NUR 504 3P APEA FINAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
● Horace Wells . Answer:1844 - Used nitrous oxide for tooth extraction
Colton - med student
● Alice Magaw . Answer:1889
mother of anesthesia
● National Association of Nurse Anesthetists . Answer:June 17th, 1931.
Founded by Agatha Hodgins
● Year of the first certification exam . Answer:1945
● 3 categories of anesthesia . Answer:1. General
2. Sedation- MAC
3. Regional
● 3 states of MAC . Answer:Anxiolysis (mild)
Amnesia (moderate),
,Analgesia/Hypnotic (Deep)
● Three characteristics of anesthesia . Answer:Amnesia
Analgesia
Akinesia
● Stages of Anesthesia /Guedel's signs . Answer:Stage 1 :Amnesia
Stage 2: Delirium
Stage 3: Surgical Plane
Stage 4: Overdose
● Stage 1: Amnesia . Answer:RR, pupils, ocular movement, eye reflexes,
muscle tone normal
● Stage 2: Delirium . Answer:RR high, irregular
Pupils dilated, deconjugate
Muscle tone: tense
Eye reflexes: Droopy lid
● Surgical Plane . Answer:Plane 2: pupils constricted
PLane 4: pupils dilated, no light reflex
Plane 3&4: no response to surgical stimulation
,No ocular movement after plane 1
● Minimal Alveolar Concentration (MAC) . Answer:Inhaled anesthetic =
Required to prevent 50% of subjects from moving in response to
noxious stimulant [skin incision] at 1 atmosphere
● Nitrous Oxide . Answer:MAC 104%
Blood:Gas 0.47
● Forane (isoflurane) . Answer:MAC - 1.15%
ED95 - 1.49%
60% N20 - 0.5%
B/G - 1.4
● Sevoflurane (Ultane) . Answer:MAC: 2%
ED95: 2.6%
60% N2O: 0.66%
B/G: 0.65
● Desflurane (Suprane) . Answer:MAC 6-7%
, ED95 : 7.8-9.1%
60% N20: 2.83%
B/G: 0.42
● Thiopental (Pentothal) . Answer:Class: Barbiturate
Induction/MAC dose:
3-5mg/kg/IV
Onset: 15-30 seconds
Duration: 5-10 minutes
● Methohexital (Brevital) . Answer:1-1.5 mg/kg/IV
Onset: 15-30 seconds
Duration 5-10 minutes
Kids: Rectal 25mg/kg
Used in place of Propofol sometimes
● Precedex (dexmedetomidine) dosage . Answer:Alpha-2 agonist
QUESTIONS WITH ANSWERS GRADED A+
● Horace Wells . Answer:1844 - Used nitrous oxide for tooth extraction
Colton - med student
● Alice Magaw . Answer:1889
mother of anesthesia
● National Association of Nurse Anesthetists . Answer:June 17th, 1931.
Founded by Agatha Hodgins
● Year of the first certification exam . Answer:1945
● 3 categories of anesthesia . Answer:1. General
2. Sedation- MAC
3. Regional
● 3 states of MAC . Answer:Anxiolysis (mild)
Amnesia (moderate),
,Analgesia/Hypnotic (Deep)
● Three characteristics of anesthesia . Answer:Amnesia
Analgesia
Akinesia
● Stages of Anesthesia /Guedel's signs . Answer:Stage 1 :Amnesia
Stage 2: Delirium
Stage 3: Surgical Plane
Stage 4: Overdose
● Stage 1: Amnesia . Answer:RR, pupils, ocular movement, eye reflexes,
muscle tone normal
● Stage 2: Delirium . Answer:RR high, irregular
Pupils dilated, deconjugate
Muscle tone: tense
Eye reflexes: Droopy lid
● Surgical Plane . Answer:Plane 2: pupils constricted
PLane 4: pupils dilated, no light reflex
Plane 3&4: no response to surgical stimulation
,No ocular movement after plane 1
● Minimal Alveolar Concentration (MAC) . Answer:Inhaled anesthetic =
Required to prevent 50% of subjects from moving in response to
noxious stimulant [skin incision] at 1 atmosphere
● Nitrous Oxide . Answer:MAC 104%
Blood:Gas 0.47
● Forane (isoflurane) . Answer:MAC - 1.15%
ED95 - 1.49%
60% N20 - 0.5%
B/G - 1.4
● Sevoflurane (Ultane) . Answer:MAC: 2%
ED95: 2.6%
60% N2O: 0.66%
B/G: 0.65
● Desflurane (Suprane) . Answer:MAC 6-7%
, ED95 : 7.8-9.1%
60% N20: 2.83%
B/G: 0.42
● Thiopental (Pentothal) . Answer:Class: Barbiturate
Induction/MAC dose:
3-5mg/kg/IV
Onset: 15-30 seconds
Duration: 5-10 minutes
● Methohexital (Brevital) . Answer:1-1.5 mg/kg/IV
Onset: 15-30 seconds
Duration 5-10 minutes
Kids: Rectal 25mg/kg
Used in place of Propofol sometimes
● Precedex (dexmedetomidine) dosage . Answer:Alpha-2 agonist
