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1. Which of the following is the best explanation to provide a patient for how
a demand pacemaker work? - Correct Answer: it senses the heart rate
and starts a beat as needed
2. The anesthesia provider reports to the RN that a patient received
sugammadex. The RN informs the patient to take which action for 1 week
postoperatively? - Correct Answer: Use an alternative method to oral
contraceptives
3. During a colonoscopy under nurse-administered moderate sedation, the
endoscopy technician has left the room. The gastroenterologist asks the
monitoring RN to assist with a polypectomy. The RN - Correct Answer:
requests that the physician wait for additional staff
4. Preoperatively, an RN educates a 5 year old patient and caregiver about
self-reporting pain rating after surgery with use of an assessment tool.
Which scale is most appropriate for the patient self-reporting pain? -
Correct Answer: Wong-Baker FACES pain rating scale
,5. A 64 year old patient has a history of CAD, HTN, DMII, and a BMI of 42. The
RN understands the patient is classified as ASA - Correct Answer: ASA III
6. Which anesthetic should be avoided in a patient who experiences hives and
SOB when eating any product with egg yolks? - Correct Answer:
propofol
7. When preparing a patient with preeclampsia for an emergency C section,
the RN is aware of which diagnostic result? - Correct Answer:
magnesium level
8. Following the administration of naloxone in phase 1, the RN in phase 2
knows the duration of action is - Correct Answer: 2 hours
9. An incoming patient experienced a laryngospasm post extubation in the OR.
On PACU arrivival, the patient develops moist cough, dyspnea, and
expectorates pink, frothy sputum. The RN suspects the patient has
developed - Correct Answer: noncardiogenic pulmonary edema
10.A patient receiving a brachial plexus block was given bupivacaine 225 mg by
the provider. The RN is most concerned about - Correct Answer:
circumoral numbness
11.Which medication should be readily available for a patient with a history of
postanesthesia induced laryngospasm? - Correct Answer:
succinylcholine
,12.A patient just had an AV fistula revision. When providing discharge teaching,
it is important to emphasize that the patient should - Correct Answer:
avoid wearing constrictive clothing at the operative site
13.A patient who is scheduled for an outpatient procedure with moderate
sedation has been on oral cimetidine for 2 weeks. Administering a routine
dose of midazolam to this patient may result in - Correct Answer:
increased duration of sedation
14.To assess patient and caregiver understanding post teaching, the RN asks
them to repeat the information, but due to anxiety, they are unable to
respond appropriately. The nurse's best action is to - Correct Answer:
alter the teaching plan
15.Discharge planning for the ambulatory surgical patient should be carried
out by the staff in conjunction with the - Correct Answer: patient and
adult caregiver
16.A pre-op patient requests that a friend make health care decisions on their
behalf. The RN recommends that the patient complete a - Correct
Answer: DPOA for healthcare
17.A 25 year old patient with a fractured femur suddenly complains of chest
pain and difficulty breathing. The patient has HR = 128 and RR= 30 with
bilateral breath sounds. The RN suspects - Correct Answer: pulmonary
embolus
, 18.Pre-printed discharge instructions should be written at which grade level? -
Correct Answer: 5th
19.A 55 year old patient who has a BMI of 38 received general anesthesia for a
lengthy back surgery and has been in the PACU for 75 minutes. The RN
receives the patient in the extended recovery area and understands the
patient's ongoing recovery is based on - Correct Answer: the time
required for anesthesia gas clearance
20.Which of the following underlying conditions contraindicates the use of an
LMA for general anesthesia? - Correct Answer: acid reflux disease
21.A patient with a 20 year history of smoking is admitted through ambulatory
surgery for evaluation of a persistent cough. Following bronchoscopy, the
patient develops laryngospasm. In this situation, the initial treatment is -
Correct Answer: positive-pressure ventilation
22.According to the ASPAN Standards of Perianesthesia Nursing Practice, when
an individual medication is prepared by someone other than the
perianesthesia nurse who is administering the medication, the medication
must be verified - Correct Answer: visually and verbally by two qualified
individuals
23.A patient is at greater risk for perioperative hypothermia at which age?
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