CMSRN FREE CMSRN Anesthetist Questions and Answers 3

Question 1

A nurse is caring for a patient who received a brachial plexus nerve block. Which finding requires immediate notification of the anesthesia provider?

Accepted Answer

Progressive dyspnea and decreased breath sounds on the ipsilateral side

Answer

Numbness and tingling in the blocked extremity

Answer

Mild bruising at the injection site

Answer

Inability to grip objects with the affected hand

Question 2

Which medication is the definitive treatment for malignant hyperthermia and should be immediately available in the medical-surgical unit?

Accepted Answer

Dantrolene sodium

Answer

Succinylcholine

Answer

Atropine sulfate

Answer

Neostigmine

Question 3

A postoperative patient who received neuraxial anesthesia reports a severe headache that worsens when sitting upright. What is the most likely cause?

Accepted Answer

Post-dural puncture headache from CSF leakage

Answer

Migraine triggered by anesthetic agents

Answer

Hypertensive crisis from fluid overload

Answer

Meningitis from contaminated equipment

Question 4

Which reversal agent should the medical-surgical nurse have available when moderate sedation with midazolam is administered?

Accepted Answer

Flumazenil

Answer

Naloxone

Answer

Sugammadex

Answer

Protamine sulfate

Question 5

A patient develops laryngospasm immediately after extubation. What is the priority nursing intervention?

Accepted Answer

Apply positive pressure ventilation with jaw thrust and notify the anesthesia team

Answer

Place the patient in Trendelenburg position immediately

Answer

Administer oral suctioning and wait for spontaneous resolution

Answer

Reinsert the endotracheal tube without assistance

Question 6

A nurse is assessing a patient 30 minutes after receiving local anesthesia with lidocaine and epinephrine. The patient reports perioral numbness, tinnitus, and dizziness. What complication should the nurse suspect?

Accepted Answer

Local anesthetic systemic toxicity (LAST)

Answer

Allergic reaction to epinephrine

Answer

Vasovagal syncope

Answer

Acute stroke