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BKAT Med-Surg Exam/ Practice Questions with Verified Solutions/ Updated 2024 – Rated A+
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BKAT Med-Surg Exam/ Practice Questions with Verified Solutions/ Updated 2024 – Rated A+
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1BKAT Med-Surg Exam/ Practice Questions with
Verified Solutions/ Updated 2024 – Rated A+
The classical ECG change with muscle injury in acute myocardial infarction is: - ANS - ST segment
elevation
Elevated cardiac iso-enzymes generally do not occur in which response below? - ANS - Congestive Heart
Failure
The major therapeutic goal in the treatment of cardiogenic shock is to: - ANS - Increase cardiac output
Measures that would be taken to treat a pt. in DKA coma would not include which response below? -
ANS - Dextrose 50% IV Infusion
Pt's with DM who are acutely ill generally require a: - ANS - Higher dose of insulin
Psychophysiological stress response of acute illness generally results in: - ANS - Decreased urine output
Which insulin when given Sub-Q will have a peak action within 2-4 hours? - ANS - Regular
An unconscious trauma pt. 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? - ANS - 8-14
A dangerous effect of rapidly re-warming a hypothermic pt. is: - ANS - Vasodilation and hypotension
, 2
Mrs. Smith, who is a post-op craniotomy pt. has a fasting blood sugar of 100 mg, c/o extreme thirst, and
has a urine output >1,000 mL's over 2 hours. You should suspect: - ANS - Diabetes Insipidus (DI)
Mrs. Reece, a 64- year-old woman with acute renal failure and oliguria, was admitted with CHF. Which of
the following tests is abnormal? - ANS - K+ of 5.8
A pt. is admitted with a probably diagnosis of acute renal failure. The normal mL's of urine output for this
150 lb. person per hr. is: - ANS – 30
An excessive amount of chest tube drainage in the first few hours following thoracic surgery in how
many mL's/hr.? - ANS - 150
A routine check of your patient's blood gas values shows a pH of 7.40, pO2 of 98 mmHg, pCO2 of 38
mmHg, and HCO2 of 25 me. These results reflect: - ANS - Normal Values
Before suctioning a pt., you adjust the vacuum pressure so that it is: - ANS - 120 mmHg of pressure
Post op pt. has a left anterior chest tube. When you auscultate the lung fields bilaterally, you hear
diminished breath sounds in the right posterior bases. this would most likely be due to: - ANS -
Atelectasis
Practices to decrease CAUTI does not include: - ANS - Discontinuing enteral tube feeding if diarrhea
occurs
Your pt. has acute renal failure. Meds that are normally excreted through the kidneys will probably have:
- ANS - Decreased dosages
You receive orders to start nitroprusside and dobutamine in your patient with end-stage
cardiomyopathy. How will this treatment regimen affect Cardiac Output? - ANS - Reduced preload and
afterload and improves contractility
Precautions in using IV nitroprusside is not included in which response below? - ANS - Alertness to the
development of an acute hypertensive episode
, 3
When packing Nitroprusside, it should be: - ANS - Protected from light
In dealing with a depressed pt. during the 1st few days post AMI the most appropriate nursing action
would be: - ANS - Encourage the patient to ventilate his/her concerns
Mr. Seamore is receiving thrombolytics (TPA) 3 hrs. after an AMI, which of the following would most
likely require discontinuing the infusion? - ANS - Change in mental status
The following monitor pattern would indicate that the pulmonary artery (Swan Ganz) catheter is in which
position? - ANS - Pulmonary artery occlusion (wedge)
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called: - ANS -
Aortic Stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? - ANS - High to low
The use of an arterial line may be indicated for all the following except? - ANS - For the administration of
routine drugs
After an arterial catheter is removed, direct pressure should be applying to the artery for how long? -
ANS - 5-10 minutes
A CVP reading directly reflects pressure in the: - ANS - Right Atrium
An elevated CVP reading may indicate: - ANS - Right heart failure
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: - ANS - Left Ventricle
The normal pulmonary artery pressure is: - ANS - 11-20
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