RELIAS PACU RN A V1 EXAM ACTUAL
QUESTIONS AND CORRECT ANSWERS
What set of findings indicates a patient is likely to be ready for phase 1 discharge? - Correct
answers✔***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? - Correct
answers✔0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter. What
should you do? - Correct answers✔***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? - Correct answers✔***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? - Correct answers✔***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? - Correct answers✔***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? - Correct answers✔***C) Obtain the consent from medical POA
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? - Correct
answers✔C) Decreased respiratory effort
, What position would help alleviate headaches after spinal anesthesia? - Correct answers✔***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? - Correct answers✔***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? - Correct answers✔***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? - Correct answers✔***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? - Correct answers✔C) PO ketorolac
What is a physiologic effect related to unrelieved pain? - Correct answers✔***D) Decreased
healing
You are caring for a patient after placement of a percutaneous J tube. A student nurse asks you, "
Where does this tube go in the patient?" How should you answer? - Correct answers✔***A) The
tube is placed into the Jejunum
When caring for a patient who is recovering from placement of a new arteriovenous fistula in
their right arm, you observe the presence of mild edema at the site. What should you do? -
Correct answers✔B) Elevate the right arm above the heart
QUESTIONS AND CORRECT ANSWERS
What set of findings indicates a patient is likely to be ready for phase 1 discharge? - Correct
answers✔***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? - Correct
answers✔0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter. What
should you do? - Correct answers✔***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? - Correct answers✔***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? - Correct answers✔***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? - Correct answers✔***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? - Correct answers✔***C) Obtain the consent from medical POA
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? - Correct
answers✔C) Decreased respiratory effort
, What position would help alleviate headaches after spinal anesthesia? - Correct answers✔***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? - Correct answers✔***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? - Correct answers✔***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? - Correct answers✔***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? - Correct answers✔C) PO ketorolac
What is a physiologic effect related to unrelieved pain? - Correct answers✔***D) Decreased
healing
You are caring for a patient after placement of a percutaneous J tube. A student nurse asks you, "
Where does this tube go in the patient?" How should you answer? - Correct answers✔***A) The
tube is placed into the Jejunum
When caring for a patient who is recovering from placement of a new arteriovenous fistula in
their right arm, you observe the presence of mild edema at the site. What should you do? -
Correct answers✔B) Elevate the right arm above the heart
