Page 1 of 384
NBCRNA EXAM AND STUDY GUIDE NEWEST 2025
TEST BANK| COMPLETE 1800 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS WITH RATIONALES) GRADED
A+| NBCRNA EXAM PREP 2025 (MOST RECENT!!)
During surgery for a laparoscopic fundoplication, the patient becomes
hypoxic and hypotensive upon insufflation. What should be the first
course of action?
A) administer ephedrine
B) Administer rocuronium
C) Remove the pneumoperitoneum
D) With draw the ETT – Correct Answer – C.
The signs demonstrate a restrictive lung issue related to the increased
peak inspiratory pressure. The likely cause is carbon dioxide tracking
around the aortic, caval, and esophageal hiatuses. If it were an
improperly placed endotracheal tube, such as a mainstem intubation, the
ETCO2 would be expected to decrease. The hypotension would be a
result of decreased preload, so ephedrine would not be of benefit.
Administration of paralytics would not treat the cause.
The effects of carcinoid syndrome are related to the release of?
A) choline acetyltransferase
B) histamine
C) parathyroid hormone
pg. 1
,Page 2 of 384
D) serotonin – Correct Answer - B, D
Carcinoid tumors are most often in the gastrointestinal tract. Carcinoid
tumors produce carcinoid syndrome if the tumor's secretory substances
do not first drain into the hepatic system. The unmetabolized secretions
include serotonin, histamine, kinins, prostaglandins E and F, and
substance P. Diarrhea, cutaneous flushing, bronchoconstriction,
hypotension, abdominal pain, hepatomegaly, and heart disease can be
symptoms.
Which pre-anesthesia checkout recommendations on the anesthesia gas
machine should be repeated before each case? (select 2)
A) Calibrate the oxygen sensor and check the low-oxygen alarm
B) Conduct a breathing system pressure and leak test
C) Perform a low pressure leak test
D) Verify patient suction is adequate to clear the airway – Correct
Answer - B, D
The FDA checkout recommends that a leak test is provided with the
change of an anesthetic circuit to assure that it is patent, free of leaks,
and withstands continuous pressure. Verify that suction is adequate to
clear the patient's airway.
Which temperature monitors best reflect core body temp? (select two)
A) axillary
B) distal esophageal
C) pulmonary artery
pg. 2
,Page 3 of 384
D) skin – Correct Answer - B, C
Axillary and skin temperature are variable and not reflective of core
body temperature.
which factors can increase the chance of vitreous herniation during the
induction of anesthesia in a patient with open eye injury? (select 2)
A) Rocuronium
B) Coughing, straining, bucking
C) Face mask pressure
D) Hyperventilation – Correct Answer - B, C
There is an increase in vitreal herniation with the use of depolarizing
muscle relaxants; pressure on the eyeball; coughing, straining, and
bucking; and hypercarbia.
Which adverse effect would MOST likely result from administration of
dexamethasone 10mg?
A) Akathisia
B) hyperglycemia
C) Hypertension
D) Tachycardia – Correct Answer - B
High-dose dexamethasone causes an increase in blood glucose level;
obese and diabetic patients are at the highest risk for perioperative
hyperglycemia.
pg. 3
, Page 4 of 384
Which symptoms are related to histamine release in a patient exhibiting
an allergic reaction? (select 2)
A) Decreased vascular permeability
B) Increased gastric secretion
C) Tachycardia
D) Vasoconstriction – Correct Answer - B, C
Histamine reactions are mediated by H1 and H2 receptors on target cells.
The correct answers are positive in these reactions.
Which drug will reverse life-threatening respiratory depressant effects of
opioids in a patient with obstructive sleep apnea?
A) Flumazenil (Romazicon)
B) Naloxone (Narcan)
C) Naltrexone (ReVia, Vivitrol)
D) Neostigmine (Prostigmin) – Correct Answer - B
The drug of choice for life-threatening respiratory depression is
naloxone. Patients with obstructive sleep apnea are at an even greater
risk of respiratory compromise as a result of excessive opioids.
