BKAT 9R ACTUAL EXAMS ANSWERS AND
QUESTIONS SURE A+
✔✔The psychophysiologic stress response from acute illness and being in an ICU can
result in decreased:
1. Heart rate
2. Alertness
3. Systolic blood pressure
4. Urine output - ✔✔Urine output
✔✔Which of the following types of insulin when given sub-q will have a peak action
within 2 to 4 hours?
1. Hummulin Lente
2. NPH
3. Lantus (glargine)
4. Regular - ✔✔Regular
✔✔An unconscious trauma patient who was just admitted to the ICU is a diabetic who
received his usual dose of sub-q NPH insulin at 7 AM. In how many hours after
administration might you expect an insulin reaction to occur?
1. 1-2
2. 3-4
3. 8-14
4. 18-24 - ✔✔8-14
✔✔A dangerous effect of rapidly re-warming a hypothermic patient is:
1. bradycardia
2. vasodilation and hypotension
3. seizure activity
4. sudden rise in blood pressure - ✔✔vasodilation and hypotension
✔✔Mrs.Smith, who is post-operative craniotomy patient has a fasting blood sugar of
100mg, complains of extreme thirst, and has a urine greater than 1,000 ml's over two
hours. You should suspect:
, 1. Increasing intracranial pressure
2. Overproduction of ADH
3. Acute adrenal insufficiency
4. Diabetes insipidus - ✔✔Diabetes Insipidus
✔✔Mrs. Reece, a 64 yo woman with acute renal failure and oliguria, was admitted with
congestive heart failure. Which of the following tests is abnormal?
1. BUN of 18 mg/dl
2. Urine specific gravity of 1.026
3. Creatinine of 1.0 mg/dl
4. Potassium of 5.8 mEq/L - ✔✔Potassium 5.8 mEq/L
✔✔A patient is admitted with a probable diagnosis of acute renal failure. The normal
ml's of urine output for this 150 pound person per hour is:
1. 75
2. 100
3. 30
4. 10 - ✔✔30
✔✔Practices to decrease catheter associated urinary tract infections does not include
which response below?
1. Having a protocol for limiting urinary catheter use
2. Use of a reminder system for removal of urinary catheters
3. Discontinuing enteral tube feeding if diarrhea occurs
4. Providing perineal care during each nursing shift - ✔✔Discontinuing enteral tube
feeding if diarrhea occurs
✔✔Your patient has acute renal failure. Medications that are normally excreted through
the kidneys will probably be:
1. Decreased in dosage
2. Administered as usual
3. Discontinued
4. Increased in frequency - ✔✔Decrease dosage
✔✔Enteral feeding in acute renal failure commonly includes:
1. High protein, low potassium, low sodium
2. Restricted protein, high potassium, low sodium
3. No protein, high potassium, high sodium
4. Restricted protein, low potassium, low sodium - ✔✔Restricted protein, low potassium,
low sodium
✔✔Sudden development of dyspnea and sinus tachycardia in an acute renal failure
patient would most likely indicate which of the following?
1. Hyperkalemia
2. Pulmonary embolism
QUESTIONS SURE A+
✔✔The psychophysiologic stress response from acute illness and being in an ICU can
result in decreased:
1. Heart rate
2. Alertness
3. Systolic blood pressure
4. Urine output - ✔✔Urine output
✔✔Which of the following types of insulin when given sub-q will have a peak action
within 2 to 4 hours?
1. Hummulin Lente
2. NPH
3. Lantus (glargine)
4. Regular - ✔✔Regular
✔✔An unconscious trauma patient who was just admitted to the ICU is a diabetic who
received his usual dose of sub-q NPH insulin at 7 AM. In how many hours after
administration might you expect an insulin reaction to occur?
1. 1-2
2. 3-4
3. 8-14
4. 18-24 - ✔✔8-14
✔✔A dangerous effect of rapidly re-warming a hypothermic patient is:
1. bradycardia
2. vasodilation and hypotension
3. seizure activity
4. sudden rise in blood pressure - ✔✔vasodilation and hypotension
✔✔Mrs.Smith, who is post-operative craniotomy patient has a fasting blood sugar of
100mg, complains of extreme thirst, and has a urine greater than 1,000 ml's over two
hours. You should suspect:
, 1. Increasing intracranial pressure
2. Overproduction of ADH
3. Acute adrenal insufficiency
4. Diabetes insipidus - ✔✔Diabetes Insipidus
✔✔Mrs. Reece, a 64 yo woman with acute renal failure and oliguria, was admitted with
congestive heart failure. Which of the following tests is abnormal?
1. BUN of 18 mg/dl
2. Urine specific gravity of 1.026
3. Creatinine of 1.0 mg/dl
4. Potassium of 5.8 mEq/L - ✔✔Potassium 5.8 mEq/L
✔✔A patient is admitted with a probable diagnosis of acute renal failure. The normal
ml's of urine output for this 150 pound person per hour is:
1. 75
2. 100
3. 30
4. 10 - ✔✔30
✔✔Practices to decrease catheter associated urinary tract infections does not include
which response below?
1. Having a protocol for limiting urinary catheter use
2. Use of a reminder system for removal of urinary catheters
3. Discontinuing enteral tube feeding if diarrhea occurs
4. Providing perineal care during each nursing shift - ✔✔Discontinuing enteral tube
feeding if diarrhea occurs
✔✔Your patient has acute renal failure. Medications that are normally excreted through
the kidneys will probably be:
1. Decreased in dosage
2. Administered as usual
3. Discontinued
4. Increased in frequency - ✔✔Decrease dosage
✔✔Enteral feeding in acute renal failure commonly includes:
1. High protein, low potassium, low sodium
2. Restricted protein, high potassium, low sodium
3. No protein, high potassium, high sodium
4. Restricted protein, low potassium, low sodium - ✔✔Restricted protein, low potassium,
low sodium
✔✔Sudden development of dyspnea and sinus tachycardia in an acute renal failure
patient would most likely indicate which of the following?
1. Hyperkalemia
2. Pulmonary embolism
