PROPHECY PACU RN A V1 EXAM FULLY
SOLVED & UPDATED 2025-2026(LATEST
VERSION VERIFIED FOR ACCURACY) |
2024\2025LATEST!!
1. Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shiv-
ering in the PACU. Meperidine is available in 50mg/1ml. How many mililiters
should be given?: 0.25 mililiters
2. Upon inspecting a patient's epidural insertion site, you notice swelling around
the catheter. What should you do?: A) Position the patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
,3. What set of findings indicates a patient is likely to be ready for phase 1
discharge?: A) Has received discharge instructions, pain level 9 out 10, shortness of breath
B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxygen via face mask
***C) Drowsy, oxygen saturation of 96%, able to cough, and move all extremities
D) Fully alert, shallow breathing, on 3 liters via T-piece, can move 2 extremities
4. What do you consider to be a safe dose of intravenous fentanyl for an adult
who does not have tolerance to opioids?: A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
5. Your patient in the PACU has a blood pressure of 171/92 mmHg, a heart rate
of 120, respiratory rate of 24, is grimacing, restless, and moaning in bed. What
,medication should you prepare to give FIRST?: A) 10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol IV push
6. You are about to discharge a day surgery patient with aphasia and you
discover the family members are not available for the discharge instructions
and are not responding to your phone calls. Business hours are over and the
PACU is about to close. How will you handle the situation?: ***A) Wait until the family
returns
B) Leave the discharge education on voicemail and discharge patient
, C) Discharge patient with non-emergency transport
D) Take patient home yourself
7. You received a patient from OR post hip replacement surgery. The anesthe-
siologist is planning a nerve block in PACU, but the patient did not sign the
consent for the nerve block. How will you proceed?: A) Wake up the patient to sign the
consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
8. What position would help alleviate headaches after spinal anesthesia?: A) Pron
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
SOLVED & UPDATED 2025-2026(LATEST
VERSION VERIFIED FOR ACCURACY) |
2024\2025LATEST!!
1. Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shiv-
ering in the PACU. Meperidine is available in 50mg/1ml. How many mililiters
should be given?: 0.25 mililiters
2. Upon inspecting a patient's epidural insertion site, you notice swelling around
the catheter. What should you do?: A) Position the patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
,3. What set of findings indicates a patient is likely to be ready for phase 1
discharge?: A) Has received discharge instructions, pain level 9 out 10, shortness of breath
B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxygen via face mask
***C) Drowsy, oxygen saturation of 96%, able to cough, and move all extremities
D) Fully alert, shallow breathing, on 3 liters via T-piece, can move 2 extremities
4. What do you consider to be a safe dose of intravenous fentanyl for an adult
who does not have tolerance to opioids?: A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
5. Your patient in the PACU has a blood pressure of 171/92 mmHg, a heart rate
of 120, respiratory rate of 24, is grimacing, restless, and moaning in bed. What
,medication should you prepare to give FIRST?: A) 10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol IV push
6. You are about to discharge a day surgery patient with aphasia and you
discover the family members are not available for the discharge instructions
and are not responding to your phone calls. Business hours are over and the
PACU is about to close. How will you handle the situation?: ***A) Wait until the family
returns
B) Leave the discharge education on voicemail and discharge patient
, C) Discharge patient with non-emergency transport
D) Take patient home yourself
7. You received a patient from OR post hip replacement surgery. The anesthe-
siologist is planning a nerve block in PACU, but the patient did not sign the
consent for the nerve block. How will you proceed?: A) Wake up the patient to sign the
consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
8. What position would help alleviate headaches after spinal anesthesia?: A) Pron
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
