Prophecy 2023 PACU RN A V1 Exam
Questions and Answers –GRADED A+
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?
0.25 mililiters
Upon inspecting a patient’s epidural insertion site, you notice swelling around
the catheter. What should you do?
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?
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?
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?
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?
***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?
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?
A) Prone B) Trendelenburg C) Semi-fowlers ***D) Flat to supine
***WRONG*** What is a physical manifestation of neuromuscular blockade
(Roc, succinylcholine)?
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?
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?
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?
***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
Questions and Answers –GRADED A+
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?
0.25 mililiters
Upon inspecting a patient’s epidural insertion site, you notice swelling around
the catheter. What should you do?
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?
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?
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?
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?
***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?
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?
A) Prone B) Trendelenburg C) Semi-fowlers ***D) Flat to supine
***WRONG*** What is a physical manifestation of neuromuscular blockade
(Roc, succinylcholine)?
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?
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?
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?
***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
