenate before suctioning
What should be done if a patient is not tolerating ET tube
suctioning?
- correct answer ✅STOP and manually hyperventilate with 100%
oxygen
Measures to prevent aspiration?
- correct answer ✅-avoid bolus tube feedings
-monitor tube feeding residuals
-maintain HOB at LEAST 30 degrees or greater
-maintain proper ET tube cuff inflation
-perform frequent oral pharyngeal suctioning
-maintain an NG tube connected to low, intermittent suction if
feeding tube is placed below the pylorus
, BKAT Study Set Exam Questions And
Answers
what are recommendations for preventing ventilator associated
pneumonia?
- correct answer ✅-manage ventilated patients without sedatives
whenever possible
-interrupt sedation once a day (spontaneous breathing trials)
-provide early exercise and mobility
-provide regular oral care
-minimize pooling of secretions above the ET tube cuff
-use ET tubes with subglottic secretion drainage for patients likely
to require greater than 72 hours of intubation
-keep HOB elevated 30-45 degress
-change ventilator circuit only if visibly soiled or malfunctioning
What is the biggest complication associated with high cervical
spinal cord injuries?
- correct answer ✅BREATHING-- the diaphragm is innervated by
C3-C5 levels
C4-diaphragm
