Practice Test GeeksDAANCE - Dental Anesthesia Assistant National Certification Examination Practice Test
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Patient Monitoring Techniques Flashcards

6 cards from real DAANCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. When using a bispectral index (BIS) monitor, a value of 40 to 60 corresponds to which level of sedation?

    Answer: Deep sedation or general anesthesia

    BIS 40 to 60 indicates deep sedation to general anesthesia. Target BIS for moderate sedation is typically 70 to 80.

  2. Which clinical sign most reliably indicates that a patient in the recovery phase is ready to transition out of the immediate recovery area?

    Answer: Modified Aldrete score of 9 or above with stable vital signs and ability to maintain airway

    The Modified Aldrete scoring system provides objective criteria across five domains. A score of 9 or above indicates readiness for step-down or discharge from the immediate recovery area.

  3. Continuous end-tidal CO2 (EtCO2) monitoring provides earlier detection of respiratory compromise than pulse oximetry because:

    Answer: It detects changes in ventilation (CO2 elimination) before hypoxemia develops, especially with supplemental O2

    With supplemental oxygen, patients can become significantly hypoventilated (rising CO2) while maintaining normal SpO2. EtCO2 detects hypoventilation earlier.

  4. A normal sinus rhythm on ECG is characterized by which combination of findings?

    Answer: P wave before each QRS, regular rate 60 to 100 bpm, PR interval 0.12 to 0.20 sec

    Normal sinus rhythm: regular P waves precede each QRS, heart rate 60 to 100 bpm, PR interval 0.12 to 0.20 sec, and QRS less than 0.12 sec.

  5. A patient temperature begins rising rapidly during general anesthesia and EtCO2 is elevated. The monitoring team should immediately alert the provider to the possibility of:

    Answer: Malignant hyperthermia triggered by the volatile anesthetic agent

    Rapid temperature rise plus elevated EtCO2 during volatile anesthesia equals malignant hyperthermia until proven otherwise. Immediate action is required.

  6. After IV sedation in the dental office, a patient is ready for step-down but the escort has not yet arrived. The correct action is to:

    Answer: Continue monitoring the patient in the recovery area until the responsible adult arrives

    A responsible adult escort is mandatory for discharge after IV sedation. The patient must not leave unaccompanied regardless of how well they feel.

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