Hesi, The Post-Anesthesia Care Unit
(PACU), Mr. Potter 2025/2026 Exam
Questions and Answers | 100% Pass
You know that nursing care in PACU is multifaceted and involves:
- monitoring the patient's physiological status
- intervening to ensure uneventful recovery from anesthesia and surgery
- providing a safe environment for the patient experiencing limitations in
physical, mental, and emotional function
- preventing or promptly treating complications in the immediate post-
anesthesia period
- upholding the patient's rights to dignity, privacy, and confidentiality
- utilizing high tech equipment so health care costs will be justified -
🧠ANSWER ✔✔A. monitoring the patient's physiological status
B. intervening to ensure uneventful recovery from anesthesia and surgery
C. providing a safe environment for the patient experiencing limitations in
physical, mental, and emotional function
1
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STATEMENT. ALL RIGHTS RESERVED
,D. preventing or promptly treating complications in the immediate post-
anesthesia period
E. upholding the patient's rights to dignity, privacy, and confidentiality
The nurse anesthetist gives you Mr. Potter's record, and prepares to give
you a verbal report. You know that her verbal report should include:
- Mr. Potter's height and weight
- The name of the surgical procedure Mr. Potter had
- Mr. Potter's relevant health history
- Anesthetic agents and other drugs that were administered to Mr. Potter
- Mr. Potter's estimated blood loss during surgery
- Mr. Potter's religious preference
- Mr. Potter's fluid status and IV therapy - 🧠ANSWER ✔✔B. The name of
the surgical procedure Mr. Potter had
C. Mr. Potter's relevant health history
D. Anesthetic agents and other drugs that were administered to Mr. Potter
E. Mr. Potter's estimated blood loss during surgery
G. Mr. Potter's fluid status and IV therapy
2
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
,In providing care for Mr. Potter, your first step is to:
- assess your patient
- analyze patient data
- plan care
- intervene
- evaluate care - 🧠ANSWER ✔✔A. assess your patient
Mr. Potter is a new patient. Data collection takes priority.
In PACU, many assessments and interventions are done simultaneously.
However, the most critical, high-priority assessment to be done with Mr.
Potter is his:
- operative site
- skin integrity
- pulse
- airway
- blood pressure - 🧠ANSWER ✔✔D. airway
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, The nurse's initial priority when admitting a patient to PACU is to determine
and insure the adequacy of the patient's airway and breathing. The
patient's airway should be assessed for patency. Respiratory rate, rhythm,
and quality should be determined. Breath sounds should be auscultated as
soon as possible. Since Mr. Potter has an oral endotracheal (ET) tube in
place, you assess for the presence of bilateral breath sounds, since the ET
tube may have become dislodged during transport to PACU. Mr. Potter is
breathing spontaneously at 16 regular, deep breaths per minute through
the oral ET tube. You attach Mr. Potter to monitoring equipment that
measures his arterial oxygen saturation continuously by pulse oximetry
(SpO2). His current SpO2 is 97%. You attach 35% oxygen to Mr. Potter's
ET tube via T-tube at 8 liters per minute, per protocol, to prevent
desaturation.
What TWO assessments are your next priorities?
- Operative site
- Skin color
- Skin integrity
- Pulse
4
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
(PACU), Mr. Potter 2025/2026 Exam
Questions and Answers | 100% Pass
You know that nursing care in PACU is multifaceted and involves:
- monitoring the patient's physiological status
- intervening to ensure uneventful recovery from anesthesia and surgery
- providing a safe environment for the patient experiencing limitations in
physical, mental, and emotional function
- preventing or promptly treating complications in the immediate post-
anesthesia period
- upholding the patient's rights to dignity, privacy, and confidentiality
- utilizing high tech equipment so health care costs will be justified -
🧠ANSWER ✔✔A. monitoring the patient's physiological status
B. intervening to ensure uneventful recovery from anesthesia and surgery
C. providing a safe environment for the patient experiencing limitations in
physical, mental, and emotional function
1
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
,D. preventing or promptly treating complications in the immediate post-
anesthesia period
E. upholding the patient's rights to dignity, privacy, and confidentiality
The nurse anesthetist gives you Mr. Potter's record, and prepares to give
you a verbal report. You know that her verbal report should include:
- Mr. Potter's height and weight
- The name of the surgical procedure Mr. Potter had
- Mr. Potter's relevant health history
- Anesthetic agents and other drugs that were administered to Mr. Potter
- Mr. Potter's estimated blood loss during surgery
- Mr. Potter's religious preference
- Mr. Potter's fluid status and IV therapy - 🧠ANSWER ✔✔B. The name of
the surgical procedure Mr. Potter had
C. Mr. Potter's relevant health history
D. Anesthetic agents and other drugs that were administered to Mr. Potter
E. Mr. Potter's estimated blood loss during surgery
G. Mr. Potter's fluid status and IV therapy
2
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
,In providing care for Mr. Potter, your first step is to:
- assess your patient
- analyze patient data
- plan care
- intervene
- evaluate care - 🧠ANSWER ✔✔A. assess your patient
Mr. Potter is a new patient. Data collection takes priority.
In PACU, many assessments and interventions are done simultaneously.
However, the most critical, high-priority assessment to be done with Mr.
Potter is his:
- operative site
- skin integrity
- pulse
- airway
- blood pressure - 🧠ANSWER ✔✔D. airway
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, The nurse's initial priority when admitting a patient to PACU is to determine
and insure the adequacy of the patient's airway and breathing. The
patient's airway should be assessed for patency. Respiratory rate, rhythm,
and quality should be determined. Breath sounds should be auscultated as
soon as possible. Since Mr. Potter has an oral endotracheal (ET) tube in
place, you assess for the presence of bilateral breath sounds, since the ET
tube may have become dislodged during transport to PACU. Mr. Potter is
breathing spontaneously at 16 regular, deep breaths per minute through
the oral ET tube. You attach Mr. Potter to monitoring equipment that
measures his arterial oxygen saturation continuously by pulse oximetry
(SpO2). His current SpO2 is 97%. You attach 35% oxygen to Mr. Potter's
ET tube via T-tube at 8 liters per minute, per protocol, to prevent
desaturation.
What TWO assessments are your next priorities?
- Operative site
- Skin color
- Skin integrity
- Pulse
4
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
