Prophecy general ICU RNA V1 Questions & Answers, Updat b b b b b b b b
e 2022/2023
b
Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shi
b b b b b b b b b b b
vering in the PACU. Meperidine is available in 50mg/1ml. How many milili
b b b b b b b b b b b
ters should be given? - ✅✅0.25 mililiters
b b b b b b
Upon inspecting a patient's epidural insertion site, you notice swelling ar
b b b b b b b b b b
ound the catheter. What should you do? -
b b b b b b b
✅✅A) Position the patient on their side
b b b b b b b
B) Place the patient in a prone position
b b b b b b b
C) Check the epidural line for kinks
b b b b b b
***D) Contact the anesthesia provider
b b b b
What set of findings indicates a patient is likely to be ready for phase 1 dis
b b b b b b b b b b b b b b b
charge? - b
✅✅A) Has received discharge instructions, pain level 9 out 10, shortne
b b b b b b b b b b b
ss of breath
b b
B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxy
b b b b b b b b b b b
gen via face mask
b b b
***C) Drowsy, oxygen saturation of 96%, able to cough, and move all extr
b b b b b b b b b b b b
emities
D) Fully alert, shallow breathing, on 3 liters via T-
b b b b b b b b b
piece, can move 2 extremities
b b b b
,What do you consider to be a safe dose of intravenous fentanyl for an adu
b b b b b b b b b b b b b b
lt who does not have tolerance to opioids? - ✅✅A) 1.5 miligrams
b b b b b b b b b b b
***B) 25 micrograms b b
C) 100 micrograms
b b
D 25 miligrams
b b
Your patient in the PACU has a blood pressure of 171/92 mmHg, a heart ra
b b b b b b b b b b b b b b
te of 120, respiratory rate of 24, is grimacing, restless, and moaning in be
b b b b b b b b b b b b b
d. What medication should you prepare to give FIRST? -
b b b b b b b b b
b✅✅A) 10 mg hydralazine IV push b b b b b
***B) 50 mcg fentanyl IV push
b b b b b
C) 2 mg lorazepam IV push
b b b b b
D) 5 mg metoprolol IV push
b b b b b
You are about to discharge a day surgery patient with aphasia and you dis
b b b b b b b b b b b b b
cover the family members are not available for the discharge instructions
b b b b b b b b b b b
and are not responding to your phone calls. Business hours are over and t
b b b b b b b b b b b b b
he PACU is about to close. How will you handle the situation? -
b b b b b b b b b b b b
✅✅***A) Wait until the family returns
b b b b b b
B) Leave the discharge education on voicemail and discharge patient
b b b b b b b b b
C) Discharge patient with non-emergency transport
b b b b b
D) Take patient home yourself
b b b b
, You received a patient from OR post hip replacement surgery. The anesth
b b b b b b b b b b b
esiologist is planning a nerve block in PACU, but the patient did not sign th
b b b b b b b b b b b b b b
e consent for the nerve block. How will you proceed? -
b b b b b b b b b b
✅✅A) Wake up the patient to sign the consent
b b b b b b b b b b
B) Ask a friend to sign the consent
b b b b b b b
***C) Obtain the consent from medical POA
b b b b b b
D) Proceed with the procedure
b b b b
What position would help alleviate headaches after spinal anesthesia? -
b b b b b b b b b
✅✅A) Prone
b b
B) Trendelenburg
b
C) Semi-fowlers
b
***D) Flat to supineb b b
***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc, succiny
b b b b b b b b b
lcholine)? - ✅✅A) Decreased consciousness
b b b b
B) Decreased pupillary light reflex
b b b b
C) Decreased respiratory effort
b b b
***WRONG***D) Decreased sensation of pain b b b b
The surgeon has ordered ampicillin (Ancef) for a patient. When you check
b b b b b b b b b b b
their chart, you see an allergy to penicillin. What is the BEST action? -
b b b b b b b b b b b b b b
✅✅A) Administer the medication with diphenhydramine
