Mixed Deck — All ABPANC Topics Flashcards
100 cards from real ABPANC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 20 Mixed Deck — All ABPANC Topics flashcards as text
How should a nurse respond to a change in patient condition during patient care standards?
Answer: Immediately assess, intervene if within scope, and notify the provider using SBAR
Prompt assessment, appropriate intervention, and structured communication using SBAR ensures rapid response to changes in patient condition.
What is the priority nursing action when a PACU patient's blood pressure drops to 80/50 mmHg immediately post-operatively?
Answer: Assess for cause, notify provider, and initiate IV fluid bolus per protocol
Hypotension requires immediate assessment for cause, provider notification, and IV fluid administration to restore perfusion per standing protocol.
A patient recovering from abdominal surgery has a continuous epidural infusion of bupivacaine and fentanyl. The nurse notes bilateral lower extremity weakness. What is the priority action?
Answer: Notify the anesthesia provider and assess sensory level
New-onset motor block with epidural infusion may indicate excessive spread or epidural hematoma, requiring immediate anesthesia provider notification and neurological assessment.
How should a nurse respond to a change in patient condition during professional standards?
Answer: Immediately assess, intervene if within scope, and notify the provider using SBAR
Prompt assessment, appropriate intervention, and structured communication using SBAR ensures rapid response to changes in patient condition.
Which assessment is essential before administering IV opioids for post-operative pain in the PACU?
Answer: Respiratory rate, sedation level, and oxygen saturation
Respiratory rate, sedation score, and SpO2 must be assessed before opioid administration to identify patients at risk for respiratory depression.
Which finding in a patient on IV opioid PCA should prompt the nurse to stop the infusion immediately?
Answer: Respiratory rate of 10 breaths/min with SpO2 of 88%
A respiratory rate of 10 with SpO2 of 88% indicates opioid-induced respiratory depression and hypoxia, requiring immediate cessation of the PCA and administration of naloxone.
Which assessment finding is MOST consistent with right-sided heart failure in a perianesthesia patient?
Answer: Jugular venous distension and dependent peripheral edema
Right-sided heart failure causes blood to back up into the systemic venous circulation, producing jugular venous distension and dependent peripheral edema.
Post-operative nausea and vomiting (PONV) is closely associated with which of the following?
Answer: Opioid administration, female gender, and history of motion sickness
PONV risk factors include opioid use, female gender, non-smoking status, and prior history of PONV or motion sickness.
Which route of administration provides the fastest onset of analgesia for acute post-operative pain in the PACU?
Answer: Intravenous (IV)
Intravenous administration provides the fastest onset of analgesic effect, making it the preferred route for acute pain management in the PACU.
How should a nurse prioritize tasks related to professional standards?
Answer: Based on the acuity and urgency of patient needs
Task prioritization in nursing should always be based on patient acuity and the urgency of clinical needs.
What is the nurse's primary responsibility in clinical procedures?
Answer: Advocating for patient safety and well-being
In clinical procedures, the nurse's primary responsibility is advocating for patient safety and well-being through competent, evidence-based care.
A nurse notices that a coworker administered the wrong medication to a patient. What is the nurse's immediate responsibility?
Answer: Report the medication error to the charge nurse and monitor the patient closely.
Upon witnessing a medication error, the nurse's immediate responsibility is patient safety. This involves promptly reporting the error to the charge nurse or appropriate supervisor and closely monitoring the patient for any adverse effects. Prompt reporting ensures that corrective actions can be taken, the patient receives necessary interventions, and contributes to a culture of safety and learning from mistakes.
What is the nurse's primary responsibility in patient care standards?
Answer: Advocating for patient safety and well-being
In patient care standards, the nurse's primary responsibility is advocating for patient safety and well-being through competent, evidence-based care.
Which non-pharmacologic intervention is appropriate in the PACU to help manage post-operative pain?
Answer: Positioning for comfort, applying ice to surgical sites as ordered, and providing distraction
Non-pharmacologic measures including positioning, ice application, and distraction complement pharmacologic pain management in the PACU.
How should a nurse prioritize tasks related to health assessment?
Answer: Based on the acuity and urgency of patient needs
Task prioritization in nursing should always be based on patient acuity and the urgency of clinical needs.
Which comfort measure is appropriate for a post-operative patient experiencing anxiety in the PACU?
Answer: Providing calm reassurance, explanation of surroundings, and therapeutic presence
Therapeutic communication, reorientation, and reassurance are first-line interventions for post-operative anxiety in the PACU.
A patient is receiving IV morphine in the PACU. Which assessment finding would indicate the development of opioid-induced respiratory depression?
Answer: Respiratory rate of 8 and pinpoint pupils
A respiratory rate of 8 with pinpoint pupils (miosis) are classic signs of opioid-induced respiratory depression requiring immediate intervention.
Ketorolac is administered to a post-surgical patient for pain management. Which contraindication is most important to verify before administration?
Answer: Renal impairment or recent renal surgery
Ketorolac is an NSAID that can worsen renal function; it is contraindicated in patients with renal impairment or procedures involving the kidneys.
What infection control measure is most critical during patient care standards procedures?
Answer: Performing hand hygiene before and after every patient contact
Hand hygiene before and after every patient contact is the single most effective measure for preventing healthcare-associated infections.
What is the nurse's primary responsibility in medication administration?
Answer: Advocating for patient safety and well-being
In medication administration, the nurse's primary responsibility is advocating for patient safety and well-being through competent, evidence-based care.