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PROPHECY PACU RN A V1 2025
UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is
ordered for shivering in the PACU. Meperidine is available in
50mg/1ml. How many mililiters should be given? - correct
answer- 0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice
swelling around the catheter. What should you do? - correct
answer- A) Position the patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
What set of findings indicates a patient is likely to be ready for
phase 1 discharge? - correct answer- A) Has received
discharge instructions, pain level 9 out 10, shortness of breath
B) Drowsy, blood pressure returned to preoperative levels, on 6
liters oxygen via face mask
***C) Drowsy, oxygen saturation of 96%, able to cough, and
move all extremities
D) Fully alert, shallow breathing, on 3 liters via T-piece, can
move 2 extremities
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What do you consider to be a safe dose of intravenous fentanyl
for an adult who does not have tolerance to opioids? - correct
answer- A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
Your patient in the PACU has a blood pressure of 171/92
mmHg, a heart rate of 120, respiratory rate of 24, is grimacing,
restless, and moaning in bed. What medication should you
prepare to give FIRST? - correct answer- A) 10 mg hydralazine
IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol IV push
You are about to discharge a day surgery patient with aphasia
and you discover the family members are not available for the
discharge instructions and are not responding to your phone
calls. Business hours are over and the PACU is about to close.
How will you handle the situation? - correct answer- ***A) Wait
until the family returns
B) Leave the discharge education on voicemail and discharge
patient
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C) Discharge patient with non-emergency transport
D) Take patient home yourself
You received a patient from OR post hip replacement surgery.
The anesthesiologist is planning a nerve block in PACU, but the
patient did not sign the consent for the nerve block. How will
you proceed? - correct answer- A) Wake up the patient to sign
the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
What position would help alleviate headaches after spinal
anesthesia? - correct answer- A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
***WRONG***
What is a physical manifestation of neuromuscular blockade
(Roc, succinylcholine)? - correct answer- A) Decreased
consciousness
B) Decreased pupillary light reflex
C) Decreased respiratory effort
PROPHECY PACU RN A V1 2025
UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is
ordered for shivering in the PACU. Meperidine is available in
50mg/1ml. How many mililiters should be given? - correct
answer- 0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice
swelling around the catheter. What should you do? - correct
answer- A) Position the patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
What set of findings indicates a patient is likely to be ready for
phase 1 discharge? - correct answer- A) Has received
discharge instructions, pain level 9 out 10, shortness of breath
B) Drowsy, blood pressure returned to preoperative levels, on 6
liters oxygen via face mask
***C) Drowsy, oxygen saturation of 96%, able to cough, and
move all extremities
D) Fully alert, shallow breathing, on 3 liters via T-piece, can
move 2 extremities
,2 | Page
What do you consider to be a safe dose of intravenous fentanyl
for an adult who does not have tolerance to opioids? - correct
answer- A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
Your patient in the PACU has a blood pressure of 171/92
mmHg, a heart rate of 120, respiratory rate of 24, is grimacing,
restless, and moaning in bed. What medication should you
prepare to give FIRST? - correct answer- A) 10 mg hydralazine
IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol IV push
You are about to discharge a day surgery patient with aphasia
and you discover the family members are not available for the
discharge instructions and are not responding to your phone
calls. Business hours are over and the PACU is about to close.
How will you handle the situation? - correct answer- ***A) Wait
until the family returns
B) Leave the discharge education on voicemail and discharge
patient
, 3 | Page
C) Discharge patient with non-emergency transport
D) Take patient home yourself
You received a patient from OR post hip replacement surgery.
The anesthesiologist is planning a nerve block in PACU, but the
patient did not sign the consent for the nerve block. How will
you proceed? - correct answer- A) Wake up the patient to sign
the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
What position would help alleviate headaches after spinal
anesthesia? - correct answer- A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
***WRONG***
What is a physical manifestation of neuromuscular blockade
(Roc, succinylcholine)? - correct answer- A) Decreased
consciousness
B) Decreased pupillary light reflex
C) Decreased respiratory effort
