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Exam (elaborations)

BKAT 9R EXAM/ Actual Exam/ Practice Questions with Correct Answers/ Updated

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BKAT 9R EXAM/ Actual Exam/ Practice Questions with Correct Answers/ Updated

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BKAT 9R
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BKAT 9R










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Institution
BKAT 9R
Course
BKAT 9R

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Uploaded on
August 9, 2024
Number of pages
30
Written in
2024/2025
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BKAT 9R EXAM/ Actual Exam/ Practice Questions with
Correct Answers/ Updated 2024-2025



Adenosine, when is it used? - ANSWER - Paroxysmal supraventricular tachycardia



Adenosine, what is the effect - ANSWER - slows the heart



adenosine what is the dosage given - ANSWER - 6mg IV push rapidly followed by 20mls of NS.



Adenosine what if the patient does not respond to the 6mg - ANSWER - if no response in 1-2 min give 12
mg and flush. may repeat.



Amiodarone what is the effect - ANSWER - slowing the heart



Amiodarone, when is it used - ANSWER - V-fib, v tach, atrial tachyarrhythmia's



amiodarone what is the dosage given - ANSWER - 150 mg over 10 min if a pulse. no pulse give 300 mg
rapidly and then 150 mg rapid for the next dose.



atropine, what does it do - ANSWER - speeds up the heart; increased conduction through the AV node



Atropine, when is it used - ANSWER - 1st drug given for bradycardia. can be given through the ETT



atropine, what is the dose given - ANSWER - dosing 0.5 mg IV every 5 min. max is 3mg

Warning: a dose <0.5 will actually cause the heart to slow.



dopamine, what is the effect - ANSWER - speeds the heart up and contractility increases.


pg. 1

,it helps manage hypotension when there is no hypovolemia involved



dopamine when is it used - ANSWER - 2nd line drug for symptomatic bradycardia.



dopamine what is the dosage - ANSWER - 2-10 mcg for vasoconstriction

10-20 mcg for contractility effect

for bradycardia give 2-10.

we titrate until the we get the proper effect of the drug.



epinephrine, what does it do - ANSWER - increase heart rate and blood pressure



epinephrine when is it used - ANSWER - cardiac arrest, symptomatic bradycardia, severe hypotension,
and anaphylaxis



epinephrine what is the dose - ANSWER - cardiac arrest 1 mg (10ml of 1:10,000 solution) premix every 3
minutes

bradycardia 2-10 mcg/min titrate to effect for hypotension (remember to tank them up first) no dose on
the study guide.



magnesium sulfate, when is it used - ANSWER - used for cardiac arrest only if torsade's de pointes or
hypomagnesium is suspected



magnesium sulfate, what is the dose - ANSWER - 1-2 grams (2-4 ml of 50% solution) diluted in 10 ml of
D5W IV (no time given)



vasopressin what is the effect - ANSWER - increased blood pressure



vasopressin what is the dose - ANSWER - 40 units IV for V fib and pulseless V tach. can be placed in the
ETT. can take the place of epinephrine for either the 1st or 2nd dose or may not be used at all.




pg. 2

, Mr Adams, a 68 yo patient, complains of feeling "a little funny in his chest". His EKG shows atrial
fibrillation/flutter. Which of the following medications could be used to treat his cardiac rhythm? -
ANSWER - 1)Levophed

2)nifedipine

3)Cardizem *

4)adenosine



A patient becomes apneic and pulseless. The monitor shows asystole. The drug that would most likely be
used initially is - ANSWER - 1)amiodarone

2)atropine

3)epinephrine *

4)lidocaine



When feeding a patient using continuous tube feedings, the most important intervention in preventing
aspiration is to: - ANSWER - 1) keep the head of the bed elevated *

2) aspirate stomach contents q4h for residual

3) check the position of the feeding tube each shift

4) turn the patient frequently



Upon recognizing ventricular fibrillation in a safe environment, the nurse should then - ANSWER -
1)perform a precordial thump

2)establish unresponsiveness *

3)give amiodarone IV

4)check the ECG leads



The most important step in preventing central venous catheter related sepsis is: - ANSWER - 1)use of a
transparent membrane dressing

2)changing the catheter weekly

3)using antibiotic ointment under the dressing

4)thorough handwashing *




pg. 3

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