Test Questions – Pediatric Procedural Sedation Examination

Your moderate sedation training expiration will be aligned with your clinical privileges at Elliot Hospital.

Examination Summary

  • This examination contains 18 question(s).
  • You must answer 90% correctly or 17 out of 18 question(s) in order to pass this examination.
  • Use Next/Previous rather than the scroll bar.
  • Do NOT click the X on the upper right-hand comer of the window.
  • Please answer all questions below, then click the SUBMIT button at the bottom of the page to have your examination scored.
  • This assessment is not timed.

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Question 1.
The patient undergoing procedural sedation should be able to maintain his/her airway, have purposeful responses to verbal and physical stimulation, and have adequate spontaneous ventilations.
Question 2.
Reversal agents have a shorter half-life than opioids and benzodiazepines necessitating close monitoring for the potential of resedation for two hours after reversal administration or until the child returns to baseline, whichever is later.
Question 3.
Patients with developmental delay have a _____ response to sedation.
Question 4.
Which of the following is NOT a characteristic of midazolam (Versed)?
Question 5.
Respiratory depression is a frequent complication associated with which of the following techniques of medication administration?
Question 6.
It is the provider's responsibility to perform ASA risk assignment and airway classification prior to administration of sedating medications.
Question 7.
A history of obstructive sleep apnea places the child at greater risk for airway complications during sedation.
Question 8.
One of the primary goals of oxygen therapy during sedation is:
Question 9.
Which pharmacologic antagonist 'reverses' the clinical effects associated with benzodiazepine overdose?
Question 10.
Because significant interpatient variability exists for a given dose of medication, administration of sedative drugs should be titrated until desired effect is reached.
Question 11.
Rapid administration of multiple medications used in procedural sedation (not allowing adequate circulation time) may result in the development of airway obstruction, hypoxia, and respiratory insufficiency.
Question 12.
Providers who assume the responsibility of administering sedative and opioid medications must be clinically competent to respond to airway emergencies.
Question 13.
The most appropriate graded sequence of actions that should occur in a child who experiences complete airway obstruction and progressive decline in oxygen saturation during sedation is:
Question 14.
Which of the following reverses the effects of opioids?
Question 15.
Which of the following is NOT an objective of procedural sedation?
Question 16.
Which of the following is required prior to sedation?
Question 17.
Ideally in elective procedural sedation cases, pediatric patients over one year of age should fast from solids and nonclear liquids for minimum of 8 hours and may have clear liquids up to 2 hours before the procedure.
Question 18.
Administration of a benzodiazepine assures sedative and analgesic effects.

NOTE: Moderate sedation privileges will be suspended if the above marked qualifier expires.