Prophecy PACU RN A v1 |2024-2025 NEWEST
COMPLETE QUESTIONS AND VERIFIED
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Meperidine (Demerol) 0.25 mililiters
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?
Upon inspecting a A) Position the patient on their side
patient's epidural B) Place the patient in a prone position
insertion site, you notice C) Check the epidural line for kinks
swelling around the ***D) Contact the anesthesia provider
catheter. What should
you do?
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,11/26/24, 7:44 AM Prophecy PACU RN A v1 |2024-2025 NEWEST COMPLETE QUESTIONS AND VERIFIED ANSWERS|GET IT 100% ACCUR…
A) Has received discharge instructions, pain level 9
out 10, shortness of breath
What set of findings B) Drowsy, blood pressure returned to preoperative
indicates a patient is likely levels, on 6 liters oxygen via face mask
to be ready for phase 1 ***C) Drowsy, oxygen saturation of 96%, able to
discharge? cough, and move all extremities
D) Fully alert, shallow breathing, on 3 liters via T-
piece, can move 2 extremities
What do you consider to A) 1.5 miligrams
be a safe dose of ***B) 25 micrograms
intravenous fentanyl for C) 100 micrograms
an adult who does not D 25 miligrams
have tolerance to
opioids?
Your patient in the PACU A) 10 mg hydralazine IV push
has a blood pressure of ***B) 50 mcg fentanyl IV push
171/92 mmHg, a heart C) 2 mg lorazepam IV push
rate of 120, respiratory D) 5 mg metoprolol IV push
rate of 24, is grimacing,
restless, and moaning in
bed. What medication
should you prepare to
give FIRST?
You are about to ***A) Wait until the family returns
discharge a day surgery B) Leave the discharge education on voicemail and
patient with aphasia and discharge patient
you discover the family C) Discharge patient with non-emergency transport
members are not D) Take patient home yourself
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?
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, 11/26/24, 7:44 AM Prophecy PACU RN A v1 |2024-2025 NEWEST COMPLETE QUESTIONS AND VERIFIED ANSWERS|GET IT 100% ACCUR…
You received a patient A) Wake up the patient to sign the consent
from OR post hip B) Ask a friend to sign the consent
replacement surgery. The ***C) Obtain the consent from medical POA
anesthesiologist is D) Proceed with the procedure
planning a nerve block in
PACU, but the patient did
not sign the consent for
the nerve block. How will
you proceed?
A) Prone
What position would help
B) Trendelenburg
alleviate headaches after
C) Semi-fowlers
spinal anesthesia?
***D) Flat to supine
**WRONG** A) Decreased consciousness
What is a physical B) Decreased pupillary light reflex
manifestation of C) Decreased respiratory effort
neuromuscular blockade **WRONG**D) Decreased sensation of pain
(Roc, succinylcholine)?
The surgeon has ordered A) Administer the medication with diphenhydramine
ampicillin (Ancef) for a B) Ask the patient to describe their reaction to
patient. When you check penicillin
their chart, you see an C) Contact the pharmacist to clarify the order
allergy to penicillin. What ***D) Contact the provider to question the order
is the BEST action?
You are receiving report A) JP drain sutured in place near the lateral calf
for a patient who had a B) Several small incisions in calf groin covered with
percutaneous gauze
transluminal angioplasty ***C) Clear dressing applied to the right groin
for right lower extremity D) 3 in incision on the right upper thigh with bulky
peripheral vascular dressing
disease and is now
recovering in the PACU.
What type of surgical
dressing do you expect
to find for this patient?
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