BKAT Med-Surg Exam Questions And Answers.
Initial measures for the treatment of angina pectoris do not include which response below? Answer - Morphine & Beta Blockers
The classical ECG change with muscle injury in acute myocardial infarction is: Answer - ST segment elevation
Elevated cardiac iso-enzymes generally do not occur in which response below? Answer - Congestive Heart Failure
The major therapeutic goal in the treatment of cardiogenic shock is to: Answer - Increase cardiac output
You receive orders to start nitroprusside and dobutamine in your patient with end-stage cardiomyopathy. How will this treatment regimen affect Cardiac Output? Answer - Reduced preload and afterload and improves contractility
Precautions in using IV nitroprusside is not included in which response below? Answer
- Alertness to the development of an acute hypertensive episode
When packing Nitroprusside, it should be: Answer - Protected from light
In dealing with a depressed pt. during the 1st few days post AMI the most appropriate nursing action would be: Answer - 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? Answer - Change in mental status
The following monitor pattern would indicate that the pulmonary artery (Swan Ganz) catheter is in which position? Answer - Pulmonary artery occlusion (wedge)
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is
called: Answer - Aortic Stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? Answer - High to low
The use of an arterial line may be indicated for all the following except? Answer - For the administration of routine drugs After an arterial catheter is removed, direct pressure should be applies to the artery for how long? Answer - 5-10 minutes
A CVP reading directly reflects pressure in the: Answer - Right Atrium
An elevated CVP reading may indicate: Answer - Right heart failure
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: Answer - Left Vetricle
The normal pulmonary artery pressure is: Answer - 11-20
How many mmHg is the normal PAOP? Answer - -12
An elevated PAOP may indicate: Answer - Left ventricular failure
Mr. Adams, a 68 y/o pt., c/o feeling "a little funny in his chest". His ECG shows Afib/flutter. Which of the following meds could be used to tx his cardiac rhythm? Answer - Diltiazem/Cardizem
A QRS complex wider than 0.12 sec most likely indicates: Answer - Bundle Branch Block (BBB)
Special care should be exercised when administering IV Dopamine because Answer - Infiltration leads to tissue necrosis
A strong ventricular stimulus is potentially dangerous when it lands on the Answer - T Wave
Indication for use of external cardiac pacemaker includes: Answer - Symptomatic complete heart block
Initial drug treatment for sustained V-Tach when a pulse is present Answer - Amiodarone 150mg IV over 10 minutes
The cardiac rhythm of A Flutter is: Answer - Hazardous, as the ventricular rate may suddently increase
Upon recognizing V-Fib in an ICU, the next thing the nurse should do it: Answer - Establish Unresponiveness
The treatment in an emergency situation for complete heart block is: Answer - Preparing for transcutaneous pacing
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