Relias PACU RN A v1 UPDATED Actual
Questions and CORRECT Answers
What set of findings indicates a patient is likely to be ready for phase 1 discharge? -
CORRECT ANSWER✔✔- ***C) Drowsy, oxygen saturation of 96%, able to cough, and
move all extremities
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? -
CORRECT ANSWER✔✔- 0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter.
What should you do? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER✔✔- ***C) Obtain the consent from medical
POA
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? -
CORRECT ANSWER✔✔- C) Decreased respiratory effort
, What position would help alleviate headaches after spinal anesthesia? - CORRECT
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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER✔✔-
***A) Report the incident to your charge nurse
You are reviewing your orders for you 8 year-old patient that recently arrive in PACU. Which
PRN pain order would you question? - CORRECT ANSWER✔✔- C) PO ketorolac
What is a physiologic effect related to unrelieved pain? - CORRECT ANSWER✔✔- ***D)
Decreased healing
You are caring for a patient after placement of a percutaneous J tube. A student nurse asks
you, " Where does this tube go in the patient?" How should you answer? - CORRECT
ANSWER✔✔- ***A) The tube is placed into the Jejunum
When caring for a patient who is recovering from placement of a new arteriovenous fistula in
their right arm, you observe the presence of mild edema at the site. What should you do? -
CORRECT ANSWER✔✔- B) Elevate the right arm above the heart
You are caring for patient who is intubated, receiving ventilatory support, and is sedated with
a propofol infusion. Over the last 5 minutes you have decreased the propofol infusion in
preparation for extubation. The patient is now opening their eyes to voice and following
commands. What should you do NEXT to prepare the patient for immediate extubation? -
CORRECT ANSWER✔✔- ***C) Stop the propofol infusion
Questions and CORRECT Answers
What set of findings indicates a patient is likely to be ready for phase 1 discharge? -
CORRECT ANSWER✔✔- ***C) Drowsy, oxygen saturation of 96%, able to cough, and
move all extremities
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? -
CORRECT ANSWER✔✔- 0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter.
What should you do? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER✔✔- ***C) Obtain the consent from medical
POA
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? -
CORRECT ANSWER✔✔- C) Decreased respiratory effort
, What position would help alleviate headaches after spinal anesthesia? - CORRECT
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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER✔✔-
***A) Report the incident to your charge nurse
You are reviewing your orders for you 8 year-old patient that recently arrive in PACU. Which
PRN pain order would you question? - CORRECT ANSWER✔✔- C) PO ketorolac
What is a physiologic effect related to unrelieved pain? - CORRECT ANSWER✔✔- ***D)
Decreased healing
You are caring for a patient after placement of a percutaneous J tube. A student nurse asks
you, " Where does this tube go in the patient?" How should you answer? - CORRECT
ANSWER✔✔- ***A) The tube is placed into the Jejunum
When caring for a patient who is recovering from placement of a new arteriovenous fistula in
their right arm, you observe the presence of mild edema at the site. What should you do? -
CORRECT ANSWER✔✔- B) Elevate the right arm above the heart
You are caring for patient who is intubated, receiving ventilatory support, and is sedated with
a propofol infusion. Over the last 5 minutes you have decreased the propofol infusion in
preparation for extubation. The patient is now opening their eyes to voice and following
commands. What should you do NEXT to prepare the patient for immediate extubation? -
CORRECT ANSWER✔✔- ***C) Stop the propofol infusion
