PROPHECY PACU RN A V1 (LATEST UPDATE) Q&A / VERIFIED ANS.
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 patient's A) Position the patient on their side
epidural insertion site, you B) Place the patient in a prone position
notice swelling around the
C) Check the epidural line for kinks
catheter. What should you
do? ***D) Contact the anesthesia provider
A)Has received discharge instructions, pain level 9out 10,
shortness of breath
What set of findings B) Drowsy, blood pressure returned to preoperativelevels, on 6
indicates a patient is likely liters oxygen via face mask
to be ready for phase 1 ***C) Drowsy, oxygen saturation of 96%, able to cough, and
discharge?
move all extremities
D) Fully alert, shallow breathing, on 3 liters via Tpiece, can
move 2 extremities
What do you consider to be A) 1.5 miligrams
a safe dose of intravenous ***B) 25 micrograms
fentanyl for an adult who
C) 100 micrograms
does not have tolerance to
opioids? D 25 miligrams
, PROPHECY PACU RN A V1 (LATEST UPDATE) Q&A / VERIFIED ANS.
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 rate
C) 2 mg lorazepam IV push
of 120, respiratory rate of
24, is grimacing, restless, D) 5 mg metoprolol IV push
and moaning in bed. What
medication should you
prepare to give FIRST?
***A) Wait until the family returns
B) Leave the discharge education on voicemail anddischarge
You are about to discharge patient
a day surgery patient with C) Discharge patient with non-emergency transport
aphasia and you discover D)Take patient home yourself
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?
You received a patient from A) Wake up the patient to sign the consent
OR post hip replacement B) Ask a friend to sign the consent
surgery. The
***C) Obtain the consent from medical POA
anesthesiologist is planning
a nerve block in PACU, but D) Proceed with the procedure
the patient did not sign the
consent for the nerve block.
How will you proceed?
, PROPHECY PACU RN A V1 (LATEST UPDATE) Q&A / VERIFIED ANS.
What position would help A) Prone
alleviate headaches after B) Trendelenburg
spinal anesthesia?
C) Semi-fowlers
***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 B) Ask
ampicillin (Ancef) for a the patient to describe their reaction to penicillin
patient. When you check
C) Contact the pharmacist to clarify the order
their chart, you see an
allergy to penicillin. What is ***D) Contact the provider to question the order
the BEST action?
A) JP drain sutured in place near the lateral calf B)
You are receiving report Several small incisions in calf groin covered with gauze
for a patient who had a ***C) Clear dressing applied to the right groin D) 3 in
percutaneous transluminal incision on the right upper thigh with bulky dressing
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?
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 patient's A) Position the patient on their side
epidural insertion site, you B) Place the patient in a prone position
notice swelling around the
C) Check the epidural line for kinks
catheter. What should you
do? ***D) Contact the anesthesia provider
A)Has received discharge instructions, pain level 9out 10,
shortness of breath
What set of findings B) Drowsy, blood pressure returned to preoperativelevels, on 6
indicates a patient is likely liters oxygen via face mask
to be ready for phase 1 ***C) Drowsy, oxygen saturation of 96%, able to cough, and
discharge?
move all extremities
D) Fully alert, shallow breathing, on 3 liters via Tpiece, can
move 2 extremities
What do you consider to be A) 1.5 miligrams
a safe dose of intravenous ***B) 25 micrograms
fentanyl for an adult who
C) 100 micrograms
does not have tolerance to
opioids? D 25 miligrams
, PROPHECY PACU RN A V1 (LATEST UPDATE) Q&A / VERIFIED ANS.
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 rate
C) 2 mg lorazepam IV push
of 120, respiratory rate of
24, is grimacing, restless, D) 5 mg metoprolol IV push
and moaning in bed. What
medication should you
prepare to give FIRST?
***A) Wait until the family returns
B) Leave the discharge education on voicemail anddischarge
You are about to discharge patient
a day surgery patient with C) Discharge patient with non-emergency transport
aphasia and you discover D)Take patient home yourself
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?
You received a patient from A) Wake up the patient to sign the consent
OR post hip replacement B) Ask a friend to sign the consent
surgery. The
***C) Obtain the consent from medical POA
anesthesiologist is planning
a nerve block in PACU, but D) Proceed with the procedure
the patient did not sign the
consent for the nerve block.
How will you proceed?
, PROPHECY PACU RN A V1 (LATEST UPDATE) Q&A / VERIFIED ANS.
What position would help A) Prone
alleviate headaches after B) Trendelenburg
spinal anesthesia?
C) Semi-fowlers
***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 B) Ask
ampicillin (Ancef) for a the patient to describe their reaction to penicillin
patient. When you check
C) Contact the pharmacist to clarify the order
their chart, you see an
allergy to penicillin. What is ***D) Contact the provider to question the order
the BEST action?
A) JP drain sutured in place near the lateral calf B)
You are receiving report Several small incisions in calf groin covered with gauze
for a patient who had a ***C) Clear dressing applied to the right groin D) 3 in
percutaneous transluminal incision on the right upper thigh with bulky dressing
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?
