NURSING MODERATE SEDATION POST TEST
QUESTIONS WITH VERIFIED ANSWERS
In an effort to maintain patient safety during moderate sedation, ASA and JC have
established specific educational requirements and competencies the RN must possess
to administer moderate sedation. Below identify some of these competencies: -
Answers - - Distinguish between the level of sedation and manage over or under
sedated patients
- Demonstrate competency in administration, monitoring, and documentation of
moderate sedation under three supervised moderate sedation procedure with an
experienced preceptor.
- Knowledge and recognition of impending or ongoing airway obstruction and ability to
establish a patent airway and deliver positive pressure ventilation.
- Successful completion of the BCLS and ACLS/PALS as appropriate for the patient's
age.
All of the above
Mrs. Brown a 45-year-old healthy adult received MS for a routine endoscopy. She was
given a total of 10 mg Versed and 75 mcg Fentanyl. Immediate post procedure Modified
Aldrete score is 5 and a sedation score of 3. Her RR is 6, O2 sat 84% with
supplemental O2 NRM, HR 50 with Sinus bradycardia, BP 80/48 and she is very difficult
to arouse. What is her level of sedation? - Answers - Deep sedation
Prior to sedation, the following is required: - Answers - - A written order for the
administration of moderate sedation as well as a written consent on the patient's chart
- An informed consent by the MD regarding options and risks
- Pre-sedation assessment by the performing physician which includes the following:
pertinent medical history, physical exam, pain scale, sedation scale Mallampati or
pediatric airway exam, NPO status and an ASA classification with documentation on the
moderate sedation record
All of the above are correct.
The physician has ordered Propofol to be pushed over 1 minutes for a patient requiring
rapid sequence intubation (RSI). The nurse can: - Answers - Ensure that the
administration of Propofol is given by a practitioner qualified by training and education in
the administration of general anesthesia
The onset of action for naloxone and flumazenil is approximately: - Answers - 1-3
minutes
QUESTIONS WITH VERIFIED ANSWERS
In an effort to maintain patient safety during moderate sedation, ASA and JC have
established specific educational requirements and competencies the RN must possess
to administer moderate sedation. Below identify some of these competencies: -
Answers - - Distinguish between the level of sedation and manage over or under
sedated patients
- Demonstrate competency in administration, monitoring, and documentation of
moderate sedation under three supervised moderate sedation procedure with an
experienced preceptor.
- Knowledge and recognition of impending or ongoing airway obstruction and ability to
establish a patent airway and deliver positive pressure ventilation.
- Successful completion of the BCLS and ACLS/PALS as appropriate for the patient's
age.
All of the above
Mrs. Brown a 45-year-old healthy adult received MS for a routine endoscopy. She was
given a total of 10 mg Versed and 75 mcg Fentanyl. Immediate post procedure Modified
Aldrete score is 5 and a sedation score of 3. Her RR is 6, O2 sat 84% with
supplemental O2 NRM, HR 50 with Sinus bradycardia, BP 80/48 and she is very difficult
to arouse. What is her level of sedation? - Answers - Deep sedation
Prior to sedation, the following is required: - Answers - - A written order for the
administration of moderate sedation as well as a written consent on the patient's chart
- An informed consent by the MD regarding options and risks
- Pre-sedation assessment by the performing physician which includes the following:
pertinent medical history, physical exam, pain scale, sedation scale Mallampati or
pediatric airway exam, NPO status and an ASA classification with documentation on the
moderate sedation record
All of the above are correct.
The physician has ordered Propofol to be pushed over 1 minutes for a patient requiring
rapid sequence intubation (RSI). The nurse can: - Answers - Ensure that the
administration of Propofol is given by a practitioner qualified by training and education in
the administration of general anesthesia
The onset of action for naloxone and flumazenil is approximately: - Answers - 1-3
minutes
