Scope of CRNA Practice-Exam TEST MOD 001 with Revised
Correct Q & A 2023/2024
What is anesthesiology? correct answers The art and science of rendering a patient insensible to pain.
-Anesthetic agents & adjuncts
-Procedures (i.e. regional)
What are the 3 pillars of anesthesia? correct answers Sanders:
-Immobility
-Amnesia
-Analgesia
What is meant by anesthesia and anesthesia-related care? correct answers Anesthesia care: the services
provided upon *request, assignment, and referral by a patient's physician, or other health care provider
authorized to diagnose*, and provide therapeutic and surgical procedures
Is anesthesiology the practice of nursing or medicine? correct answers Depends on who is providing the
care, debate...however, *same standards of care*
Is anesthesia care or cure oriented? correct answers We are in the care role...anesthesia rarely cures.
In which war did nurses & nurse anesthetists begin to play a vital role in anesthesia? correct answers
Civil war: Nurse anesthetists began delivering anesthesia via open drop ether technique.
T/F: Medical speciality of anesthesia preceded that of nursing specialty. correct answers FALSE: Nursing
specialty of anesthesia preceded that of a medical specialty.
-CRNAs principle providers in every war up through WWII
-Vietnam: 17 CRNAs to every MD
-Panama/Iraq: CRNAs largest group
Who was the most famous NA of the 19th century? Why? correct answers Alice Magaw
-Anesthetist for Mayo brothers
-First known NA to publish scientific article
->14,000 administrations w/ no death
Who established the 1st NA educational program? correct answers Agnes McGee (Oregon 1909)
Who performed 1st endotracheal anesthetic in US? correct answers Helen Lamb
When did MD anesthesia training begin? correct answers Not until 1927-Dr. Ralph Waters wanted to
bring anesthesia into realm of medical practice, away from nursing.
When & who founded the AANA? correct answers Agatha Hodgins 1931
(ASA created 1936)
, What was found from 3 big legal cases brought against NAs in the US prior to 1940? correct answers All 3
were challenging nurse anesthesia as illegally practicing medicine.
All found in favor of the nursing profession, relying on the premise that the surgeon was the person
practicing medicine.
The Montana Society of Anesthesiologists v. Montana Board of Nursing helped reaffirm what more
recently? correct answers 2007: re-affirmed CRNA practice
Why is the role of anesthesia unique?
While pt anatomy rest in the hand's of ________________, the pt ________________ rests in the hands
of the anesthesia provider? correct answers Ours is a role of physiologic *support and monitoring and
intervention*
Patient's anatomy rest in surgeon's hands, the patient's physiology in ours
Is anesthesia diagnostic or cure paradigm? correct answers "Ours is a role of physiologic support and
monitoring and intervention. *Ours is not a diagnostic and cure paradigm at all.*"
Scot Foster, CRNA
Deep down essence of anesthesia: SUPPORT
Anesthesia is the epitome of? correct answers Anesthesia is quintessential support, the epitome of
intensive care:
-Continuously monitoring vital signs and other parameters of the patient's physiology
-Quick to counteract untoward reactions that may threaten to occur
Anesthesia is a balancing act, this requires? correct answers You are maintaining a balancing act:
-Matching dosages of analgesics to levels of surgical pain
-Titrating drugs constantly throughout the case
-It requires your constant vigilance!!
T/F: Numerous studies show anesthesia care by CRNAs to be safe and of high quality. correct answers
TRUE
What is one reason there is still so much debate around anesthesia? correct answers No where within
nursing and medicine is there a greater overlap than in the field of anesthesiology
T/F: Certain states require supervision by an anesthesiologist. correct answers FALSE: There is no state in
the U.S. that requires supervision by an anesthesiologist.
How many states do not have physician "supervision or direction" requirement for CRNAs? correct
answers 33: do not have a physician "supervision", or "direction" requirement for CRNAs in nursing,
medical laws or regulations
Correct Q & A 2023/2024
What is anesthesiology? correct answers The art and science of rendering a patient insensible to pain.
-Anesthetic agents & adjuncts
-Procedures (i.e. regional)
What are the 3 pillars of anesthesia? correct answers Sanders:
-Immobility
-Amnesia
-Analgesia
What is meant by anesthesia and anesthesia-related care? correct answers Anesthesia care: the services
provided upon *request, assignment, and referral by a patient's physician, or other health care provider
authorized to diagnose*, and provide therapeutic and surgical procedures
Is anesthesiology the practice of nursing or medicine? correct answers Depends on who is providing the
care, debate...however, *same standards of care*
Is anesthesia care or cure oriented? correct answers We are in the care role...anesthesia rarely cures.
In which war did nurses & nurse anesthetists begin to play a vital role in anesthesia? correct answers
Civil war: Nurse anesthetists began delivering anesthesia via open drop ether technique.
T/F: Medical speciality of anesthesia preceded that of nursing specialty. correct answers FALSE: Nursing
specialty of anesthesia preceded that of a medical specialty.
-CRNAs principle providers in every war up through WWII
-Vietnam: 17 CRNAs to every MD
-Panama/Iraq: CRNAs largest group
Who was the most famous NA of the 19th century? Why? correct answers Alice Magaw
-Anesthetist for Mayo brothers
-First known NA to publish scientific article
->14,000 administrations w/ no death
Who established the 1st NA educational program? correct answers Agnes McGee (Oregon 1909)
Who performed 1st endotracheal anesthetic in US? correct answers Helen Lamb
When did MD anesthesia training begin? correct answers Not until 1927-Dr. Ralph Waters wanted to
bring anesthesia into realm of medical practice, away from nursing.
When & who founded the AANA? correct answers Agatha Hodgins 1931
(ASA created 1936)
, What was found from 3 big legal cases brought against NAs in the US prior to 1940? correct answers All 3
were challenging nurse anesthesia as illegally practicing medicine.
All found in favor of the nursing profession, relying on the premise that the surgeon was the person
practicing medicine.
The Montana Society of Anesthesiologists v. Montana Board of Nursing helped reaffirm what more
recently? correct answers 2007: re-affirmed CRNA practice
Why is the role of anesthesia unique?
While pt anatomy rest in the hand's of ________________, the pt ________________ rests in the hands
of the anesthesia provider? correct answers Ours is a role of physiologic *support and monitoring and
intervention*
Patient's anatomy rest in surgeon's hands, the patient's physiology in ours
Is anesthesia diagnostic or cure paradigm? correct answers "Ours is a role of physiologic support and
monitoring and intervention. *Ours is not a diagnostic and cure paradigm at all.*"
Scot Foster, CRNA
Deep down essence of anesthesia: SUPPORT
Anesthesia is the epitome of? correct answers Anesthesia is quintessential support, the epitome of
intensive care:
-Continuously monitoring vital signs and other parameters of the patient's physiology
-Quick to counteract untoward reactions that may threaten to occur
Anesthesia is a balancing act, this requires? correct answers You are maintaining a balancing act:
-Matching dosages of analgesics to levels of surgical pain
-Titrating drugs constantly throughout the case
-It requires your constant vigilance!!
T/F: Numerous studies show anesthesia care by CRNAs to be safe and of high quality. correct answers
TRUE
What is one reason there is still so much debate around anesthesia? correct answers No where within
nursing and medicine is there a greater overlap than in the field of anesthesiology
T/F: Certain states require supervision by an anesthesiologist. correct answers FALSE: There is no state in
the U.S. that requires supervision by an anesthesiologist.
How many states do not have physician "supervision or direction" requirement for CRNAs? correct
answers 33: do not have a physician "supervision", or "direction" requirement for CRNAs in nursing,
medical laws or regulations
