Recovery room management MCQs – Anesthesia

By: Prof. Dr. Fazal Rehman | Last updated: September 13, 2024

  • What is the primary goal of recovery room management following anesthesia? a) Pain relief b) Monitoring and stabilization c) Discharge planning d) Medication administrationAnswer: b) Monitoring and stabilization
  • Which vital signs should be continuously monitored in the recovery room? a) Blood pressure, heart rate, and oxygen saturation b) Blood glucose and temperature c) Respiratory rate and blood glucose d) Oxygen saturation and blood pHAnswer: a) Blood pressure, heart rate, and oxygen saturation
  • What is a common sign of inadequate pain control in the recovery room? a) Restlessness b) Decreased heart rate c) Low blood pressure d) Improved oxygen saturationAnswer: a) Restlessness
  • Which scale is commonly used to assess the level of consciousness in the recovery room? a) Glasgow Coma Scale b) Apgar Score c) Richmond Agitation-Sedation Scale d) Ramsay Sedation ScaleAnswer: a) Glasgow Coma Scale
  • When should a patient be discharged from the recovery room? a) After 30 minutes b) When they meet discharge criteria c) Immediately after surgery d) Only when they are fully awakeAnswer: b) When they meet discharge criteria
  • Which medication is commonly used for pain management in the recovery room? a) Morphine b) Diphenhydramine c) Lorazepam d) MetoclopramideAnswer: a) Morphine
  • What is the purpose of using a Post Anesthesia Care Unit (PACU) score? a) To determine the type of anesthesia used b) To assess the recovery status and readiness for discharge c) To evaluate surgical outcomes d) To monitor medication side effectsAnswer: b) To assess the recovery status and readiness for discharge
  • Which complication should be monitored for closely in the recovery room after anesthesia? a) Hyperthermia b) Hypoglycemia c) Respiratory depression d) HypertensionAnswer: c) Respiratory depression
  • What is the recommended position for a patient recovering from anesthesia to prevent airway obstruction? a) Supine b) Lateral c) Prone d) Sitting uprightAnswer: b) Lateral
  • How often should vital signs be checked in the immediate post-anesthesia recovery period? a) Every 5 minutes b) Every 15 minutes c) Every 30 minutes d) Every hourAnswer: b) Every 15 minutes
  • What should be done if a patient in the recovery room shows signs of nausea and vomiting? a) Administer antiemetics b) Increase the infusion rate c) Re-administer anesthesia d) Provide intravenous fluidsAnswer: a) Administer antiemetics
  • Which of the following is a sign of potential postoperative bleeding? a) Elevated blood pressure b) Decreased heart rate c) Increased respiratory rate d) Excessive drainage from surgical siteAnswer: d) Excessive drainage from surgical site
  • What should be monitored closely in patients with a history of sleep apnea recovering from anesthesia? a) Blood glucose levels b) Airway patency and oxygen saturation c) Cardiac output d) Fluid balanceAnswer: b) Airway patency and oxygen saturation
  • Which type of monitoring is particularly important for patients who have received neuromuscular blockers? a) Neurological assessment b) Respiratory monitoring c) Cardiovascular monitoring d) Renal functionAnswer: b) Respiratory monitoring
  • What is a key consideration for managing patients with a high risk of postoperative nausea and vomiting (PONV)? a) Administer prophylactic antiemetics b) Increase postoperative fluid intake c) Provide additional analgesics d) Delay oral intakeAnswer: a) Administer prophylactic antiemetics
  • What is the primary purpose of a phase I recovery room? a) To prepare patients for discharge b) To provide intensive monitoring immediately after anesthesia c) To assess surgical outcomes d) To perform rehabilitation exercisesAnswer: b) To provide intensive monitoring immediately after anesthesia
  • Which vital sign change might indicate a reaction to opioid pain medication? a) Increased blood pressure b) Elevated heart rate c) Decreased respiratory rate d) Elevated temperatureAnswer: c) Decreased respiratory rate
  • When should a patient be transitioned from phase I to phase II recovery? a) Immediately after surgery b) When they are fully awake and stable c) After 1 hour in recovery d) Only after a second dose of pain medicationAnswer: b) When they are fully awake and stable
