Question 1

The stir-up regimen consists of

Accepted Answer

A)  deep breathing exercises, suctioning, warming, and nausea management. 
B)  incentive spirometry, abdominal breathing, warming, drinking, and pain management. 
C)  incentive spirometry, coughing, suctioning, warming, mobilization, and eating. 
D)  deep breathing exercises, coughing, positioning, mobilization, and pain management. 
A)  deep breathing exercises, suctioning, warming, and nausea management. 
B)  incentive spirometry, abdominal breathing, warming, drinking, and pain management. 
C)  incentive spirometry, coughing, suctioning, warming, mobilization, and eating. 
D)  deep breathing exercises, coughing, positioning, mobilization, and pain management. D

Question 2

The effects of nitrous oxide include

Accepted Answer

A)  anesthesia, analgesia, and amnesia. 
B)  vasodilation, analgesia, and myocardial depression. 
C)  respiratory and cardiovascular depression. 
D)  bronchodilation, myocardial excitation, and muscle tremors. 
A)  anesthesia, analgesia, and amnesia. 
B)  vasodilation, analgesia, and myocardial depression. 
C)  respiratory and cardiovascular depression. 
D)  bronchodilation, myocardial excitation, and muscle tremors. A

Question 3

The duration of action of naloxone is

Accepted Answer

A)  30 minutes to 1 hour. 
B)  1 to 4 hours. 
C)  4 to 6 hours. 
D)  6 to 10 hours. 
A)  30 minutes to 1 hour. 
B)  1 to 4 hours. 
C)  4 to 6 hours. 
D)  6 to 10 hours. B

Question 4

The nurse suspects that a patient has aspirated.The nurse should immediately

Accepted Answer

A)  raise the head of the bed to a 45- to 90-degree angle. 
B)  lower the bed and turn the head to the side. 
C)  insert an ETT tube. 
D)  call for chest radiography to verify aspiration. 
A)  raise the head of the bed to a 45- to 90-degree angle. 
B)  lower the bed and turn the head to the side. 
C)  insert an ETT tube. 
D)  call for chest radiography to verify aspiration.

Question 5

Management of an airway obstruction begins with immediate recognition and treatment.Place these nursing interventions in the appropriate order for initial care of a postanesthesia patient with airway obstruction.
1)Positive-pressure mask ventilation
2)Head tilt,chin lift maneuver (nonreactive patient)
3)Insertion of oropharyngeal or nasopharyngeal airway
4)Intubation with mechanical intubation
5)Stimulation of the patient

Accepted Answer

A)  1, 2, 3, 5, 4 
B)  5, 2, 3, 1, 4 
C)  2, 3, 1, 5, 4 
D)  4, 2, 3, 1, 5 
A)  1, 2, 3, 5, 4 
B)  5, 2, 3, 1, 4 
C)  2, 3, 1, 5, 4 
D)  4, 2, 3, 1, 5

Question 6

What medication may be used to treat laryngeal edema?

Accepted Answer

A)  Racemic epinephrine 
B)  Succinylcholine 
C)  Albuterol 
D)  Morphine 
A)  Racemic epinephrine 
B)  Succinylcholine 
C)  Albuterol 
D)  Morphine

Question 7

The patient's body temperature is 33° C.The patient is shivering and the nurse needs to

Accepted Answer

A)  cover the patient with warm blankets. 
B)  apply heat lamps. 
C)  provide fluid and blood warming. 
D)  apply supplemental oxygen. 
E)  provide a thermal mattress. 
A)  cover the patient with warm blankets. 
B)  apply heat lamps. 
C)  provide fluid and blood warming. 
D)  apply supplemental oxygen. 
E)  provide a thermal mattress.

Question 8

Which of the following benzodiazepines has a slow onset of action and long duration?

Accepted Answer

A)  Diazepam (Valium) 
B)  Midazolam (Versed) 
C)  Lorazepam (Ativan) 
D)  Droperidol (Inapsine) 
A)  Diazepam (Valium) 
B)  Midazolam (Versed) 
C)  Lorazepam (Ativan) 
D)  Droperidol (Inapsine)

Question 9

Which stage of general anesthesia is known as surgical anesthesia?

Accepted Answer

A)  Stage I 
B)  Stage II 
C)  Stage III 
D)  Stage IV 
A)  Stage I 
B)  Stage II 
C)  Stage III 
D)  Stage IV

Question 10

What is the most common cause of hypoxemia?

Accepted Answer

A)  Laryngeal edema 
B)  Laryngospasm 
C)  Bronchospasm 
D)  Ventilation/perfusion mismatching 
A)  Laryngeal edema 
B)  Laryngospasm 
C)  Bronchospasm 
D)  Ventilation/perfusion mismatching

Question 11

Which of the following is a common cause of postoperative hypertension?

Accepted Answer

A)  Administration of morphine 
B)  Fluid overload 
C)  Bladder distention 
D)  Tachycardia 
A)  Administration of morphine 
B)  Fluid overload 
C)  Bladder distention 
D)  Tachycardia

Question 12

Snoring,stridor,nostril flaring,and intercostal retractions are clinical manifestations of

Accepted Answer

A)  angina. 
B)  airway obstruction. 
C)  pain. 
D)  sedation. 
A)  angina. 
B)  airway obstruction. 
C)  pain. 
D)  sedation.

