Relias Post-Anesthesia Care Unit PACU RN
(Latest Update ) Questions
with Answers 100% Correct {Grade A}
When caring for a patient who is receiving outpatient surgery, what is the BEST way to
know that a patient's post-operative blood pressure is sufficient for discharge to
home? - Correct answer ***B) It is +/- 20% of baseline pre-operative levels
After surgery, a sleepy yet responsive patient with an intact gag reflex has a large
amount of salivary secretions. What should you do? - Correct answer D) Insert an oral
airway
Where is the phlebostatic axis for leveling the transducer of an arterial line? - Correct
answer ***A) Fourth intercostal level at the midaxillary line
A carotid endarterectomy patient arrives to you in the PACU. What initial assessment
is MOST important? - Correct answer ***A) pupil checks
,There are 4 patients in PACU: A patient who is alert but disoriented to time, a patient
who reports dizziness upon sitting upright, a patient who has partial return of
sensation after spinal, and a patient who is drowsy but awakens to touch. Which
patient is MOST ready to transfer to phase 2 post-anesthesia care? - Correct answer
B) The patient who is alert but disoriented to time
Your patient arrives to PACU with lactated ringer's ordered at 100ml/hr. Which pre-
existing condition would make you question this order? - Correct answer ***B) End
Stage Renal Disease
While assessing your post-op patient with a new dialysis graft, what should the PACU
nurse monitor to evaluate the functionality of the graft? - Correct answer ***D) A
palpable thrill and audible bruit
You are taking care of a 300lb male status post abdominal surgery, and he requests to
be repositioned. He is currently on a hover mat. What is the BEST way to achieve this?
- Correct answer ***C) Wait for additional assistance before moving the patient
, What is an example of Phase 1 discharge criteria? - Correct answer ***C) The patient
can maintain their airway
You were called in at 2am and did not leave the hospital until 4am. However, your
regular shift starts at 7am, and you are extremely tired. What is the appropriate action?
- Correct answer D) Call your manager and ask for the unit protocol
You are caring for a patient in Phase 1 recovery and they appear ready to transfer
except that their blood pressure continues to stay 50mmHg above their pre-anesthetic
SBP. At home the patient takes a diuretic and beta-blocker for hypertension. What
should you do? - Correct answer D) Contact the anesthesia provider
You receive a patient to Phase I recovery from IR status post cerebral aneurysm
clipping. Which assessment is most important for you to perform? - Correct answer
***B) Pupil response, facial and extremity movement
Which patient is MOST at risk for developing postoperative cardiogenic shock? -
Correct answer ***B) Pt with recent MI
(Latest Update ) Questions
with Answers 100% Correct {Grade A}
When caring for a patient who is receiving outpatient surgery, what is the BEST way to
know that a patient's post-operative blood pressure is sufficient for discharge to
home? - Correct answer ***B) It is +/- 20% of baseline pre-operative levels
After surgery, a sleepy yet responsive patient with an intact gag reflex has a large
amount of salivary secretions. What should you do? - Correct answer D) Insert an oral
airway
Where is the phlebostatic axis for leveling the transducer of an arterial line? - Correct
answer ***A) Fourth intercostal level at the midaxillary line
A carotid endarterectomy patient arrives to you in the PACU. What initial assessment
is MOST important? - Correct answer ***A) pupil checks
,There are 4 patients in PACU: A patient who is alert but disoriented to time, a patient
who reports dizziness upon sitting upright, a patient who has partial return of
sensation after spinal, and a patient who is drowsy but awakens to touch. Which
patient is MOST ready to transfer to phase 2 post-anesthesia care? - Correct answer
B) The patient who is alert but disoriented to time
Your patient arrives to PACU with lactated ringer's ordered at 100ml/hr. Which pre-
existing condition would make you question this order? - Correct answer ***B) End
Stage Renal Disease
While assessing your post-op patient with a new dialysis graft, what should the PACU
nurse monitor to evaluate the functionality of the graft? - Correct answer ***D) A
palpable thrill and audible bruit
You are taking care of a 300lb male status post abdominal surgery, and he requests to
be repositioned. He is currently on a hover mat. What is the BEST way to achieve this?
- Correct answer ***C) Wait for additional assistance before moving the patient
, What is an example of Phase 1 discharge criteria? - Correct answer ***C) The patient
can maintain their airway
You were called in at 2am and did not leave the hospital until 4am. However, your
regular shift starts at 7am, and you are extremely tired. What is the appropriate action?
- Correct answer D) Call your manager and ask for the unit protocol
You are caring for a patient in Phase 1 recovery and they appear ready to transfer
except that their blood pressure continues to stay 50mmHg above their pre-anesthetic
SBP. At home the patient takes a diuretic and beta-blocker for hypertension. What
should you do? - Correct answer D) Contact the anesthesia provider
You receive a patient to Phase I recovery from IR status post cerebral aneurysm
clipping. Which assessment is most important for you to perform? - Correct answer
***B) Pupil response, facial and extremity movement
Which patient is MOST at risk for developing postoperative cardiogenic shock? -
Correct answer ***B) Pt with recent MI
