Relias PACU RN A v1 Exam Questions and Answers 100% Pass 2024

Relias PACU RN A v1 Exam Questions and Answers What set of findings indicates a patient is likely to be ready for phase 1 discharge? - Answer-***C) Drowsy, oxygen saturation of 96%, able to cough, and move all extremities Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shivering in the PACU. Meperidine is available in 50mg/1ml. How many mililiters should be given? - Answer-0.25 mililiters Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter. What should you do? -Answer-***D) Contact the anesthesia provider What do you consider to be a safe dose of intravenous fentanyl for an adult who does not have tolerance to opioids? -Answer-***B) 25 micrograms Your patient in the PACU has a blood pressure of 171/92 mmHg, a heart rate of 120, respiratory rate of 24, is grimacing, restless, and moaning in bed. What medication should you prepare to give FIRST? -Answer-***B) 50 mcg fentanyl IV push You are about to discharge a day surgery patient with aphasia and you discover the family members are not available for the discharge instructions and are not responding to your phone calls. Business hours are over and the PACU is about to close. How will you handle the situation? -Answer-***A) Wait until the family returns You received a patient from OR post hip replacement surgery. The anesthesiologist is planning a nerve block in PACU, but the patient did not sign the consent for the nerve block. How will you proceed? -Answer-***C) Obtain the consent from medical POA What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? - Answer-C) Decreased respiratory effort What position would help alleviate headaches after spinal anesthesia? -Answer-***D) Flat to supine The surgeon has ordered ampicillin (Ancef) for a patient. When you check their chart, you see an allergy to penicillin. What is the BEST action? -Answer-***D) Contact the provider to question the order You are receiving report for a patient who had a percutaneous transluminal angioplasty for right lower extremity peripheral vascular disease and is now recovering in the PACU. What type of surgical dressing do you expect to find for this patient? -Answer-***C) Clear dressing applied to the right groin You are receiving a report on a post op patients from the OR nurse and during the report when you asked for clarifications, the OR nurse became angry, belligerent, and rude. She ended up not answering your question. How will you proceed? -Answer-***A) Report the incident to your charge nurse You are reviewing your orders for you 8 year-old patient that recently arrive in PACU. Which PRN pain order would you question? -Answer-C) PO ketorolac What is a physiologic effect related to unrelieved pain? -Answer-***D) Decreased healing You are caring for a patient after placement of a percutaneous J tube. A student nurse asks you, " Where does this tube go in the patient?" How should you answer? -Answer- ***A) The tube is placed into the Jejunum When caring for a patient who is recovering from placement of a new arteriovenous fistula in their right arm, you observe the presence of mild edema at the site. What should you do? -Answer-B) Elevate the right arm above the heart