Week 10 BSN 266 Perioperative ISB &
VCBC Preoperative Assessment Exam
Questions & Answers (Grade A+)
MALIGNANT HYPERTHERMIA
1. 1. The patient's ETCO2 and heart rate begin to rise rapidly during
an elective knee arthroscopy. What should be done first?
A. Retrieve beta blockers for the anesthesia provider.
B. Retrieve opioid pain medication for the anesthesia provider to
treat pain.
C. Retrieve IV fluid for the anesthesia provider to treat
hypovolemia.
D. Have the anesthesia provider turn off the triggering anesthetic
agents. -
correct answer ✅D. Have the anesthesia provider turn off the
triggering anesthetic agents.
MALIGNANT HYPERTHERMIA
2. The perioperative patient expresses anxiety about an emergency
appendectomy because family members have died while under
anesthesia. What should be done next?
,Week 10 BSN 266 Perioperative ISB &
VCBC Preoperative Assessment Exam
Questions & Answers (Grade A+)
A. Advise the patient to have a genetic test for MH.
B. Advise the anesthesia provider of the patient's concerns.
C. Tell the patient, "We do this every day, and you will be just fine."
D. Tell the patient that the surgery will have to be canceled. -
correct answer ✅B. Advise the anesthesia provider of the patient's
concerns.
MALIGNANT HYPERTHERMIA
3. The patient has a family history of MH and has had a muscle
biopsy test showing an MH susceptibility. The patient has previously
had an appendectomy performed without any special precautions
and did not have an episode of MH. What should the unscrubbed
perioperative team member do next?
A. Prepare for the procedure using nontriggering anesthetic agents.
B. Ask the practitioner for an order to have prophylactic dantrolene
in the OR.
,Week 10 BSN 266 Perioperative ISB &
VCBC Preoperative Assessment Exam
Questions & Answers (Grade A+)
C. Ask the practitioner to order a genetic test to confirm the muscle
biopsy test.
D. Assume the muscle biopsy test result was a false-positive and
prepare for the case as usual. -
correct answer ✅A. Prepare for the procedure using nontriggering
anesthetic agents.
MALIGNANT HYPERTHERMIA
4. The postanesthesia care unit nurse is educating a patient, who
has recently been diagnosed with MH susceptibility, about tissue
and organ donation. Which statement is the most appropriate?
A. "In order to donate tissue, organs, or bone marrow, you need to
do so without sedation because of the MH susceptibility."
B. "MH can be passed to the bone marrow, organ, or tissue
recipient, so you will not be allowed to donate with MH
susceptibility."
C. "Individuals with MH can donate bone marrow, organs, or tissue
because MH is not carried in the tissues."
, Week 10 BSN 266 Perioperative ISB &
VCBC Preoperative Assessment Exam
Questions & Answers (Grade A+)
D. "The donated tissues can be flushed with dantrolene sodium and
safely transplanted, so you can donate without worry." -
correct answer ✅C. "Individuals with MH can donate bone
marrow, organs, or tissue because MH is not carried in the tissues."
MALIGNANT HYPERTHERMIA
5. The perioperative team has successfully completed the protocol
for treating an outpatient who suffered sudden onset MH. What is
the next step?
A. Discharge the patient to home as usual.
B. Admit the patient to the critical care unit.
C. Keep the patient packed in ice for 24 hours.
D. Tell the patient that it was a random occurrence and proceed
with discharge. -
correct answer ✅B. Admit the patient to the critical care unit.
MALIGNANT HYPERTHERMIA
VCBC Preoperative Assessment Exam
Questions & Answers (Grade A+)
MALIGNANT HYPERTHERMIA
1. 1. The patient's ETCO2 and heart rate begin to rise rapidly during
an elective knee arthroscopy. What should be done first?
A. Retrieve beta blockers for the anesthesia provider.
B. Retrieve opioid pain medication for the anesthesia provider to
treat pain.
C. Retrieve IV fluid for the anesthesia provider to treat
hypovolemia.
D. Have the anesthesia provider turn off the triggering anesthetic
agents. -
correct answer ✅D. Have the anesthesia provider turn off the
triggering anesthetic agents.
MALIGNANT HYPERTHERMIA
2. The perioperative patient expresses anxiety about an emergency
appendectomy because family members have died while under
anesthesia. What should be done next?
,Week 10 BSN 266 Perioperative ISB &
VCBC Preoperative Assessment Exam
Questions & Answers (Grade A+)
A. Advise the patient to have a genetic test for MH.
B. Advise the anesthesia provider of the patient's concerns.
C. Tell the patient, "We do this every day, and you will be just fine."
D. Tell the patient that the surgery will have to be canceled. -
correct answer ✅B. Advise the anesthesia provider of the patient's
concerns.
MALIGNANT HYPERTHERMIA
3. The patient has a family history of MH and has had a muscle
biopsy test showing an MH susceptibility. The patient has previously
had an appendectomy performed without any special precautions
and did not have an episode of MH. What should the unscrubbed
perioperative team member do next?
A. Prepare for the procedure using nontriggering anesthetic agents.
B. Ask the practitioner for an order to have prophylactic dantrolene
in the OR.
,Week 10 BSN 266 Perioperative ISB &
VCBC Preoperative Assessment Exam
Questions & Answers (Grade A+)
C. Ask the practitioner to order a genetic test to confirm the muscle
biopsy test.
D. Assume the muscle biopsy test result was a false-positive and
prepare for the case as usual. -
correct answer ✅A. Prepare for the procedure using nontriggering
anesthetic agents.
MALIGNANT HYPERTHERMIA
4. The postanesthesia care unit nurse is educating a patient, who
has recently been diagnosed with MH susceptibility, about tissue
and organ donation. Which statement is the most appropriate?
A. "In order to donate tissue, organs, or bone marrow, you need to
do so without sedation because of the MH susceptibility."
B. "MH can be passed to the bone marrow, organ, or tissue
recipient, so you will not be allowed to donate with MH
susceptibility."
C. "Individuals with MH can donate bone marrow, organs, or tissue
because MH is not carried in the tissues."
, Week 10 BSN 266 Perioperative ISB &
VCBC Preoperative Assessment Exam
Questions & Answers (Grade A+)
D. "The donated tissues can be flushed with dantrolene sodium and
safely transplanted, so you can donate without worry." -
correct answer ✅C. "Individuals with MH can donate bone
marrow, organs, or tissue because MH is not carried in the tissues."
MALIGNANT HYPERTHERMIA
5. The perioperative team has successfully completed the protocol
for treating an outpatient who suffered sudden onset MH. What is
the next step?
A. Discharge the patient to home as usual.
B. Admit the patient to the critical care unit.
C. Keep the patient packed in ice for 24 hours.
D. Tell the patient that it was a random occurrence and proceed
with discharge. -
correct answer ✅B. Admit the patient to the critical care unit.
MALIGNANT HYPERTHERMIA
