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1. When caring for a patient with diabetes, the major objective for the
perianesthesia nurse is to prevent:
a) fluid volume excess
b) fluid volume deficit
c) hyperglycemia
d) hypoglycemia - Correct Answer: hypoglycemia
2. Which agent can be a trigger for malignant hyperthermia?
a) succinylcholine
b) atracurium
c) propofol
d) nitrous oxide - Correct Answer: succinylcholine
3. In a preoperative area, a patient begins to exhibit rhinorrhea, sneezing, and
bronchospasm after powdered gloves are removed from a nurse's hands.
The perianesthesia nurse's initial intervention is to:
a) apply a non-rebreather O2 mask at 10L/min
b) administer IV fluids rapidly
c) deliver IV diphenhydramine
,d) move all latex items away form the patient - Correct Answer: move all
latex items away form the patient
4. A patient with Down syndrome in the Phase I PACU becomes frightened,
combative, and attempts to get out of bed. The perianesthesia nurse's best
response is to:
a) medicate the patient
b) gently restraint the patient
c) bring family members to see the patient
d) play relaxing music - Correct Answer: bring family members to see the
patient
5. A 4-year old patient is admitted to the PACU after repair of a fractured right
humerus. The arm is splinted, bent at the elbow, and elevated on one
pillow. The child is awake, tearful, whimpering, refuses to answer questions,
and cries out when touched. The next action is to:
a) reposition the arm on a second pillow
b) medicate with morphine sulfate IV
c) apply warm blankets
d) apply an ice pack - Correct Answer: medicate with morphine sulfate IV
6. While preparing a patient for an epidural blood patch, the perianesthesia
nurse observes pustules on the patient's back. The nurse:
a) obtains anaerobic and aerobic cultures
b) instructs the patient to shower with chlorhexidine
c) reports the findings to the physician
d) places the patient in a negative pressure room - Correct Answer: reports
the findings to the physician
,7. moderate sedation is characterized by:
a) purposeful response to verbal or tactile stimulation
b) required airway intervention
c) inadequate spontaneous ventilation
d) normal response to verbal stimuli - Correct Answer: purposeful
response to verbal or tactile stimulation
8. In the initial care for a patient who is supine with a laryngeal mask airway
(LMA) in place, the perianesthesia nurse:
a) monitors for return of the swallowing reflex
b) deflates the cuff
c) suctions the oropharynx frequently
d) removes the oral airway - Correct Answer: monitors for return of the
swallowing reflex
9. A patient describes pain as a burning, electric shock-like sensation, and the
pain is unresponsive to conventional opioid therapy. The perianesthesia
nurse begins to suspect that this is:
a) psychogenic pain
b) visceral pain
c) nociceptive pain
d) neuropathic pain - Correct Answer: neuropathic pain
10.A 5-month old patient arrives in the PACU restless and thrashing about. The
perianesthesia nurse assess for:
a) hyperthermia
b) hypovolemia
c) hyperreflexia
d) hypoxia - Correct Answer: hypoxia
, 11.When providing instructions for crutch walking, the ambulatory surgery
nurse evaluates the patient's understanding by having the patient:
a) perform a return demonstration
b) describe the skill in their own words
c) answer specific questions regarding the skill
d) identify safety precautions - Correct Answer: perform a return
demonstration
12.A patient who received spinal anesthesia for transurethral resection of a
bladder tumor arrives in the PACU with severe back pain rated 10/10.
Which of the following is the most likely cause of the pain?
a) spinal shock
b) cold compression
c) spinal kyphosis
d) epidural hematoma - Correct Answer: epidural hematoma
13.A patient who will undergo general anesthesia admits to remaining NPO,
except for a few breath mints over the past hour. the perianesthesia nurse:
a) notifies the anesthesia care provider
b) expects an eight-hour delay
c) reassures the patient that the surgery will continue as planned
d) informs the patient that the surgery will be canceled - Correct Answer:
notifies the anesthesia care provider
14.Why is regional anesthesia often the choice anesthetic for elderly patients?
a) the patient's stay in the PACU is increased
b) the patient is more prone to postoperative confusion
c) it produces fewer physiologic changes than general anesthesia