PROPHECY PACU RN A V1 EXAM ELABORATION LATESTUPDATE 2023|2024
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PROPHECY PACU RN A V1
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PROPHECY PACU RN A V1
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?
0.25 mililiters
Upon inspecting a patient’s epidural insertion
site, you notice swelling around the catheter.
What should you...
prophecy pacu rn a v1 exam elaboration latestupdat
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PROPHECY PACU RN A V1
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Meperidine (Demerol) 12.5mg every 15
minutes, IV prn is ordered for shivering in the 0.25 mililiters
PACU. Meperidine is available in 50mg/1ml.
How many mililiters should be given?
Upon inspecting a patient’s epidural insertion
site, you notice swelling around the catheter. A) Position the patient on their side B)
What should you do? 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? 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 A) 1.5 miligrams ***B) 25 micrograms
have tolerance to opioids? C) 100 micrograms D 25 miligrams
Your patient in the PACU has a blood
pressure of 171/92 mmHg, a heart rate of 120, A) 10 mg hydralazine IV push ***B)
respiratory rate of 24, is grimacing, restless, 50 mcg fentanyl IV push C) 2 mg
and moaning in bed. What medication should lorazepam IV push D) 5 mg
you prepare to give FIRST? metoprolol IV push
You are about to discharge a day surgery
patient with aphasia and you discover the ***A) Wait until the family returns B)
family members are not available for the Leave the discharge education on
discharge instructions and are not responding voicemail and discharge patient C)
to your phone calls. Business hours are over Discharge patient with non-
and the PACU is about to close. How will you emergency transport D) Take patient
handle the situation? home yourself
You received a patient from OR post hip
replacement surgery. The anesthesiologist is A) Wake up the patient to sign the
planning a nerve block in PACU, but the consent B) Ask a friend to sign the
patient did not sign the consent for the nerve consent ***C) Obtain the consent
block. How will you proceed?
, from medical POA D) Proceed with
the procedure
What position would help alleviate headaches
after spinal anesthesia? A) Prone B) Trendelenburg C) Semi-
fowlers ***D) Flat to supine
***WRONG*** What is a physical
manifestation of neuromuscular blockade A) Decreased consciousness B)
(Roc, succinylcholine)? 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 A) Administer the medication with
an allergy to penicillin. What is the BEST diphenhydramine B) Ask the patient
action? 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 A) JP drain sutured in place near the
right lower extremity peripheral vascular lateral calf B) Several small incisions
disease and is now recovering in the PACU. in calf groin covered with gauze ***C)
What type of surgical dressing do you expect Clear dressing applied to the right
to find for this patient? 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 ***A) Report the incident to your
report when you asked for clarifications, the charge nurse B) Refuse to take the
OR nurse became angry, belligerent, and patient C) Take the report as she
rude. She ended up not answering your gave it to you D) Figure out the
question. How will you proceed? clarifications from computer
***WRONG***You are reviewing your orders
for you 8 year-old patient that recently arrive A) IV acetaminophen (maybe??? bc
in PACU. Which PRN pain order would you super expensive???) B) PO
question? acetaminophen C) PO ketorolac
(maybe???? bc shows increased risk
of bleeding than tylenol, and is oral,
which maybe they’re trying to avoid
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