CMSRN FREE CMSRN Anesthetist Questions and Answers 2

Question 1

A patient receiving epidural analgesia develops sudden hypotension and bradycardia. Which intervention should the medical-surgical nurse prioritize?

Accepted Answer

Administer IV fluid bolus and position the patient supine

Answer

Immediately remove the epidural catheter

Answer

Administer a vasopressor without IV fluids

Answer

Elevate the head of the bed to 90 degrees

Question 2

Which assessment finding in a post-anesthesia patient most strongly suggests malignant hyperthermia?

Accepted Answer

Rapidly rising end-tidal CO2 and muscle rigidity

Answer

Mild shivering and cool extremities

Answer

Bradycardia with hypertension

Answer

Decreased urine output and peripheral edema

Question 3

A medical-surgical nurse is monitoring a patient who received spinal anesthesia. At what dermatomal level does a spinal block pose the greatest risk for respiratory compromise?

Accepted Answer

T4 and above

Answer

T10 and below

Answer

L2 to L4

Answer

S1 to S3

Question 4

Which laboratory value is most critical to monitor in a patient receiving prolonged propofol infusion for procedural sedation?

Accepted Answer

Triglyceride level

Answer

Serum sodium

Answer

Hemoglobin A1c

Answer

Prothrombin time

Question 5

A patient with a history of obstructive sleep apnea is ordered opioid analgesia postoperatively. Which nursing action is most appropriate?

Accepted Answer

Use continuous pulse oximetry and capnography monitoring

Answer

Administer the full prescribed opioid dose on schedule

Answer

Discontinue supplemental oxygen to improve respiratory drive

Answer

Position the patient flat to prevent orthostatic hypotension

Question 6

During emergence from general anesthesia, a patient becomes agitated, thrashing, and attempting to remove the IV line. What is this phenomenon called and how should the nurse respond?

Accepted Answer

Emergence delirium; ensure patient safety, reorient, and administer prescribed short-acting sedative if needed

Answer

Anaphylaxis; administer epinephrine immediately

Answer

Opioid withdrawal; administer naloxone

Answer

Seizure activity; administer benzodiazepines and call a code