PACU EXAM QUESTIONS WITH 100%
CORRECT ANSWERS VERIFIED
Complications: GI - ✔️✔️Problems R/T peristalsis from anesthesia, etc.
Assessment - Bowel sounds, passing flatus, distention
Interventions - Ambulation, fluids and foods when appropriate. Privacy when using
bedpan or commode. NG tube for decompression
Complications: Renal/Urinary System - ✔️✔️Urinary Retention: Inability to void,
common w/surgery esoecially w/spinal anesthesia, back or abdominal surgeries
Assssments - voided post op? (8-12 hours max wait time)
Interventions - position, water flow, straight cath prn
Complications: Neuro - ✔️✔️Disorientation. post op psychosis and delirium. Intractable
pain
Post-op Nursing Care - ✔️✔️Focused assessment r/t type of surgery
O2/IV's, dressings/wounds, tubes, drains,
V/S - Q15x4, Q30x2, Q60x4, (any change from baseline is a first sign of complication)
Respiratory - breath sounds and rate, effects of anesthesia and pain meds
Cardiac/circulation - pulses, color, temp
Neurological - cerebral, sensory/motor
F&E - hydration assessment, I&) (IV's, tubes, drains)
Renal/Urinary system - Special attention to first void, DC foley ASAP
GI System - Nausea/vomiting, return of BS (will determine oral fluids and food return)
Skin assessment - normal wound healing -drainage, complications of wound healing
Interventions - ✔️✔️Pain management is high priority - worst in first 48 hours. Asses
type of pain. Be aware of narcotic side effects and its half life. Use diversional
interventions
Immediate Post-op care - ✔️✔️Check/Maintain ABC's, V/S, fluids I&O's, check
incisions/tubes, pain management, LOC and response to stimuli. Nurses get extra
training in ACLS, anesthesia, pharmacology, and pain management to work this floor
Will D/C to floor.. - ✔️✔️At least one hour after, must have adequate score on recovery
scale, stable V/S, no overt bleeding, return of gag, cough, and swallow reflexes. Call
report before transfering. Must be transported by PACU RN.
CORRECT ANSWERS VERIFIED
Complications: GI - ✔️✔️Problems R/T peristalsis from anesthesia, etc.
Assessment - Bowel sounds, passing flatus, distention
Interventions - Ambulation, fluids and foods when appropriate. Privacy when using
bedpan or commode. NG tube for decompression
Complications: Renal/Urinary System - ✔️✔️Urinary Retention: Inability to void,
common w/surgery esoecially w/spinal anesthesia, back or abdominal surgeries
Assssments - voided post op? (8-12 hours max wait time)
Interventions - position, water flow, straight cath prn
Complications: Neuro - ✔️✔️Disorientation. post op psychosis and delirium. Intractable
pain
Post-op Nursing Care - ✔️✔️Focused assessment r/t type of surgery
O2/IV's, dressings/wounds, tubes, drains,
V/S - Q15x4, Q30x2, Q60x4, (any change from baseline is a first sign of complication)
Respiratory - breath sounds and rate, effects of anesthesia and pain meds
Cardiac/circulation - pulses, color, temp
Neurological - cerebral, sensory/motor
F&E - hydration assessment, I&) (IV's, tubes, drains)
Renal/Urinary system - Special attention to first void, DC foley ASAP
GI System - Nausea/vomiting, return of BS (will determine oral fluids and food return)
Skin assessment - normal wound healing -drainage, complications of wound healing
Interventions - ✔️✔️Pain management is high priority - worst in first 48 hours. Asses
type of pain. Be aware of narcotic side effects and its half life. Use diversional
interventions
Immediate Post-op care - ✔️✔️Check/Maintain ABC's, V/S, fluids I&O's, check
incisions/tubes, pain management, LOC and response to stimuli. Nurses get extra
training in ACLS, anesthesia, pharmacology, and pain management to work this floor
Will D/C to floor.. - ✔️✔️At least one hour after, must have adequate score on recovery
scale, stable V/S, no overt bleeding, return of gag, cough, and swallow reflexes. Call
report before transfering. Must be transported by PACU RN.
