PROPHECY PACU RN COMPREHENSIVE
REVIEW 2026 VERIFIED QUESTIONS AND
SOLUTIONS
◉What is a physiologic effect related to unrelieved pain? Answer: A)
Hypoglycemia
B) Bradycardia
C) Decreased metabolism
***D) Decreased healing
◉You are caring for a patient after placement of a percutaneous J
tube. A student nurse asks you, " Where does this tube go in the
patient?" How should you answer? Answer: ***A) The tube is placed
into the Jejunum
B) The tube passes from the esophagus into the jejunum
This tube is inserted into the stomach
D) The tube is inserted directly into the colon
◉***WRONG***When caring for a patient who is recovering from
placement of a new arteriovenous fistula in their right arm, you
,observe the presence of mild edema at the site. What should you do?
Answer: A) Hold pressure on the anastomosis graft
B) Elevate the right arm above the heart
***WRONG***C) Apply an ice pack to the arm
D) Contact the surgical team
◉You are caring for patient who is intubated, receiving ventilatory
support, and is sedated with a propofol infusion. Over the last 5
minutes you have decreased the propofol infusion in preparation for
extubation. The patient is now opening their eyes to voice and
following commands. What should you do NEXT to prepare the
patient for immediate extubation? Answer: A) Place a manual,
resuscitator device at the bedside
B) Insert an oral airway
***C) Stop the propofol infusion
D) As the patient to cough
◉When caring for a patient who is receiving outpatient surgery,
what is the BEST way to know that a patient's post-operative blood
pressure is sufficient for discharge to home? Answer: A) The
pressure is greater than 100 mmHg SBP
***B) It is +/- 20% of baseline pre-operative levels
C) Adhere to professional standards
D) Follow the anesthesia order set
, ◉***WRONG***After surgery, a sleepy yet responsive patient with
an intact gag reflex has a large amount of salivary secretions. What
should you do? Answer: ***WRONG***A) Turn the patient on their
side
B) Provide oral suctioning
C) Contact the anesthesia provider
D) Insert an oral airway
◉Where is the phlebostatic axis for leveling the transducer of an
arterial line? Answer: ***A) Fourth intercostal level at the
midaxillary line
B) Fourth intercostal level at the midclavicular line
C) Fifth intercostal level at the midaxillary line
D) Fifth intercostal level at the midclavicular line
◉A carotid endarterectomy patient arrives to you in the PACU. What
initial assessment is MOST important? Answer: ***A) pupil checks
B) pain scale
C) capillary refill
D) blood glucose
◉***WRONG***There are 4 patients in PACU: A patient who is alert
but disoriented to time, a patient who reports dizziness upon sitting
REVIEW 2026 VERIFIED QUESTIONS AND
SOLUTIONS
◉What is a physiologic effect related to unrelieved pain? Answer: A)
Hypoglycemia
B) Bradycardia
C) Decreased metabolism
***D) Decreased healing
◉You are caring for a patient after placement of a percutaneous J
tube. A student nurse asks you, " Where does this tube go in the
patient?" How should you answer? Answer: ***A) The tube is placed
into the Jejunum
B) The tube passes from the esophagus into the jejunum
This tube is inserted into the stomach
D) The tube is inserted directly into the colon
◉***WRONG***When caring for a patient who is recovering from
placement of a new arteriovenous fistula in their right arm, you
,observe the presence of mild edema at the site. What should you do?
Answer: A) Hold pressure on the anastomosis graft
B) Elevate the right arm above the heart
***WRONG***C) Apply an ice pack to the arm
D) Contact the surgical team
◉You are caring for patient who is intubated, receiving ventilatory
support, and is sedated with a propofol infusion. Over the last 5
minutes you have decreased the propofol infusion in preparation for
extubation. The patient is now opening their eyes to voice and
following commands. What should you do NEXT to prepare the
patient for immediate extubation? Answer: A) Place a manual,
resuscitator device at the bedside
B) Insert an oral airway
***C) Stop the propofol infusion
D) As the patient to cough
◉When caring for a patient who is receiving outpatient surgery,
what is the BEST way to know that a patient's post-operative blood
pressure is sufficient for discharge to home? Answer: A) The
pressure is greater than 100 mmHg SBP
***B) It is +/- 20% of baseline pre-operative levels
C) Adhere to professional standards
D) Follow the anesthesia order set
, ◉***WRONG***After surgery, a sleepy yet responsive patient with
an intact gag reflex has a large amount of salivary secretions. What
should you do? Answer: ***WRONG***A) Turn the patient on their
side
B) Provide oral suctioning
C) Contact the anesthesia provider
D) Insert an oral airway
◉Where is the phlebostatic axis for leveling the transducer of an
arterial line? Answer: ***A) Fourth intercostal level at the
midaxillary line
B) Fourth intercostal level at the midclavicular line
C) Fifth intercostal level at the midaxillary line
D) Fifth intercostal level at the midclavicular line
◉A carotid endarterectomy patient arrives to you in the PACU. What
initial assessment is MOST important? Answer: ***A) pupil checks
B) pain scale
C) capillary refill
D) blood glucose
◉***WRONG***There are 4 patients in PACU: A patient who is alert
but disoriented to time, a patient who reports dizziness upon sitting
