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Please answer the following questions:
1. The preferred method for opening the airway is:
A. Tilting the head and lifting the chin
B. Turning the head and opening the mouth
C. Striking the victim on the back
D. Wiping out the mouth
2. To accomplish the head tilt-chin left maneuver, place one hand
on the patients
forehead and place the fingers of the other hand on the bony tissue
under the chin.
A. True
B. False
3. The desired effects of conscious sedation are all EXCEPT:
A. Relaxation
B. Cooperation
C. Deep, unarousable sleep
D. Elevation of the pain threshold
4. In a medical evaluation prior to the administration of conscious
sedation the history and examination should include an assessment of:
A. Cardiovascular status
B. Past problems with anesthesia
C. Drug and alcohol use/abuse history
D. All of the above
5. Which of the following is not necessary before beginning a procedure
involving IV procedural sedation?
A. Informed consent
B. An available source of suction
C. A 12 Lead EKG in the medical record
D. Pulse oximeter
6. After having received Morphine and Midazohm for sedation and analgesia,
the patient loses consciousness and becomes dusky in appearance. The
oxygen saturation has decreased rapidly from 95% to 75%. What responses
should be initiated?
A. Administration of oxygen using a positive pressure.
B. The administration of oxygen using a nasal canula
C. The administration of IV Naloxone and Flumazenil
D. A and C
7. The usual initial adult dosage of Morphine for sedation and analgesia
is:
A. 2 to 4 mg IV
B. 5 to10 mg IV
C. 10 to 20 mg IV
D. 10 to 20 mg IM
8. Conscious sedation is defined as the administration of pharmacological
agents to minimally depress the level of consciousness, yet the patient
retains the ability to maintain a patent airway, and respond appropriately
to physical stimulation and/or verbal command.
A. True
B. False
9. There is no need for a patient history or physical examination to
be on the chart prior to the beginning of I.V. Procedural Sedation.
A. True
B. False
10. Nurses must allow 20-30 seconds from the time of administration
before attempting to measure the effectiveness of the conscious sedation
medication or to administer further medications.
A. True
B. False
11. Nurses will record vital signs, pulse oximetry readings, ECG, and
level of consciousness throughout the procedure and documents every:
A. 2 minutes
B. 5 minutes
C. 15 minutes
12. Patients require an Aldrete score of 8-10 or equal to pre-procedure
status for transfer back to their unit.
A. True
B. False
13. Romazicon (Flumazenil) is the antidote for Versed, Valium, and Ativan.
A. True
B. False
14. The dosage for overdose for Flumazenil is:
A. Flumazenil - 0.4 mg-1mg every 10 minutes up to 10 mg
B. Flumazenil - 0.25mg-0.5 mg every 5 minutes up to 1mg
C. Flumazenil - 0.4 mg-1 mg every 2 minutes up to 10 mg
D. Flumazenil -0.25mg-0.5mg every 1 minute up to 1 mg
15. The initial dose of Versed in most patients is:
A. 15 mg over 2 minutes
B. 1 mg - 2.5 mg over 2 minutes
C. 5 mg over 1 minutes
D. 10 mg over 1 minute
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