Relias Prophecy PACU RN A V1 Complete Test |
2025–2026 Edition
70 Questions and Correct Answers | Fully Updated | Verified Content for PACU
Nursing Excellence
Introduction
This resource provides the complete 70-question Relias Prophecy PACU RN A V1
assessment, updated for the 2025–2026 clinical and testing standards. Questions reflect real-
world PACU scenarios, assessing core post-anesthesia nursing competencies. All answers are
verified and correct, with rationales included for critical learning support.
Topics Covered:
• Post-Anesthesia Recovery and Assessment
• Airway Management & Respiratory Status
• Hemodynamic Monitoring & Pain Control
• Medication Administration & Sedation Reversal
• Complication Recognition (e.g., malignant hyperthermia, bleeding)
• Discharge Criteria and Patient Education
• PACU Safety Protocols & Emergency Response
• Documentation, Legal, and Ethical Practices
All correct answers are marked in bold and green. Select questions include rationales for
deeper understanding of key PACU nursing decisions and clinical judgment.
Exam Questions and Answers
Question 1
Question: What is the first priority when receiving a patient in the PACU?
A) Administer pain medication
B) Assess airway and respiratory status
C) Check surgical dressings
D) Monitor blood pressure
Rationale: Airway and respiratory status are critical to ensure adequate oxygenation post-
anesthesia.
Question 2
Question: Which oxygen delivery device provides the highest FiO2?
A) Nasal cannula
B) Non-rebreather mask
C) Simple face mask
D) Venturi mask
Answer: A non-rebreather mask delivers up to 90–100% oxygen.
Question 3
Question: What is a normal Aldrete score for PACU discharge?
A) 5–6
B) 9–10
, C) 7–8
D) 3–4
Rationale: An Aldrete score of 9–10 indicates readiness for discharge based on vital signs,
activity, and consciousness.
Question 4
Question: Which medication is commonly used to reverse opioid-induced respiratory
depression?
A) Flumazenil
B) Naloxone
C) Dantrolene
D) Atropine
Answer: Naloxone reverses opioid effects, including respiratory depression.
Question 5
Question: What is an early sign of malignant hyperthermia in the PACU?
A) Hypotension
B) Increased end-tidal CO2
C) Bradycardia
D) Hypothermia
Rationale: Increased end-tidal CO2 is an early indicator of malignant hyperthermia, a life-
threatening complication.
Question 6
Question: How often should vital signs be monitored in the PACU immediately post-op?
A) Every 30 minutes
B) Every 5–15 minutes
C) Every hour
D) Every 2 hours
Rationale: Frequent monitoring (every 5–15 minutes) ensures early detection of
complications.
Question 7
Question: What is the primary purpose of a pulse oximeter in the PACU?
A) To measure blood pressure
B) To monitor oxygen saturation
C) To assess heart rate variability
D) To detect arrhythmias
Answer: Pulse oximetry measures oxygen saturation non-invasively.
Question 8
Question: Which pain scale is most appropriate for a non-verbal patient?
A) Numeric Rating Scale
B) FLACC Scale
C) Wong-Baker FACES Scale
D) Visual Analog Scale
Rationale: The FLACC Scale assesses pain in non-verbal patients based on behavior.
Question 9
Question: What should a PACU nurse do if a patient develops stridor post-extubation?
2025–2026 Edition
70 Questions and Correct Answers | Fully Updated | Verified Content for PACU
Nursing Excellence
Introduction
This resource provides the complete 70-question Relias Prophecy PACU RN A V1
assessment, updated for the 2025–2026 clinical and testing standards. Questions reflect real-
world PACU scenarios, assessing core post-anesthesia nursing competencies. All answers are
verified and correct, with rationales included for critical learning support.
Topics Covered:
• Post-Anesthesia Recovery and Assessment
• Airway Management & Respiratory Status
• Hemodynamic Monitoring & Pain Control
• Medication Administration & Sedation Reversal
• Complication Recognition (e.g., malignant hyperthermia, bleeding)
• Discharge Criteria and Patient Education
• PACU Safety Protocols & Emergency Response
• Documentation, Legal, and Ethical Practices
All correct answers are marked in bold and green. Select questions include rationales for
deeper understanding of key PACU nursing decisions and clinical judgment.
Exam Questions and Answers
Question 1
Question: What is the first priority when receiving a patient in the PACU?
A) Administer pain medication
B) Assess airway and respiratory status
C) Check surgical dressings
D) Monitor blood pressure
Rationale: Airway and respiratory status are critical to ensure adequate oxygenation post-
anesthesia.
Question 2
Question: Which oxygen delivery device provides the highest FiO2?
A) Nasal cannula
B) Non-rebreather mask
C) Simple face mask
D) Venturi mask
Answer: A non-rebreather mask delivers up to 90–100% oxygen.
Question 3
Question: What is a normal Aldrete score for PACU discharge?
A) 5–6
B) 9–10
, C) 7–8
D) 3–4
Rationale: An Aldrete score of 9–10 indicates readiness for discharge based on vital signs,
activity, and consciousness.
Question 4
Question: Which medication is commonly used to reverse opioid-induced respiratory
depression?
A) Flumazenil
B) Naloxone
C) Dantrolene
D) Atropine
Answer: Naloxone reverses opioid effects, including respiratory depression.
Question 5
Question: What is an early sign of malignant hyperthermia in the PACU?
A) Hypotension
B) Increased end-tidal CO2
C) Bradycardia
D) Hypothermia
Rationale: Increased end-tidal CO2 is an early indicator of malignant hyperthermia, a life-
threatening complication.
Question 6
Question: How often should vital signs be monitored in the PACU immediately post-op?
A) Every 30 minutes
B) Every 5–15 minutes
C) Every hour
D) Every 2 hours
Rationale: Frequent monitoring (every 5–15 minutes) ensures early detection of
complications.
Question 7
Question: What is the primary purpose of a pulse oximeter in the PACU?
A) To measure blood pressure
B) To monitor oxygen saturation
C) To assess heart rate variability
D) To detect arrhythmias
Answer: Pulse oximetry measures oxygen saturation non-invasively.
Question 8
Question: Which pain scale is most appropriate for a non-verbal patient?
A) Numeric Rating Scale
B) FLACC Scale
C) Wong-Baker FACES Scale
D) Visual Analog Scale
Rationale: The FLACC Scale assesses pain in non-verbal patients based on behavior.
Question 9
Question: What should a PACU nurse do if a patient develops stridor post-extubation?
