HESI The Post-Anesthesia Care Unit
(PACU), Mrs. Paul 2025/2026 Exam
Questions and Answers | 100% Solved
Physiological changes associated with the aging process may affect Mrs.
Paul's response to surgery. These will need to be considered as you
provide care. Changes associated with aging include:
- calcification of coronary arteries
- decreased reactivity of protective airway reflexes
- decreased ability to cope with temperature changes
- increase in subcutaneous fat
- decreased tolerance of changes in fluid volume
- decreased liver function - 🧠ANSWER ✔✔A. calcification of coronary
arteries
B. decreased reactivity of protective airway reflexes
C. decreased ability to cope with temperature changes
E. decreased tolerance of changes in fluid volume
1
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,F. decreased liver function
Mrs. Paul does not have any positioning restrictions as a result of her
surgery. However, given her low BP, you correctly decide to position her:
- supine, with one pillow
- semi-Fowler's
- Fowler's - 🧠ANSWER ✔✔A. supine, with one pillow
Mrs. Paul remains prone to hypotension due to the effects of spinal
anesthesia. The supine position will best provide for perfusion of vital
organs. For comfort, the head of the bed may be elevated slightly and one
pillow can be used.
Patient position after anesthesia is not related to the development of
headache. Which of the following can be associated with postdural
puncture headache after regional anesthesia?
- Younger age
- Male gender
- Pregnancy - 🧠ANSWER ✔✔A. Younger age
2
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STATEMENT. ALL RIGHTS RESERVED
, Postdural puncture headache (PDPH) can be a complication of regional
anesthesia (spinal or epidural puncture). Younger people are at greater risk
for postdural puncture headache than older persons. Postdural puncture
headache is most common in persons under 40 years of age, with the
highest frequency in those ages 18-30 years.
C. Pregnancy
Postdural puncture headache (PDPH) can be a complication of regional
anesthesia (spinal or epidural puncture). Postdural puncture headache
occurs most frequently in pregnant women as a consequence of epidural
anesthesia administered during labor. If the dura is torn, the effects of labor
may increase cerebrospinal fluid (CSF) leakage. Use of smaller spinal
needles makes tears and leaks less likely.
Mrs. Paul is at high risk for venous thromboembolism (VTE). Which of the
following is the priority evidenced-based perianesthesia nursing
intervention for VTE prophylaxis with Mrs. Paul?
- Continue use of intermittent pneumatic compression (IPC) sleeves
- Encourage leg and ankle exercises
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
(PACU), Mrs. Paul 2025/2026 Exam
Questions and Answers | 100% Solved
Physiological changes associated with the aging process may affect Mrs.
Paul's response to surgery. These will need to be considered as you
provide care. Changes associated with aging include:
- calcification of coronary arteries
- decreased reactivity of protective airway reflexes
- decreased ability to cope with temperature changes
- increase in subcutaneous fat
- decreased tolerance of changes in fluid volume
- decreased liver function - 🧠ANSWER ✔✔A. calcification of coronary
arteries
B. decreased reactivity of protective airway reflexes
C. decreased ability to cope with temperature changes
E. decreased tolerance of changes in fluid volume
1
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
,F. decreased liver function
Mrs. Paul does not have any positioning restrictions as a result of her
surgery. However, given her low BP, you correctly decide to position her:
- supine, with one pillow
- semi-Fowler's
- Fowler's - 🧠ANSWER ✔✔A. supine, with one pillow
Mrs. Paul remains prone to hypotension due to the effects of spinal
anesthesia. The supine position will best provide for perfusion of vital
organs. For comfort, the head of the bed may be elevated slightly and one
pillow can be used.
Patient position after anesthesia is not related to the development of
headache. Which of the following can be associated with postdural
puncture headache after regional anesthesia?
- Younger age
- Male gender
- Pregnancy - 🧠ANSWER ✔✔A. Younger age
2
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, Postdural puncture headache (PDPH) can be a complication of regional
anesthesia (spinal or epidural puncture). Younger people are at greater risk
for postdural puncture headache than older persons. Postdural puncture
headache is most common in persons under 40 years of age, with the
highest frequency in those ages 18-30 years.
C. Pregnancy
Postdural puncture headache (PDPH) can be a complication of regional
anesthesia (spinal or epidural puncture). Postdural puncture headache
occurs most frequently in pregnant women as a consequence of epidural
anesthesia administered during labor. If the dura is torn, the effects of labor
may increase cerebrospinal fluid (CSF) leakage. Use of smaller spinal
needles makes tears and leaks less likely.
Mrs. Paul is at high risk for venous thromboembolism (VTE). Which of the
following is the priority evidenced-based perianesthesia nursing
intervention for VTE prophylaxis with Mrs. Paul?
- Continue use of intermittent pneumatic compression (IPC) sleeves
- Encourage leg and ankle exercises
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
