RELIAS PACU RN A V1 QUESTIONS AND CORRECT VERIFIED ANSWERS

RELIAS PACU RN A V1 QUESTIONS AND
CORRECT VERIFIED ANSWERS
WhatA2setA2ofA2findingsA2indicatesA2aA2patientA2isA2likelyA2toA2beA2readyA2forA2phaseA21A2di
scharge?A2-A2Ans--
***C)A2Drowsy,A2oxygenA2saturationA2ofA296%,A2ableA2toA2cough,A2andA2moveA2allA2extre
mities

MeperidineA2(Demerol)A212.5mgA2everyA215A2minutes,A2IVA2prnA2isA2orderedA2forA2shiveri
ngA2inA2theA2PACU.A2MeperidineA2isA2availableA2inA250mg/
1ml.A2HowA2manyA2mililitersA2shouldA2beA2given?A2-A2Ans--0.25A2mililiters

UponA2inspectingA2aA2patient'sA2epiduralA2insertionA2site,A2youA2noticeA2swellingA2aroundA
2theA2catheter.A2WhatA2shouldA2youA2do?A2-A2Ans--
***D)A2ContactA2theA2anesthesiaA2provider

WhatA2doA2youA2considerA2toA2beA2aA2safeA2doseA2ofA2intravenousA2fentanylA2forA2anA2adu
ltA2whoA2doesA2notA2haveA2toleranceA2toA2opioids?A2-A2Ans--***B)A225A2micrograms

YourA2patientA2inA2theA2PACUA2hasA2aA2bloodA2pressureA2ofA2171/92A2mmHg,A2aA2heartA2r
ateA2ofA2120,A2respiratoryA2rateA2ofA224,A2isA2grimacing,A2restless,A2andA2moaningA2inA2be
d.A2WhatA2medicationA2shouldA2youA2prepareA2toA2giveA2FIRST?A2-A2Ans--
***B)A250A2mcgA2fentanylA2IVA2push

YouA2areA2aboutA2toA2dischargeA2aA2dayA2surgeryA2patientA2withA2aphasiaA2andA2youA2dis
coverA2theA2familyA2membersA2areA2notA2availableA2forA2theA2dischargeA2instructionsA2and
A2areA2notA2respondingA2toA2yourA2phoneA2calls.A2BusinessA2hoursA2areA2overA2andA2theA2
PACUA2isA2aboutA2toA2close.A2HowA2willA2youA2handleA2theA2situation?A2-A2Ans--
***A)A2WaitA2untilA2theA2familyA2returns

YouA2receivedA2aA2patientA2fromA2ORA2postA2hipA2replacementA2surgery.A2TheA2anesthesi
ologistA2isA2planningA2aA2nerveA2blockA2inA2PACU,A2butA2theA2patientA2didA2notA2signA2theA
2consentA2forA2theA2nerveA2block.A2HowA2willA2youA2proceed?A2-A2Ans--
***C)A2ObtainA2theA2consentA2fromA2medicalA2POA

WhatA2isA2aA2physicalA2manifestationA2ofA2neuromuscularA2blockadeA2(Roc,A2succinylchol
ine)?A2-A2Ans--C)A2DecreasedA2respiratoryA2effort

WhatA2positionA2wouldA2helpA2alleviateA2headachesA2afterA2spinalA2anesthesia?A2-A2Ans--
***D)A2FlatA2toA2supine

TheA2surgeonA2hasA2orderedA2ampicillinA2(Ancef)A2forA2aA2patient.A2WhenA2youA2checkA2th
eirA2chart,A2youA2seeA2anA2allergyA2toA2penicillin.A2WhatA2isA2theA2BESTA2action?A2-A2Ans--
***D)A2ContactA2theA2providerA2toA2questionA2theA2order

