RELIAS PROPHECY PACU RN A V1 COMPLETE TEST / 70 QUESTIONS AND ANSWERS ( UPDATED 2024 )

1. 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 2. Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter. What should you do? : A) Position the patient on their side B) Place the patient in a prone position C) Check the epidural line for kinks D) Contact the anesthesia provider Answer D 3. What set of findings indicates a patient is likely to be ready for phase 1 discharge?: A) Has received discharge instructions, pain level 9 out 10, shortnessof breath B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxygen via facemask C) Drowsy, oxygen saturation of 96%, able to cough, and move all extremities D) Fully alert, shallow breathing, on 3 liters via T-piece, can move 2 extremities Answer C 4. What do you consider to be a safe dose of intravenous fentanyl for an adultwho does not have tolerance to opioids?: A) 1.5 miligrams B) 25 micrograms C) 100 micrograms D 25 miligrams Answer B 5. 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. Whatmedication should you prepare to give FIRST?: A) 10 mg hydralazine IV push B) 50 mcg fentanyl IV push C) 2 mg lorazepam IV push D) 5 mg metoprolol IV push Answer B 6. You are about to discharge a day surgery patient with aphasia and you discover the family members are not available for the discharge instructionsand are not responding to your phone calls. Business hours are over and thePACU is about to close. How will you handle the situation?: A) Wait until thefamily returns B) Leave the discharge education on voicemail and discharge patient C) Discharge patient with non-emergency transport D) Take patient home yourself Answer A