COMSAE Form 113 Practice Exam 2025: Verified
and competent Questions, Correct Answers &
Detailed Rationales
The perianesthesia nurse demonstrates understanding that language and readable instructions are
important to patient safety after discharge, by ensuring patient discharge instructions are written in
the vocabulary of grade level:
A. 3
B. 5
C. 9
D. 12 - CORRECT ANSWER✔✔✔,,B = 5th grade level
While assess an elderly patient who is anxious and fearful, a perianesthesia nurse observes old and
new bruises with torn skin on the patient's arms, face, and hairline. The perianesthesia nurse's best
action is to:
A. approach the family about possible abuse
B. evaluate, observe, and further assess the patient
C. use appropriate paper tape on the patient's skin
D. report this information to social services - CORRECT ANSWER✔✔✔,,D. reports to social services
The perianesthesia nurse instructs a patient scheduled for a laparoscopic cholecystectomy to remove
body piercings prior to arrival as they may cause:
A. injury and infection
B. increased pain in the incision site
C. adverse medication interaction
D. EKG monitoring - CORRECT ANSWER✔✔✔,,A. injury and infection
The perianesthesia nurse suspects a Type IV latex allergy in a patient exhibiting:
, A. tachyphylaxis
B. erythema
C. hypotension
D. bronchospasm - CORRECT ANSWER✔✔✔,,B. erythema
There are two types of latex allergies: Type I (immediate-type) hypersensitivity and Type IV (delayed-
type) hypersensitivity.
Type I (immediate-type) hypersensitivity to natural rubber latex is an IgE-mediated, immediate type
hypersensitivity reaction to one or more proteins in natural rubber latex. It is mediated by mast cell
histamine relase and it typically involves a systemic reaction.
Type IV (delayed-type) hypersensitivity is a T cell-mediated (another type of white blood cell),
delayed response, and typically occurs 48 to 96 hours after exposure. This is frequently a reaction to
the processing chemicals used in manufacturing natural rubber latex. This reaction is generally
localized to the area of contact. This reaction is also referred to as allergic contact dermatitis, T-cell-
mediated allergy, or chemical allergy.
A patient with vancomycin-resistant enteroccus is being admitted to the PACU following surgery. A
perianesthesia nurse should know which precaution provides the safest environment for both the
patient and others in the PACU?
A. Having the anesthesiologist recover the patient in the OR
B. Placing a special respirator mask over the nasal cannula on the patient
C. Providing 1:1 nurse-to-patient ratio for the patient
D. Having the anesthesiologist bypass the PACU and transporting the patient directly to the surgical
floor - CORRECT ANSWER✔✔✔,,C. Providing 1:1 nurse-to-patient ratio for the patient
A combative, restless, and thrashing patient arrives in the phase I PACU. After an initial assessment of
the patient's airway, the next intervention fir the perianesthesia nurse is to:
A. bring family members to the bedside
B. arouse the patient
C. Provide a safe environment
and competent Questions, Correct Answers &
Detailed Rationales
The perianesthesia nurse demonstrates understanding that language and readable instructions are
important to patient safety after discharge, by ensuring patient discharge instructions are written in
the vocabulary of grade level:
A. 3
B. 5
C. 9
D. 12 - CORRECT ANSWER✔✔✔,,B = 5th grade level
While assess an elderly patient who is anxious and fearful, a perianesthesia nurse observes old and
new bruises with torn skin on the patient's arms, face, and hairline. The perianesthesia nurse's best
action is to:
A. approach the family about possible abuse
B. evaluate, observe, and further assess the patient
C. use appropriate paper tape on the patient's skin
D. report this information to social services - CORRECT ANSWER✔✔✔,,D. reports to social services
The perianesthesia nurse instructs a patient scheduled for a laparoscopic cholecystectomy to remove
body piercings prior to arrival as they may cause:
A. injury and infection
B. increased pain in the incision site
C. adverse medication interaction
D. EKG monitoring - CORRECT ANSWER✔✔✔,,A. injury and infection
The perianesthesia nurse suspects a Type IV latex allergy in a patient exhibiting:
, A. tachyphylaxis
B. erythema
C. hypotension
D. bronchospasm - CORRECT ANSWER✔✔✔,,B. erythema
There are two types of latex allergies: Type I (immediate-type) hypersensitivity and Type IV (delayed-
type) hypersensitivity.
Type I (immediate-type) hypersensitivity to natural rubber latex is an IgE-mediated, immediate type
hypersensitivity reaction to one or more proteins in natural rubber latex. It is mediated by mast cell
histamine relase and it typically involves a systemic reaction.
Type IV (delayed-type) hypersensitivity is a T cell-mediated (another type of white blood cell),
delayed response, and typically occurs 48 to 96 hours after exposure. This is frequently a reaction to
the processing chemicals used in manufacturing natural rubber latex. This reaction is generally
localized to the area of contact. This reaction is also referred to as allergic contact dermatitis, T-cell-
mediated allergy, or chemical allergy.
A patient with vancomycin-resistant enteroccus is being admitted to the PACU following surgery. A
perianesthesia nurse should know which precaution provides the safest environment for both the
patient and others in the PACU?
A. Having the anesthesiologist recover the patient in the OR
B. Placing a special respirator mask over the nasal cannula on the patient
C. Providing 1:1 nurse-to-patient ratio for the patient
D. Having the anesthesiologist bypass the PACU and transporting the patient directly to the surgical
floor - CORRECT ANSWER✔✔✔,,C. Providing 1:1 nurse-to-patient ratio for the patient
A combative, restless, and thrashing patient arrives in the phase I PACU. After an initial assessment of
the patient's airway, the next intervention fir the perianesthesia nurse is to:
A. bring family members to the bedside
B. arouse the patient
C. Provide a safe environment
