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2024 PACU FINAL EXAM WITH CORRECT ANSWERS
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2024 PACU FINAL EXAM WITH CORRECT ANSWERS
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2024 PACU FINAL EXAM WITHCORRECT ANSWERS
Which artificial airway is MOST appropriate for an obese, somnolent yet
arousable postoperative patient experiencing an upper airway obstruction?
A. Endotracheal tube
B. Oropharyngeal airway
C. Nasopharyngeal airway - CORRECT-ANSWERSC. Nasopharyngeal airway
During induction, what physiologic responses are most likely to occur during
Stage II of general anesthesia?
A. Loss of voluntary responses
B. Laryngospasm, vomiting, or cardiac arrest
C. Respiratory and circulatory failure - CORRECT-ANSWERSB. Laryngospasm,
vomiting, or cardiac arrest
Based on risk factors, which patient is most likely to experience
postoperative nausea and vomiting (PONV)?
A. A female nonsmoker, age 29, with a history of motion sickness
B. A male smoker, age 30, who takes prescribed opioid pain medication for
chronic back pain
C. A female smoker, age 62, with a history of chronic headaches - CORRECT-
ANSWERSA. A female nonsmoker, age 29, with a history of motion sickness
While caring for a patient with chronic obstructive pulmonary disease
(COPD), you note that within minutes of administering supplemental oxygen
at 3 L via nasal cannula, her respiratory rate drops to 10 breaths/min. Which
action is MOST appropriate?
A. Lower the oxygen flow rate.
B. Increase the oxygen flow rate.
C. Withhold supplemental oxygen and maintain the patient on room air. -
CORRECT-ANSWERSA. Lower the oxygen flow rate.
Which of the following statements is TRUE concerning pain intensity rating in
pediatric patients?
A. Pain intensity rating is a comprehensive evaluation of the child's pain
experience.
B. Pain intensity rating uses clinical judgment to monitor the child's pain.
C. Pain intensity rating is a component of a thorough pain assessment. -
CORRECT-ANSWERSC. Pain intensity rating is a component of a thorough
pain assessment.
,Which of the following statements accurately describes the role of the
perianesthesia nurse caring for a pediatric patient during Phase II
postanesthesia care?
A. The perianesthesia nurse should focus on ensuring that the patient meets
specified clinical criteria.
B. The perianesthesia nurse should ensure that the child remains in Phase II
for a specified amount of time.
C. The perianesthesia nurse should prepare the patient and family for care in
the home. - CORRECT-ANSWERSC. The perianesthesia nurse should prepare
the patient and family for care in the home
Which clinical manifestation of local anesthetic systemic toxicity (LAST) is
related to central nervous system (CNS) toxicity?
A. Hypertension
B. Tinnitus
C. Tachycardia - CORRECT-ANSWERSB. Tinnitus
Which of the following statements is TRUE regarding American Society of
PeriAnesthesia Nurses (ASPAN) standards?
A. ASPAN standards are reviewed and updated every 5 years.
B. ASPAN standards are based on nursing history and tradition.
C. ASPAN standards define expectations for the practice of perianesthesia
nursing. - CORRECT-ANSWERSC. ASPAN standards define expectations for
the practice of perianesthesia nursing.
Which statement is TRUE regarding the muscle relaxant succinylcholine?
A. Succinylcholine is administered via continuous infusion.
B. Succinylcholine is a depolarizing muscle relaxant.
C. Succinylcholine overdose is treated with anticholinesterase medications. -
CORRECT-ANSWERSB. Succinylcholine is a depolarizing muscle relaxant.
You are caring for Penelope, age 15, who is receiving an infusion via an
epidural catheter for postoperative pain control. She reports adequate pain
control with a numeric pain score of 2 out of 10 when she suddenly
experiences nausea. You administer supplemental oxygen and an
antiemetic, as ordered, but Penelope's nausea continues. Which action is
most appropriate?
A. Check Penelope's blood pressure.
B. Elevate the head of Penelope's bed.
C. Administer an additional antiemetic, as ordered. - CORRECT-ANSWERSA.
Check Penelope's blood pressure.
What is the perianesthesia nurse's primary responsibility during Phase I
recovery?
A. Identifying potential or actual problems
, B. Maintaining constant vigilance and monitoring
C. Preparing the patient for discharge to home - CORRECT-ANSWERSB.
Maintaining constant vigilance and monitoring
You are assessing hourly urine output for a 20 kg pediatric patient after
surgery. Which finding can indicate decreased cardiac output?
A. 4 mL of urine in the past hour
B. 10 mL of urine in the past hour
C. 20 mL of urine in the past hour - CORRECT-ANSWERS
Which class of medications is contraindicated for treating tachycardia in
patients experiencing a malignant hyperthermia (MH) crisis?
A. Calcium channel blockers
B. Antiarrhythmics
C. Beta-blockers - CORRECT-ANSWERSA. Calcium channel blockers
A natural disaster has been forecast to impact the community surrounding
your hospital, and you have been placed on call. Which source will best help
you determine your responsibilities during the disaster?
A. Emergency communications from your manager with updated information
B. The currently posted on-call schedule to minimize disruption of the usual
staffing patterns
C. Your national nursing organization's website, which changes their
standards during disasters - CORRECT-ANSWERSA. Emergency
communications from your manager with updated information
During a major infectious disease outbreak, perianesthesia nurses who took
daily time-outs together for a short mindfulness practice reported feeling
less stressed. After the outbreak has subsided, which suggestion from the
nurse manager is most likely to show a benefit for the unit's nurses?
A. Continue daily mindfulness time-outs and ask the clinical practice council
to collect data about stress.
B. Discontinue mindfulness time-outs and suggest that the nurses adopt
individual stress reduction strategies like yoga on their own time.
C. Increase the frequency of mindfulness time-outs since the unit nurses now
have more time in their shifts. - CORRECT-ANSWERSA. Continue daily
mindfulness time-outs and ask the clinical practice council to collect data
about stress.
A monthslong emergency has left many regular members of the emergency
department nursing staff ill or injured. Since many procedures have been
cancelled, the perianesthesia unit manager asks for volunteers to help
provide care in the emergency department (ED). Which volunteer should the
manager first select to help ensure emergency standards and competencies
are met during this temporary assignment?
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