2024 ANESTHESIA MODERATE
SEDATION, PRE AND POST
NURSING CARE PRACTICE EXAM
QUESTIONS WITH ANSWERS
A nurse administered midazolam IV bolus to a client before a procedure. His
BP is 86/40 mm Hg, and his pulse is 134/min. Which of the following IV
medications should the nurse administer?
A. Naloxone
B. Morphine
C. Flumazenil
D. Atropine - CORRECT-ANSWERSC. Flumazenil
Rationale: Flumazenil is the antidote for benzos, naloxone is the antidote for
opioids, morphine is given for pain and atropine treats bradycardia
A nurse is caring for a client who is 4 hrs postop and is complaining of
hunger. What should the nurse do at this time?
A. Give the client a hospital menu and let them choose their own food as
long as it is mechanical soft
B. Provided ice chips
C. Reassess gag and swallow reflex
D. Insert an NG tube - CORRECT-ANSWERSC. Reassess gag and swallow
reflex
How are NG tubes maintained? - CORRECT-ANSWERSIrrigate suction tubes
with saline as needed.
Do not move tubes
How should wound drainage change over time? - CORRECT-ANSWERSIt
should go from sanguineous to serosanguineous to serous if everything is
normal
What are some expected findings at a new surgical site? - CORRECT-
ANSWERSPink wound edges
Slight swelling under sutures/stitches/staples
Slight crusting of drainage
What are some unexpected findings at a new surgical site? - CORRECT-
ANSWERSRedness
,Excessive tenderness
Purulent drainage
Which patients would most likely be prescribed an abdominal binder? -
CORRECT-ANSWERSObese
Debilitated
When are sutures/staples removed? - CORRECT-ANSWERS5~10 days postop
What type of diet should a postop patient be encouraged to eat? - CORRECT-
ANSWERSHigh calorie
High protein
High vitamin C
What can cause airway obstruction? - CORRECT-ANSWERSswelling or spasm
of the larynx or trachea
mucus in the airway
relaxation of the tongue into the nasopharynx
~often manifests as snoring or stridor or choking
If a patient has airway obstruction what maneuver should the nurse perform?
A. Valsalva maneuver
B. Head tilt/chin lift maneuver
C. Heimlich maneuver
D. Hubschers manuever - CORRECT-ANSWERSB. Head tilt/chin lift maneuver
Rationale: Hubschers maneuver is to test flexibility. Valsalva maneuver is to
equalize pressure in the ears. Heimlich is if they are choking
1. notify anesthesiologist
2. elevate head of bed if not contraindicated (consider lateral)
3. provide humidified oxygen
4. plan for reintubation
What is a penrose drain? - CORRECT-ANSWERSOpen drainage system
Placed in the wound to drain fluid
What is a JP drain? (Jackson~Pratt) - CORRECT-ANSWERSClosed drainage
system
Suction device for postop drain
What is a Hemovac Drain? - CORRECT-ANSWERSClosed drainage system
Placed under the skin during surgery
Removes blood and other fluids that might build up
Patients are able to go home with it.
, A nurse is caring for a patient who recently had abdominal surgery. Upon
assessment the patient has absent bowel sounds. What actions are
appropriate for the nurse to take? (SATA)
A. Insert an NG tube
B. Administer erythromycin
C. Have the patient ambulate unless contraindicated
D. Have the client consume food
E. Give the patient ice chips - CORRECT-ANSWERSA. Insert an NG tube
B. Administer erythromycin
C. Have the patient ambulate unless contraindicated
Rationale: Patient is experiencing paralytic ileus. THe stomach contents are
not moving. NG tube to empty stomach contents. Erythromycin is a
prokinetic agent which helps (also metoclopramide).
Risk Factors for Dehiscence and Evisceration - CORRECT-ANSWERSObesity
Coughing
Moving without splinting
Poor nutritional status
DM
Infection
Hematoma
Steroid use
What actions should the nurse take if dehiscence or evisceration occurs? -
CORRECT-ANSWERS1. Call for help
2. Stay with client
3. Cover wound with sterile towel or dressing moistened with sterile saline
4. Do not attempt o reinsert organs
5. Place in low fowlers position with hips and knees bent
6. Monitor for shock
7. Notify provider immediately
Causes of DVT - CORRECT-ANSWERSDehydration
Stress response that leads to hypercoaguability
Immobility
Obesity
Trauma
Malignancy
History of thrombosis
Hormones
Use of indwelling venous catheter
SEDATION, PRE AND POST
NURSING CARE PRACTICE EXAM
QUESTIONS WITH ANSWERS
A nurse administered midazolam IV bolus to a client before a procedure. His
BP is 86/40 mm Hg, and his pulse is 134/min. Which of the following IV
medications should the nurse administer?
