PROPHECY PACU RN FINAL PAPER 2026
FULL Q&A STUDY GUIDE GRADED A+
◉Upon inspecting a patient's epidural insertion site, you notice
swelling around the catheter. What should you do? Answer: A)
Position the patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
◉What set of findings indicates a patient is likely to be ready for
phase 1 discharge? Answer: A) Has received discharge instructions,
pain level 9 out 10, shortness of breath
B) Drowsy, blood pressure returned to preoperative levels, on 6
liters oxygen via face mask
***C) Drowsy, oxygen saturation of 96%, able to cough, and move all
extremities
D) Fully alert, shallow breathing, on 3 liters via T-piece, can move 2
extremities
,◉What do you consider to be a safe dose of intravenous fentanyl for
an adult who does not have tolerance to opioids? Answer: A) 1.5
miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
◉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: A) 10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol 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
B) Leave the discharge education on voicemail and discharge patient
C) Discharge patient with non-emergency transport
D) Take patient home yourself
, ◉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: A) Wake up the patient to sign the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
◉What position would help alleviate headaches after spinal
anesthesia? Answer: A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
◉***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc,
succinylcholine)? Answer: A) Decreased consciousness
B) Decreased pupillary light reflex
C) Decreased respiratory effort
***WRONG***D) Decreased sensation of pain
◉The surgeon has ordered ampicillin (Ancef) for a patient. When
you check their chart, you see an allergy to penicillin. What is the
FULL Q&A STUDY GUIDE GRADED A+
◉Upon inspecting a patient's epidural insertion site, you notice
swelling around the catheter. What should you do? Answer: A)
Position the patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
◉What set of findings indicates a patient is likely to be ready for
phase 1 discharge? Answer: A) Has received discharge instructions,
pain level 9 out 10, shortness of breath
B) Drowsy, blood pressure returned to preoperative levels, on 6
liters oxygen via face mask
***C) Drowsy, oxygen saturation of 96%, able to cough, and move all
extremities
D) Fully alert, shallow breathing, on 3 liters via T-piece, can move 2
extremities
,◉What do you consider to be a safe dose of intravenous fentanyl for
an adult who does not have tolerance to opioids? Answer: A) 1.5
miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
◉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: A) 10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol 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
B) Leave the discharge education on voicemail and discharge patient
C) Discharge patient with non-emergency transport
D) Take patient home yourself
, ◉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: A) Wake up the patient to sign the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
◉What position would help alleviate headaches after spinal
anesthesia? Answer: A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
◉***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc,
succinylcholine)? Answer: A) Decreased consciousness
B) Decreased pupillary light reflex
C) Decreased respiratory effort
***WRONG***D) Decreased sensation of pain
◉The surgeon has ordered ampicillin (Ancef) for a patient. When
you check their chart, you see an allergy to penicillin. What is the
