Prophecy General ICU RN A V1/70 Questions & Answers/100% Correct2023/2024
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 ans - 0.25 mililiters
Upon inspecti...
Prophecy General ICU RN A V1/70 Questions &
Answers/100% Correct2023/2024
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 ans - 0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice swelling
around the catheter. What should you do? Correct ans - A) Position
the patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
What set of findings indicates a patient is likely to be ready for phase 1
discharge? Correct ans - A) Has received discharge instructions, pain
level 9 out 10, shortness of breath
B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxygen
via face mask
***C) Drowsy, oxygen saturation of 96%, able to cough, and move all
extremities
D) Fully alert, shallow breathing, on 3 liters via T-piece, can move 2
extremities
What do you consider to be a safe dose of intravenous fentanyl for an adult
who does not have tolerance to opioids? Correct ans - A) 1.5
miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
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 ans - A)
10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol 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 ans
- ***A) Wait until the family returns
B) Leave the discharge education on voicemail and discharge patient
, C) Discharge patient with non-emergency transport
D) Take patient home yourself
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 ans
- A) Wake up the patient to sign the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
What position would help alleviate headaches after spinal anesthesia?
Correct ans - A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc,
succinylcholine)? Correct ans - A) Decreased consciousness
B) Decreased pupillary light reflex
C) Decreased respiratory effort
***WRONG***D) Decreased sensation of pain
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 ans - A) Administer the medication with diphenhydramine
B) Ask the patient to describe their reaction to penicillin
C) Contact the pharmacist to clarify the order
***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 ans - A) JP drain sutured in place near the
lateral calf
B) Several small incisions in calf groin covered with gauze
***C) Clear dressing applied to the right groin
D) 3 in incision on the right upper thigh with bulky dressing
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 ans - ***A) Report the incident to your
charge nurse
B) Refuse to take the patient
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