Preop/PACU Exam UPDATED ACTUAL
Exam Questions and CORRECT Answers
Although ASPAN clearly defines the scope of practice of peri anesthesia nursing, a nurse's
practice can be limited by? (ASPAN Standards) - CORRECT ANSWER - state
regulations, accreditation organizations, and organizational policies.
(Always keep within the state, accreditation organization, and organizational standards adopted
by the organization where you practice)
(Evidence-based Practice and Research in Peri anesthesia)
Define Proposal development - CORRECT ANSWER - the investigator formulates a
research query, isolates the research problem or concern, and constructs a hypothesis statement.
(Evidence-based Practice and Research in Peri anesthesia)
Level VII (Quality of evidence grading - Roman numeral scale being I to VII) - CORRECT
ANSWER - recommendations are from authoritative organizations or expert committee
opinions.
Legal Implications in Peri anesthesia Nursing:
Duty: - CORRECT ANSWER - nurse owes a duty to patients to act in accordance with
accepted standards of care. In the post anesthesia care unit (PACU), duty is established when the
nurse takes report and accepts the patient into care. (1 of 4 elements used to prove malpractice)
T or F: Only access information and document in the chart as authorized to do so. Accessing an
EHR without authorization is a breach of confidentiality and privacy. (EHR guidelines) -
CORRECT ANSWER -T
Professional Practice:
Experienced nurses - CORRECT ANSWER - enter the peri anesthesia specialty from other
specialties have a great deal of transferrable nursing knowledge and many competencies. Each
new peri anesthesia nurse adds value and contributes to the team.
, advanced beginner nurse - CORRECT ANSWER - a new graduate or a nurse who is new
to the specialty. This nurse possesses foundational skills and knowledge but relies heavily on
rules, policies, procedures, and protocols to guide practice. The advanced beginner requires a
preceptorship or mentorship as well as supportive clinical resources. This nurse may not require
continuous direct supervision but should still validate opinions and clinical judgment with a
more experienced nurse.
What should you do when dealing with a nervous pt who has upcoming procedure? - CORRECT
ANSWER - Peri anesthesia Care from Scheduling to Day of Procedure:
Provide a way for the patient to contact you by e-mail, telephone, or patient portal for further
questions or concerns. When questions arise, use the opportunity to relieve fear and anxiety.
What's the major objective when working with adolescents in pre-op/PACU? - CORRECT
ANSWER - Peri anesthesia Care Across the Lifespan:
Guard the adolescent's privacy and modesty.
if older than 75, what's the risk with exposure to anesthetics, sedatives, and analgesics? -
CORRECT ANSWER - delirium
General Anesthesia Inhalation and Induction Agents:
Laryngospasm results in what? - CORRECT ANSWER - results in dyspnea, hypoxia,
hypoventilation, absent breath sounds, hypercarbia, and possibly high-pitched "crowing" sounds.
(Respiratory Complication)
How do you prevent laryngospasms? - CORRECT ANSWER - Prevention methods
include avoiding gastric insufflation, preventing blood swallowing, placing a nasogastric tube,
and administering antiemetics. (PONV prevention)
General Anesthesia Muscle Relaxants can cause what? how do you reverse effects? - CORRECT
ANSWER -:
Exam Questions and CORRECT Answers
Although ASPAN clearly defines the scope of practice of peri anesthesia nursing, a nurse's
practice can be limited by? (ASPAN Standards) - CORRECT ANSWER - state
regulations, accreditation organizations, and organizational policies.
(Always keep within the state, accreditation organization, and organizational standards adopted
by the organization where you practice)
(Evidence-based Practice and Research in Peri anesthesia)
Define Proposal development - CORRECT ANSWER - the investigator formulates a
research query, isolates the research problem or concern, and constructs a hypothesis statement.
(Evidence-based Practice and Research in Peri anesthesia)
Level VII (Quality of evidence grading - Roman numeral scale being I to VII) - CORRECT
ANSWER - recommendations are from authoritative organizations or expert committee
opinions.
Legal Implications in Peri anesthesia Nursing:
Duty: - CORRECT ANSWER - nurse owes a duty to patients to act in accordance with
accepted standards of care. In the post anesthesia care unit (PACU), duty is established when the
nurse takes report and accepts the patient into care. (1 of 4 elements used to prove malpractice)
T or F: Only access information and document in the chart as authorized to do so. Accessing an
EHR without authorization is a breach of confidentiality and privacy. (EHR guidelines) -
CORRECT ANSWER -T
Professional Practice:
Experienced nurses - CORRECT ANSWER - enter the peri anesthesia specialty from other
specialties have a great deal of transferrable nursing knowledge and many competencies. Each
new peri anesthesia nurse adds value and contributes to the team.
, advanced beginner nurse - CORRECT ANSWER - a new graduate or a nurse who is new
to the specialty. This nurse possesses foundational skills and knowledge but relies heavily on
rules, policies, procedures, and protocols to guide practice. The advanced beginner requires a
preceptorship or mentorship as well as supportive clinical resources. This nurse may not require
continuous direct supervision but should still validate opinions and clinical judgment with a
more experienced nurse.
What should you do when dealing with a nervous pt who has upcoming procedure? - CORRECT
ANSWER - Peri anesthesia Care from Scheduling to Day of Procedure:
Provide a way for the patient to contact you by e-mail, telephone, or patient portal for further
questions or concerns. When questions arise, use the opportunity to relieve fear and anxiety.
What's the major objective when working with adolescents in pre-op/PACU? - CORRECT
ANSWER - Peri anesthesia Care Across the Lifespan:
Guard the adolescent's privacy and modesty.
if older than 75, what's the risk with exposure to anesthetics, sedatives, and analgesics? -
CORRECT ANSWER - delirium
General Anesthesia Inhalation and Induction Agents:
Laryngospasm results in what? - CORRECT ANSWER - results in dyspnea, hypoxia,
hypoventilation, absent breath sounds, hypercarbia, and possibly high-pitched "crowing" sounds.
(Respiratory Complication)
How do you prevent laryngospasms? - CORRECT ANSWER - Prevention methods
include avoiding gastric insufflation, preventing blood swallowing, placing a nasogastric tube,
and administering antiemetics. (PONV prevention)
General Anesthesia Muscle Relaxants can cause what? how do you reverse effects? - CORRECT
ANSWER -:
