2023-2024 BKAT9R Critical Care Practice Exam With Answers (270 Solved Questions)

Name: 2023-2024 BKAT9R Critical Care Practice Exam With Answers (270 Solved Questions)
Brand: Chamberlain College of Nursing
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Author: Benjamin Griffin

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BKAT 9R and ICU BKAT
Latest Updated Questions and Correct
Answers 2023-2024 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-abnormla 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 output
in an acute renal failure patient, they become short of breath of tachycardia. what do
you their problem is - ANSWERS-fluid overload
a patient has continuous enteral tube feeding, what is the most important nursing
intervention to prevent aspiration - ANSWERS-keep HOB above 30 degree

what is the best standard for checking safe placement of an NG tube - ANSWERS-Xray
if you suspect your patient is having a blood transfusion reaction, what is the first thing
you should do - ANSWERS-stop it, check VS, and run NS
The most important treatment related to burns in the first 24 hours - ANSWERS-fluid
replacement
a patient suddenly develops shortness of breath post R femur fracture, what do you
think is the cause? - ANSWERS-fat embolism
dangerous effect of rapidly re-warning a hypothermic patient - ANSWERS-vasodilation
what are the manifestations of digitalis toxicity? - ANSWERS-halo, nausea, tachycardia,
anorexia
what affect does nitroprusside (Nipride) and dobutamine (Dobutrex) have on cardiac
output? - ANSWERS-decrease preload, decrease afterload, increase contractibilty
a patient received TPA, what would make you discontinue the infusion? - ANSWERS-
change in mentation
why must you be mindful of your IV site when administering IV dopamine? -
ANSWERS-tissue necrosis
initial drug for sustained v-tach with a pulse - ANSWERS-amio 150 over 10 minutes
first drug used for asystole - ANSWERS-epi
TPA must be administered within - ANSWERS-4 hours
what drugs crystallize when given IV with D5? - ANSWERS-phenytoin
antidote for heparin - ANSWERS-proatamin
name some medications that can treat atrial fibrillation and atrial flutter? - ANSWERS-
cardizem and amiodarone
drug of choice to reduce increased ICP - ANSWERS-mannitol
what medication do you give for symptomatic bradycardia - ANSWERS-atropine
what are some precautions to take when infusing IV nitroprusside? - ANSWERS-protect
from light

what drug must be tapered off slowly to prevent acute adrenal insufficiency -
ANSWERS-cortisone
complete heart block - ANSWERS-
aflutter - ANSWERS-
vtach - ANSWERS-
arterial line waveform - ANSWERS-
failure to capture pacemaker - ANSWERS-
vfib - ANSWERS-
look up pulmonary wedge pressure waveform - ANSWERS-:p
Beta Blockers - ANSWERS-Initial measures for the treatment of angina pectoris do not
include which response below?
ST segment elevation - ANSWERS-The classical ECG change with muscle injury in
acute myocardial infarction is:
CHF - ANSWERS-Elevated cardiac iso-enzymes generally do not occur in which
response below?
Increased CO - ANSWERS-The major therapeutic goal in the treatment of cariogenic
shock is to:
Reduces preload and after load and improves contractility - ANSWERS-You receive
orders to start nitroprusside and dobutamine in your patient with end-stage
cardiomyopathy. How will this tx regimen affect CO?
Encourage the patient to ventilate his/her concerns - ANSWERS-In dealing with a
depressed pt during the first days post AMI the most appropriate nursing action would
be:
change in mental status - ANSWERS-Mr Seamore is receiving thrombolytics (TPA) 3
hrs after an AMI. Which of the following would most likely require discontinuing the
infusion?
Pulmonary artery occlusion (wedge) - ANSWERS-The following monitor pattern would
indicate that the pulmonary artery (swan ganz) catheter is in which position?
Aortic stenosis - ANSWERS-A systolic murmur that is auscultated at the 2nd intercostal
space, right sternal border is called:

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University

Chamberlain College of Nursing

Subject

Medicine

2023-2024 BKAT9R Critical Care Practice Exam With Answers (270 Solved Questions)

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