The presence of the family visitation in the PACU is most likely to:
1. increase patient satisfaction.
2. extend PACU length of stay.
3. increase the infection rate.
4. decrease nursing interaction. correct answers 1. increase patient satisfaction.
In order to safely transport a pediatric postoperative patient, ASPAN Standards of Perianesthesia
Nursing Practice recommend that the patient should be accompanied by:
1. a registered health care aid plus a driver.
2. one responsible adult.
3. two responsible adults.
4. one adult and another child to sit with infant. correct answers 3. two responsible adults.
The safest time to remove an LMA is:
1. when the patient is in high Fowler's position and awake.
2. after the patient is suctioned during light anesthesia.
3. during stage II recovery from anesthesia.
4. when the patient is able to follow commands and open the mouth. correct answers 4. when the
patient is able to follow commands and open the mouth.
To prevent complications and promote healing for a patient following a right femoral, popliteal
bypass surgery, the perianesthesia nurse instructs the patient on the importance of:
1. applying heel protectors bilaterally.
2. elevating the right leg on two pillows.
3. keeping the legs warm with heavy blankets.
4. ambulating within the first 24 hours. correct answers 1. applying heel protectors bilaterally.
,The perianesthesia nurse is aware that which of the following cardiac rhythms is more clinically
ominous and may progress to a lethal dysrhythmia?
1. Atrial flutter 1:4 response
2. Second-degree type II heart block
3. Atrial fibrillation
4. First-degree AV block4. First-degree AV block correct answers 2. Second-degree type II heart
block
The perianesthesia nurse is aware that discharge instructions for a patient receiving a
supraclavicular block should include which of the following?
1. Report numbness and hand tingling to surgeon today.
2. Start narcotics after full function returns.
3. Resume normal activity upon returning home.
4. Keep arm elevated in sling until sensation returns. correct answers 4. Keep arm elevated in
sling until sensation returns.
The perianesthesia nurse instructs a patient scheduled for a laparoscopic cholecystectomy to
remove body piercings prior to arrival as they may cause:
1. injury and infection.
2. increased pain in the incision site.
3. adverse medication interaction.
4. EKG monitoring interference. correct answers 1. injury and infection.
A patient who is cognitively impaired is admitted to the PACU. The patient becomes frightened
and combative and attempts to get out of bed. The perianesthesia nurse's best response is to:
1. ambulate the patient to the bathroom.
2. reunite the patient with the caregiver as soon as possible.
3. gently restrain the patient's arms.
, 4. anticipate administration of an anxiolytic. correct answers 2. reunite the patient with the
caregiver as soon as possible.
A 2-year-old patient is sedated and admitted to the Phase I PACU following cleft palate repair.
Which of the following is the proper positioning of this patient in the immediate postoperative
phase?
1. Semi-Prone
2. High Fowler's
3. Reverse Trendelenburg
4. Supine correct answers 1. Semi-Prone
In evaluating the care of a patient with vancomycin-resistant enterococci (VRE), the PACU nurse
will consider which of the following?
1. VRE can live for weeks on surfaces such as bed rails.
2. The patient should be placed in a negative-pressure room.
3. Transmission-based droplet precautions should be utilized.
4. Gloves are a sufficient barrier device. correct answers 1. VRE can live for weeks on surfaces
such as bed rails.
According to ASPAN Standards of Perianesthesia Nursing Practice, the perianesthesia nurse
administering moderate sedation to a patient makes sure that an emergency cart with a
defibrillator is:
1. immediately available during the administration.
2. available on the next floor, near the elevator.
3. available only for patients with an ASA score of 2 or less.
4. immediately available upon request from the code team. correct answers 1. immediately
available during the administration.
The perianesthesia nurse is aware that the most important intervention for the pediatric patient in
emergence delirium is: