A patient with a history of drug abuse and nasal ulcers is received in the PACU. The
perianesthesia nurse monitors this patient closely for:
A. Cardiac dysrhythmias
B. Apnea
C. Postural hypotension
D. Somnolence correct answers A. Cardiac dysrhythmias
A Spanish-speaking patient arrives for a pre-operative admission interview accompanied by a
bilingual companion. The patient understands English but speaks only Spanish. What action
should the perianesthesia nurse take regarding the preoperative NPO instructions?
A. Request that the friend interpret the written instructions
B. Provide written instructions in spanish
C. Determine the friend's ability to understand instructions
D. Delay instructions until a certified interpreter can be located correct answers D. Delay
instructions until a certified interpreter can be located
The perianesthesia nurse is aware that discharge instructions for a patient with an
arteriovenous shunt include:
A. Keeping the operative arm elevated for several days
B. Checking blood pressure in the operative arm
C. Keeping the operative arm dependent for several days
D. Maintaining a pressure dressing over the site correct answers A. Keeping the operative
arm elevated for several days
The perianesthesia nurse is aware that which of the following is the highest body temperature
indicative of hypothermia?
A. 34.5C (94.1F)
B. 35.9C (95.9)
C. 37.6 (99.6)
D. 38.5 (101.3) correct answers B. 35.9C (95.9)
Which of the following measures has been shown to decrease surgical complications?
A. Shaving the surgical site 24 hours before surgery
B. Prophylactic antibiotics continued for 48 hours
C. Urinary catheter removal on postoperative day 1
D. Preoperative antiseptic showers with chlorhexidine correct answers C. Urinary catheter
removal on postoperative day 1
A patient extubated 10 minutes post PACU admission is exhibiting croup cough and
hoarseness. After 5 minutes of continued observation and administration of O2 with 40%
mist, the patient's respiratory status has not changed. Which treatment can the nurse initially
expect to implement?
, A. Racemic epinephrine administration
B. Chest physiotherapy
C. Suctioning
D. Administration of corticosteroid correct answers A. Racemic epinephrine administration
The perianesthesia nurse is aware that discharge instructions for a patient post-ureteral-stent
insertion should include preparing the patient to expect:
A. Mucuos plugs
B. Bladder distention
C. Pink urine
D. Groin pain correct answers C. Pink urine
The perianesthesia nurse is aware that the use of mental images for stress and pain reduction
is most effective when:
A. A family member is present
B. The nurse describes scenarios
C. The patient has a history of chronic pain
D. The patient actively participates correct answers D. The patient actively participates
Which of the following patients is most likely to experience awareness under anesthesia?
A. A 5 year old undergoing a tonsillectomy
B. A 15 year old undergoing a scheduled arthroscopic knee procedure
C. A 30 year old undergoing an emergency surgery for a compound fracture
D. A 70 year old undergoing a colectomy for colon cancer correct answers C. A 30 year old
undergoing an emergency surgery for a compound fracture
During administration of bupivicaine locally, some of the medication is accidentally
administered IV. When the patient develops ventricular arrhythmias, the perianesthesia nurse
anticipates the administration of:
A. Amiodarone
B. Diphenhydramine
C. Adenosine
D. Lidocaine correct answers A. Amiodarone
Anxious parents are at the bedside of a toddler who is crying, kicking, and thrashing
following bilateral myringotomy with insertion of tympanostomy. The perianesthesia nurse
informs the parents that this behavior is:
A. The emergence excitement phase after anesthesia
B. A temper tantrum often seen in toddlers
C. Associated with the surgical procedure
D. Uncommon in children of this age correct answers A. The emergence excitement phase
after anesthesia