Comprehensive Exam

Question 1

pediatric decadron dosing

Answer 1

150mcg/kg max: 5mg

Question 2

pediatric zofran dosing

Answer 2

50-100mcg/kg max: 4mg

Question 3

which ventilatory mode do all anesthesia machines offer

Answer 3

VC

Question 4

first black AANA president and where did she practice

Answer 4

Goldie Brandman- Harlem hospital

Question 5

osmotic force of colloidal proteins within the vascular space

Answer 5

plasma oncotic pressure

Question 6

PONV med to avoid in Parkinson’s

Answer 6

droperidol, haldol, reglan

Question 7

IV dose of droperidol for PONV

Answer 7

0.625-1.25mg

Question 8

timing of scopolamine patch

Answer 8

2-4 hours before surgery

Question 9

blood reaction with post-transfusion respiratory distress, HT, JVD, tachycardia

Answer 9

TACO

Question 10

3 herbals that increase risk of bleeding

Answer 10

gingko, ginseng, garlic

Question 11

compares the amplitude of 4th twitch to the 1st twitch for nondepolarizing NMBs

Answer 11

TOF ratio

Question 12

% of lead body mass that is represented by TBWater

Answer 12

60%

Question 13

Only naturally occurring colloid available for infusion

Answer 13

albumin

Question 14

speed at which Hoffman elimination acts to degrade atracurium depends on what 2 factors

Answer 14

pH and temp

Question 15

precedex loading dose and gtt rate

Answer 15

1mcg/kg over 10min
0.2-0.7 mcg/kg/hr

Question 16

NS infusion can cause what imbalance

Answer 16

hyperchloremic metabolic acidosis

Question 17

6 factors that increase risk for PONV in adults

Answer 17

female
non-smoker
age<50
hx PONV/motion sickness
use of post op opioids
length of procedure

Question 18

what is in cryo

Answer 18

fac 1, 6, 13, vWF

Question 19

2 barriers that influence CRNAs ability to function at full scope of practice

Answer 19

state boards of nursing bylaws
hospital regulation/bylaws

Question 20

4 elements necessary for malpractice

Answer 20

duty
breach of duty
causation
damages

Question 21

crystalloid contraindicated for use with citrated products

Answer 21

LR

Question 22

2 EKG abnormalities with hypokalemia

Answer 22

U-wave
flattened T-wave

Question 23

2 main ECV electrolytes

Answer 23

Na/Cl

Question 24

2 main ICV

Answer 24

K/Phos

Question 25

induction dose for etomidate

Answer 25

0.2-0.4mg/kg

Question 26

who founded the NANA

Answer 26

Agatha Hodgkins

Question 27

CN involved in the vomiting center

Answer 27

5, 7, 9, 10, 12

Question 28

PIN for O2

Answer 28

2,5

Question 29

most common electrolyte imbalance encountered in clinical anesthesia practice

Answer 29

hypokalemia

Question 30

pH of NS

Answer 30

5.6

Question 31

propofol induction dose

Answer 31

1-2.5 mg/kg

Question 32

mother of anesthesia

Answer 32

Alice Magaw

Question 33

preferred site to monitor for recovery from a nondepolarizing NMB

Answer 33

ulnar/adductor pollicis

Question 34

Which war ultimately led to the accreditation of nurse anesthesia educational programs?

Answer 34

Korean war

Question 35

An anesthesiologist and nurse anesthetist are working collaboratively (care-team model). The anesthesiologist performs a pre-operative assessment, is present for induction of anesthesia, but never returns to the operating room during the four-hour procedure. What should the nurse anesthetist do?

Answer 35

Ask to have the case billed as supervision instead of direction

Question 36

2 examples of cases that could fall under criminal law

Answer 36

practicing without a licence diverting controlled substances from place of employment

Question 37

A patient with a pre-existing do-not-resuscitate (DNR) order presents for surgery. Do you automatically suspend the DNR order

Answer 37

NO

Question 38

T/F the AANA changed the name of the organization to the American Association of Nurse Anesthesiologists

Answer 38

False

Question 39

According to a study published in 2011, which population in the nurse anesthesia field reported having the greatest amount of stress?

Answer 39

SRNAs

Question 40

beta agonists, anticholinergics, and steroids are indicated in the treatment of what postoperative complication

Answer 40

bronchospasm

Question 41

what blood glucose level is associated with coma and thus may delay awakening from anesthesia

Answer 41

600

Question 42

Intraoperative awareness occurs in approx how many GA cases per 1000

Answer 42

1-2

Question 43

Remembering a surgical event is an example of what type of recall (memory)?

Answer 43

conscious explicit

Question 44

preoxygenation replaces which gas in the patient's FRC with O2

Answer 44

nitrogen

Question 45

which inhalational agent cannot be used as sole drug for maintaining GA?

Answer 45

nitrous oxide

Question 46

what is the strongest independent patient risk factory for PONV?

Answer 46

female

Question 47

Where in the brain is the vomiting center located?

Answer 47

medulla oblongata

Question 48

What two medications are recommended in most pediatric patients at high risk for POV?

Answer 48

decadron zofran

Question 49

The extrinsic pathway involves which factors

Answer 49

3, 7

Question 50

What is a normal value for PT in seconds

Answer 50

12

Question 51

What fibrinogen value would warrant admin of cryo

Answer 51

100

Question 52

The ACT is performed by mixing whole blood with an activating substance that acts through what pathway of the clotting cascade?

Answer 52

intrinsic

Question 53

Identify the drugs that are classified as thienopyridines

Answer 53

plavix, prasugrel

Question 54

What are the two most commonly reported SE of zofran

Answer 54

diarrhea headache

Question 55

2 ineffective strategies for PONV prophylaxis

Answer 55

nicotine patch to nonsmokers intraop gastric decompression