RELIAS PACU RN A V1 COMPREHENSIVE
STUDY GUIDE WITH VERIFIED ANSWERS
2026
• 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
• 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
• 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
STUDY GUIDE WITH VERIFIED ANSWERS
2026
• 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
• 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
• 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
