Moderate Sedation Certification UPDATED ACTUAL Questions and CORRECT Answers

Moderate Sedation Certification
UPDATED ACTUAL Questions and
CORRECT Answers
Moderate "Conscious" Sedation - CORRECT ANSWER- ✔✔A minimally depressed level of
consciousness induced by the administration of pharmacologic agents in which the patient
retains continuous and independent ability to maintain protective reflexes and a patent airway
and to be aroused by physical or verbal stimulation.


Levels of Sedation Analgesia - CORRECT ANSWER- ✔✔1. Minimal Sedation
2. Moderate Sedation/Analgesia
3. Deep Sedation/Analgesia
4. General Anesthesia


Minimal Sedation - CORRECT ANSWER- ✔✔1. Patient is able to respond normally to
verbal stimulation.
2. Airway and Spontaneous Ventilation is not affected and thus "normal"
3. Cardiovascular function is not affected


Moderate Sedation/Analgesia - CORRECT ANSWER- ✔✔1. Patient responds to verbal or
tactile stimulation
2. No intervention to maintain patent airway
3. Spontaneous ventilation is adequate
4. Cardiovascular function is usually maintained


Deep Sedation/Analgesia - CORRECT ANSWER- ✔✔1. Patient responds to repeated or
painful stimulation
2. May require intervention to maintain patent airway
3. Spontaneous ventilation may be inadequate
4. Cardiovascular function is usually maintained

,General Anesthesia - CORRECT ANSWER- ✔✔1. Patient cannot be aroused, even with
painful stimuli
2. Intervention required to maintain patent airway
3. Spontaneous ventilation is frequently inadequate
4. Cardiovascular function may be impaired


Goals of Safe Sedation - CORRECT ANSWER- ✔✔1. Maintain adequate ventilation,
homeostasis, and circulation
2. Maintenance of appropriate level of consciousness
3. Promote comfort by elevating pain threshold
4. Patient Safety-be knowledgeable about possible consequences of respiratory depression,
airway obstruction, apnea, hypoxia, hypercapnia, bradycardia, asystole, brain injury/death
5. Using the essential components required to conduct safe sedation
6. Understand the importance of a systematic approach to sedation that promotes safety and
efficacy.


Role of the Sedation Nurse - CORRECT ANSWER- ✔✔1. Pre-op Nursing Assessment
2. Intra-op Nursing Actions: medication administration; patient monitoring; patient safety;
procedure specific
3. Post-op monitoring during recovery
4. Follow post-op d/c criteria
5. Explain post-d/c written instructions
6. Follow-up


JCAHO Care Standard: Qualified Individuals conducting sedation must possess education,
training, and experience in? - CORRECT ANSWER- ✔✔1. Evaluating patients prior to
moderate or deep sedation
2. Rescuing patients who slip into a "deeper than desired" level of sedation or anesthesia
3. Managing a compromised airway during a procedure
4. Handling a compromised CV system during a procedure.


Pre-Operative Nursing Assessment Steps - CORRECT ANSWER- ✔✔1. Chart Review

,2. Patient Interview
3. Physical Exam and Review of Systems


Pre-sedation Assessment Overview: Parts of the Assessment - CORRECT ANSWER- ✔✔1.
NPO Status
2. Chief complaint
3. Current medications
4. Drug allergies
5. H/O substance abuse
6. Concurrent medical problems
7. Communication Ability


How is Aspiration Risk Reduced - CORRECT ANSWER- ✔✔1. Pre-procedure fasting--
Defined as no food for 6 hours prior to procedure. May have clear fluids until 2h prior to
procedure.
2. Medication is titrated to maintain reflexes


What conditions place patient's at enhanced risks for aspiration with sedation? - CORRECT
ANSWER- ✔✔1. Obesity
2. DM
3. Pregnancy
4. Bowel Dysfunction


Patient history to consider during pre-op preparation - CORRECT ANSWER- ✔✔1.
Smoking- PPD and years
2. Drug allergies and reaction
3. Alcohol Abuse
4. Menstrual Hx and Urine HCG for fertile women
5. Height and Weight to dose medications
6. Drug Abuse
7. Daily Medications
8. Post Facial/Neck Trauma or Surgery

, 9. Dentures or any removable items in mouth


Elements of Pre-operative Preparation - CORRECT ANSWER- ✔✔1. Patient counseling
2. Rapport
3. Verbal reassurance
4. Patient expectations
5. IV Access
6. EKG/BP
7. Pulse Ox
8. Informed Consent


Pre-Sedation Assessment: Chart Review - CORRECT ANSWER- ✔✔1. Past medical
illnesses
2. Prior Surgical Procedures
3. Allergies
4. Drug reactions and intra-anesthetic complications
5. Lab Studies
6. Current medications
7. Compliance of medication regimen


Pre-Sedation Assessment: Ancillary Studies - CORRECT ANSWER- ✔✔1. Recent EKG
(<1year)
2. Patients at risk for myocardial injury (anti-hypertensive)
3. Pregnant, must have OB consult
4. <5 years old require a consult with anesthesia


ASA Physical Status - CORRECT ANSWER- ✔✔American Society of Anesthesiologists
Physical Status System helps qualify the relative risk to patients sedative medications pose


ASA 1 - CORRECT ANSWER- ✔✔-Normal, healthy adult
-No chronic illness