RELIAS PEDIATRIC CERTIFICATION
EVALUATION EXAMS SCRIPT 2026
COMPLETE RESPONSES APPROVED
‣ 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? Answer: 0.25 mililiters
‣ Upon inspecting a patient's epidural insertion site, you notice swelling around
the catheter. What should you do? Answer: ***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? Answer: ***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? Answer: ***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? Answer: ***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? Answer: ***C) Obtain the
consent from medical POA
‣ What is a physical manifestation of neuromuscular blockade (Roc,
succinylcholine)? Answer: C) Decreased respiratory effort
‣ What position would help alleviate headaches after spinal anesthesia? Answer:
***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? Answer: ***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? Answer: ***C) Clear dressing applied to the right groin
‣ You are receiving a report on a post op patients from the OR nurse and during
the report when you asked for clarifications, the OR nurse became angry,
belligerent, and rude. She ended up not answering your question. How will you
proceed? Answer: ***A) Report the incident to your charge nurse
EVALUATION EXAMS SCRIPT 2026
COMPLETE RESPONSES APPROVED
‣ 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? Answer: 0.25 mililiters
‣ Upon inspecting a patient's epidural insertion site, you notice swelling around
the catheter. What should you do? Answer: ***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? Answer: ***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? Answer: ***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? Answer: ***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? Answer: ***C) Obtain the
consent from medical POA
‣ What is a physical manifestation of neuromuscular blockade (Roc,
succinylcholine)? Answer: C) Decreased respiratory effort
‣ What position would help alleviate headaches after spinal anesthesia? Answer:
***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? Answer: ***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? Answer: ***C) Clear dressing applied to the right groin
‣ You are receiving a report on a post op patients from the OR nurse and during
the report when you asked for clarifications, the OR nurse became angry,
belligerent, and rude. She ended up not answering your question. How will you
proceed? Answer: ***A) Report the incident to your charge nurse
