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BKAT 9R 2024-2025 UPDATE ACTUAL EXAM ALL QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS/GRANDED A+)
Initial measure for the treatment of angina pectoris does not include which response below?
- resting
- beta blockers
- oxygen
- nitroglycerine - ANSWER - beta blockers
The classical ECG change with muscle injury in acute myocardial infarction is:
- presence of a Q wave
- ST segment elevation
- myocardial electrical irritability
- a peaked T wave - ANSWER - ST segment elevation
Elevated cardiac iso-enzyme generally does not occur in which response below?
- Closed chest injury
- pericarditis
- congestive heart failure
- cardiac surgery - ANSWER - Congestive heart failure
The major therapeutic goal in the treatment of cardiogenic shock is to:
- Increase the afterload
- Improve renal perfusion 1 / 3
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- Increase cardiac output
- Decrease fluid volume - ANSWER - Increase cardiac output
You receive orders to starte Nipride and Dobutamine in your patient with end-stage cardiomyopathy.How will this treatment regimen affect cardiac output?
- Increase preload and reduces afterload
- Reduces preload and increases afterload
- Reduces preload and afterload and improves contractility
- Reduces preload and improves contractility - ANSWER - Reduces preload and afterload and improves
contractility
In dealing with a depressed patient during the first days post AMI the most appropriate nursing action
would be:
- Encourage to patient to ventilate his/her concerns
- Provide for privacy so the patient can rest
- Limit visits only to family members
- Provide a quiet environment for the patient - ANSWER - Encourage the patient to ventilate his/her
concerns
Mr. Seamore is receiving thrombolytics (TPA) 3 hours after an AMI. Which of the following would most likely require discontinuing the infusion?
- PVCs
- Bleeding gums
- Oozing at the insertion site
- Change in mental status - ANSWER - Change in mental status
The following monitor would indicate that the pulmonary artery (Swan Ganz) catheter is in which position?
- Superior vena cava
- Right ventricle
- Pulmonary artery 2 / 3
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- Pulmonary artery occlusion (wedge) - ANSWER - Pulmonary artery occlusion (wedge)
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called:
- aortic insufficiency
- aortic stenosis
- pulmonary insufficiency
- pulmonic stenosis - ANSWER - aortic stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? - ANSWER - High to low
After an arterial catheter is removed, direct pressure should generally be applied to the artery:
- For 2 full minutes
- For 8-10 minutes
- Until the oozing of blood from the puncture site slows
- Until a pressure dressing is applied - ANSWER - For 8-10 minutes
A central venous pressure CVP reading directly reflects pressure in the:
- Left atrium
- Right atrium
- Left ventricle
- Pulmonary artery - ANSWER - Right atrium
An elevated CVP reading may indicate:
- Right heart failure
- A fall in blood pressure
- Acute dehydration
- Onset of left ventricle failure - ANSWER - Right heart failure
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