EXAM ACTUAL QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) A NEW UPDATED
VERSION |GUARANTEED PASS
According to ACLS guidelines, dopamine is the drug of choice for
clinically significant hypotension when:
hypokalemia is absent.
hypovolemia is present.
hypokalemia is present.
hypovolemia is absent.
Answer- hypovolemia is absent.
Elderly patients have an increased risk of aspiration during general
anesthesia because of:
a decrease in vagal sensitivity.
an increase in sphincter tone.
an increase in gastric emptying.
a decrease in esophageal motility.
Answer- decrease in esophageal motility
Immediate intervention is required for which abnormal laboratory value?
Sodium = 123 me/L
,Potassium = 3.5 me/L
Chloride = 106 me/L
Total CO2 = 24 me/L
Answer- Sodium = 123 me/L
Sodium 135-145
Potassium 3.5-5
Chloride 96-106
CO2 20-29
Magnesium 1.7-2.2
A positive Chvostek's sign is characterized by:
fasciculation of the extremities.
twitching of the facial muscles if the cheek is tapped over the facial
nerve.
carp pedal spasm if the circulation in the arm is impeded.
fine tremor of the hands.
Answer- twitching of the facial muscles if the cheek is tapped over the
facial nerve.
An 89-year-old patient with peripheral vascular disease, cardiac
myopathy, and insulin dependent diabetes mellitus arrives in the PACU
,following a small bowel resection. The patient is awake and shivering,
BP = 180/98, R = 24, T = 35.6°C (96 dig F). After initial assessment,
what is the paranesthesia nurse's next step?
Blood glucose monitoring
Rewarming
Stir-up regimen
Fluid management
Answer- rewarming
A postoperative adolescent patient with a recent history of fatigue,
headache, and weight loss experiences a delayed awakening and bladder
distention. The patient was given general anesthesia with 300 mL of
lactated Ringer's solution. The patient is catheterized for 1400 mL of
colorless urine. The paranesthesia nurse assesses the patient for:
elevated sodium and potassium levels in the urine.
elevated blood pressure.
decreased cerebral perfusion pressure.
elevated sugar and ketones in the urine.
Answer- elevated sugar and ketones in the urine.
A paranesthesia nurse is caring for a 5-year-old male patient that meets
the developmental stage for his age. The patient is awake, alert, and
verbal. The nurse needs to assess the patient's pain. Which of the
following scales would be most appropriate to use on this child?
, Wong-Baker FACES scale
FLACC scale
Numerical 0-10 scale
N-PASS scale
Answer- Wong-Baker FACES scale
In the care of a conscious patient who has been admitted to the PACU
following a thyroidectomy, the most appropriate position is:
reverse Trendelenburg.
side lying with head hyperextended.
prone with knees bent.
Semi-Fowler's position.
Answer- Semi-Fowler's position.
A patient is admitted to the PACU following open reduction and internal
fixation of a fractured right tibia. The patient now has dyspnea,
tachycardia, and a fever. The paranesthesia nurse suspects:
fat embolism.
lung contusion.
pneumonia.
hem thorax.
Answer- fat embolism.