aorn post test questions with
complete solutions17
Which of the following would be an appropriate action for the periop nurse when assisting w/
anesthesia?
A. Administer the muscle relaxant reversal agent if need
B. Apply cricoid pressure if needed during intubation
C. Document anesthetic agents used, dose, route & time
D. Extubate the patient - ANSWERS-B. Apply cricoid pressure if needed during intubation
which of the following is NOT included in basic monitoring of the pt for anesthesia?
A. Pulse ox
B. ECG
C. Arterial line
D. Blood pressure - ANSWERS-C. Arterial line
Which drug is used to reverse valium and midazolam?
A. Neostigmine
B. Pancuronium
C. Flumazenil
D. Succinylcholine - ANSWERS-C. Flumazenil
What method is used to prevent aspiration during endotracheal intubation?
A. applying cricoid pressure
B. inserting a nasal/oral airway
,C. Laryngoscopy
D. Invasive techniques - ANSWERS-A. Applying cricoid pressure
(to occlude the esophagus to prevent aspiration)
How can the periop nurse assist the anesthesia provider with placement of a spinal or epidural
block?
A. inject local anesthetic
B. Thread the catheter through the needle
C. Calm the patient
D. identify landmarks for insertion of the needle - ANSWERS-C. Calm the patient
During IV regional anesthesia (Bier block), the tourniquet should be deflated slowly to prevent
which of the following from entering the circulation?
A. bacteria
B. lymphatic fluids
C. Thrombus
D. bolus of anesthetic - ANSWERS-D. bolus of anesthetic
What is the most consistent indicator of malignant hyperthermia during a surgical intervention?
A. tachycardia
B. Unexplained increase in end tidal CO2
C. elevated temp
D. sustained muscle contraction - ANSWERS-B. unexplained increase in end tidal CO2
Depending on state laws and hospital policies, which of the following types of anesthesia can
performed without a professional anesthesia provider?
A. general anesthesia
, B. regional anesthesia
C. monitored anesthesia care
D. moderate sedation - ANSWERS-D. moderate sedation
Which assessment factor is important to include when screening patients for potential risk of
malignant hyperthermia?
A. family hx of problems related to anesthesia
B. patient's age
C. patient's use of herbal and vitamin supplements
D. patient's use of OTC meds - ANSWERS-A. family hx of problems r/t anesthesia
The RN caring for the patient receiving moderate sedation/analgesic should
A. turn up the monitor alarms when prepping the patient
B. be competent in the use of emergency resuscitation procedures
C. call an anesthesia provider to administer reversal medications
D. all of the above - ANSWERS-B. be competent in the use of emergency resuscitation
procedures
(RN providing moderate sedation should have no competing responsibilities, be proficient in
airway assessment & ACLS, understand indications, contraindications, interactions, adverse,
consideration of the drug being administered and have access to administer reversal meds)
What are the complications associated with laparoscopic surgery?
A. umbilical hernia
B. post surgical pneumonia
C. wound infections
D. CO2 embolism - ANSWERS-C. wound infections
D. CO2 embolism
complete solutions17
Which of the following would be an appropriate action for the periop nurse when assisting w/
anesthesia?
A. Administer the muscle relaxant reversal agent if need
B. Apply cricoid pressure if needed during intubation
C. Document anesthetic agents used, dose, route & time
D. Extubate the patient - ANSWERS-B. Apply cricoid pressure if needed during intubation
which of the following is NOT included in basic monitoring of the pt for anesthesia?
A. Pulse ox
B. ECG
C. Arterial line
D. Blood pressure - ANSWERS-C. Arterial line
Which drug is used to reverse valium and midazolam?
A. Neostigmine
B. Pancuronium
C. Flumazenil
D. Succinylcholine - ANSWERS-C. Flumazenil
What method is used to prevent aspiration during endotracheal intubation?
A. applying cricoid pressure
B. inserting a nasal/oral airway
,C. Laryngoscopy
D. Invasive techniques - ANSWERS-A. Applying cricoid pressure
(to occlude the esophagus to prevent aspiration)
How can the periop nurse assist the anesthesia provider with placement of a spinal or epidural
block?
A. inject local anesthetic
B. Thread the catheter through the needle
C. Calm the patient
D. identify landmarks for insertion of the needle - ANSWERS-C. Calm the patient
During IV regional anesthesia (Bier block), the tourniquet should be deflated slowly to prevent
which of the following from entering the circulation?
A. bacteria
B. lymphatic fluids
C. Thrombus
D. bolus of anesthetic - ANSWERS-D. bolus of anesthetic
What is the most consistent indicator of malignant hyperthermia during a surgical intervention?
A. tachycardia
B. Unexplained increase in end tidal CO2
C. elevated temp
D. sustained muscle contraction - ANSWERS-B. unexplained increase in end tidal CO2
Depending on state laws and hospital policies, which of the following types of anesthesia can
performed without a professional anesthesia provider?
A. general anesthesia
, B. regional anesthesia
C. monitored anesthesia care
D. moderate sedation - ANSWERS-D. moderate sedation
Which assessment factor is important to include when screening patients for potential risk of
malignant hyperthermia?
A. family hx of problems related to anesthesia
B. patient's age
C. patient's use of herbal and vitamin supplements
D. patient's use of OTC meds - ANSWERS-A. family hx of problems r/t anesthesia
The RN caring for the patient receiving moderate sedation/analgesic should
A. turn up the monitor alarms when prepping the patient
B. be competent in the use of emergency resuscitation procedures
C. call an anesthesia provider to administer reversal medications
D. all of the above - ANSWERS-B. be competent in the use of emergency resuscitation
procedures
(RN providing moderate sedation should have no competing responsibilities, be proficient in
airway assessment & ACLS, understand indications, contraindications, interactions, adverse,
consideration of the drug being administered and have access to administer reversal meds)
What are the complications associated with laparoscopic surgery?
A. umbilical hernia
B. post surgical pneumonia
C. wound infections
D. CO2 embolism - ANSWERS-C. wound infections
D. CO2 embolism