  • What is the primary goal of phase II recovery? a) Intensive monitoring b) Preparation for discharge and further recovery c) Immediate postoperative care d) Pain managementAnswer: b) Preparation for discharge and further recovery
  • Which of the following should be included in the discharge instructions for a patient leaving the recovery room? a) Follow-up appointment details b) Pain medication schedule c) Diet restrictions d) All of the aboveAnswer: d) All of the above
  • What should be done if a patient in the recovery room experiences agitation or confusion? a) Reassess the level of anesthesia b) Administer a sedative c) Evaluate for postoperative complications d) Increase pain medicationAnswer: c) Evaluate for postoperative complications
  • What is a common cause of hypoxemia in the recovery room? a) Hypoventilation b) Hyperglycemia c) Excessive fluid intake d) Postoperative feverAnswer: a) Hypoventilation
  • Which type of fluid is most commonly administered to patients in the recovery room? a) Isotonic fluids b) Hypertonic fluids c) Colloids d) Dextrose solutionsAnswer: a) Isotonic fluids
  • What is the recommended action if a patient exhibits signs of hypothermia in the recovery room? a) Provide warming blankets b) Increase fluid infusion rate c) Administer additional sedation d) Monitor blood glucose levelsAnswer: a) Provide warming blankets
  • Which type of monitoring is essential for patients who have undergone major abdominal surgery? a) Bowel sounds b) Renal function c) Hemodynamic stability d) Pain levelAnswer: c) Hemodynamic stability
  • What is the primary reason for using a pulse oximeter in the recovery room? a) To monitor blood glucose b) To assess oxygen saturation levels c) To measure blood pressure d) To evaluate heart rate variabilityAnswer: b) To assess oxygen saturation levels
  • When should a patient’s blood glucose levels be monitored in the recovery room? a) Only if they are diabetic b) Routinely every 15 minutes c) If the patient shows signs of hypoglycemia d) Every hourAnswer: c) If the patient shows signs of hypoglycemia
  • What should be done if a patient exhibits signs of delirium in the recovery room? a) Provide reassurance and reorient the patient b) Administer additional anesthesia c) Increase the pain medication dose d) Place the patient in restraintsAnswer: a) Provide reassurance and reorient the patient
  • Which medication is used to reverse opioid-induced respiratory depression? a) Naloxone b) Flumazenil c) Atropine d) EpinephrineAnswer: a) Naloxone
  • How often should a patient’s pain level be assessed in the recovery room? a) Every 5 minutes b) Every 30 minutes c) Every hour d) Whenever the patient requests pain reliefAnswer: d) Whenever the patient requests pain relief
  • What is the most appropriate action if a patient’s blood pressure drops significantly in the recovery room? a) Increase fluid infusion b) Administer antihypertensives c) Provide additional sedation d) Administer antiemeticsAnswer: a) Increase fluid infusion
  • Which type of anesthesia-related complication should be monitored for in patients recovering from spinal anesthesia? a) Post-dural puncture headache b) Hyperglycemia c) Respiratory distress d) Renal failureAnswer: a) Post-dural puncture headache
  • What is an appropriate intervention for a patient experiencing severe nausea in the recovery room? a) Administer antiemetics b) Increase the patient’s fluid intake c) Re-administer anesthesia d) Provide additional pain medicationAnswer: a) Administer antiemetics
  • Which patient factor is most likely to affect recovery time in the recovery room? a) Age b) Gender c) Weight d) AllergiesAnswer: a) Age
  • What should be done if a patient’s oxygen saturation drops below 90% in the recovery room? a) Administer supplemental oxygen b) Increase fluid infusion c) Increase pain medication d) Reassess the anesthesia depthAnswer: a) Administer supplemental oxygen
  • What is a key consideration when managing elderly patients in the recovery room? a) Increased risk of delayed emergence from anesthesia b) Higher fluid requirements c) Increased pain threshold d) Decreased need for monitoringAnswer: a) Increased risk of delayed emergence from anesthesia
