Download Critical Care Cardiology Exam Questions and Answers: A Comprehensive Review and more Exams Nursing in PDF only on Docsity!
Initial Measures For TX of Angina - ✔✔Morphine, oxygen, nitrogen, aspirin Pt. Is depressed in the first few days after having an MI, most appropriate nursing action is: - ✔✔Encourage the Pt. to ventilate feelings and concerns Pt. Is a couple days post MI and is getting out of bed for the first time and his HR increases from 80's to 90's. The nurse should do what? - ✔✔Check his VS Major therapeutic goal in the Tx of cardiogenic shock is? - ✔✔Increase the cardiac output Elevated cardiac enzymes occur in all of the following EXCEPT: - ✔✔CHF *will occur in trauma, CABG, and pericarditis What is the classic EKG change in a MI: - ✔✔ST segment elevation After an arterial catheter is removed direst pressure should be applied for how long? - ✔✔ 5 - 10 minutes A CVP reading directly measures pressure where? - ✔✔Right Atrium You can use an arterial line for all the following except: - ✔✔Administration of drugs Causes of ST elevation include: - ✔✔MI, pericarditis, left bundle branch block, left ventricular hypertrophy, hyperkalemia Causes of ST depression Include: - ✔✔Hypothermia, hypokalemia, tachycardia
Critical Care BKAT Actual Exam Questions |
100% Correct Answers | Verified 2025 Version
What is the normal pulmonary capillary wedge pressure? - ✔✔ 4 - 12 mmHg Normal pulmonary artery pressure is? - ✔✔ 11 - 20 Elevated central venous pressure show: - ✔✔Right sided heart failure Pulmonary capillary wedge pressure shows pressure where? - ✔✔Left ventricle Monitor is showing the correct pattern for a pulmonary capillary wedge pressure, you can do all of the following except? - ✔✔Flush the line If the pulmonary capillary wedge pressure is elevated it can be an indication of? - ✔✔Left ventricular failure The wave in the cardiac cycle that shows atrial depolarization is? - ✔✔P-Wave P-R interval - ✔✔0.12-0.20 seconds QRS Complex longer that 0.12 may indicate? - ✔✔Bundle branch block What is the purpose of enclosing a pacemaker generator in a rubber glove is? - ✔✔To prevent electrical interference with the pacemaker In which part of the cardiac cycle would a strong ventricular stimulus be dangerous - ✔✔T-wave What is the initial drug Tx for ventricular tachycardia? - ✔✔Lidocaine 50 - 100MG Why is A-Flutter so dangerous? - ✔✔It can cause the ventricular rate to increase
Assessing endotracheal tube position the most appropriate action a nurse can do is? - ✔✔Listen bilaterally to breath sounds Your pt. has an endotracheal tube in place and you ask him if he's going ok this morning and he responds in an audible voice "yes". You should? - ✔✔You should first check the function on the cuff A high pressure alarm in a ventilator can be triggered by all the following except: - ✔✔Leaky cuff Pt. comes in from a motor vehicle accident with a closed chest trauma and has a deviated trachea. What is the most common reason? - ✔✔Tension pneumothorax Pt. Is three days post-op with a fractured left femur and suddenly gets SOB. What is most likely the reason? - ✔✔Fat embolism Pt. Is admitted with sever burns, what is the most important thing to treat? - ✔✔Fluid replacement One of the most dangerous side effects in rewarding a hypothermia pt. is? - ✔✔Decrease in cardiac output You have a Pt. that is on a hypothermia blanket. What should you do? - ✔✔Observe frequently to ensure there is no tissue injury Pt. is admitted with a cervical spine injury. The most important thing is? - ✔✔Immobilize the head Pt. with a cervical spine injury. What is the most important observation you can do is with which body system? - ✔✔Respiratory Earliest sign of increase intracranial pressure usually involves changes in? - ✔✔LOC Increased intracranial pressure is characterized by all except? - ✔✔Decrease in pulse pressure
A drug used to decrease intracranial pressure? - ✔✔Mannitol Positive babinski reflex is? - ✔✔Abnormal Caring for a pt in the acute period of a stroke included all except? - ✔✔Increasing sensory input I'm doing hourly neuro checks, you do all except? - ✔✔Check urine output Diabetic ketoacidosis signs and symptoms: - ✔✔Fruity breathe, rapid deep breathing, dry warm skin Impending insulin shock should be suspected when a diabetic patient complains of? - ✔✔Weakness, diaphoresis and headache In treating a patient with diabetic ketoacidosis in a coma you could do all the following except? - ✔✔Giving dextrose 50% IV You have a diabetic pt on a regular insulin sliding scale and he is complaining of being nervous and feeling faint. Your nursing action should be all the following except? - ✔✔Give PRN regular insulin Pt. who is acutely I'll with diabetes will usually need? - ✔✔A higher dose of insulin Physiologic response to stress in an acutely I'll pt. will usually show shanties in the HR, urine output and BP. In which direction? - ✔✔Increase HR, increase BP and decrease urine output Peak for regular insulin? - ✔✔ 2 - 4 hrs Peak for NPH insulin? - ✔✔ 4 - 6 hours
Nursing considerations for a pt. on peritoneal dialysis include all the following except: - ✔✔Maintaining immobility You have a Pt. on continuous tube feedings. The most important intervention to prevent aspiration is: - ✔✔Check the position of the feeding tube every 4 hours Hyperosmolar non-ketoic dehydration coma can be prevented in a pt. on paraenteral nutrition therapy early by checking: - ✔✔Blood sugar Pt. has a blakemore tube in place to control bleeding from esophageal Varacies. The most important part of nursing care is : - ✔✔Maintain the pressure in the balloons Low intermittent suction is used to remove gastric contents in all the following situations except: - ✔✔In controlling bleeding Acute GI bleed in critically I'll pt. Can occur because of: - ✔✔The bodies response to stressors Regarding pts. receiving gastric lavage to control acute GI bleeding include all the following except: - ✔✔Using distilled Easter for lavage Pt. is post cholecystectomy and you notice coffee ground smears coming from the NG tube, you should?
- ✔✔Test the drainage for blood Pt. is actively bleeding from the GI tract and is getting a blood transfusion. His body temperature suddenly increases, you should: - ✔✔Stop the transfusion What is the earliest detection of bleeding in a pt. who has a gastric tube? - ✔✔Observing the color of the gastric contents IV Dopamine should be administered carefully because: - ✔✔Infiltration can lead to tissue necrosis
Dilantin will crystallize in all IVF except: - ✔✔Normal saline In Using nitroprusside precautions need to be taken except: - ✔✔For alertness to hypertensive crisis Which drug needs to be tapered off slowly to prevent adrenal insufficiency? - ✔✔cortisone Digitalis toxicity can cause side effects except: - ✔✔Rapid A-V conduction Most common symptom of toxic blood level of lidocaine: - ✔✔Metal taste Pt. is bradycardia and the doctor does not want to order atropine. What other medication can be ordered yo increase the heart rate? - ✔✔Isuprel Administering lidocaine, which body system would be the most useful to know about to determine the correct dosage? - ✔✔Hepatic How many micrograms are in 1 milligram - ✔✔ 1000 mcg Caring for a patient where body fluid exposure is probably, it would be important to observe? - ✔✔Universal precautions You are caring for a patient that is intubated and on 7 cmH2o of PEEP and needs frequent suctioning. Most appropriate precautions to take is to wear? - ✔✔Gloves and mask
