PROPHECY PACU RN A V1 EXAM QUESTIONS AND ANSWERS LATEST
UPDATED 2025/2026 A COMPLETE SOLUTION ALL ANSWERS 100%
CORRECT DETAILED BEST GRADED A+ FOR SUCCESS
Which patient is MOST at risk for developing postoperative cardiogenic shock? - CORRECT
ANSWERS A) A 78 year old male adult with CKD
***B) Pt with recent MI
C) Female pt with ES liver disease
D) Pediatric patient with metastatic lymphadenopathy
***WRONG***
When setting up a morphine PCA pump for a 5'10'' female patient recovering from hip surgery
who is 49 years old, 180 lb, and has no history of sleep apnea, what is an expected 4-hr dose
limit? - CORRECT ANSWERS ***WRONG**A) 5 mg
B) 20 mg (probs correct)
C) 3 mg
D) 40 mg
You are caring for a postoperative thyroidectomy patient in the PACU. What is the least likely
finding for this patient? - CORRECT ANSWERS A) Paresthesia of the fingers and toes
***B) Low Hgb
C) Muscle Cramps
D) Tingling in hands and feet
**WRONG***
After a 6-hour abdominal surgery during which a patient was on their back, a patient reports
persistent lower back pain. What should you do next? - CORRECT ANSWERS
***WRONG***A) Help them to a new position
B) Administer pain medication
C) Inspect their lower back (probs correct, pt might be bleeding into back)
D) Check their hematocrit
,PROPHECY PACU RN A V1 EXAM QUESTIONS AND ANSWERS LATEST
UPDATED 2025/2026 A COMPLETE SOLUTION ALL ANSWERS 100%
CORRECT DETAILED BEST GRADED A+ FOR SUCCESS
What is a result of shivering? - CORRECT ANSWERS A) Decreased oxygen consumption
***B) Increased oxygen demand
C) Peripheral vasoconstriction
D) Elevated end tidal CO2
***WRONG***
What combination of medications is an example of multi-modal pain management? -
CORRECT ANSWERS A) IV PCA morphine with IV fentanyl
***WRONG***B) Oral morphine ER and IV morphine
C) IV hydromorphone and IV acetaminophen (probs correct, one is opioid, other is not)
D) IV hydromorphone and IV morphine
You are caring for a patient with a brachial plexus block after surgery. The patient begins to
report chest discomfort on the side where the block was placed. A 12 lead EKG was normal.
What order do you expect to be completed NEXT for this patient? - CORRECT ANSWERS
A) Echo
B) Cardiac biomarkers
C) CMP
***D) Chest X-ray
You need to obtain consent from a sedated patient post hip replacement surgery for a regional
block. Two women showed up at bedside as next of kin. One has a child with patient and the
other is the patient's girlfriend. How will you obtain the consent? - CORRECT ANSWERS
A) Proceed with patient signature
***B) Look for patient's parents or immediate family members
C) Allow one of the women to sign
, PROPHECY PACU RN A V1 EXAM QUESTIONS AND ANSWERS LATEST
UPDATED 2025/2026 A COMPLETE SOLUTION ALL ANSWERS 100%
CORRECT DETAILED BEST GRADED A+ FOR SUCCESS
D) Allow both women to sign
***WRONG***
What instructions for care should you include when educating a patient about their Penrose
drain? - CORRECT ANSWERS ***WORNG***A) You will have bright red drainage from
the tube for several days
B) Change your dressing 2 times a day or when it becomes wet (very probs correct)
C) This drainage tube helps prevent accumulation of bile
D) Remove the safety pin at the end of the tube when you get home
You are caring for a patient with a continuous basal rate PCA infusion when the patient
becomes difficult to awaken. What should you do FIRST? - CORRECT ANSWERS ***A)
Hold the PCA infusion
B) Elevate the head of bed 45 degrees
C) Stay with patient
D) Contact anesthesia provider
Which factor puts a patient MOST at risk for confusion upon awakening from general
anesthesia? - CORRECT ANSWERS B) Advanced Age
You are providing care for a diabetic patient in the PACU. What care should you provide to
decrease their risk of surgical site infections? - CORRECT ANSWERS B) Maintain blood
glucose levels per protocol and hand hygiene
What department approves and reviews medical aspects of care in the PACU including policies
and procedures? - CORRECT ANSWERS Department of Anesthesia
