0% Created by ENVADMIN IV Conscious Sedation Assessment – PSA This is a protected content, please get in contact with Education Department, they will be able to help you taking this exam. Please fill all the information required before taking the exam. NameEmail 1 / 25 1. An oropharyngeal airway may: Occlude the esophagus Hold the tongue away from the rear wall of the pharynx Intubate the trachea Obstruct the airway 1,2, and 3 1 and 3 2 and 4 4 only 2 / 25 2. A standard is: Define by each hospital’s policies. A model that is external and objective which measures quantity or quality. Applied differently to new nurses than experienced ones. Not often used in a court of law. 3 / 25 3. An allergic reaction can include erythema and wheals, especially of the face. True False 4 / 25 4. After the initial dose of Versed, the next administered dose can be repeated in: 10 minutes 3-5 minutes 1-2 minutes 1 minute 5 / 25 5. Treatment of laryngospasm can include all of the following except: Positive pressure ventilation Vigerous suctioning of the cords Administration of succinylcholine Reintubation 6 / 25 6. Which of the following should be included in a risk assessment? Trained staff Knowledge and use of drug Established protocols for conscious sedation Quality improvement monitoring None of the above All of the above 1, 2 and 4 1, 2 and 3 7 / 25 7. The total recommended dose of Romazicon is: 3 mg in 1 hour 5 mg in 2 hours 1 mg None of the above 8 / 25 8. Which of the following drugs are most likely to facilitate electrical conversion from ventricular fibrillation to an effective rhythm: Oxygen Sodium Bicarbonate Epinephrine Procainamide 1,2 and 4 1 and 3 1 and 4 2 and 3 9 / 25 9. When correctly sedated, patients will be: Deeply unconscious Unable to protect their airway Comfortable, but able to communicate Perfectly safe if not monitored 10 / 25 10. The main purpose often incident report is to: Help the hospital’s lawyer prepare a defense in a lawsuit. Apportion blame. Enable the hospital to spot significant trends or problems. Protect those filing the report. 11 / 25 11. The area of exchange between the blood and inspired air is the: Terminal bronchi Trachea Pleura Alveoli 12 / 25 12. Appropriate documentation includes: ASA classification Patient allergies Outcomes/evaluation Oxygen saturation LOC 1,2, and 5 2,3, and 5 1,2, and 4 All of the above. 13 / 25 13. Nursing interventions for obstruction include the following: Stimulation Chiu tilt or jaw thrust Oral or nasal airway Turning patient on side All of the above 1,3, and 4 1 and 4 1 only 14 / 25 14. Ventricular fibrillation: Can be mimicked by artifact on the monitor May produce a palpable pulse Results in cessation of cardiac output Should be treated with prompt defibrillation 1,2, and 4 1,3,and 4 3 and4 All of the above 15 / 25 15. Romazicon can be given IVP, the initial dose should be: 2 mg IVP rapidly -may repeat in 10 minutes 2 mg IVP slowly -may repeat in 1 minute 2-3 mg IVP slowly may repeat in 5 minutes One dose only 16 / 25 16. Versed is commonly used for NCS. The initial dose should be: 5-10mg IVP 3-5mg IVP slowly 2-3mg given rapidly 0.5 -2mg given slowly 17 / 25 17. Romazicon reverses benzodiazepines which are: Demerol/Valium Vistaril/Diprovan Valium/Nersed. Versed/MS 18 / 25 18. Objectives for the patient receiving IVCS include: Alteration of mood Elevation of pain threshold All of the above None of the above 19 / 25 19. Minimal monitoring parameters for the nurse responsible for monitoring/administering IVCS include: Blood pressure Respiratory rate Oxygen saturation Skin condition 1, 2, and 4 1, 2 and 3 2,’3, and 4 All of the above 20 / 25 20. Proper management of a patient receiving IV conscious sedation includes one RN to monitor and/or inject IV medications, and the presence of the physician. True False 21 / 25 21. The total recommended dose of IV Versed should not exceed: 10 mg in 1hour 5 mg in 1 hour 2 mg in 1 hour Up to 25mg in 1 hour 22 / 25 22. The most common cause of upper airway obstruction is: Aspiration An incorrectly placed oral airway The tongue Laryngospasm 23 / 25 23. Aspiration of gastric contents: Is potentially lethal May occur during CPR even when performed correctly May follow removal of au esophageal airway May follow removal of an endotracheal tube 1, 2 and 3 1, 3 and 4 2 and 4 AII of the above 24 / 25 24. Narcan reverses: Narcotics Benzodiazepines Valium None of the above 25 / 25 25. IVCS medications may be injected by all of the following except: Anesthesiologist Registered nurse credentialed and under the direction of the physician Physician Physician’s nurse alone Your score is 0%
IV Conscious Sedation Assessment – PSA
Please fill all the information required before taking the exam.
1 / 25
1. An oropharyngeal airway may:
2 / 25
2. A standard is:
3 / 25
3. An allergic reaction can include erythema and wheals, especially of the face.
4 / 25
4. After the initial dose of Versed, the next administered dose can be repeated in:
5 / 25
5. Treatment of laryngospasm can include all of the following except:
6 / 25
6. Which of the following should be included in a risk assessment?
7 / 25
7. The total recommended dose of Romazicon is:
8 / 25
8. Which of the following drugs are most likely to facilitate electrical conversion from ventricular fibrillation to an effective rhythm:
9 / 25
9. When correctly sedated, patients will be:
10 / 25
10. The main purpose often incident report is to:
11 / 25
11. The area of exchange between the blood and inspired air is the:
12 / 25
12. Appropriate documentation includes:
13 / 25
13. Nursing interventions for obstruction include the following:
14 / 25
14. Ventricular fibrillation:
15 / 25
15. Romazicon can be given IVP, the initial dose should be:
16 / 25
16. Versed is commonly used for NCS. The initial dose should be:
17 / 25
17. Romazicon reverses benzodiazepines which are:
18 / 25
18. Objectives for the patient receiving IVCS include:
19 / 25
19. Minimal monitoring parameters for the nurse responsible for monitoring/administering IVCS include:
20 / 25
20. Proper management of a patient receiving IV conscious sedation includes one RN to monitor and/or inject IV medications, and the presence of the physician.
21 / 25
21. The total recommended dose of IV Versed should not exceed:
22 / 25
22. The most common cause of upper airway obstruction is:
23 / 25
23. Aspiration of gastric contents:
24 / 25
24. Narcan reverses:
25 / 25
25. IVCS medications may be injected by all of the following except:
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