Question 13

What is the most effective treatment of postoperative nausea and vomiting?

Accepted Answer

A)  Prevention 
B)  Droperidol given immediately when nausea is reported 
C)  Phenergan given immediately when nausea is reported 
D)  Metoclopramide given immediately when nausea is reported 
A)  Prevention 
B)  Droperidol given immediately when nausea is reported 
C)  Phenergan given immediately when nausea is reported 
D)  Metoclopramide given immediately when nausea is reported

Question 14

Patients who shiver

Accepted Answer

A)  are always hypothermic. 
B)  are always hyperthermic. 
C)  may be normothermic. 
D)  always shiver because of pain. 
A)  are always hypothermic. 
B)  are always hyperthermic. 
C)  may be normothermic. 
D)  always shiver because of pain.

Question 15

Which of the following dysrhythmias are common in the postanesthetic period?

Accepted Answer

A)  Ventricular tachycardia 
B)  Ventricular fibrillation 
C)  Supraventricular tachydysrhythmias 
D)  Sinus bradycardia 
E)  Premature ventricular contractions 
A)  Ventricular tachycardia 
B)  Ventricular fibrillation 
C)  Supraventricular tachydysrhythmias 
D)  Sinus bradycardia 
E)  Premature ventricular contractions

Question 16

Oral intake is prohibited after anesthesia until

Accepted Answer

A)  the patient is ambulatory. 
B)  the patient is strong enough to hold a cup of water. 
C)  all nausea has ceased. 
D)  laryngeal and pharyngeal reflexes are fully regained. 
A)  the patient is ambulatory. 
B)  the patient is strong enough to hold a cup of water. 
C)  all nausea has ceased. 
D)  laryngeal and pharyngeal reflexes are fully regained.

Question 17

Which medication has a direct myocardial depressant effect on the heart?

Accepted Answer

A)  Ketamine 
B)  Barbiturates 
C)  Succinylcholine 
D)  Opioids 
A)  Ketamine 
B)  Barbiturates 
C)  Succinylcholine 
D)  Opioids

Question 18

The sustained maximal inspiration (SMI)maneuver is performed by having the patient take

Accepted Answer

A)  a deep breath and hold it for 3 to 5 seconds before exhaling. 
B)  a slow deep breath and then forcefully exhaling. 
C)  a deep breath and, at the peak of inspiration, expanding the chest and taking in a little more air. 
D)  in a slow deep breath and then exhaling slowly. 
A)  a deep breath and hold it for 3 to 5 seconds before exhaling. 
B)  a slow deep breath and then forcefully exhaling. 
C)  a deep breath and, at the peak of inspiration, expanding the chest and taking in a little more air. 
D)  in a slow deep breath and then exhaling slowly.

Question 19

An electrolyte disturbance that can cause delayed arousal in a postoperative patient is

Accepted Answer

A)  hypercalcemia. 
B)  hyponatremia. 
C)  hyperkalemia. 
D)  hypermagnesemia. 
A)  hypercalcemia. 
B)  hyponatremia. 
C)  hyperkalemia. 
D)  hypermagnesemia.

Question 20

The most definitive test for detecting malignant hyperthermia (MH)susceptibility is a(n)

Accepted Answer

A)  creatine phosphokinase (CPK) test. 
B)  ionized calcium test. 
C)  core temperature reading. 
D)  skeletal muscle biopsy. 
A)  creatine phosphokinase (CPK) test. 
B)  ionized calcium test. 
C)  core temperature reading. 
D)  skeletal muscle biopsy.

Exam 42: The Perianesthesia Patient

The stir-up regimen consists of

The effects of nitrous oxide include

The duration of action of naloxone is

The nurse suspects that a patient has aspirated.The nurse should immediately

What medication may be used to treat laryngeal edema?

The patient's body temperature is 33° C.The patient is shivering and the nurse needs to

Which of the following benzodiazepines has a slow onset of action and long duration?

Which stage of general anesthesia is known as surgical anesthesia?

What is the most common cause of hypoxemia?

Which of the following is a common cause of postoperative hypertension?

Snoring,stridor,nostril flaring,and intercostal retractions are clinical manifestations of

What is the most effective treatment of postoperative nausea and vomiting?

Patients who shiver

Which of the following dysrhythmias are common in the postanesthetic period?

Oral intake is prohibited after anesthesia until

Which medication has a direct myocardial depressant effect on the heart?

The sustained maximal inspiration (SMI)maneuver is performed by having the patient take

An electrolyte disturbance that can cause delayed arousal in a postoperative patient is

The most definitive test for detecting malignant hyperthermia (MH)susceptibility is a(n)

Critical Care Nursing Practice

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Genetics and Genomics in Critical Care

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End-Of-Life Issues

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Cardiovascular Clinical Assessment

Cardiovascular Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Anatomy and Physiology

Pulmonary Clinical Assessment

Pulmonary Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Anatomy and Physiology

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Neurologic Disorders and Therapeutic Management

Kidney Anatomy and Physiology

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Anatomy and Physiology

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Anatomy and Physiology

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

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Hematologic Disorders and Oncologic Emergencies

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