DAANCE Patient Monitoring Techniques 2

Question 1

A patient pulse oximeter reads 91% SpO2 during sedation. The FIRST clinical response should be:

Accepted Answer

Stimulate the patient, increase oxygen flow, and assess airway patency

Answer

Document the value and recheck in 5 minutes

Answer

Administer flumazenil IV immediately

Answer

Switch from pulse oximetry to end-tidal CO2 monitoring only

Question 2

The NIBP (non-invasive blood pressure) cuff should be applied to which site for routine sedation monitoring?

Accepted Answer

Upper arm, 2 to 3 cm above the antecubital fossa

Answer

Forearm, 5 cm below the elbow

Answer

Wrist, over the radial artery

Answer

Lower leg, above the ankle

Question 3

Which ECG lead is most commonly monitored during office-based dental sedation for routine rhythm detection?

Accepted Answer

Lead II

Answer

Lead aVR

Answer

Lead V1

Answer

Lead aVL

Question 4

Precordial stethoscope monitoring during sedation provides continuous assessment of:

Accepted Answer

Heart and breath sounds simultaneously

Answer

Blood pressure trends

Answer

Heart rate and rhythm only

Answer

End-tidal carbon dioxide levels

Question 5

Which factor most commonly causes falsely LOW pulse oximetry readings (SpO2 underestimation)?

Accepted Answer

Peripheral vasoconstriction and poor perfusion to the probe site

Answer

Anemia with low hemoglobin concentration

Answer

Carbon monoxide poisoning (carboxyhemoglobin elevation)

Answer

Jaundice (elevated bilirubin levels)

Question 6

The normal resting respiratory rate for a healthy adult is:

Accepted Answer

12 to 20 breaths per minute

Answer

6 to 8 breaths per minute

Answer

22 to 28 breaths per minute

Answer

30 to 35 breaths per minute