Prophecy PACU RN A v1 2025/2026
Exam Questions Marking Scheme New
Update | A+ Rated
Meperidine (Demerol) 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? - 🧠ANSWER ✔✔0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice swelling
around the catheter. What should you do? - 🧠ANSWER ✔✔A) Position the
patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
What set of findings indicates a patient is likely to be ready for phase 1
discharge? - 🧠ANSWER ✔✔A) Has received discharge instructions, pain
level 9 out 10, shortness of breath
1
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,B) Drowsy, blood pressure returned to preoperative levels, on 6 liters
oxygen via face mask
***C) Drowsy, oxygen saturation of 96%, able to 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 be a safe dose of intravenous fentanyl for an adult
who does not have tolerance to opioids? - 🧠ANSWER ✔✔A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
Your patient in the PACU has a blood pressure of 171/92 mmHg, a heart
rate of 120, respiratory rate of 24, is grimacing, restless, and moaning in
bed. What medication should you prepare to give FIRST? - 🧠ANSWER
✔✔A) 10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
2
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STATEMENT. ALL RIGHTS RESERVED
, D) 5 mg metoprolol IV push
You are about to discharge a day surgery patient with aphasia and you
discover 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? - 🧠ANSWER
✔✔***A) Wait until the family returns
B) Leave the discharge education on voicemail and discharge patient
C) Discharge patient with non-emergency transport
D) Take patient home yourself
You received a patient from OR post hip replacement surgery. The
anesthesiologist is planning a nerve block in PACU, but the patient did not
sign the consent for the nerve block. How will you proceed? - 🧠ANSWER
✔✔A) Wake up the patient to sign the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
Exam Questions Marking Scheme New
Update | A+ Rated
Meperidine (Demerol) 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? - 🧠ANSWER ✔✔0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice swelling
around the catheter. What should you do? - 🧠ANSWER ✔✔A) Position the
patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
What set of findings indicates a patient is likely to be ready for phase 1
discharge? - 🧠ANSWER ✔✔A) Has received discharge instructions, pain
level 9 out 10, shortness of breath
1
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
,B) Drowsy, blood pressure returned to preoperative levels, on 6 liters
oxygen via face mask
***C) Drowsy, oxygen saturation of 96%, able to 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 be a safe dose of intravenous fentanyl for an adult
who does not have tolerance to opioids? - 🧠ANSWER ✔✔A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
Your patient in the PACU has a blood pressure of 171/92 mmHg, a heart
rate of 120, respiratory rate of 24, is grimacing, restless, and moaning in
bed. What medication should you prepare to give FIRST? - 🧠ANSWER
✔✔A) 10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
2
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, D) 5 mg metoprolol IV push
You are about to discharge a day surgery patient with aphasia and you
discover 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? - 🧠ANSWER
✔✔***A) Wait until the family returns
B) Leave the discharge education on voicemail and discharge patient
C) Discharge patient with non-emergency transport
D) Take patient home yourself
You received a patient from OR post hip replacement surgery. The
anesthesiologist is planning a nerve block in PACU, but the patient did not
sign the consent for the nerve block. How will you proceed? - 🧠ANSWER
✔✔A) Wake up the patient to sign the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
