1|Page
Prophecy PACU RN A V1 Newest 2025 Actual Exam|
Complete Questions and Correct Answers (Verified
Answers) Already Graded A+|| New!!
What is a physiologic effect related to unrelieved pain? –
A) Hypoglycemia
B) Bradycardia
C) Decreased metabolism
***D) Decreased healing
You are caring for a patient with a brachial plexus block after surgery.
The patient begins to report chest discomfort on the side where the block
was placed. A 12 lead EKG was normal. What order do you expect to be
completed NEXT for this patient? –
A) Echo
B) Cardiac biomarkers
C) CMP
***D) Chest X-ray
You are caring for patient who is intubated, receiving ventilatory
support, and is sedated with a propofol infusion. Over the last 5 minutes
you have decreased the propofol infusion in preparation for extubation.
The patient is now opening their eyes to voice and following commands.
What should you do NEXT to prepare the patient for immediate
extubation? –
pg. 1
,2|Page
A) Place a manual, resuscitator device at the bedside
B) Insert an oral airway
***C) Stop the propofol infusion
D) As the patient to cough
When caring for a patient who is receiving outpatient surgery, what is
the BEST way to know that a patient's post-operative blood pressure is
sufficient for discharge to home? –
A) The pressure is greater than 100 mmHg SBP
***B) It is +/- 20% of baseline pre-operative levels
C) Adhere to professional standards
D) Follow the anesthesia order set
Where is the phlebostatic axis for leveling the transducer of an arterial
line? –
***A) Fourth intercostal level at the midaxillary line
B) Fourth intercostal level at the midclavicular line
C) Fifth intercostal level at the midaxillary line
D) Fifth intercostal level at the midclavicular line
A carotid endarterectomy patient arrives to you in the PACU. What
initial assessment is MOST important? –
***A) pupil checks
B) pain scale
pg. 2
, 3|Page
C) capillary refill
D) blood glucose
Your patient arrives to PACU with lactated ringer's ordered at 100ml/hr.
Which pre-existing condition would make you question this order? –
A) Sickle cell anemia
***B) End Stage Renal Disease
C) Gastroesophageal reflux
D) Diabetes Mellitus
While assessing your post-op patient with a new dialysis graft, what
should the PACU nurse monitor to evaluate the functionality of the
graft? –
A) Brisk capillary refill at the access site
B) No numbness or tingling of the hand
C) Clean, dry, and intact dressing
***D) A palpable thrill and audible bruit
You are caring for a patient with a continuous basal rate PCA infusion
when the patient becomes difficult to awaken. What should you do
FIRST? –
***A) Hold the PCA infusion
B) Elevate the head of bed 45 degrees
C) Stay with patient
D) Contact anesthesia provider
pg. 3
Prophecy PACU RN A V1 Newest 2025 Actual Exam|
Complete Questions and Correct Answers (Verified
Answers) Already Graded A+|| New!!
What is a physiologic effect related to unrelieved pain? –
A) Hypoglycemia
B) Bradycardia
C) Decreased metabolism
***D) Decreased healing
You are caring for a patient with a brachial plexus block after surgery.
The patient begins to report chest discomfort on the side where the block
was placed. A 12 lead EKG was normal. What order do you expect to be
completed NEXT for this patient? –
A) Echo
B) Cardiac biomarkers
C) CMP
***D) Chest X-ray
You are caring for patient who is intubated, receiving ventilatory
support, and is sedated with a propofol infusion. Over the last 5 minutes
you have decreased the propofol infusion in preparation for extubation.
The patient is now opening their eyes to voice and following commands.
What should you do NEXT to prepare the patient for immediate
extubation? –
pg. 1
,2|Page
A) Place a manual, resuscitator device at the bedside
B) Insert an oral airway
***C) Stop the propofol infusion
D) As the patient to cough
When caring for a patient who is receiving outpatient surgery, what is
the BEST way to know that a patient's post-operative blood pressure is
sufficient for discharge to home? –
A) The pressure is greater than 100 mmHg SBP
***B) It is +/- 20% of baseline pre-operative levels
C) Adhere to professional standards
D) Follow the anesthesia order set
Where is the phlebostatic axis for leveling the transducer of an arterial
line? –
***A) Fourth intercostal level at the midaxillary line
B) Fourth intercostal level at the midclavicular line
C) Fifth intercostal level at the midaxillary line
D) Fifth intercostal level at the midclavicular line
A carotid endarterectomy patient arrives to you in the PACU. What
initial assessment is MOST important? –
***A) pupil checks
B) pain scale
pg. 2
, 3|Page
C) capillary refill
D) blood glucose
Your patient arrives to PACU with lactated ringer's ordered at 100ml/hr.
Which pre-existing condition would make you question this order? –
A) Sickle cell anemia
***B) End Stage Renal Disease
C) Gastroesophageal reflux
D) Diabetes Mellitus
While assessing your post-op patient with a new dialysis graft, what
should the PACU nurse monitor to evaluate the functionality of the
graft? –
A) Brisk capillary refill at the access site
B) No numbness or tingling of the hand
C) Clean, dry, and intact dressing
***D) A palpable thrill and audible bruit
You are caring for a patient with a continuous basal rate PCA infusion
when the patient becomes difficult to awaken. What should you do
FIRST? –
***A) Hold the PCA infusion
B) Elevate the head of bed 45 degrees
C) Stay with patient
D) Contact anesthesia provider
pg. 3
