SOLUTION
Which level of sedation is usually induced
by the administration of an anxiolytic
agent?
a. Moderate sedation/analgesia
b. Deep sedation
c. Minimal sedation
d. General anesthesia - ANSWER Answer: C
Using the ASA Physical Status
Classification system, which of the
following patients would NOT be
appropriate for RN-administered
moderate sedation/analgesia? a.
Healthy adult
b. Well controlled diabetic
c. Asthma patient with no acute
distress
d. Patient with multiple system failure -
ANSWER Answer: D
Which of the following patient conditions
warrants an anesthesia consult?
a. Insulin dependent diabetic
b. Controlled hypertension
c. Severe sleep apnea
d. Latex allergy - ANSWER Answer: C
A drug-induced state in which the
patient cannot be easily aroused and may require assistance with their airway and
ventilation is called what?
a. Anxiolysis
b. Moderate sedation
c. Deep sedation
d. General anesthesia - ANSWER Answer: C
Which of the following is NOT
a risk factor for difficult airway management using positive-
pressure bag mask ventilation? a. Missing teeth
b. Presence of beard
,c. Snoring or sleep apnea,
d. Age < 55 years - ANSWER Answer: D
Which of the following is true
regarding informed consent for
moderate sedation/analgesia? a.
The RN is responsible for
obtaining informed consent
before any procedure involving
moderate sedation/analgesia.
b. Informed consent indicates
that the patient is aware that they
will be receiving moderate
sedation/analgesia from an RN.
c. Two consent forms are
needed one for the procedure and
one for moderate
sedation/analgesia.
d. Risks, benefits, and
alternatives to moderate
sedation/analgesia do not need to
be included in
the informed consent. - ANSWER Answer: B
True or False:
The perioperative RN monitoring the patient receiving moderate sedation/analgesia may
also perform as the circulator for the procedure. a. True
b. False - ANSWER Answer: B
The ideal medications for moderate
sedation/analgesia should have
which of the following characteristics?
a. short acting
b. multiple side effects
c. unstable absorption rate
d. long acting - ANSWER Answer: A
Which of the following sedatives is
preferred because of its short half-life? a.
Diazepam
b. Valium
c. Midazolam
d. Morphine - ANSWER Answer: C
,Which of the following is a nonnarcotic analgesic? a.
Fentanyl
b. Morphine
c. Meperidine HCl
d. Ketorolac - ANSWER Answer: D
The most common side effect of
both benzodiazepines and opioids is
_________.
a. Bradycardia
b. Hypotension
c. Respiratory depression
d. Emotional depression - ANSWER Answer: C
True or False:
A medication that is an antagonist
is referred to as a reversal agent
because it has the ability to reverse
the effects of another medication. a.
True
b. False - ANSWER Answer: A
Which of the following medications is a known antagonist for benzodiazepines?
a. Flumazenil
b. Naxlonone
c. Buprenorphine
d. Morphine - ANSWER Answer: A
Which of the following medications
is a known opioid antagonist? a.
Flumazenil
b. Naxlonone
c. Buprenorphine
d. Morphine - ANSWER Answer: B
According to the American Society of Anesthesiologists' Fasting Guidelines, how many
hours before the administration of moderate sedation/analgesia are patients allowed to
have clear liquids? a. 2 hours
b. 4 hours
c. 6 hours
d. 8 hours - ANSWER Answer: A
For patients currently taking
, Buprenorphine for the treatment of
opioid addiction, how long before
the administration of moderate
sedation/analgesia should the last
dose of Buprenorphine be taken? a.
8 to 12 hours
b. 12 to 24 hours
c. 24 to 36 hours
d. 36 to 74 hours - ANSWER Answer: C
The ideal oxygenation saturation
level as assessed by pulse oximetry
should be _________. a. > 95%
b. 97 - 100%
c. ± 30% of presedation baseline
d. Determined by presedation
baseline - ANSWER Answer: D
Vital signs should be assessed at all
of the following times, except
a. Every 5 minutes during the
procedure
b. Every 15 minutes during the
procedure
c. Before the start of the
procedure
d. After the administration of
medications - ANSWER Answer: B
To ensure a safe discharge from the
recovery area, the patient should be
able to maintain his or her own
wakefulness for how long without
being stimulated? a. 10 minutes
b. 20 minutes
c. 30 minutes
d. 45 minutes - ANSWER Answer: B
Which of the following might be included in standardized procedures used to account
for surgical items during an invasive procedure?
a. Radiological confirmation
b. Complete and accurate counting
c. Adjunct technology