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Relias PACU RN A v1 questions & answers.
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Relias PACU RN A v1 questions & answers.
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Relias PACU RN A v1 questions &answers.
What set of findings indicates a patient is likely to be ready for phase 1 discharge? ANS -***C) Drowsy,
oxygen saturation of 96%, able to cough, and move all extremities
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? ANS -0.25 mililiters
Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter. What should
you do? ANS -***D) Contact the anesthesia provider
What do you consider to be a safe dose of intravenous fentanyl for an adult who does not have
tolerance to opioids? ANS -***B) 25 micrograms
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? ANS -
***B) 50 mcg fentanyl 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? ANS -***A) Wait until the
family returns
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? ANS -
***C) Obtain the consent from medical POA
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? ANS -C) Decreased
respiratory effort
What position would help alleviate headaches after spinal anesthesia? ANS -***D) Flat to supine
, 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? ANS -***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? ANS -***C) Clear dressing applied to the right groin
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? ANS -***A) Report the incident to your charge nurse
You are reviewing your orders for you 8 year-old patient that recently arrive in PACU. Which PRN pain
order would you question? ANS -C) PO ketorolac
What is a physiologic effect related to unrelieved pain? ANS -***D) Decreased healing
You are caring for a patient after placement of a percutaneous J tube. A student nurse asks you, " Where
does this tube go in the patient?" How should you answer? ANS -***A) The tube is placed into the
Jejunum
When caring for a patient who is recovering from placement of a new arteriovenous fistula in their right
arm, you observe the presence of mild edema at the site. What should you do? ANS -B) Elevate the right
arm above the heart
You are caring for patient who is intubated, receiving ventilatory support, and is sedated with a propofol
infusion. Over the last 5 minutes you have decreased the propofol infusion in preparation for
extubation. The patient is now opening their eyes to voice and following commands. What should you
do NEXT to prepare the patient for immediate extubation? ANS -***C) Stop the propofol infusion
When caring for a patient who is receiving outpatient surgery, what is the BEST way to know that a
patient's post-operative blood pressure is sufficient for discharge to home? ANS -***B) It is +/- 20% of
baseline pre-operative levels
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