2025 RELIAS PACU RN A V1
FINAL EXAM PRACTICE TEST
QUESTIONS WITH ANSWERS
2025/2026 GRADED A+
, What set of findings indicates a patient is likely to be ready for phase 1 discharge? -
CORRECT ANSWERS-***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? -
CORRECT ANSWERS-0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice swelling around the
catheter. What should you do? - CORRECT ANSWERS-***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? - CORRECT ANSWERS-***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? - CORRECT ANSWERS-***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? - CORRECT ANSWERS-***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? - CORRECT ANSWERS-***C) Obtain the consent from
medical POA
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? -
CORRECT ANSWERS-C) Decreased respiratory effort
What position would help alleviate headaches after spinal anesthesia? - CORRECT
ANSWERS-***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? - CORRECT ANSWERS-
***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? - CORRECT
ANSWERS-***C) Clear dressing applied to the right groin
FINAL EXAM PRACTICE TEST
QUESTIONS WITH ANSWERS
2025/2026 GRADED A+
, What set of findings indicates a patient is likely to be ready for phase 1 discharge? -
CORRECT ANSWERS-***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? -
CORRECT ANSWERS-0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice swelling around the
catheter. What should you do? - CORRECT ANSWERS-***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? - CORRECT ANSWERS-***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? - CORRECT ANSWERS-***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? - CORRECT ANSWERS-***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? - CORRECT ANSWERS-***C) Obtain the consent from
medical POA
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? -
CORRECT ANSWERS-C) Decreased respiratory effort
What position would help alleviate headaches after spinal anesthesia? - CORRECT
ANSWERS-***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? - CORRECT ANSWERS-
***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? - CORRECT
ANSWERS-***C) Clear dressing applied to the right groin