UPDATED 2025/2026 A COMPLETE SOLUTION ALL ANSWERS 100%
CORRECT DETAILED BEST GRADED A+ FOR SUCCESS
Which patient is MOST at risk for developing postoperative cardiogenic shock? - CORRECT
ANSWERS A) A 78 year old male adult with CKD
***B) Pt with recent MI
C) Female pt with ES liver disease
D) Pediatric patient with metastatic lymphadenopathy
***WRONG***
When setting up a morphine PCA pump for a 5'10'' female patient recovering from hip surgery
who is 49 years old, 180 lb, and has no history of sleep apnea, what is an expected 4-hr dose
limit? - CORRECT ANSWERS ***WRONG**A) 5 mg
B) 20 mg (probs correct)
C) 3 mg
D) 40 mg
You are caring for a postoperative thyroidectomy patient in the PACU. What is the least likely
finding for this patient? - CORRECT ANSWERS A) Paresthesia of the fingers and toes
***B) Low Hgb
C) Muscle Cramps
D) Tingling in hands and feet
**WRONG***
After a 6-hour abdominal surgery during which a patient was on their back, a patient reports
persistent lower back pain. What should you do next? - CORRECT ANSWERS
***WRONG***A) Help them to a new position
B) Administer pain medication
C) Inspect their lower back (probs correct, pt might be bleeding into back)
D) Check their hematocrit
,PROPHECY PACU RN A V1 EXAM QUESTIONS AND ANSWERS LATEST
UPDATED 2025/2026 A COMPLETE SOLUTION ALL ANSWERS 100%
CORRECT DETAILED BEST GRADED A+ FOR SUCCESS
What is a result of shivering? - CORRECT ANSWERS A) Decreased oxygen consumption
***B) Increased oxygen demand
C) Peripheral vasoconstriction
D) Elevated end tidal CO2
***WRONG***
What combination of medications is an example of multi-modal pain management? -
CORRECT ANSWERS A) IV PCA morphine with IV fentanyl
***WRONG***B) Oral morphine ER and IV morphine
C) IV hydromorphone and IV acetaminophen (probs correct, one is opioid, other is not)
D) IV hydromorphone and IV morphine
You are caring for a patient with a brachial plexus block after surgery. The patient begins to
report chest discomfort on the side where the block was placed. A 12 lead EKG was normal.
What order do you expect to be completed NEXT for this patient? - CORRECT ANSWERS
A) Echo
B) Cardiac biomarkers
C) CMP
***D) Chest X-ray
You need to obtain consent from a sedated patient post hip replacement surgery for a regional
block. Two women showed up at bedside as next of kin. One has a child with patient and the
other is the patient's girlfriend. How will you obtain the consent? - CORRECT ANSWERS
A) Proceed with patient signature
***B) Look for patient's parents or immediate family members
C) Allow one of the women to sign
, PROPHECY PACU RN A V1 EXAM QUESTIONS AND ANSWERS LATEST
UPDATED 2025/2026 A COMPLETE SOLUTION ALL ANSWERS 100%
CORRECT DETAILED BEST GRADED A+ FOR SUCCESS
D) Allow both women to sign
***WRONG***
What instructions for care should you include when educating a patient about their Penrose
drain? - CORRECT ANSWERS ***WORNG***A) You will have bright red drainage from
the tube for several days
B) Change your dressing 2 times a day or when it becomes wet (very probs correct)
C) This drainage tube helps prevent accumulation of bile
D) Remove the safety pin at the end of the tube when you get home
You are caring for a patient with a continuous basal rate PCA infusion when the patient
becomes difficult to awaken. What should you do FIRST? - CORRECT ANSWERS ***A)
Hold the PCA infusion
B) Elevate the head of bed 45 degrees
C) Stay with patient
D) Contact anesthesia provider
Which factor puts a patient MOST at risk for confusion upon awakening from general
anesthesia? - CORRECT ANSWERS B) Advanced Age
You are providing care for a diabetic patient in the PACU. What care should you provide to
decrease their risk of surgical site infections? - CORRECT ANSWERS B) Maintain blood
glucose levels per protocol and hand hygiene
What department approves and reviews medical aspects of care in the PACU including policies
and procedures? - CORRECT ANSWERS Department of Anesthesia
