Questions
(2025-2026)
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, A patient is admitted to the PACU following a laparoscopic COPD
Nissen fundoplication. Intraoperatively, the patient required
chest tube placement for development of a tension
pneumothorax. The perianesthesia nurse understands that
which of the following in the patient's history could be
problematic at this time?
Diabetes
COPD
Osteoporosis
Angina
After receiving an interscalene block, the patient complains Phrenic
of shortness of breath. The perianesthesia nurse is aware
that the block may have affected which nerve?
Transverse cervical
Supraclavicular
Phrenic
Recurrent laryngeal
While assisting an anesthesiologist performing a block for Successful therapeutic block
reflex sympathetic dystrophy, the perianesthesia nurse
observes that the affected arm becomes warm to the touch
and flushed. The patient reports a sensation of heaviness
in the arm. The perianesthesia nurse knows that this
indicates which of the following?
Ineffective regional block
Severe allergic reaction
Successful therapeutic block
Extravasation of the medication
While caring for a patient after lumbar posterior nerve root surgeon of lack of motor ability.
rhizotomy, the perianesthesia nurse notes the patient has
no movement or sensation to the lower extremities. The
priority nursing action is to notify the:
anesthesiologist of muscle paralysis.
operating room of the complications.
surgeon of the absence of sensation.
surgeon of lack of motor ability.
According to ASPAN Standards of Perianesthesia Nursing transition of the patient from an anesthetized state to Phase II or an inpatient
Practice, care in the post anesthesia Phase I focuses on: setting.
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.
Twenty minutes after admission to the PACU, a 24-year- noncardiogenic pulmonary edema.
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.
The perianesthesia nurse is titrating pain medications for a Morphine 10mg
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.