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pacu final exam questions with answers.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 ANS - B. Laryngospasm, vomiting, or cardiac arrest
Which statement accurately demonstrates confirmation when communicating with a patient and
family?
A. "The information you tell me today will be shared with other healthcare team members."
B. "Would you like to talk about anything else?"
C. "I understand you're worried about your son's surgery today." ANS - B. "Would you like to talk about
anything else?
Which statement accurately characterizes airway differences between pediatric patients and adult
patients?
A. The pediatric patient's tongue is small relative to the size of the oropharynx, compared to the adult's
normal-size tongue.
B. The pediatric patient's larynx is located at a higher level than the adult patient's larynx.
C. The narrowest portion of a pediatric airway is at the vocal cords, and the narrowest part of an adult
airway is the subglottic area at the cricoid cartilage. ANS - B. The pediatric patient's larynx is located at
a higher level than the adult patient's larynx.
You are caring for a patient who sustained bilateral tibial fractures following a fall down a flight of stairs.
Despite receiving several doses of pain medication, as ordered, the patient rates his pain as 8 out of 10
on a numeric pain scale. You note that while both legs are swollen and bruised, the right is more
affected than the left, and you have difficulty palpating pedal pulses in that leg. Which intervention is
LEAST likely to be effective for this patient?
A. Apply a warm compress to the right leg.
B. Immediately notify the surgeon.
,C. Elevate the right leg to heart level. ANS - A. Apply a warm compress to the right leg.
Which radiology study is MOST effective at evaluating pneumothorax in a patient with a chest tube?
A. Positron emission tomography (PET) scan
B. Computed tomography (CT) scan
C. Chest x-ray ANS - C. Chest x-ray
Which of the following statements is FALSE regarding communication with the anesthesia provider
about changes in a patient's condition?
A. Communication about changes in a patient's condition can occur by telephone or in face-to-face
conversation.
B. You do not have to document communication about changes in a patient's condition if the anesthesia
provider writes an order for treatment.
C. Communication about changes in a patient's condition should always be documented in the patient's
record.
Previous ANS - B. You do not have to document communication about changes in a patient's condition
if the anesthesia provider writes an order for treatment.
Which statement is most accurate concerning postoperative hyperthermia in a pediatric patient?
A. Fever caused by infection usually occurs later than fever caused by other factors.
B. Anesthetic agents typically cause an elevation in core body temperature.
C. Fever in an infant does not typically indicate infection. ANS - A. Fever caused by infection usually
occurs later than fever caused by other factors.
What is the perianesthesia nurse's primary responsibility when administering procedural sedation
during an interventional procedure?
A. Assist the practitioner with the procedure.
B. Monitor and assess the patient.
C. Document all medications given. ANS - B. Monitor and assess the patient.
Manuela, age 7, has a history of recent upper respiratory infection (URI). She arrives to the
postanesthesia care unit (PACU) with difficulty breathing. You note decreased breath sounds in all lung
, fields, decreased oxygen saturation level, and overall cyanosis. After immediately notifying the
anesthesia provider, what is your priority nursing intervention?
A. Provide 100 percent oxygen via positive-pressure mask ventilation.
B. Place Manuela in the left lateral position.
C. Prepare to administer inhaled bronchodilators, as ordered. ANS - A. Provide 100 percent oxygen via
positive-pressure mask ventilation.
Which illness-related stressor is MOST likely to affect a middle-age adult patient?
A. Long-term effects of illness
B. Altered body image
C. Loss of control ANS - A. Long-term effects of illness
Which statement made by a patient requires further teaching and reinforcement about hair removal
before surgery?
A. "I should shave off all my hair around the surgical site the night before my surgery."
B. "You'll use clippers to remove my hair on the morning of my surgery."
C. "I shouldn't shave off my hair because you'll remove it for me before I have my surgery." ANS - B.
"You'll use clippers to remove my hair on the morning of my surgery."
Which of the following is an example of a nonexperimental (observational) study?
A. A review of core body temperature measurements upon arrival to the postanesthesia care unit
(PACU)
B. A comparison of core body temperatures of patients who received prewarming measures versus
patients who did not
C. A comparison of core body temperatures of patients who received warmed intravenous (IV) fluids
versus those who received IV fluids at room temperature ANS - A. A review of core body temperature
measurements upon arrival to the postanesthesia care unit (PACU)
You are caring for a patient in the postanesthesia care unit (PACU) following an open craniotomy for
brain tumor resection. He arrived in the PACU intubated and on mechanical ventilation but could follow
basic commands. You now note that his arms are in a fixed, flexed position. What is your primary
intervention?
A. Immediately notify the surgeon.
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