, YouA2areA2receivingA2reportA2forA2aA2patientA2whoA2hadA2aA2percutaneousA2transluminalA2
angioplastyA2forA2rightA2lowerA2extremityA2peripheralA2vascularA2diseaseA2andA2isA2nowA2r
ecoveringA2inA2theA2PACU.A2WhatA2typeA2ofA2surgicalA2dressingA2doA2youA2expectA2toA2fin
dA2forA2thisA2patient?A2-A2Ans--***C)A2ClearA2dressingA2appliedA2toA2theA2rightA2groin

YouA2areA2receivingA2aA2reportA2onA2aA2postA2opA2patientsA2fromA2theA2ORA2nurseA2andA2d
uringA2theA2reportA2whenA2youA2askedA2forA2clarifications,A2theA2ORA2nurseA2becameA2an
gry,A2belligerent,A2andA2rude.A2SheA2endedA2upA2notA2answeringA2yourA2question.A2HowA2
willA2youA2proceed?A2-A2Ans--***A)A2ReportA2theA2incidentA2toA2yourA2chargeA2nurse

YouA2areA2reviewingA2yourA2ordersA2forA2youA28A2year-
oldA2patientA2thatA2recentlyA2arriveA2inA2PACU.A2WhichA2PRNA2painA2orderA2wouldA2youA2
question?A2-A2Ans--C)A2POA2ketorolac

WhatA2isA2aA2physiologicA2effectA2relatedA2toA2unrelievedA2pain?A2-A2Ans--
***D)A2DecreasedA2healing

YouA2areA2caringA2forA2aA2patientA2afterA2placementA2ofA2aA2percutaneousA2JA2tube.A2AA2st
udentA2nurseA2asksA2you,A2"A2WhereA2doesA2thisA2tubeA2goA2inA2theA2patient?"A2HowA2sho
uldA2youA2answer?A2-A2Ans--***A)A2TheA2tubeA2isA2placedA2intoA2theA2Jejunum

WhenA2caringA2forA2aA2patientA2whoA2isA2recoveringA2fromA2placementA2ofA2aA2newA2arteri
ovenousA2fistulaA2inA2theirA2rightA2arm,A2youA2observeA2theA2presenceA2ofA2mildA2edemaA2
atA2theA2site.A2WhatA2shouldA2youA2do?A2-A2Ans--
B)A2ElevateA2theA2rightA2armA2aboveA2theA2heart

YouA2areA2caringA2forA2patientA2whoA2isA2intubated,A2receivingA2ventilatoryA2support,A2and
A2isA2sedatedA2withA2aA2propofolA2infusion.A2OverA2theA2lastA25A2minutesA2youA2haveA2decr
easedA2theA2propofolA2infusionA2inA2preparationA2forA2extubation.A2TheA2patientA2isA2nowA2
openingA2theirA2eyesA2toA2voiceA2andA2followingA2commands.A2WhatA2shouldA2youA2doA2N
EXTA2toA2prepareA2theA2patientA2forA2immediateA2extubation?A2-A2Ans--
***C)A2StopA2theA2propofolA2infusion

WhenA2caringA2forA2aA2patientA2whoA2isA2receivingA2outpatientA2surgery,A2whatA2isA2theA2B
ESTA2wayA2toA2knowA2thatA2aA2patient'sA2post-
operativeA2bloodA2pressureA2isA2sufficientA2forA2dischargeA2toA2home?A2-A2Ans--
***B)A2ItA2isA2+/-A220%A2ofA2baselineA2pre-operativeA2levels

AfterA2surgery,A2aA2sleepyA2yetA2responsiveA2patientA2withA2anA2intactA2gagA2reflexA2hasA2
aA2largeA2amountA2ofA2salivaryA2secretions.A2WhatA2shouldA2youA2do?A2-A2Ans--
D)A2InsertA2anA2oralA2airway

WhereA2isA2theA2phlebostaticA2axisA2forA2levelingA2theA2transducerA2ofA2anA2arterialA2line?
A2-A2Ans--***A)A2FourthA2intercostalA2levelA2atA2theA2midaxillaryA2line