Which risk factors place a 56yo male undergoing an Ex lap for colon CA
at an elevated risk for major adverse cardiac events? (select 2)
A) CHF
B) Hyperthyroidism
C) Serum creatinine >2mg/dL
pg. 4
NBCRNA EXAM AND STUDY GUIDE NEWEST 2025
TEST BANK| COMPLETE 1800 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS WITH RATIONALES) GRADED
A+| NBCRNA EXAM PREP 2025 (MOST RECENT!!)
During surgery for a laparoscopic fundoplication, the patient becomes
hypoxic and hypotensive upon insufflation. What should be the first
course of action?
A) administer ephedrine
B) Administer rocuronium
C) Remove the pneumoperitoneum
D) With draw the ETT – Correct Answer – C.
The signs demonstrate a restrictive lung issue related to the increased
peak inspiratory pressure. The likely cause is carbon dioxide tracking
around the aortic, caval, and esophageal hiatuses. If it were an
improperly placed endotracheal tube, such as a mainstem intubation, the
ETCO2 would be expected to decrease. The hypotension would be a
result of decreased preload, so ephedrine would not be of benefit.
Administration of paralytics would not treat the cause.
The effects of carcinoid syndrome are related to the release of?
A) choline acetyltransferase
B) histamine
C) parathyroid hormone
pg. 1
,Page 2 of 384
D) serotonin – Correct Answer - B, D
Carcinoid tumors are most often in the gastrointestinal tract. Carcinoid
tumors produce carcinoid syndrome if the tumor's secretory substances
do not first drain into the hepatic system. The unmetabolized secretions
include serotonin, histamine, kinins, prostaglandins E and F, and
substance P. Diarrhea, cutaneous flushing, bronchoconstriction,
hypotension, abdominal pain, hepatomegaly, and heart disease can be
symptoms.
Which pre-anesthesia checkout recommendations on the anesthesia gas
machine should be repeated before each case? (select 2)
A) Calibrate the oxygen sensor and check the low-oxygen alarm
B) Conduct a breathing system pressure and leak test
C) Perform a low pressure leak test
D) Verify patient suction is adequate to clear the airway – Correct
Answer - B, D
The FDA checkout recommends that a leak test is provided with the
change of an anesthetic circuit to assure that it is patent, free of leaks,
and withstands continuous pressure. Verify that suction is adequate to
clear the patient's airway.
Which temperature monitors best reflect core body temp? (select two)
A) axillary
B) distal esophageal
C) pulmonary artery
pg. 2
,Page 3 of 384
D) skin – Correct Answer - B, C
Axillary and skin temperature are variable and not reflective of core
body temperature.
which factors can increase the chance of vitreous herniation during the
induction of anesthesia in a patient with open eye injury? (select 2)
A) Rocuronium
B) Coughing, straining, bucking
C) Face mask pressure
D) Hyperventilation – Correct Answer - B, C
There is an increase in vitreal herniation with the use of depolarizing
muscle relaxants; pressure on the eyeball; coughing, straining, and
bucking; and hypercarbia.
Which adverse effect would MOST likely result from administration of
dexamethasone 10mg?
A) Akathisia
B) hyperglycemia
C) Hypertension
D) Tachycardia – Correct Answer - B
High-dose dexamethasone causes an increase in blood glucose level;
obese and diabetic patients are at the highest risk for perioperative
hyperglycemia.
pg. 3
, Page 4 of 384
Which symptoms are related to histamine release in a patient exhibiting
an allergic reaction? (select 2)
A) Decreased vascular permeability
B) Increased gastric secretion
C) Tachycardia
D) Vasoconstriction – Correct Answer - B, C
Histamine reactions are mediated by H1 and H2 receptors on target cells.
The correct answers are positive in these reactions.
Which drug will reverse life-threatening respiratory depressant effects of
opioids in a patient with obstructive sleep apnea?
A) Flumazenil (Romazicon)
B) Naloxone (Narcan)
C) Naltrexone (ReVia, Vivitrol)
D) Neostigmine (Prostigmin) – Correct Answer - B
The drug of choice for life-threatening respiratory depression is
naloxone. Patients with obstructive sleep apnea are at an even greater
risk of respiratory compromise as a result of excessive opioids.
Which risk factors place a 56yo male undergoing an Ex lap for colon CA
at an elevated risk for major adverse cardiac events? (select 2)
A) CHF
B) Hyperthyroidism
C) Serum creatinine >2mg/dL
pg. 4
