| 2026/2027 CompleteAnesthesia,
Chapter Questions
Moderate&Sedation,
Answers with
Pre and
Rationales,
|Post
2026/2027
Nursing
Guide
Complete
Care
A+ Practice
Chapter
Questions
Questions
and&Answers
Answerswith
withRationales.pdf
Rationales, Guide A+ Page 1 of 23
Anesthesia, Moderate Sedation, Pre and
Post Nursing Care Practice Questions and
Answers with Rationales
Terms in this set (115)
Original
A nurse administered midazolam IV bolus to a client before a procedure. His BP is 86/40 mm Hg, and his
pulse is 134/min. Which of the following IV medications should the nurse administer?
A. Naloxone
B. Morphine
C. Flumazenil
D. Atropine
C. Flumazenil
Rationale: Flumazenil is the antidote for benzos, naloxone is the antidote for opioids, morphine is given
for pain and atropine treats bradycardia
A nurse is assisting an anesthesiologist in the delivery of nitrous oxide by face mask to a client during the
induction of anesthesia. Which of the following is the priority nursing action?
A. Assess O2 saturation
B. Measure BP
C. Palpate pulse rate
D. Check temp
A. Assess O2 saturation
Rationale: The greatest risk for injury during anesthesia is hypoxia, the priority action is to maintain and
ensure a patent airway
A nurse is caring for a client who develops malignant hyperthermia. Which of the following actions
should the nurse take? SATA
A. Infuse iced IV fluids
B. Provide 100% O2
C. Place cooling blanket on client
on, Pre and
Page
Post
1 of
Nursing
23 Care Practice
Anesthesia,
Questions
Moderate
andSedation,
Answers with
Pre and
Rationales.pdf
Post Nursing
| 2026/2027
Care Practice
Complete
Questions
Chapter
andQuestions
Answers with
& Answers
Rationales
with Rationales, Guide A+
, | 2026/2027 CompleteAnesthesia,
Chapter Questions
Moderate&Sedation,
Answers with
Pre and
Rationales,
|Post
2026/2027
Nursing
Guide
Complete
Care
A+ Practice
Chapter
Questions
Questions
and&Answers
Answerswith
withRationales.pdf
Rationales, Guide A+ Page 2 of 23
D. Treat complication while continuing surgery
E. Administer IV dantrolene
A. Infuse iced IV fluids
B. Provide 100% O2
C. Place cooling blanket on client
E. Administer IV dantrolene
Rationale: Measures to cool down patient and maintain a patent airway is priority. Administer IV
dantrolene which is a muscle relaxant that treats malignant hyperthermia. The procedure should be
canceled immediately
A nurse is caring for a client who develops a systemic toxic reaction following a regional block. Which of
the following actions should the nurse take?
A. Monitor serum creatinine levels
B. Provide airway support
C. Turn client to the right side
D. Administer 0.9% sodium chloride 500 ml bolus
B. Provide airway support
Rationale: Systemic shock reaction casues CNS depression, priority action is to provide airway support.
ABGs should be monitored instead of creatinine, turning client would not improve condition, fluid bolus
would make it worse b/c hypertension is one of the manifestations
A nurse is caring for a client who reports a headache following an epidural regional nerve block. Which
of the following actions should the nurse take?
A. Decrease the clients fluid intake
B. Apply pressure to the puncture site
C. Place head of bed flat
D. Instruct client to lie prone
C. Place head of bed flat
Rationale: Client is experiencing a headache due to CSF leak. Increasing fluids would help replace CSF
loss, applying pressure to site will not stop leakage as CSF composition is different from blood, keeping
head of bed flat promotes dura tear to seal, lying prone will worsen the headache
When is general anesthesia used?
Major surgery
When complete muscle relaxation is required
What is local anesthesia?
