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PACU (Ed) 2025/2026 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!! $13.49
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PACU (Ed) 2025/2026 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!

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PACU (Ed) 2025/2026 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!

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  • January 10, 2025
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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  • Prophecy PACU RN A v1
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PACU (Ed)

AANA Standards:
I
II
III - ANS-I: There is a mechanism designed to assure that sufferers who have had general or
local anesthesia or IV sedation will receive suitable postanesthesia care through certified
vendors
II: The secure delivery of the affected person to the submit anesthesia area is the responsibility
of the company of that patient's anesthesia care
III: The anesthesia care company is liable for the switch of the pt's care to some other qualified
healthcare provider (ie RN)
AANA requirements:
IV
V
VI - ANS-IV: Monitoring and assessment in the PACU shall be by non-stop clinical commentary
and modalities appropriate to the pt's circumstance (Must have pulse-ox)
V: A mechanism is developed with the aid of the anesthesia dept to offer for the discharge of the
pt from the PACU
VI: Quality assessment and improvement of postanesthesia care is a part of the anesthesia
procedure
AANA requirements:
VII - ANS-VII: "Transfer the responsibility for the care of the pt to other qualified companies in a
manner which assures continuity of care and patient safety" **Handover report is critical in
affected person safety
Acetaminophen dose - ANS-o >50kg: 1g IV q6hr prn (max4g/day)
o <50kg: 15mg/kg q6hr prn (max 75mg/kg/day)
Agitation in PACU:
•First priority?
•COMMON causes?
- Who's at higher risk? - ANS-- protect pt (restraints, padding)
- hypoxia, meds (benzo, antiocholinergics, narcs), pain
•Those with mental dz more at risk
• Emergence delirium (ketamine)
Airway obstruction
•COMMON from?
•Physiologic causes?
•Other reason? And Treatment? - ANS--tongue → TX treat with jaw thrust, sit pt up
- laryngospasm, secretions, external pressure on trach (hematoma - needs to be evac before
intubation)
-foreign bodies (pharyngeal packing), inadequate muscle reversal, residual anesthesia

, -verbal/physical stim, jaw thrust/hyperextension, oral airway, nasal airway, invasive airways:
tracheal intubation, cricothyrotomy, tracheostomy
airway obstruction in peds from? - ANS--glottis edema
-ETT too big
- tx with cold mist and racemic epi
Define the stages of recovery. - ANS-1) Early Recovery (Phase 1) in PACU- Patient awakens,
recovers airway reflexes and motor function.
2) Step-down stage (Phase 2) where pt becomes fully ready for discharge
3) (Phase 3) After discharge, continues until patient resumes usual activities
definition of recovery - ANS-A continual process divided in 3 overlapping phases:
Describe the purpose of and evolution of the PACU? Deaths were typically due to? - ANS-First
PACUs were called recovery rooms.
•50% of deaths which occur during the first 24 hrs after surgery were preventable by having a
recovery room
•Deaths typically due to respiratory obstruction
o Prevention with observation post-op
•Use of the recovery room for care of critically ill surgical patients foreshadowed the advent of
surgical ICUs
Discharge after regional anesthesia. Risk for TNS w/? - ANS--need adequate education
-lower extremities should be strong enough for steady ambulation
(risk for TNS with lidocaine and ambulating too soon)
HTN in PACU: common time frame? Common causes? Treatment? - ANS-•COMMON in first 30
minutes in PACU
•Common causes - SNS stim, pain, full bladder, hx of htn, hypoxia, hypercapnia, metabolic
acidosis
•Treatment- pain control, beta blockers, alpha blockers, hydralazine, Ca Ch blockers, use
graded resp, marked HTN - SNP, NTG, fenoldopam
Hypotension in PACU: common causes? Treatment? Important to r/o? - ANS-•COMMON -
hypovolemia, fluid shifts, regional anesthesia, hypothermia (vasoconstricted/normotensive and
then rewarms, vasodilates/drop in BP)
• Treatment - fluid bolus (250-500ml), vasopresors
• IMPORTANT (r/o if unresponsive to meds)- LV dysfunction, sepsis, allergies, postop bleeding,
pneumo, or cardiac tamponade
Hypothermia/Shivering
•Results from?
•Increases?
•Correlated to?
•Treatment? - ANS--redistribution of heat or effects of anesthetics
-O2 demand
- impaired wound healing, cardiac events, altered drug met, discomfort, coagulopathy
- force air warmers, meperidine 25mg IV, clonidine 150mcg IV, muscle relaxants if intubated
•CMS follows this indicator- reimbursement dec if hypothermic events in pts
Major information reported from anesthetist to PACU RN? - ANS--Basic info: name, age,
procedure, type of anesthesia, pre-op VS, co-exisisting dz (CV, DM, neuro deficits!!)

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