PHARMACOLOGY
PHYSIOLOGY
PAIN MANAGEMENT
PEDIATRIC
ANESTHESIA
100

The perianesthesia nurse is aware that according to ACLS guidelines, dopamine is the drug of choice for clinically significant hypotension when

hypovolemia is absent

100

One of the earliest physical assessment findings in tension pneumothorax is

WHAT IS a decrease in breath sounds ?

100

A patient arrives in the PACU following liver biopsy. The patient is lying on the left side and is complaining of pain. The perianesthesia nurse's first action is to

WHAT IS reposition the patient on the right side 

100

The most appropriate communication approach with a 10-year-old patient is to

WHAT IS encourage questions and use detailed explanations.

100

Following spinal anesthesia, the best indicator of complete return of function is the ability to

WHAT IS URINATE?

200

During the administration of bupivacaine locally, some of the medication is accidentally administered IV. When the patient develops ventricular arrhythmias, the perianesthesia nurse anticipates the administration of

WHAT IS AMIODARONE

200

A 68-year-old diabetic patient is scheduled for ankle arthroscopy. The plan is for a popliteal block monitored anesthesia care (MAC) The perianesthesia nurse knows that regional blocks may be considered for diabetic patients because they cause fewer

metabolic disturbances

200

During a follow-up phone call for inguinal hernia repair, the patient states has significant scrotal edema. The perianesthesia nurse informs the patient

to contact the physician immediately

200

When questioning a 15-year-old patient regarding NPO status, the perianesthesia nurse is aware that adolescents may be at particular risk for non-compliance because of their

WHAT IS sense of immortality 

200

When caring for an elderly patient after spinal anesthesia, resolution may be prolonged because

WHAT IS 

  1. drug elimination is delayed.
300

Which drug is considered a triggering agent for malignant hyperthermia

WHAT IS SUCCINYLCHOLINE

300

The dressing of a patient who has undergone an otologic procedure is found to be wet with a colorless fluid. The fluid may be

WHAT IS 

cerebrospinal fluid.

300

The primary goal in postoperative pain management is to establish a pain level that is

WHAT IS acceptable to the patient.

300

When caring for a crying 18-month-old patient, the perianesthesia nurse's first nursing action is to

WHAT IS reunite the child with a parent.

300

A patient arrives in the PACU awake and oriented but with difficulty breathing. The patient received a single dose of succinylcholine in the OR. What is the minimum timeframe for complete muscle recover to occur?

WHAT IS 15 minutes?

400

A patient post appendectomy suddenly goes into supraventricular tachycardia. Vital signs are BP = 125/75; HR = 168; and R = 16. The nurse anticipates administering

WHAT IS ADENOSINE?

400

During pregnancy, the cardiac output increases by

  1. 30% – 50%
400

What is the minimum age that children develop a reasonably established ability to discriminate degrees of pain in facial expressions

WHAT IS 

3 years

400

For a 9-year-old patient, the most appropriate preoperative teaching approach focuses on

WHAT IS audiovisual material that explains what to expect 

400

A patient who received an interscalene block is now experiencing tinnitus, muscle twitching, and confusion. The perianesthesia nurse anticipates treatment with

  1. lipid infusion
500

A 20-kg child is admitted to the PACU following a tonsillectomy and adenoidectomy. After the child vomits, the anesthesiologist orders ondansetron. The proper IV dosage for this patient is

WHAT IS 0.15 mg/kg

500

Oxygen saturation is a reflection of the patient’s true oxygen status in relation to

WHAT IS 

hemoglobin level

500

Which of the following is the recommended initial dosage of IV ketorolac for a patient who is over 65 years of age?

15 mg IV

500

A 3-year-old patient with a history of spina bifida is received postoperatively with audible wheezes and retractions. The perianesthesia nurse observes blisters under an adhesive bandage and suspects

WHAT IS a latex allergy or sensitivity 

500

The purpose of administering metoclopramide during the preoperative period is to

promote gastric emptying