2025/2026 Updated 1
What set of findings indicates a pa ent is likely to be ready for phase 1 discharge? - CORRECT
ANSWERS ***C) Drowsy, oxygen satura on of 96%, able to cough, and move all extremi es
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
ANSWERS 0.25 mililiters
Upon inspec ng a pa ent's epidural inser on site, you no ce swelling around the catheter.
What should you do? - CORRECT ANSWERS ***D) Contact the anesthesia provider
What do you consider to be a safe dose of intravenous fentanyl for an adult who does not have
tolerance to opioids? - CORRECT ANSWERS ***B) 25 micrograms
Your pa ent 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 medica on should you prepare to
give FIRST? - CORRECT ANSWERS ***B) 50 mcg fentanyl IV push
You are about to discharge a day surgery pa ent with aphasia and you discover the family
members are not available for the discharge instruc ons and are not responding to your phone
calls. Business hours are over and the PACU is about to close. How will you handle the situa on?
- CORRECT ANSWERS ***A) Wait un l the family returns
You received a pa ent from OR post hip replacement surgery. The anesthesiologist is planning a
nerve block in PACU, but the pa ent did not sign the consent for the nerve block. How will you
proceed? - CORRECT ANSWERS ***C) Obtain the consent from medical POA
, What is a physical manifesta on of neuromuscular blockade (Roc, succinylcholine)? - CORRECT
ANSWERS C) Decreased respiratory effort
What posi on would help alleviate headaches aAer spinal anesthesia? - CORRECT ANSWERS
***D) Flat to supine
The surgeon has ordered ampicillin (Ancef) for a pa ent. When you check their chart, you see
an allergy to penicillin. What is the BEST ac on? - CORRECT ANSWERS ***D) Contact the
provider to ques on the order
You are receiving report for a pa ent who had a percutaneous transluminal angioplasty for
right lower extremity peripheral vascular disease and is now recovering in the PACU. What type
of surgical dressing do you expect to find for this pa ent? - CORRECT ANSWERS ***C) Clear
dressing applied to the right groin
You are receiving a report on a post op pa ents from the OR nurse and during the report when
you asked for clarifica ons, the OR nurse became angry, belligerent, and rude. She ended up
not answering your ques on. How will you proceed? - CORRECT ANSWERS ***A) Report the
incident to your charge nurse
You are reviewing your orders for you 8 year-old pa ent that recently arrive in PACU. Which
PRN pain order would you ques on? - CORRECT ANSWERS C) PO ketorolac
What is a physiologic effect related to unrelieved pain? - CORRECT ANSWERS ***D)
Decreased healing
You are caring for a pa ent aAer placement of a percutaneous J tube. A student nurse asks you,
" Where does this tube go in the pa ent?" How should you answer? - CORRECT ANSWERS
***A) The tube is placed into the Jejunum