PROPHECY PACU RN A V1 EXAM QUESTIONS AND ANSWERS NEWEST 2024
COMPLETE 100% A+ SCORE
QUESTION 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?
0.25 mililiters
QUESTION 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
QUESTION 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, shortness of breath
B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxygen via face mask
***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
QUESTION 4
What do you consider to be a safe dose of intravenous fentanyl for an adult who does not have
tolerance to opioids?
A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms D 25 miligrams
QUESTION 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. What medication should you prepare to give FIRST?
A) 10 mg hydralazine IV push
PROPHECY PACU RN A V1 EXAM
, ***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol IV push
QUESTION 6
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?
***A) Wait until the family returns
B) Leave the discharge education on voicemail and discharge patient
C) Discharge patient with non-emergency transport
D) Take patient home yourself
QUESTION 7
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?
A) Wake up the patient to sign the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
QUESTION 8
What position would help alleviate headaches after spinal anesthesia?
A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
QUESTION 9
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)?
A) Decreased consciousness
B) Decreased pupillary light reflex
PROPHECY PACU RN A V1 EXAM
COMPLETE 100% A+ SCORE
QUESTION 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?
0.25 mililiters
QUESTION 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
QUESTION 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, shortness of breath
B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxygen via face mask
***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
QUESTION 4
What do you consider to be a safe dose of intravenous fentanyl for an adult who does not have
tolerance to opioids?
A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms D 25 miligrams
QUESTION 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. What medication should you prepare to give FIRST?
A) 10 mg hydralazine IV push
PROPHECY PACU RN A V1 EXAM
, ***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol IV push
QUESTION 6
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?
***A) Wait until the family returns
B) Leave the discharge education on voicemail and discharge patient
C) Discharge patient with non-emergency transport
D) Take patient home yourself
QUESTION 7
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?
A) Wake up the patient to sign the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
QUESTION 8
What position would help alleviate headaches after spinal anesthesia?
A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
QUESTION 9
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)?
A) Decreased consciousness
B) Decreased pupillary light reflex
PROPHECY PACU RN A V1 EXAM
