1|Page
MODERATE SEDATION EXAM
REAL EXAM 170 QUESTIONS AND
CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
Nurse role in moderate sedation - ✔✔-Must have documented current BLS and ACLS
-Must revalidate knowledge annually by: Completing moderate sedation exam Completing moderate
sedation competency
-RNs required to recover moderately sedated patients must have a validated
-Phase II competency. RNs are NOT allowed to give propofol, ketamine, or etomidate for moderate
sedation since it is beyond the RN and non-CRNA scope of practice per the TX BON
Administration of Sedative/ Analgesic Medications Competency - ✔✔-Pharmacology of sedatives and
opioids
-Treatment of over sedation: Airway management, Pharmacological reversal agents
Airway Assessment Skills - ✔✔-Examine the airway and recognize a potentially difficult airway -
Significant obesity
-Obstructive sleep apnea
-Short neck or limited neck motion
Katelyn Whitman© 2025, All Rights Reserved.
,2|Page
-Thyromental distance less than 3 cm
-Small mouth opening
-Macroglossia
-Micrognathia
Signs of Airway Obstruction - ✔✔-Snoring
-Rocking motion of chest/abdomen
-Capnography
How to rescue a compromised airway - ✔✔-Head/neck reposition
-Jaw lift
-Insertion of an oral or nasal airway
-Bag-mask ventilation
Pre-Sedation Medical History - ✔✔-Review of major organ systems
-Allergies
-Medications
-Reactions to past sedation or anesthesia
-Substance use disorder or chronic opioid therapy
-Time of last oral intake
Pre-Sedation Physical Exam - ✔✔-Airway assessment
-Perform pulmonary and cardiac auscultation
Katelyn Whitman© 2025, All Rights Reserved.
, 3|Page
-Perform additional evaluation depending on patient comorbidities and ASA physical status
classification
Intraoperative Monitoring - ✔✔-Monitor the patient's vital signs continuously and record results every 5
minutes
-Level of consciousness
-EKG
-Heart rate
-Blood pressure
-Respiratory rate
-Oxygen saturation by pulse oximetry
-Capnography (end-tidal carbon dioxide [CO2] monitoring)
-Ensure that resuscitative equipment and rescue medications are available
Post- Procedure Monitoring - ✔✔-Vital signs per JPS policy
-Assess level of consciousness
-Document intake & output
-Assess using Aldrete score and discharge criteria
ASA I: Normal healthy patient - ✔✔-Healthy
-Non-smoking patient
-Minimal alcohol use
ASA II: Mild-systemic disease without substantive functional limitations - ✔✔-Current smoker
Katelyn Whitman© 2025, All Rights Reserved.
MODERATE SEDATION EXAM
REAL EXAM 170 QUESTIONS AND
CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
Nurse role in moderate sedation - ✔✔-Must have documented current BLS and ACLS
-Must revalidate knowledge annually by: Completing moderate sedation exam Completing moderate
sedation competency
-RNs required to recover moderately sedated patients must have a validated
-Phase II competency. RNs are NOT allowed to give propofol, ketamine, or etomidate for moderate
sedation since it is beyond the RN and non-CRNA scope of practice per the TX BON
Administration of Sedative/ Analgesic Medications Competency - ✔✔-Pharmacology of sedatives and
opioids
-Treatment of over sedation: Airway management, Pharmacological reversal agents
Airway Assessment Skills - ✔✔-Examine the airway and recognize a potentially difficult airway -
Significant obesity
-Obstructive sleep apnea
-Short neck or limited neck motion
Katelyn Whitman© 2025, All Rights Reserved.
,2|Page
-Thyromental distance less than 3 cm
-Small mouth opening
-Macroglossia
-Micrognathia
Signs of Airway Obstruction - ✔✔-Snoring
-Rocking motion of chest/abdomen
-Capnography
How to rescue a compromised airway - ✔✔-Head/neck reposition
-Jaw lift
-Insertion of an oral or nasal airway
-Bag-mask ventilation
Pre-Sedation Medical History - ✔✔-Review of major organ systems
-Allergies
-Medications
-Reactions to past sedation or anesthesia
-Substance use disorder or chronic opioid therapy
-Time of last oral intake
Pre-Sedation Physical Exam - ✔✔-Airway assessment
-Perform pulmonary and cardiac auscultation
Katelyn Whitman© 2025, All Rights Reserved.
, 3|Page
-Perform additional evaluation depending on patient comorbidities and ASA physical status
classification
Intraoperative Monitoring - ✔✔-Monitor the patient's vital signs continuously and record results every 5
minutes
-Level of consciousness
-EKG
-Heart rate
-Blood pressure
-Respiratory rate
-Oxygen saturation by pulse oximetry
-Capnography (end-tidal carbon dioxide [CO2] monitoring)
-Ensure that resuscitative equipment and rescue medications are available
Post- Procedure Monitoring - ✔✔-Vital signs per JPS policy
-Assess level of consciousness
-Document intake & output
-Assess using Aldrete score and discharge criteria
ASA I: Normal healthy patient - ✔✔-Healthy
-Non-smoking patient
-Minimal alcohol use
ASA II: Mild-systemic disease without substantive functional limitations - ✔✔-Current smoker
Katelyn Whitman© 2025, All Rights Reserved.
