PROPHECY PACU RN A V1
EXAM NEWEST 2024
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS )|ALREADY GRADED
A+
What position would help alleviate headaches after spinal anesthesia? - ANSWER-
A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? -
ANSWER-
A) Decreased consciousness
,B) Decreased pupillary light reflex
C) Decreased respiratory effort
***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? - 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
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
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? -
ANSWER-0.25 mililiters
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
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
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
EXAM NEWEST 2024
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS )|ALREADY GRADED
A+
What position would help alleviate headaches after spinal anesthesia? - ANSWER-
A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? -
ANSWER-
A) Decreased consciousness
,B) Decreased pupillary light reflex
C) Decreased respiratory effort
***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? - 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
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
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? -
ANSWER-0.25 mililiters
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
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
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
