Test Questions – Procedural Sedation and Analgesia Examination

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

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Question 1.
Which of the following is NOT an objective of procedural (moderate) sedation?
Question 2.
A drug-induced depression of consciousness during which patients respond purposefully to verbal commands and/or light tactile stimulation, no interventions are required to maintain a patent airway, spontaneous ventilation is adequate, and cardiovascular function is usually maintained is defined as which of the following states of sedation?
Question 3.
Which of the following characteristics best describes a patient in a state of “deep sedation”?
Question 4.
Utilizing the ASA Classification system, a 36 year old male with a history of hypertension controlled with daily medications and no evidence of end-organ damage would be classified as:
Question 5.
The level of sedation moving from full consciousness to deep sedation and general anesthesia is clearly defined and a1ways predictable.
Question 6.
Sedation and analgesia agents should be administered by the following method:
Question 7.
Which of the following is NOT a pharmacodynamic effect of benzodiazepines?
Question 8.
Respiratory depressant effects of opioids and benzodiazepines are increased when these meds are administered concomitantly.
Question 9.
A specific individual should be dedicated to monitor patients during sedation and analgesia. During
moderate sedation, this individual may assist with an endoscopic procedure under which of the
following circumstances?

  • A.) Respiratory rate
  • B.) Blood pressure
  • C.) Urine output
  • D.) Heart rate
  • E.) Oxygen saturation
Question 10.
The safest method to administer IV sedation is to:
Question 11.
Assign an ASA status to the following patient presenting for procedural sedation: 65 year old morbidly obese male with poorly controlled diabetes who has been a smoker of two packs per day for past 40 years.
Question 12.
Patients undergoing procedural sedation may be promised amnesia, sleep and absence of pain.
Question 13.
Which pharmacologic agent “reverses” the clinical effects associated with benzodiazepine overdose?
Question 14.
Naloxone is the reversal agent for which group of drugs:
Question 15.
The patient must be reevaluated immediately before procedural sedation begins.
Question 16.
Per CMS (Centers for Medicare & Medicaid) standards: Individuals administering procedural (moderate) or deep sedation are qualified and have the appropriate credentials to manage patients at whatever level of sedation or anesthesia is achieved, either intentionally or unintentionally.
Question 17.
An anesthesia consult should be considered pre-procedurally for the patient classified as ASA IV.
Question 18.
A “Time Out” verification process communicating site, procedure and patient identification must be performed immediately prior to the start of any surgical or invasive procedure.
Question 19.
Positive airway pressure may be delivered to the sedated patient in respiratory distress via which device?
Question 20.
Versed may be administered in 3mg increments.
Question 21.
The ability to visualize the uvula when classifying the airway relates primarily to:
Question 22.
Informed consent must be obtained for IV Sedation and Analgesia as well as for the procedure.
Question 23.
The provider administering/ordering procedural sedation and analgesia medications must know:
Question 24.
If a reversal agent such as naloxone or flumazenil is given to rescue a patient from sedation and analgesia, the patient must be observed for a minimum of 120 minutes as resedation is a risk.
Question 25.
When sedatives and opioids are used in combination ________. (Select all that apply).

  • A.) They may decrease risk for respiratory depression
  • B.) A decreased dose of each component may be adequate to achieve sedation due to the drugs synergistic relationship
  • C.) Small incremental doses should be used to titrate to effect
  • D.) Adequate time between doses should be used to assess effect
Question 26.
It is the responsibility of the provider to evaluate the patient’s airway and ASA risk.
Question 27.
Which of the following statements about sedation and analgesia is FALSE?
Question 28.
The initial bolus of Versed is administered over a minimum of ____.
Question 29.
A patient under sedation and analgesia has a RR of 8, a respiratory depth that is shallow, and an oxygen saturation of 89%. What is your FIRST response?

Question 30.
Your patient who has received sedation/analgesia is snoring, has a RR of 7 and is difficult to arouse. Identify the patient’s level of sedation.
Question 31.
CMS requires all physicians and nurses who administer procedural sedation have competency validation conducted on an ongoing basis.
Question 32.
32. Elderly patients with a slow circulation time or patients who have poor cardiovascular function often demonstrate a delayed response to sedative agents.
Question 33.
Ventilation may be assessed by __________. (Select all that apply)

  • A.) Observation of spontaneous respirations
  • B.) Auscultation of breath sounds
  • C.) End-tidal CO2 measurements
  • D.) Pulse oximetry readings
Question 34.
The registered nurse managing the care of the patient receiving sedation/analgesia shall have no other responsibilities that would leave the patient unattended or compromise continuous patient

Question 35.
The provider’s orders supercede the Nurse Practice Act and legal and institutional policies when the non-anesthetist RN is administering sedation and analgesia.

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