A. Naloxone
B. Morphine
C. Flumazenil
D. Atropine - CORRECT-ANSWERSC. Flumazenil
Rationale: Flumazenil is the antidote for benzos, naloxone is the antidote for
opioids, morphine is given for pain and atropine treats bradycardia
A nurse is caring for a client who is 4 hrs postop and is complaining of
hunger. What should the nurse do at this time?
A. Give the client a hospital menu and let them choose their own food as
long as it is mechanical soft
B. Provided ice chips
C. Reassess gag and swallow reflex
D. Insert an NG tube - CORRECT-ANSWERSC. Reassess gag and swallow
reflex
How are NG tubes maintained? - CORRECT-ANSWERSIrrigate suction tubes
with saline as needed.
Do not move tubes
How should wound drainage change over time? - CORRECT-ANSWERSIt
should go from sanguineous to serosanguineous to serous if everything is
normal
What are some expected findings at a new surgical site? - CORRECT-
ANSWERSPink wound edges
Slight swelling under sutures/stitches/staples
Slight crusting of drainage
What are some unexpected findings at a new surgical site? - CORRECT-
ANSWERSRedness
,Excessive tenderness
Purulent drainage
Which patients would most likely be prescribed an abdominal binder? -
CORRECT-ANSWERSObese
Debilitated
When are sutures/staples removed? - CORRECT-ANSWERS5~10 days postop
What type of diet should a postop patient be encouraged to eat? - CORRECT-
ANSWERSHigh calorie
High protein
High vitamin C
What can cause airway obstruction? - CORRECT-ANSWERSswelling or spasm
of the larynx or trachea
mucus in the airway
relaxation of the tongue into the nasopharynx
~often manifests as snoring or stridor or choking
If a patient has airway obstruction what maneuver should the nurse perform?
A. Valsalva maneuver
B. Head tilt/chin lift maneuver
C. Heimlich maneuver
D. Hubschers manuever - CORRECT-ANSWERSB. Head tilt/chin lift maneuver
Rationale: Hubschers maneuver is to test flexibility. Valsalva maneuver is to
equalize pressure in the ears. Heimlich is if they are choking
1. notify anesthesiologist
2. elevate head of bed if not contraindicated (consider lateral)
3. provide humidified oxygen
4. plan for reintubation
What is a penrose drain? - CORRECT-ANSWERSOpen drainage system
Placed in the wound to drain fluid
What is a JP drain? (Jackson~Pratt) - CORRECT-ANSWERSClosed drainage
system
Suction device for postop drain
What is a Hemovac Drain? - CORRECT-ANSWERSClosed drainage system
Placed under the skin during surgery
Removes blood and other fluids that might build up
Patients are able to go home with it.
, A nurse is caring for a patient who recently had abdominal surgery. Upon
assessment the patient has absent bowel sounds. What actions are
appropriate for the nurse to take? (SATA)
A. Insert an NG tube
B. Administer erythromycin
C. Have the patient ambulate unless contraindicated
D. Have the client consume food
E. Give the patient ice chips - CORRECT-ANSWERSA. Insert an NG tube
B. Administer erythromycin
C. Have the patient ambulate unless contraindicated
Rationale: Patient is experiencing paralytic ileus. THe stomach contents are
not moving. NG tube to empty stomach contents. Erythromycin is a
prokinetic agent which helps (also metoclopramide).
Risk Factors for Dehiscence and Evisceration - CORRECT-ANSWERSObesity
Coughing
Moving without splinting
Poor nutritional status
DM
Infection
Hematoma
Steroid use
What actions should the nurse take if dehiscence or evisceration occurs? -
CORRECT-ANSWERS1. Call for help
2. Stay with client
3. Cover wound with sterile towel or dressing moistened with sterile saline
4. Do not attempt o reinsert organs
5. Place in low fowlers position with hips and knees bent
6. Monitor for shock
7. Notify provider immediately
Causes of DVT - CORRECT-ANSWERSDehydration
Stress response that leads to hypercoaguability
Immobility
Obesity
Trauma
Malignancy
History of thrombosis
Hormones
Use of indwelling venous catheter
