Anesthesia, Moderate Sedation, Pre and Post
Nursing Care UPDATED ACTUAL Exam
Questions and CORRECT Answers
A nurse administered midazolam IV bolus to a client before a procedure. His BP is 86/40 mm
Hg, and his pulse is 134/min. Which of the following IV medications should the nurse
administer?
A. Naloxone
B. Morphine
C. Flumazenil
D. Atropine - CORRECT ANSWER - C. Flumazenil
Rationale: Flumazenil is the antidote for benzos, naloxone is the antidote for opioids, morphine
is given for pain and atropine treats bradycardia
A nurse is assisting an anesthesiologist in the delivery of nitrous oxide by face mask to a client
during the induction of anesthesia. Which of the following is the priority nursing action?
A. Assess O2 saturation
B. Measure BP
C. Palpate pulse rate
D. Check temp - CORRECT ANSWER - A. Assess O2 saturation
Rationale: The greatest risk for injury during anesthesia is hypoxia, the priority action is to
maintain and ensure a patent airway
A nurse is caring for a client who develops malignant hyperthermia. Which of the following
actions should the nurse take? SATA
A. Infuse iced IV fluids
B. Provide 100% O2
C. Place cooling blanket on client
,D. Treat complication while continuing surgery
E. Administer IV dantrolene - CORRECT ANSWER - A. Infuse iced IV fluids
B. Provide 100% O2
C. Place cooling blanket on client
E. Administer IV dantrolene
Rationale: Measures to cool down patient and maintain a patent airway is priority. Administer IV
dantrolene which is a muscle relaxant that treats malignant hyperthermia. The procedure should
be canceled immediately
A nurse is caring for a client who develops a systemic toxic reaction following a regional block.
Which of the following actions should the nurse take?
A. Monitor serum creatinine levels
B. Provide airway support
C. Turn client to the right side
D. Administer 0.9% sodium chloride 500 ml bolus - CORRECT ANSWER - B. Provide
airway support
Rationale: Systemic shock reaction casues CNS depression, priority action is to provide airway
support. ABGs should be monitored instead of creatinine, turning client would not improve
condition, fluid bolus would make it worse b/c hypertension is one of the manifestations
A nurse is caring for a client who reports a headache following an epidural regional nerve block.
Which of the following actions should the nurse take?
A. Decrease the clients fluid intake
B. Apply pressure to the puncture site
C. Place head of bed flat
D. Instruct client to lie prone - CORRECT ANSWER - C. Place head of bed flat
Rationale: Client is experiencing a headache due to CSF leak. Increasing fluids would help
replace CSF loss, applying pressure to site will not stop leakage as CSF composition is different
, from blood, keeping head of bed flat promotes dura tear to seal, lying prone will worsen the
headache
When is general anesthesia used? - CORRECT ANSWER - Major surgery
When complete muscle relaxation is required
What is local anesthesia? - CORRECT ANSWER - Loss of sensation w/o loss of
consciousness
Paralysis in a specific area of the body
What population is most susceptible to the effects of anesthesia? - CORRECT ANSWER -
Older adults
What can help control the incidence of adverse effects of anesthesia? - CORRECT
ANSWER - Careful titration
What is the main priority in anesthesia patients? - CORRECT ANSWER - Airway patency
However, cardiac problems can arise much more quickly
Risk Factors for General Anesthesia - CORRECT ANSWER - Hx of malignant
hyperthermia
Hypoventilation
Dysrhythmias
Altered cardiac output
Gastric contents (may cause aspiration)
Alcohol or substance use
Risk Factors for Local Anesthesia - CORRECT ANSWER - Allergy to ester anesthetics
(cocaine, procaine, tetracaine, chloroprocaine, & benzocaine)
Alterations in peripheral circulation
Nursing Care UPDATED ACTUAL Exam
Questions and CORRECT Answers
A nurse administered midazolam IV bolus to a client before a procedure. His BP is 86/40 mm
Hg, and his pulse is 134/min. Which of the following IV medications should the nurse
administer?
A. Naloxone
B. Morphine
C. Flumazenil
D. Atropine - CORRECT ANSWER - C. Flumazenil
Rationale: Flumazenil is the antidote for benzos, naloxone is the antidote for opioids, morphine
is given for pain and atropine treats bradycardia
A nurse is assisting an anesthesiologist in the delivery of nitrous oxide by face mask to a client
during the induction of anesthesia. Which of the following is the priority nursing action?
A. Assess O2 saturation
B. Measure BP
C. Palpate pulse rate
D. Check temp - CORRECT ANSWER - A. Assess O2 saturation
Rationale: The greatest risk for injury during anesthesia is hypoxia, the priority action is to
maintain and ensure a patent airway
A nurse is caring for a client who develops malignant hyperthermia. Which of the following
actions should the nurse take? SATA
A. Infuse iced IV fluids
B. Provide 100% O2
C. Place cooling blanket on client
,D. Treat complication while continuing surgery
E. Administer IV dantrolene - CORRECT ANSWER - A. Infuse iced IV fluids
B. Provide 100% O2
C. Place cooling blanket on client
E. Administer IV dantrolene
Rationale: Measures to cool down patient and maintain a patent airway is priority. Administer IV
dantrolene which is a muscle relaxant that treats malignant hyperthermia. The procedure should
be canceled immediately
A nurse is caring for a client who develops a systemic toxic reaction following a regional block.
Which of the following actions should the nurse take?
A. Monitor serum creatinine levels
B. Provide airway support
C. Turn client to the right side
D. Administer 0.9% sodium chloride 500 ml bolus - CORRECT ANSWER - B. Provide
airway support
Rationale: Systemic shock reaction casues CNS depression, priority action is to provide airway
support. ABGs should be monitored instead of creatinine, turning client would not improve
condition, fluid bolus would make it worse b/c hypertension is one of the manifestations
A nurse is caring for a client who reports a headache following an epidural regional nerve block.
Which of the following actions should the nurse take?
A. Decrease the clients fluid intake
B. Apply pressure to the puncture site
C. Place head of bed flat
D. Instruct client to lie prone - CORRECT ANSWER - C. Place head of bed flat
Rationale: Client is experiencing a headache due to CSF leak. Increasing fluids would help
replace CSF loss, applying pressure to site will not stop leakage as CSF composition is different
, from blood, keeping head of bed flat promotes dura tear to seal, lying prone will worsen the
headache
When is general anesthesia used? - CORRECT ANSWER - Major surgery
When complete muscle relaxation is required
What is local anesthesia? - CORRECT ANSWER - Loss of sensation w/o loss of
consciousness
Paralysis in a specific area of the body
What population is most susceptible to the effects of anesthesia? - CORRECT ANSWER -
Older adults
What can help control the incidence of adverse effects of anesthesia? - CORRECT
ANSWER - Careful titration
What is the main priority in anesthesia patients? - CORRECT ANSWER - Airway patency
However, cardiac problems can arise much more quickly
Risk Factors for General Anesthesia - CORRECT ANSWER - Hx of malignant
hyperthermia
Hypoventilation
Dysrhythmias
Altered cardiac output
Gastric contents (may cause aspiration)
Alcohol or substance use
Risk Factors for Local Anesthesia - CORRECT ANSWER - Allergy to ester anesthetics
(cocaine, procaine, tetracaine, chloroprocaine, & benzocaine)
Alterations in peripheral circulation
