ACTION REVIEW 2026 QUESTIONS WITH
SOLUTIONS TESTED QUESTIONS.
According to ASPAN Standards of Perianesthesia Nursing Practice,
care in the post anesthesia Phase I focuses on:
preparation of patient and family for home care.
preparation of patient for extended care.
transition of the patient from an anesthetized state to Phase II or an
inpatient setting.
transition of the patient from the preoperative to the intraoperative
phase.. Answer: transition of the patient from an anesthetized state to
Phase II or an inpatient setting.
Twenty minutes after admission to the PACU, a 24-year-old patient
exhibits a productive cough, dyspnea, and expectoration of pink, frothy
sputum. In report, the nurse is told that the patient experienced a post-
extubation laryngospasm in the OR. The PACU nurse suspects that the
patient has developed:
a tracheal hemorrhage.
acute respiratory failure.
noncardiogenic pulmonary edema.
,a pulmonary embolism.. Answer: noncardiogenic pulmonary edema.
The perianesthesia nurse is titrating pain medications for a
postoperative patient in Phase I PACU. Pain medication orders have
changed from IV fentanyl to IV morphine. The perianesthesia nurse
knows that an equivalent analgesic of fentanyl 0.1 mg is:
methadone 20 mg.
morphine 10 mg.
butorphanol 10 mg.
meperidine 125 mg.. Answer: Morphine 10mg
The perianesthesia nurse caring for a 60-kg patient who is n.p.o.
should maintain IV fluid hourly maintenance rate at:
45 mL/hr
55 mL/hr
65 mL/hr
100 mL/hr. Answer: 100 mL/hr
A patient is admitted to the PACU with a laryngeal mask airway
(LMA) in place. The perianesthesia nurse understands that a properly
placed LMA:
conforms to the hypopharynx.
passes through the glottic opening.
,prevents aspiration.
prevents laryngospasm.. Answer: conforms to the hypopharynx.
In postoperative patients with a history of end-stage renal disease,
the administration of IV glucose and regular insulin is used to correct the
complication of:
hyponatremia.
hypokalemia.
hypernatremia.
hyperkalemia.. Answer: Hyperkalemia
The perianesthesia nurse would be immediately concerned when a
postoperative cataract patient awaiting discharge complains of:
irritation or "something in my eye".
sudden onset of sharp ocular pain.
dizziness and tinnitus.
blurred vision and headache.. Answer: sudden onset of sharp ocular pain.
An 80-year-old patient who is hearing-impaired is being discharged
home following cataract removal. In planning the discharge, the
perianesthesia nurse should:
avoid low lighting and noisy teaching environments.
avoid using written instructions.
, provide small print discharge material.
provide audiovisual aids in a teaching packet.. Answer: avoid low
lighting and noisy teaching environments.
A patient is admitted to the PACU following an L4-5 laminectomy
with fusion. Thirty minutes after admission, drainage from the surgically
placed drain is 500 mL of blood. Vital signs are: BP = 96/40, HR = 116,
R = 30, and SpO2 93%. Hemoglobin is 8.5 and hematocrit is 28. The
perianesthesia nurse anticipates administering:
crystalloid solution.
red blood cells.
dextran 40.
albumin.. Answer: crystalloid solution.
The perianesthesia nurse demonstrates understanding that language
and readable instructions are important to patient safety after discharge,
by ensuring patient discharge instructions are written in the vocabulary
of grade level:
3
5
9
12. Answer: 5