Loss of sensation w/o loss of consciousness
Paralysis in a specific area of the body
What population is most susceptible to the effects of anesthesia?
on, Pre and
Page
Post
2 of
Nursing
23 Care Practice
Anesthesia,
Questions
Moderate
andSedation,
Answers with
Pre and
Rationales.pdf
Post Nursing
| 2026/2027
Care Practice
Complete
Questions
Chapter
andQuestions
Answers with
& Answers
Rationales
with Rationales, Guide A+
, | 2026/2027 CompleteAnesthesia,
Chapter Questions
Moderate&Sedation,
Answers with
Pre and
Rationales,
|Post
2026/2027
Nursing
Guide
Complete
Care
A+ Practice
Chapter
Questions
Questions
and&Answers
Answerswith
withRationales.pdf
Rationales, Guide A+ Page 3 of 23
Older adults
What can help control the incidence of adverse effects of anesthesia?
Careful titration
What is the main priority in anesthesia patients?
Airway patency
However, cardiac problems can arise much more quickly
Risk Factors for General Anesthesia
Hx of malignant hyperthermia
Hypoventilation
Dysrhythmias
Altered cardiac output
Gastric contents (may cause aspiration)
Alcohol or substance use
Risk Factors for Local Anesthesia
Allergy to ester anesthetics (cocaine, procaine, tetracaine, chloroprocaine, & benzocaine)
Alterations in peripheral circulation
How is General Anesthesia administered?
Injectable (benzos, etomidate, proprofol, ketamine and short acting barbiturates [methohexital])
Inhalable (halothane, isoflurane and nitrous oxide)
What are inhalable anesthetics all mixed with?
Oxygen
Which IV anesthetic is most commonly used?
Proprofol (mechanical ventilation, radiation therapy, and diagnostic procedures)
A client is to receive proprofol as an IV anesthetic. For what reason should the nurse question the order?
A. Age 45
B. Female gender
C. Allergy to soybeans
D. O2 sat of 96 on room air
C. Allergy to soybeans
Rationale: allergy to eggs and soybean oil are contraindications
How are inhalation anesthetics eliminated?
Exhalation
~ depends on pulmonary ventilation and blood flow to lungs
on, Pre and
Page
Post
3 of
Nursing
23 Care Practice
Anesthesia,
Questions
Moderate
andSedation,
Answers with
Pre and
Rationales.pdf
Post Nursing
| 2026/2027
Care Practice
Complete
Questions
Chapter
andQuestions
Answers with
& Answers
Rationales
with Rationales, Guide A+
Chapter Questions
Moderate&Sedation,
Answers with
Pre and
Rationales,
|Post
2026/2027
Nursing
Guide
Complete
Care
A+ Practice
Chapter
Questions
Questions
and&Answers
Answerswith
withRationales.pdf
Rationales, Guide A+ Page 1 of 23
Anesthesia, Moderate Sedation, Pre and
Post Nursing Care Practice Questions and
Answers with Rationales
Terms in this set (115)
Original
A nurse administered midazolam IV bolus to a client before a procedure. His BP is 86/40 mm Hg, and his
pulse is 134/min. Which of the following IV medications should the nurse administer?
A. Naloxone
B. Morphine
C. Flumazenil
D. Atropine
C. Flumazenil
Rationale: Flumazenil is the antidote for benzos, naloxone is the antidote for opioids, morphine is given
for pain and atropine treats bradycardia
A nurse is assisting an anesthesiologist in the delivery of nitrous oxide by face mask to a client during the
induction of anesthesia. Which of the following is the priority nursing action?
A. Assess O2 saturation
B. Measure BP
C. Palpate pulse rate
D. Check temp
A. Assess O2 saturation
Rationale: The greatest risk for injury during anesthesia is hypoxia, the priority action is to maintain and
ensure a patent airway
A nurse is caring for a client who develops malignant hyperthermia. Which of the following actions
should the nurse take? SATA
A. Infuse iced IV fluids
B. Provide 100% O2
C. Place cooling blanket on client
on, Pre and
Page
Post
1 of
Nursing
23 Care Practice
Anesthesia,
Questions
Moderate
andSedation,
Answers with
Pre and
Rationales.pdf
Post Nursing
| 2026/2027
Care Practice
Complete
Questions
Chapter
andQuestions
Answers with
& Answers
Rationales
with Rationales, Guide A+
, | 2026/2027 CompleteAnesthesia,
Chapter Questions
Moderate&Sedation,
Answers with
Pre and
Rationales,
|Post
2026/2027
Nursing
Guide
Complete
Care
A+ Practice
Chapter
Questions
Questions
and&Answers
Answerswith
withRationales.pdf
Rationales, Guide A+ Page 2 of 23
D. Treat complication while continuing surgery
E. Administer IV dantrolene
A. Infuse iced IV fluids
B. Provide 100% O2
C. Place cooling blanket on client
E. Administer IV dantrolene
Rationale: Measures to cool down patient and maintain a patent airway is priority. Administer IV
dantrolene which is a muscle relaxant that treats malignant hyperthermia. The procedure should be
canceled immediately
A nurse is caring for a client who develops a systemic toxic reaction following a regional block. Which of
the following actions should the nurse take?
