RELIAS PROPHECY PACU RN A V1 COMPLETE TEST – Latest
2025 Version | with Questions and Correct Answers |
Verified & Graded A+
What set of findings indicates a patient is likely to be ready for phase 1
discharge? - ANSWER✔✔-***C) Drowsy, oxygen saturation of 96%, able to cough,
and move all extremities
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
Upon inspecting a patient's epidural insertion site, you notice swelling around
the catheter. What should you do? - ANSWER✔✔-***D) Contact the anesthesia
provider
What do you consider to be a safe dose of intravenous fentanyl for an adult
who does not have tolerance to opioids? - ANSWER✔✔-***B) 25 micrograms
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✔✔-***B) 50 mcg
fentanyl IV push
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
responding to your phone calls. Business hours are over and the PACU is about
, to close. How will you handle the situation? - ANSWER✔✔-***A) Wait until the
family returns
You received a patient from OR post hip replacement surgery. The
anesthesiologist is planning a nerve block in PACU, but the patient did not sign
the consent for the nerve block. How will you proceed? - ANSWER✔✔-***C)
Obtain the consent from medical POA
What is a physical manifestation of neuromuscular blockade (Roc,
succinylcholine)? - ANSWER✔✔-C) Decreased respiratory effort
What position would help alleviate headaches after spinal anesthesia? -
ANSWER✔✔-***D) Flat to supine
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✔✔-
***D) Contact the provider to question the order
You are receiving report for a patient who had a percutaneous transluminal
angioplasty for right lower extremity peripheral vascular disease and is now
recovering in the PACU. What type of surgical dressing do you expect to find for
this patient? - ANSWER✔✔-***C) Clear dressing applied to the right groin
You are receiving a report on a post op patients from the OR nurse and during
the report when you asked for clarifications, the OR nurse became angry,
belligerent, and rude. She ended up not answering your question. How will you
proceed? - ANSWER✔✔-***A) Report the incident to your charge nurse
You are reviewing your orders for you 8 year-old patient that recently arrive in
PACU. Which PRN pain order would you question? - ANSWER✔✔-C) PO ketorolac
2025 Version | with Questions and Correct Answers |
Verified & Graded A+
What set of findings indicates a patient is likely to be ready for phase 1
discharge? - ANSWER✔✔-***C) Drowsy, oxygen saturation of 96%, able to cough,
and move all extremities
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
Upon inspecting a patient's epidural insertion site, you notice swelling around
the catheter. What should you do? - ANSWER✔✔-***D) Contact the anesthesia
provider
What do you consider to be a safe dose of intravenous fentanyl for an adult
who does not have tolerance to opioids? - ANSWER✔✔-***B) 25 micrograms
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✔✔-***B) 50 mcg
fentanyl IV push
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
responding to your phone calls. Business hours are over and the PACU is about
, to close. How will you handle the situation? - ANSWER✔✔-***A) Wait until the
family returns
You received a patient from OR post hip replacement surgery. The
anesthesiologist is planning a nerve block in PACU, but the patient did not sign
the consent for the nerve block. How will you proceed? - ANSWER✔✔-***C)
Obtain the consent from medical POA
What is a physical manifestation of neuromuscular blockade (Roc,
succinylcholine)? - ANSWER✔✔-C) Decreased respiratory effort
What position would help alleviate headaches after spinal anesthesia? -
ANSWER✔✔-***D) Flat to supine
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✔✔-
***D) Contact the provider to question the order
You are receiving report for a patient who had a percutaneous transluminal
angioplasty for right lower extremity peripheral vascular disease and is now
recovering in the PACU. What type of surgical dressing do you expect to find for
this patient? - ANSWER✔✔-***C) Clear dressing applied to the right groin
You are receiving a report on a post op patients from the OR nurse and during
the report when you asked for clarifications, the OR nurse became angry,
belligerent, and rude. She ended up not answering your question. How will you
proceed? - ANSWER✔✔-***A) Report the incident to your charge nurse
You are reviewing your orders for you 8 year-old patient that recently arrive in
PACU. Which PRN pain order would you question? - ANSWER✔✔-C) PO ketorolac
