Question 1
Which is correct regarding post operative shivering?
A. Increased O2 consumption, increased ventilatory requirements
B. Decreased O2 consumption, increased ventilatory requirements
C. Minor mechanism of heat production, prolonged PACU Phase 1 time
D. Need for close monitoring for hypotension and diffuse muscle aches
CORRECT ANSWER
A. Increased O2 consumption, increased ventilatory requirements
Question 2
The perianesthesia nurse is aware that a main focus for pre admission assessment is to:
A. Evaluate fitness for anesthesia and surgery
B. Reduce the mortality and morbidity rate
C. Establish the necessity of the procedure
D. Order laboratory and other diagnostic tests
CORRECT ANSWER
B. Reduce the mortality and morbidity rate
Question 3
To lessen vertigo, n/v immediately following tympanoplasty the perianesthesia nurse
would place the patient in which optimal position?
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@THE STUDY VAULT
,A. Semi fowlers @ 45 degrees
B. Lateral on the operated side
C. Position of comfort
D. Lateral on the unoperated side
CORRECT ANSWER
D. Lateral on the unoperated side
Question 4
When caring for a diabetic patient, the major objective of the perianesthesia nurse is to
prevent:
A. Fluid volume excess
B. fluid volume deficit
C. Hyperglycemia
D. Hypoglycemia
CORRECT ANSWER
D. Hypoglycemia
Question 5
A pt. is admitted to the PACU after receiving anesthesia. The pt. is tachypneic, has muscle
rigidity, tachycardia and dysrhythmia. The perianesthesia nurse suspects:
A. neuroleptic malignant syndrome
B. post operative hemorrhage
C. hypoxic brain damage
D. malignant hyperthermia
CORRECT ANSWER
D. malignant hyperthermia
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@THE STUDY VAULT
, Question 6
The pt. arrives in the PACU post stapedectomy, complaining vertigo. The perianesthesia
nurse notes that the pt.has packing retained within the ear. The perianesthesia nurse:
A. does not disturb the packing
B. adviseds the pt to cough
C. advises the pt to blow nose
D. removes the packing
CORRECT ANSWER
A. does not disturb the packing
Question 7
A 70 year old pt is admitted following moderate IV sedation with morphine and
midazolam. The pits unresponsive and the skin is cool and diaphoretic.VS are 95/60, 50, RR
8 and SpO2 88%on RA. Following O2 administration, no improvement is noted. The nurse
anticipates administering:
A. atropine 0.5mg to 1.0mg
B. naloxone 0.1mg to 0.2mg
C. naloxone 0.6mg to 2.0mg
D. atropine 1.5mg to 2.0mg
CORRECT ANSWER
B. naloxone 0.1mg to 0.2mg
Question 8
Following a rhytidectomy, one of the earliest indications of complications is:
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@THE STUDY VAULT
Which is correct regarding post operative shivering?
A. Increased O2 consumption, increased ventilatory requirements
B. Decreased O2 consumption, increased ventilatory requirements
C. Minor mechanism of heat production, prolonged PACU Phase 1 time
D. Need for close monitoring for hypotension and diffuse muscle aches
CORRECT ANSWER
A. Increased O2 consumption, increased ventilatory requirements
Question 2
The perianesthesia nurse is aware that a main focus for pre admission assessment is to:
A. Evaluate fitness for anesthesia and surgery
B. Reduce the mortality and morbidity rate
C. Establish the necessity of the procedure
D. Order laboratory and other diagnostic tests
CORRECT ANSWER
B. Reduce the mortality and morbidity rate
Question 3
To lessen vertigo, n/v immediately following tympanoplasty the perianesthesia nurse
would place the patient in which optimal position?
1
@THE STUDY VAULT
,A. Semi fowlers @ 45 degrees
B. Lateral on the operated side
C. Position of comfort
D. Lateral on the unoperated side
CORRECT ANSWER
D. Lateral on the unoperated side
Question 4
When caring for a diabetic patient, the major objective of the perianesthesia nurse is to
prevent:
A. Fluid volume excess
B. fluid volume deficit
C. Hyperglycemia
D. Hypoglycemia
CORRECT ANSWER
D. Hypoglycemia
Question 5
A pt. is admitted to the PACU after receiving anesthesia. The pt. is tachypneic, has muscle
rigidity, tachycardia and dysrhythmia. The perianesthesia nurse suspects:
A. neuroleptic malignant syndrome
B. post operative hemorrhage
C. hypoxic brain damage
D. malignant hyperthermia
CORRECT ANSWER
D. malignant hyperthermia
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@THE STUDY VAULT
, Question 6
The pt. arrives in the PACU post stapedectomy, complaining vertigo. The perianesthesia
nurse notes that the pt.has packing retained within the ear. The perianesthesia nurse:
A. does not disturb the packing
B. adviseds the pt to cough
C. advises the pt to blow nose
D. removes the packing
CORRECT ANSWER
A. does not disturb the packing
Question 7
A 70 year old pt is admitted following moderate IV sedation with morphine and
midazolam. The pits unresponsive and the skin is cool and diaphoretic.VS are 95/60, 50, RR
8 and SpO2 88%on RA. Following O2 administration, no improvement is noted. The nurse
anticipates administering:
A. atropine 0.5mg to 1.0mg
B. naloxone 0.1mg to 0.2mg
C. naloxone 0.6mg to 2.0mg
D. atropine 1.5mg to 2.0mg
CORRECT ANSWER
B. naloxone 0.1mg to 0.2mg
Question 8
Following a rhytidectomy, one of the earliest indications of complications is:
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@THE STUDY VAULT
