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RELIAS PACU RN A V1 NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
You receive a patient who has just arrived from surgery and is in
Phase 1 PACU. The patient is unresponsive to name, has a
respiratory rate of 12, is receiving 6 L with a face mask, and is
making a gurgling sound with each exhalation. What action is
MOST appropriate? - ANSWER-C) Insert oral airway
What set of findings indicates a patient is likely to be ready for
phase 1 discharge? - ANSWER-***C) Drowsy, oxygen saturation
of 96%, able to cough, and move all extremities
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? - ANSWER-0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice
swelling around the catheter. What should you do? - ANSWER-
***D) Contact the anesthesia provider
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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? - ANSWER-
***B) 25 micrograms
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? - ANSWER-***B) 50 mcg fentanyl 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? - ANSWER-***A) Wait until the family
returns
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? - ANSWER-***C) Obtain the consent from medical POA
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What is a physical manifestation of neuromuscular blockade (Roc,
succinylcholine)? - ANSWER-C) Decreased respiratory effort
What position would help alleviate headaches after spinal
anesthesia? - ANSWER-***D) Flat to supine
The surgeon has ordered ampicillin (Ancef) for a patient. When
you check their chart, you see an allergy to penicillin. What is the
BEST action? - ANSWER-***D) Contact the provider to question
the order
You are receiving report for a patient 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 patient? -
ANSWER-***C) Clear dressing applied to the right groin
You are receiving a report on a post op patients from the OR
nurse and during the report when you asked for clarifications, the
OR nurse became angry, belligerent, and rude. She ended up not
RELIAS PACU RN A V1 NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
You receive a patient who has just arrived from surgery and is in
Phase 1 PACU. The patient is unresponsive to name, has a
respiratory rate of 12, is receiving 6 L with a face mask, and is
making a gurgling sound with each exhalation. What action is
MOST appropriate? - ANSWER-C) Insert oral airway
What set of findings indicates a patient is likely to be ready for
phase 1 discharge? - ANSWER-***C) Drowsy, oxygen saturation
of 96%, able to cough, and move all extremities
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? - ANSWER-0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice
swelling around the catheter. What should you do? - ANSWER-
***D) Contact the anesthesia provider
,2|Page
What do you consider to be a safe dose of intravenous fentanyl
for an adult who does not have tolerance to opioids? - ANSWER-
***B) 25 micrograms
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? - ANSWER-***B) 50 mcg fentanyl 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? - ANSWER-***A) Wait until the family
returns
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? - ANSWER-***C) Obtain the consent from medical POA
, 3|Page
What is a physical manifestation of neuromuscular blockade (Roc,
succinylcholine)? - ANSWER-C) Decreased respiratory effort
What position would help alleviate headaches after spinal
anesthesia? - ANSWER-***D) Flat to supine
The surgeon has ordered ampicillin (Ancef) for a patient. When
you check their chart, you see an allergy to penicillin. What is the
BEST action? - ANSWER-***D) Contact the provider to question
the order
You are receiving report for a patient 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 patient? -
ANSWER-***C) Clear dressing applied to the right groin
You are receiving a report on a post op patients from the OR
nurse and during the report when you asked for clarifications, the
OR nurse became angry, belligerent, and rude. She ended up not
