BKAT 9R EXAM 2023-2024 ACTUAL
EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS|AGRADE
Your post-operative patient has a left anterior chest tube. When you auscultate the lung fields
bilaterally, you hear diminished breath sounds in the right posterior base. This would most likely be due
to:
1. pleuritis
2. consolidation
3. the chest tube
4. atelectasis - ANSWER-atelectasis
Your patient is on a ventilator. The low volume alarm sounds. This may be due to:
1. pulmonary edema
2. increasing secretions
3. a disconnected tube
4. biting the tube - ANSWER-a disconnected tube
To assess proper positioning of an endotracheal tube, the most appropriate nursing action would be to:
1. check for a change in the respiratory rate
2. listen for bilateral breath sounds
3. check for chest expansion
4. listen for minimal leak of the cuff - ANSWER-Listen for bilateral breath sounds
Mr. Ray has an endotracheal tube. While you are making rounds, you ask if his breathing is okay. In an
audible tone, he says "yes". You should first:
1. raise the head of the bed
2. ask the patient to cough
3. notify the physician
,4. check the functioning of the cuff - ANSWER-check the functioning of the cuff
The high pressure alarm on a volume respirator will not be triggered by which response below?
The most important reason for diminishing breath sounds in a motor vehicle crash victim with closed
chest trauma is:
1. chest pain when breathing normally
2. a pulmonary bleed
3. development of a pneumothorax
4. cervical spinal-cord injury - ANSWER-Development of a pneumothorax
A moderately burned trauma patient is admitted to your unit. The most important treatment related to
the burns during the first 24 hours after injury is:
1. fluid replacement
2. accurate administration of antibiotics
3. pain relief measures
4. early wound cultures - ANSWER-fluid replacement
Your trauma patient, who is 4 days post fracture of the right femur, suddenly develops shortness of
breath. The most likely cause is:
1. Fat embolus
2. Pneumonia
3. Pleural effusion
4. Pulmonary edema - ANSWER-Fat embolism
To help prevent ventilator acquired pneumonia (VAP), the most important nursing action would be to:
, 1. keeping FIO2 at 60%
2. changing the ventilator tubing qshift
3. careful hand-washing and use of gloves when suctioning
4. treat low peak-inspiratory pressures - ANSWER-Careful hand-washing and use of gloves when
suctioning
The most important nursing activity for a patient admitted with the diagnosis of cervical spinal cord
injury is:
1. keeping the patient flat
2. immobilizing the head
3. noting change in feeling extremities
4. doing hourly neuro checks - ANSWER-Immobilizing the head
In a patient with cervical spine injury, the most important observations the nurse makes concerns which
of the following physiological parameters?
1. heart rate
2. respirations
3. urinary output
4. pupillary response to light - ANSWER-respirations
The earliest sign of increased intracranial pressure generally involves changes in:
1. response to pain
2. level of consciousness
3. equality of pupillary reactions
4. respiratory rate - ANSWER-level of consciousness
53. Deepening intracranial pressure is characterized by:
1. tachycardia
2. pinpoint pupils
3. widened pulse pressure
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