BKAT 9R COMPREHENSIVE EXAM STUDY
GUIDE WITH COMPLETE SOLUTIONS
●● 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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)
Answer: 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
GUIDE WITH COMPLETE SOLUTIONS
●● 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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)
Answer: 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
