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1. Which of the following causes an increased risk for prolonged bleeding?
a. Phenytoin
b. Ibuprofen
c. Furosemide
d. Diltiazem - Correct Answer: b. Ibuprofen
2. When caring for a patient who has been given ketamine, it is important for
the perianesthesia nurse to recognize that ketamine:
a. May cause vivid dreams manifested by confusion.
b. Cannot be used in conjunction with benzodiazepines.
c. May cause hypotension and bradycardia.
d. Does not provide analgesia. - Correct Answer: a. May cause vivid
dreams manifested by confusion.
3. A PACU patient who exhibits shivering and a temperature of 32.9 degrees C
(91.2 F) is at risk for:
a. vasodilatation.
b. decreased cardiac output.
c. decreased O2 requirements.
d. hypotension. - Correct Answer: b. decreased cardiac output.
,4. The use of mental images for stress and pain reduction is most effective
when:
a. A family member is present.
b. The nurse describes the scenarios.
c. The patient has a history of chronic pain.
d. The patient actively participates. - Correct Answer: d. The patient
actively participates.
5. A patient routinely taking a thiazide diuretic is at increased risk for:
a. Hypokalemia.
b. Hyperkalemia.
c. Hypocalcemia.
d. Hypercalcemia. - Correct Answer: a. Hypokalemia.
6. When nonsteroidal anti-inflammatory drugs are administered to patients
with kidney disease, decreased clearance can occur in cases of:
a. Vascular disease.
b. Adrenal insufficiency.
c. Renal insufficiency.
d. Diabetes mellitus. - Correct Answer: c. Renal insufficiency.
7. Postoperatively, a patient is complaining of a postdural puncture headache,
which is most frequently attributed to:
a. Elevating the head of the bed too soon.
b. History of headaches.
c. Being NPO for a long period preoperatively.
d. The size of the needle used. - Correct Answer: d. The size of the
needle used.
,8. The primary goal in postoperative pain management is to establish a pain
level that is:
a. Manageable without the use of narcotics.
b. Acceptable to the patient.
c. 2 or less on a 0-10 scale.
d. 4 or less on a 0-10 scale. - Correct Answer: b. Acceptable to the
patient.
9. The perianesthesia nurse is aware that a child treated for post extubation
croup with nebulized racemic epinephrine will need to be observed in the
Phase I recovery unit longer, due to:
a. The associated rebound effect.
b. Possible acute hyperkalemia.
c. Delayed onset tachycardia.
d. Delayed onset excitability. - Correct Answer: a. The associated
rebound effect.
10.The perianesthesia nurse is aware that a late symptom of post extubation
laryngeal edema in a pediatric patient is:
a. Tachypnea.
b. Biphasic stridor.
c. Inspiratory stridor.
d. Tachycardia. - Correct Answer: b. Biphasic stridor
11.In Phase I PACU following strabismus repair, the oculocardiac reflex:
a. Is treated with metoprolol.
b. Corrects the deviation.
c. May cause tachycardia.
, d. May cause bradycardia. - Correct Answer: d. May cause
bradycardia
12.What is the minimum age that children develop a reasonably established
ability to discriminate degrees of pain in facial expressions?
a. 2 years
b. 3 years
c. 6 years
d. 8 years - Correct Answer: b. 3 years
13.Following maxillomandibular fixation, which of the following should be
readily available at the patient's bedside?
a. Wire cutters
b. Nasal airway
c. Laryngeal mask airway
d. Tracheostomy kit - Correct Answer: a. Wire cutters
14.Which of the following is a method to test for malignant hyperthermia?
a. Lumbar puncture
b. Bone biopsy
c. Blood test
d. Muscle biopsy - Correct Answer: d. Muscle biopsy
15.Naloxone acts as:
a. Benzodiazepine agonist.
b. Opioid antagonist.
c. Opioid agonist.
d. Benzodiazepine antagonist. - Correct Answer: b. Opioid
antagonist.