b b b b b b
e 2022/2023
b
Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shi
b b b b b b b b b b b
vering in the PACU. Meperidine is available in 50mg/1ml. How many milili
b b b b b b b b b b b
ters should be given? - ✅✅0.25 mililiters
b b b b b b
Upon inspecting a patient's epidural insertion site, you notice swelling ar
b b b b b b b b b b
ound the catheter. What should you do? -
b b b b b b b
✅✅A) Position the patient on their side
b b b b b b b
B) Place the patient in a prone position
b b b b b b b
C) Check the epidural line for kinks
b b b b b b
***D) Contact the anesthesia provider
b b b b
What set of findings indicates a patient is likely to be ready for phase 1 dis
b b b b b b b b b b b b b b b
charge? - b
✅✅A) Has received discharge instructions, pain level 9 out 10, shortne
b b b b b b b b b b b
ss of breath
b b
B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxy
b b b b b b b b b b b
gen via face mask
b b b
***C) Drowsy, oxygen saturation of 96%, able to cough, and move all extr
b b b b b b b b b b b b
emities
D) Fully alert, shallow breathing, on 3 liters via T-
b b b b b b b b b
piece, can move 2 extremities
b b b b
,What do you consider to be a safe dose of intravenous fentanyl for an adu
b b b b b b b b b b b b b b
lt who does not have tolerance to opioids? - ✅✅A) 1.5 miligrams
b b b b b b b b b b b
***B) 25 micrograms b b
C) 100 micrograms
b b
D 25 miligrams
b b
Your patient in the PACU has a blood pressure of 171/92 mmHg, a heart ra
b b b b b b b b b b b b b b
te of 120, respiratory rate of 24, is grimacing, restless, and moaning in be
b b b b b b b b b b b b b
d. What medication should you prepare to give FIRST? -
b b b b b b b b b
b✅✅A) 10 mg hydralazine IV push b b b b b
***B) 50 mcg fentanyl IV push
b b b b b
C) 2 mg lorazepam IV push
b b b b b
D) 5 mg metoprolol IV push
b b b b b
You are about to discharge a day surgery patient with aphasia and you dis
b b b b b b b b b b b b b
cover the family members are not available for the discharge instructions
b b b b b b b b b b b
and are not responding to your phone calls. Business hours are over and t
b b b b b b b b b b b b b
he PACU is about to close. How will you handle the situation? -
b b b b b b b b b b b b
✅✅***A) Wait until the family returns
b b b b b b
B) Leave the discharge education on voicemail and discharge patient
b b b b b b b b b
C) Discharge patient with non-emergency transport
b b b b b
D) Take patient home yourself
b b b b
, You received a patient from OR post hip replacement surgery. The anesth
b b b b b b b b b b b
esiologist is planning a nerve block in PACU, but the patient did not sign th
b b b b b b b b b b b b b b
e consent for the nerve block. How will you proceed? -
b b b b b b b b b b
✅✅A) Wake up the patient to sign the consent
b b b b b b b b b b
B) Ask a friend to sign the consent
b b b b b b b
***C) Obtain the consent from medical POA
b b b b b b
D) Proceed with the procedure
b b b b
What position would help alleviate headaches after spinal anesthesia? -
b b b b b b b b b
✅✅A) Prone
b b
B) Trendelenburg
b
C) Semi-fowlers
b
***D) Flat to supineb b b
***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc, succiny
b b b b b b b b b
lcholine)? - ✅✅A) Decreased consciousness
b b b b
B) Decreased pupillary light reflex
b b b b
C) Decreased respiratory effort
b b b
***WRONG***D) Decreased sensation of pain b b b b
The surgeon has ordered ampicillin (Ancef) for a patient. When you check
b b b b b b b b b b b
their chart, you see an allergy to penicillin. What is the BEST action? -
b b b b b b b b b b b b b b
✅✅A) Administer the medication with diphenhydramine
b b b b b b
