Prophecy med surg RN EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

EXAM

Exam Solution
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Prophecy PACU RN A v1 2026 A+ GRADE ASSURED COM vc vc vc vc vc vc vc vc vc




PLETE SOLUTIONS AND VERIFIED ANSWERS (42E38)vc vc vc vc vc




QUESTION 1 vc




You receive a patient to Phase I recovery from IR status post cerebral aneurysm clipping.
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Which assessment is most important for you to perform?
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ANSWER

A) Cardiac rhythm, heart rate, blood pressure ***
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B) Pupil response, facial and extremity movement
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C) Bowel sounds, urinary output, and oral cavity
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D) RR, BP, Temp
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QUESTION 2 vc




Which patient is MOST at risk for developing postoperative cardiogenic shock?
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ANSWER

A) A 78 year old male adult with CKD ***
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B) Pt with recent MI
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C) Female pt with ES liver disease
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D) Pediatric patient with metastatic lymphadenopathy
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QUESTION 3 vc




Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shivering in the P
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ACU. Meperidine is available in 50mg/1ml. How many mililiters should be given?
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ANSWER

0.25 mililiters
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QUESTION 4 vc

,Upon inspecting a patient's epidural insertion site, you notice swelling around the cathet
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er. What should you do?
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ANSWER

A) Position the patient on their side
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B) Place the patient in a prone position
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C) Check the epidural line for kinks ***
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D) Contact the anesthesia provider
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QUESTION 5 vc




What set of findings indicates a patient is likely to be ready for phase 1 discharge?
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ANSWER

A) Has received discharge instructions, pain level 9 out 10, shortness of breath
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B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxygen via face mask ***
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C) Drowsy, oxygen saturation of 96%, able to cough, and move all extremities
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D) Fully alert, shallow breathing, on 3 liters via T-piece, can move 2 extremities
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QUESTION 6 vc




What do you consider to be a safe dose of intravenous fentanyl for an adult who does not
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have tolerance to opioids?
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ANSWER

A) 1.5 miligrams ***
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B) 25 micrograms
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C) 100 micrograms D 25 miligrams
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QUESTION 7 vc




Your patient in the PACU has a blood pressure of 171/92 mmHg, a heart rate of 120, resp
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iratory rate of 24, is grimacing, restless, and moaning in bed. What medication should yo
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u prepare to give FIRST?
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ANSWER

A) 10 mg hydralazine IV push ***
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B) 50 mcg fentanyl IV push
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C) 2 mg lorazepam IV push
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D) 5 mg metoprolol IV push
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QUESTION 8 vc




You are about to discharge a day surgery patient with aphasia and you discover the famil
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y members are not available for the discharge instructions and are not responding to yo
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, ur phone calls. Business hours are over and the PACU is about to close. How will you han
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dle the situation?
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ANSWER

***
A) Wait until the family returns
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B) Leave the discharge education on voicemail and discharge patient
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C) Discharge patient with non-emergency transport
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D) Take patient home yourself
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QUESTION 9 vc




You received a patient from OR post hip replacement surgery. The anesthesiologist is pla
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nning a nerve block in PACU, but the patient did not sign the consent for the nerve block.
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How will you proceed?
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ANSWER

A) Wake up the patient to sign the consent
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B) Ask a friend to sign the consent ***
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C) Obtain the consent from medical POA
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D) Proceed with the procedure
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QUESTION 10 vc




What position would help alleviate headaches after spinal anesthesia?
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ANSWER

A) Prone
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B) Trendelenburg
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C) Semi-fowlers ***
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D) Flat to supine
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QUESTION 11 vc




What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)?
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ANSWER

A) Decreased consciousness
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B) Decreased pupillary light reflex **
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C) Decreased respiratory effort
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D) Decreased sensation of pain
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QUESTION 12 vc