  • Which of the following should be monitored closely in patients recovering from major surgery? a) Urine output b) Body temperature c) Electrolyte levels d) All of the aboveAnswer: d) All of the above
  • What is the most common reason for delayed discharge from the recovery room? a) Inadequate pain control b) Delayed postoperative nausea c) Prolonged effects of anesthesia d) All of the aboveAnswer: d) All of the above
  • Which type of monitoring is crucial for patients recovering from surgeries involving significant blood loss? a) Hemoglobin and hematocrit levels b) Electrolyte levels c) Blood glucose levels d) Pain levelsAnswer: a) Hemoglobin and hematocrit levels
  • When should postoperative antibiotics be administered in the recovery room? a) Only if there are signs of infection b) As per the surgeon’s orders c) After the patient is fully awake d) Only if the patient has a feverAnswer: b) As per the surgeon’s orders
  • Which sign may indicate the need for further postoperative evaluation in the recovery room? a) Persistent confusion b) Mild discomfort c) Decreased appetite d) Increased blood pressureAnswer: a) Persistent confusion
  • What is the primary role of the nurse in the recovery room? a) To perform surgical procedures b) To provide comprehensive patient monitoring and care c) To prepare the operating room for the next patient d) To manage anesthesiaAnswer: b) To provide comprehensive patient monitoring and care
  • What should be done if a patient in the recovery room exhibits signs of a surgical site infection? a) Notify the surgical team immediately b) Administer antibiotics c) Increase fluid intake d) Provide additional pain medicationAnswer: a) Notify the surgical team immediately
  • How should a patient’s recovery from general anesthesia be assessed? a) By evaluating their level of consciousness and vital signs b) By checking their surgical site c) By measuring their blood glucose levels d) By reviewing their medical historyAnswer: a) By evaluating their level of consciousness and vital signs
  • What is the appropriate action for managing a patient with persistent hypotension in the recovery room? a) Administer IV fluids and reassess b) Increase pain medication c) Provide supplemental oxygen d) Re-administer anesthesiaAnswer: a) Administer IV fluids and reassess
  • What is an essential component of postoperative discharge instructions? a) Follow-up appointment details b) Information on managing side effects c) Instructions for wound care d) All of the aboveAnswer: d) All of the above
  • Which condition should be promptly addressed in the recovery room to prevent further complications? a) Severe hypothermia b) Mild nausea c) Low-grade fever d) Mild painAnswer: a) Severe hypothermia
  • What is a key indicator of successful recovery from anesthesia? a) The ability to follow commands and respond appropriately b) Full resolution of pain c) Absence of all nausea d) Normal vital signs onlyAnswer: a) The ability to follow commands and respond appropriately
  • Which of the following should be monitored for in patients who have had a regional block? a) Sensory and motor function b) Blood glucose levels c) Respiratory rate d) Electrolyte balanceAnswer: a) Sensory and motor function
  • What is the most common cause of delayed emergence from anesthesia? a) Residual effects of anesthesia b) Surgical complications c) Postoperative infection d) Fluid imbalanceAnswer: a) Residual effects of anesthesia
Topic-wise Anesthesia MCQs
  1. Anesthesiology MCQs
  2. Anesthesia Basics:
  3. Anesthesia Agents MCQs:
  4. Airway Management:
  5. Anesthesia Monitoring MCQs – Anesthesia:
  6. Regional Anesthesia MCQs :
  7. Patient Assessment and Optimization:
  8. Anesthesia Delivery Systems MCQs:
  9. Pediatric Anesthesia MCQs :
  10. Obstetric Anesthesia MCQs – Anesthesia:
  11. Anesthesia Complications and Emergencies MCQs:
  12. Post-Anesthesia Care MCQs:
  13. Geriatric Anesthesia:
  14. Ethics and Professionalism in Anesthesia MCQs:
  15. Simulation and Skills Training MCQs :

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