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Exam (elaborations)

PACU POST OP EXAM NEWEST ACTUAL TEST WITH COMPLETE QUESTIONS AND CORRECT ANSWERS

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PACU POST OP EXAM NEWEST ACTUAL TEST WITH COMPLETE QUESTIONS AND CORRECT ANSWERS

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PACU POST OP EXAM NEWEST ACTUAL TEST
WITH COMPLETE QUESTIONS AND CORRECT
ANSWERS 2026-27 JUST RELEASED VERSION

A postoperative patient in the poastanesthesia care unit (PACU) has had an open
reduction internal fixation of a left fractured femur. Vital signs are blood pressure
87/49 mm Hg, heart rate 100/min sinus rhythm, respirations 22/min, and
temperature 98.3 F (36.8 C). The Foley catheter has a total of 100 mL of clear
yellow urine in the last 4 hours. Which body systems have been assessed by the
nurse? SELECT ALL THAT APPLY. a. respiratory
a. cardiovascular
b. neurovascular
c. integumentary
d. real/urinary
e. gastrointestinal - ANSWER>>a, b, e


A patient cared for in the post anesthesia care unit (PACU) had a colostomy
placed for treatment of Crohn's disease. The nurse assesses that an abdominal
dressing is 25% saturated and serosanguineous drainage and the incision is
intact. An IV is infusing with D5/lactated Ringer's at 100 mL/hr through a 20-g
peripheral IV access. Auscultation of abdomen reveals hypoactive bowel sounds
in all four quadrants, abdomen soft, and no distention. Foley catheter is in place
and draining yellow urine with sediment, 375 mL output in Foley bag. Which

,2


body systems have been assessed by the nurse. SELECT ALL THAT APPLY. a.
renal/urinary

b. gastrointestinal
c. respiratory
d. musculoskeletal
e. integumentary
f. cardiovascular - ANSWER>>a, b, e


A 49 year old patient is in the post anesthesia care unit (PACU) following a frontal
craniotomy for repair of a ruptured cerebral aneurysm. The nurse assesses that
the patient's eyes open on verbal stimulation. Pupils are equal and reactive to
light, and diameter is 3 mm. The patient's hand grasps are equal and strong. The
patient is able to state name correctly. The patient has had one episode of nausea
and vomiting. Incision edges are dry and approximated with sutures. Lung sounds
are slightly diminished on auscultation, and the nurse observes the patient is
using abdominal accessory muscles to breath. Which body systems has the nurse
assessed? SELECT ALL THAT APPLY
a. cardiovascular
b. gastrointestinal
c. neurologic
d. integumentary
e. respiratory
f. renal/urinary - ANSWER>>b, c, d, e

, 3


The post anesthesia care unit (PACU) nurse is assessing a patient transferred in
from the OR. Which assessment finding apply to assessment of the cardiovascular
system? SELECT ALL THAT APPLY
a. opens eyes on command
b. absent dorsalis pedis pulse in left foot.
c. foley catheter in place with clear yellow drainage
d. monitor shows normal sinus rhythm.
e. state name correctly when asked
f. apical pulse 85 beats/minute - ANSWER>>b, d, f


The postanesthsia care unit (PACU) nurse i receiving the "handoff" report for a
patient transferred in from the OR. Which statements about this report are
accurate? SELECT ALL THAT APPLY
a. a handoff report requires clear, concise language
b. a handoff report is a two-way verbal interactions between the health care
professional giving the report and the nurse receiving it
c. a handoff report should be individualized based on the patient and his or her
surgery
d. the receiving nurse takes the time to restate (report back) the information to
verify what was said
e. the receiving nurse takes the time to ask questions, and the reporting
professional must respond to the questions until a common understanding is
established
f. the receiving nurse continues assessing other patients while the handoff report
is being given - ANSWER>>a, b, d, e

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February 24, 2026
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