Question 1
The perianesthesia nurse demonstrates understanding that language and readable
instructions are important to patient safety after discharge, by ensuring patient discharge
instructions are written in the vocabulary of grade level:
A. 3
B. 5
C. 9
D. 12
CORRECT ANSWER
B = 5th grade level
Question 2
While assess an elderly patient who is anxious and fearful, a perianesthesia nurse
observes old and new bruises with torn skin on the patient's arms, face, and hairline. The
perianesthesia nurse's best action is to:
A. approach the family about possible abuse
B. evaluate, observe, and further assess the patient
C. use appropriate paper tape on the patient's skin
D. report this information to social services
CORRECT ANSWER
D. reports to social services
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@THE STUDY VAULT
,Question 3
The perianesthesia nurse instructs a patient scheduled for a laparoscopic cholecystectomy
to remove body piercings prior to arrival as they may cause:
A. injury and infection
B. increased pain in the incision site
C. adverse medication interaction
D. EKG monitoring
CORRECT ANSWER
A. injury and infection
Question 4
The perianesthesia nurse suspects a Type IV latex allergy in a patient exhibiting:
A. tachyphylaxis
B. erythema
C. hypotension
D. bronchospasm
CORRECT ANSWER
B. erythema
There are two types of latex allergies: Type I (immediate-type) hypersensitivity and Type
IV (delayed-type) hypersensitivity.
Type I (immediate-type) hypersensitivity to natural rubber latex is an IgE-mediated,
immediate type hypersensitivity reaction to one or more proteins in natural rubber latex.
It is mediated by mast cell histamine relase and it typically involves a systemic reaction.
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, Type IV (delayed-type) hypersensitivity is a T cell-mediated (another type of white blood
cell), delayed response, and typically occurs 48 to 96 hours after exposure. This is
frequently a reaction to the processing chemicals used in manufacturing natural rubber
latex. This reaction is generally localized to the area of contact. This reaction is also
referred to as allergic contact dermatitis, T-cell-mediated allergy, or chemical allergy.
Question 5
A patient with vancomycin-resistant enteroccus is being admitted to the PACU following
surgery. A perianesthesia nurse should know which precaution provides the safest
environment for both the patient and others in the PACU?
A. Having the anesthesiologist recover the patient in the OR
B. Placing a special respirator mask over the nasal cannula on the patient
C. Providing 1:1 nurse-to-patient ratio for the patient
D. Having the anesthesiologist bypass the PACU and transporting the patient directly to the
surgical floor
CORRECT ANSWER
C. Providing 1:1 nurse-to-patient ratio for the patient
Question 6
A combative, restless, and thrashing patient arrives in the phase I PACU. After an initial
assessment of the patient's airway, the next intervention fir the perianesthesia nurse is to:
A. bring family members to the bedside
B. arouse the patient
C. Provide a safe environment
D. Medicate the patient for pain
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@THE STUDY VAULT
The perianesthesia nurse demonstrates understanding that language and readable
instructions are important to patient safety after discharge, by ensuring patient discharge
instructions are written in the vocabulary of grade level:
A. 3
B. 5
C. 9
D. 12
CORRECT ANSWER
B = 5th grade level
Question 2
While assess an elderly patient who is anxious and fearful, a perianesthesia nurse
observes old and new bruises with torn skin on the patient's arms, face, and hairline. The
perianesthesia nurse's best action is to:
A. approach the family about possible abuse
B. evaluate, observe, and further assess the patient
C. use appropriate paper tape on the patient's skin
D. report this information to social services
CORRECT ANSWER
D. reports to social services
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@THE STUDY VAULT
,Question 3
The perianesthesia nurse instructs a patient scheduled for a laparoscopic cholecystectomy
to remove body piercings prior to arrival as they may cause:
A. injury and infection
B. increased pain in the incision site
C. adverse medication interaction
D. EKG monitoring
CORRECT ANSWER
A. injury and infection
Question 4
The perianesthesia nurse suspects a Type IV latex allergy in a patient exhibiting:
A. tachyphylaxis
B. erythema
C. hypotension
D. bronchospasm
CORRECT ANSWER
B. erythema
There are two types of latex allergies: Type I (immediate-type) hypersensitivity and Type
IV (delayed-type) hypersensitivity.
Type I (immediate-type) hypersensitivity to natural rubber latex is an IgE-mediated,
immediate type hypersensitivity reaction to one or more proteins in natural rubber latex.
It is mediated by mast cell histamine relase and it typically involves a systemic reaction.
2
@THE STUDY VAULT
, Type IV (delayed-type) hypersensitivity is a T cell-mediated (another type of white blood
cell), delayed response, and typically occurs 48 to 96 hours after exposure. This is
frequently a reaction to the processing chemicals used in manufacturing natural rubber
latex. This reaction is generally localized to the area of contact. This reaction is also
referred to as allergic contact dermatitis, T-cell-mediated allergy, or chemical allergy.
Question 5
A patient with vancomycin-resistant enteroccus is being admitted to the PACU following
surgery. A perianesthesia nurse should know which precaution provides the safest
environment for both the patient and others in the PACU?
A. Having the anesthesiologist recover the patient in the OR
B. Placing a special respirator mask over the nasal cannula on the patient
C. Providing 1:1 nurse-to-patient ratio for the patient
D. Having the anesthesiologist bypass the PACU and transporting the patient directly to the
surgical floor
CORRECT ANSWER
C. Providing 1:1 nurse-to-patient ratio for the patient
Question 6
A combative, restless, and thrashing patient arrives in the phase I PACU. After an initial
assessment of the patient's airway, the next intervention fir the perianesthesia nurse is to:
A. bring family members to the bedside
B. arouse the patient
C. Provide a safe environment
D. Medicate the patient for pain
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@THE STUDY VAULT
