Prophecy PACU RN A V1 With Complete
Solutions Graded A+ 2022 Tests
Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shivering in the PACU.
Meperidine is available in 50mg/1ml. How many milliliters should be given? Correct Answer: 0.25
milliliters
Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter. What
should you do? Correct 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? Correct 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? Correct Answer: A) 1.5 milligrams
***B) 25 micrograms
C) 100 micrograms
D 25 milligrams
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? Correct 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? Correct 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? Correct 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? Correct Answer: A) Prone
, B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? Correct 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 BEST action? Correct Answer: A) Administer the medication with
diphenhydramine
B) Ask the patient to describe their reaction to penicillin
C) Contact the pharmacist to clarify the order
***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? Correct Answer: A) JP drain sutured in place near the
lateral calf
B) Several small incisions in calf groin covered with gauze
***C) Clear dressing applied to the right groin
D) 3 in incision on the right upper thigh with bulky dressing
You are receiving a report on a post op patients from the OR nurse and during the report when you
asked for clarifications, the OR nurse became angry, belligerent, and rude. She ended up not
answering your question. How will you proceed? Correct Answer: ***A) Report the incident to your
charge nurse
B) Refuse to take the patient
C) Take the report as she gave it to you
D) Figure out the clarifications from computer
***WRONG***You are reviewing your orders for you 8 year-old patient that recently arrive in PACU.
Which PRN pain order would you question? Correct Answer: A) IV acetaminophen (maybe??? bc
super expensive???)
B) PO acetaminophen
C) PO ketorolac (maybe???? bc shows increased risk of bleeding than tylenol, and is oral, which
maybe they're trying to avoid PO after surgery)
***WRONG***D) IV ketorolac
What is a physiologic effect related to unrelieved pain? Correct 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? Correct Answer: ***A) The tube is
placed into the Jejunum
Solutions Graded A+ 2022 Tests
Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shivering in the PACU.
Meperidine is available in 50mg/1ml. How many milliliters should be given? Correct Answer: 0.25
milliliters
Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter. What
should you do? Correct 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? Correct 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? Correct Answer: A) 1.5 milligrams
***B) 25 micrograms
C) 100 micrograms
D 25 milligrams
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? Correct 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? Correct 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? Correct 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? Correct Answer: A) Prone
, B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? Correct 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 BEST action? Correct Answer: A) Administer the medication with
diphenhydramine
B) Ask the patient to describe their reaction to penicillin
C) Contact the pharmacist to clarify the order
***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? Correct Answer: A) JP drain sutured in place near the
lateral calf
B) Several small incisions in calf groin covered with gauze
***C) Clear dressing applied to the right groin
D) 3 in incision on the right upper thigh with bulky dressing
You are receiving a report on a post op patients from the OR nurse and during the report when you
asked for clarifications, the OR nurse became angry, belligerent, and rude. She ended up not
answering your question. How will you proceed? Correct Answer: ***A) Report the incident to your
charge nurse
B) Refuse to take the patient
C) Take the report as she gave it to you
D) Figure out the clarifications from computer
***WRONG***You are reviewing your orders for you 8 year-old patient that recently arrive in PACU.
Which PRN pain order would you question? Correct Answer: A) IV acetaminophen (maybe??? bc
super expensive???)
B) PO acetaminophen
C) PO ketorolac (maybe???? bc shows increased risk of bleeding than tylenol, and is oral, which
maybe they're trying to avoid PO after surgery)
***WRONG***D) IV ketorolac
What is a physiologic effect related to unrelieved pain? Correct 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? Correct Answer: ***A) The tube is
placed into the Jejunum
