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Moderate Sedation

Total questions: 13

Worksheet time: 5mins

Name
Class
Date
1.

Your ICU patient needs a bronchoscopy. What equipment do you need to have in the room?

a)

Suction

b)

ECG Monitoring with screen in room

c)

Sedation

d)

Bag valve mask

e)

Thoracotomy tray

2.

Which of the following patients should not receive Diprivan (Proprofol) for moderate sedation?

a)

Vented patient on a spontaneous breathing trial

b)

A gastric bypass patient who needs a EGD with an allergy to eggs

c)

A patient with a history of epilepsy who needs a colonoscopy

d)

A bronchoscopy patient with a blood pressure of 90/60 mmHg

e)

A brain injured patient with a GCS of 8 who needs a PEG tube

3.

A moderate sedation patient has received Midazolam and is no longer responding to verbal commands and only opens eyes to pain. What interventions are appropriate?

a)

Administer Flumazenil

b)

Administer Narcan

c)

Administer oxygen and possible artificial airway

d)

Monitor end tidal CO2

4.

Which type of anesthesia involves loss of sensation and consciousness?

a)

General

b)

Regional

c)

Moderate

d)

Local

5.

Regional anesthesia works by:

a)

Blocking peripheral nerves or spinal cord

b)

Inducing unconsciousness

c)

Applying topical agents

d)

Relaxing muscles

6.

A 24-year-old male is undergoing an emergency appendectomy under general anesthesia. Thirty minutes into the procedure, the nurse notices a sudden increase in heart rate, muscle rigidity, and mottled skin. The patient's temperature begins to rise rapidly.

Which of the following is the nurse’s priority action?

a)

Administer IV Proprofol

b)

Notify the surgical team and prepare for intubation

c)

Discontinue the surgery and administer IV Dantrolene

d)

Apply a cooling blanket and monitor temperature

7.

A nurse is monitoring a patient under general anesthesia. The patient’s blood pressure and heart rate suddenly increase, and slight movement is observed. What should the nurse suspect?

a)

Malignant hyperthermia

b)

Anesthesia awareness

c)

Spinal headache

d)

Hypoventilation

8.

A nurse is monitoring a patient under moderate sedation for a bronchoscopy. The patient becomes unresponsive to verbal stimuli but maintains a patent airway. What is the nurse’s priority action?

a)

Document sedation level

b)

Notify the provider that the patient is too deeply sedated

c)

Administer additional sedation

d)

Begin CPR

9.

A nurse is assessing a patient for extubation readiness in the PACU. Which of the following findings indicates the patient is ready to be extubated?

a)

Gag reflex absent

b)

Patient is unresponsive

c)

Patient can raise head off the bed and follow commands

d)

Patient is breathing using abdominal muscles

10.

A patient develops abdominal distention and absent bowel sounds after abdominal surgery. What should the nurse suspect?

a)

GI Bleed

b)

Paralytic Ileus

c)

Peritonitis

d)

Constipation

11.

A post-op patient with a history of alcohol use disorder begins showing signs of withdrawal. What should the nurse anticipate administering?

a)

Opioids

b)

Benzodiazepines

c)

Antipsychotics

d)

Beta blockers

12.

A nurse is assisting in the care of a patient undergoing surgery under general anesthesia. During the induction phase, which of the following actions should the nurse anticipate?

a)

Removal of airway devices

b)

Performance of the surgical procedure

c)

Administration of preoperative medications and securing airway patency

d)

Monitoring for return of reflexes

13.

A nurse is caring for a patient in the emergence phase of general anesthesia. Which of the following actions should the nurse expect?

a)

Begin surgical incision

b)

Administer induction agents

c)

Remove airway devices and monitor for return of consciousness

d)

Apply safety belts to the OR table