A. Monitor serum creatinine levels
B. Provide airway support
C. Turn client to the right side
D. Administer 0.9% sodium chloride 500 ml bolus
B. Provide airway support
Rationale: Systemic shock reaction casues CNS depression, priority action is to provide airway support.
ABGs should be monitored instead of creatinine, turning client would not improve condition, fluid bolus
would make it worse b/c hypertension is one of the manifestations
A nurse is caring for a client who reports a headache following an epidural regional nerve block. Which
of the following actions should the nurse take?
A. Decrease the clients fluid intake
B. Apply pressure to the puncture site
C. Place head of bed flat
D. Instruct client to lie prone
C. Place head of bed flat
Rationale: Client is experiencing a headache due to CSF leak. Increasing fluids would help replace CSF
loss, applying pressure to site will not stop leakage as CSF composition is different from blood, keeping
head of bed flat promotes dura tear to seal, lying prone will worsen the headache
When is general anesthesia used?
Major surgery
When complete muscle relaxation is required
What is local anesthesia?
Loss of sensation w/o loss of consciousness
Paralysis in a specific area of the body
What population is most susceptible to the effects of anesthesia?
on, Pre and
Page
Post
2 of
Nursing
23 Care Practice
Anesthesia,
Questions
Moderate
andSedation,
Answers with
Pre and
Rationales.pdf
Post Nursing
| 2026/2027
Care Practice
Complete
Questions
Chapter
andQuestions
Answers with
& Answers
Rationales
with Rationales, Guide A+
, | 2026/2027 CompleteAnesthesia,
Chapter Questions
Moderate&Sedation,
Answers with
Pre and
Rationales,
|Post
2026/2027
Nursing
Guide
Complete
Care
A+ Practice
Chapter
Questions
Questions
and&Answers
Answerswith
withRationales.pdf
Rationales, Guide A+ Page 3 of 23
Older adults
What can help control the incidence of adverse effects of anesthesia?
Careful titration
What is the main priority in anesthesia patients?
Airway patency
However, cardiac problems can arise much more quickly
Risk Factors for General Anesthesia
Hx of malignant hyperthermia
Hypoventilation
Dysrhythmias
Altered cardiac output
Gastric contents (may cause aspiration)
Alcohol or substance use
Risk Factors for Local Anesthesia
Allergy to ester anesthetics (cocaine, procaine, tetracaine, chloroprocaine, & benzocaine)
Alterations in peripheral circulation
How is General Anesthesia administered?
Injectable (benzos, etomidate, proprofol, ketamine and short acting barbiturates [methohexital])
Inhalable (halothane, isoflurane and nitrous oxide)
What are inhalable anesthetics all mixed with?
Oxygen
Which IV anesthetic is most commonly used?
Proprofol (mechanical ventilation, radiation therapy, and diagnostic procedures)
A client is to receive proprofol as an IV anesthetic. For what reason should the nurse question the order?
A. Age 45
B. Female gender
C. Allergy to soybeans
D. O2 sat of 96 on room air
C. Allergy to soybeans
Rationale: allergy to eggs and soybean oil are contraindications
How are inhalation anesthetics eliminated?
Exhalation
~ depends on pulmonary ventilation and blood flow to lungs
on, Pre and
Page
Post
3 of
Nursing
23 Care Practice
Anesthesia,
Questions
Moderate
andSedation,
Answers with
Pre and
Rationales.pdf
Post Nursing
| 2026/2027
Care Practice
Complete
Questions
Chapter
andQuestions
Answers with
& Answers
Rationales
with Rationales, Guide A+
