MCA 1 Quiz 1 Practice Questions from
Discussion questions with complete
solutions 2025.
What are the most common CV dx post-op? - ANSWER: Hypotension, Hypertension,
and dysrhythmias
How will the RN assess for CV complications post-op? - ANSWER: Check vitals q15m,
less frequent once pt is stable.
ECG for pts with CV hx.
Check pulse, skin assessment, monitor for fluid retention, and electrolyte imbalances.
What nursing interventions would be implemented for a pt with hypotension post-
operatively? - ANSWER: Start with O2 therapy, and IV fluid. Inspect surgical incision for
cause of volume loss.
What nursing interventions would the RN implement for a pt with hypertension post-op?
- ANSWER: Eliminate the cause of sympathetic nervous system stimulation.
(analgesics, assistance in voiding, and correction of respiratory problems)
What must the RN consider for any new post-op pt who gets up for the first time? -
ANSWER: orthostatic hypotension (have a 2nd person in case the pt starts to fall or
faint.
How will the RN evaluate a pt after implementing post-op CV interventions? - ANSWER:
maintain I&O record
look at labs (electrolytes, and hematocrit)
manage IV therapy
, What is malignant hyperthermia? - ANSWER: Rate autosomal dominant genetic
disorder which presents when combined with certain anesthetics (succinylcholine).
How often does malignant hyperthermia occur? - ANSWER: 1/100,000, 50% of cases
occur in pts <19yo, mortality: 1-17%
What are the signs and symptoms of malignant hyperthermia? - ANSWER: tachycardia,
tachypnea (early signs)
muscle contracture and rigidity
hyperthermia (late sign)
hypoxemia
rhabdomyolysis (dark brown urine)
What treatments should be administered if a pt has MH? - ANSWER: Many Ors have
MH carts
D/C anesthetic
Dantrolene at 2.5 mg/kg q5m up to 10mg/kg
hyperventilate with 100% O2
Monitor pt for hyperkalemia, dysrhythmias, creatinine kinase, and urine output
What did Bill say MH is often related to? - ANSWER: "Sux" succinylcholine
How will a pt's baseline be altered as they move to post-op? - ANSWER: Likely have
slightly higher HR, lower BP, lower RR, lower sat's.
Why are VS checked more often for post-op pts? - ANSWER: Risk of deterioration
during those first couple of hours.
What are the SBAR post-op requirements for situation? - ANSWER: surgeon,
procedure, surgical site, and anesthesia
What are the SBAR post-op requirements for background? - ANSWER: allergies, meds
recv'd, IV site/fluids, dressings/drains, EBL, comorbidities, reversal
What are the SBAR post-op requirements for assessment? - ANSWER: PACU vitals,
O2 source, pain rates, tx, last dose, I&O, N/V
What are the SBAR post-op requirements for recommendation? - ANSWER: equipment,
physician orders, phone number for Qs, name of transferring and receiving RN
Discussion questions with complete
solutions 2025.
What are the most common CV dx post-op? - ANSWER: Hypotension, Hypertension,
and dysrhythmias
How will the RN assess for CV complications post-op? - ANSWER: Check vitals q15m,
less frequent once pt is stable.
ECG for pts with CV hx.
Check pulse, skin assessment, monitor for fluid retention, and electrolyte imbalances.
What nursing interventions would be implemented for a pt with hypotension post-
operatively? - ANSWER: Start with O2 therapy, and IV fluid. Inspect surgical incision for
cause of volume loss.
What nursing interventions would the RN implement for a pt with hypertension post-op?
- ANSWER: Eliminate the cause of sympathetic nervous system stimulation.
(analgesics, assistance in voiding, and correction of respiratory problems)
What must the RN consider for any new post-op pt who gets up for the first time? -
ANSWER: orthostatic hypotension (have a 2nd person in case the pt starts to fall or
faint.
How will the RN evaluate a pt after implementing post-op CV interventions? - ANSWER:
maintain I&O record
look at labs (electrolytes, and hematocrit)
manage IV therapy
, What is malignant hyperthermia? - ANSWER: Rate autosomal dominant genetic
disorder which presents when combined with certain anesthetics (succinylcholine).
How often does malignant hyperthermia occur? - ANSWER: 1/100,000, 50% of cases
occur in pts <19yo, mortality: 1-17%
What are the signs and symptoms of malignant hyperthermia? - ANSWER: tachycardia,
tachypnea (early signs)
muscle contracture and rigidity
hyperthermia (late sign)
hypoxemia
rhabdomyolysis (dark brown urine)
What treatments should be administered if a pt has MH? - ANSWER: Many Ors have
MH carts
D/C anesthetic
Dantrolene at 2.5 mg/kg q5m up to 10mg/kg
hyperventilate with 100% O2
Monitor pt for hyperkalemia, dysrhythmias, creatinine kinase, and urine output
What did Bill say MH is often related to? - ANSWER: "Sux" succinylcholine
How will a pt's baseline be altered as they move to post-op? - ANSWER: Likely have
slightly higher HR, lower BP, lower RR, lower sat's.
Why are VS checked more often for post-op pts? - ANSWER: Risk of deterioration
during those first couple of hours.
What are the SBAR post-op requirements for situation? - ANSWER: surgeon,
procedure, surgical site, and anesthesia
What are the SBAR post-op requirements for background? - ANSWER: allergies, meds
recv'd, IV site/fluids, dressings/drains, EBL, comorbidities, reversal
What are the SBAR post-op requirements for assessment? - ANSWER: PACU vitals,
O2 source, pain rates, tx, last dose, I&O, N/V
What are the SBAR post-op requirements for recommendation? - ANSWER: equipment,
physician orders, phone number for Qs, name of transferring and receiving RN
