Conscious Sedation Exam

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1. During a minor procedure under sedation and analgesia, the patient is breathing slowly with some snoring, is not easily aroused, and does not respond to verbal commands. At which level of sedation is this patient?
2. All of the following are monitoring requirements for the sedated patient EXCEPT:
3. What equipment must be used or available during a procedure with sedation/analgesia?
4. The first and most important action when a patient starts to vomit during a procedure is to:
5. The first response for an obstructed airway is to:
6. Which of the following statements about the use of benzodiazepines for conscious sedation is true?
7. Which of the following statements regarding naloxone is correct?
8. A Post-Anesthesia Aldrete Score is:
9. Sedation and Analgesia is defined as:
10. Desired effects of sedation and analgesia included:
a. relaxation
b. cooperation
c. deep, unarousable sleep
d. elevation of pain threshold
11. Benzodiazepines:
a. provide anterograde amnesia
b. provide analgesia
c. are antagonized with flumazenil
12. Narcotics:
a. provide analgesia
b. provide anterograde amnesia
c. are antagonized with naloxone
13. In a medical evaluation prior to administration of sedation and analgesia the history and physical examination should include:
a. review of current medications
b. airway examination
c. a determination of the last PO intake
d. past history of problems with anesthesia
14. When performing a procedure with sedation and analgesia:
a. the physician and another qualified person must be present
b. monitoring includes EKG (when indicated) and non-invasive blood pressure
c. vital signs need be recorded only at the beginning and end of the procedure
d. the procedure room should have a pulse oximeter available for emergency
e. a pulse oximeter should be in use throughout the procedure
15. Documentation during a procedure with sedation and analgesia should include:
a. dose, route, time and effects of drugs used
b. type/amount of IV fluid given
c. vital signs (heart rate and blood pressure) every 5 minutes
d. level of consciousness
e. respiratory function (respiratory rate and Sp02) every 5 minutes
16. Discharge criteria after a procedure with sedation and analgesia include:
a. patient is oriented and responds appropriately
b. patient has eaten, ambulated and voided
c. patient has a minimum discharge score of 12
d. patient feels well and is ready to drive himself home
e. has written instructions regarding diet, activity and medications
17. After receiving morphine and Valium for sedation and analgesia for a procedure, the patient loses consciousness and the oxygen saturation decreases rapidly from 95% to 75%. Reasonable initial responses include:
a. administration of oxygen via an ambu bag to improve oxygen saturation
b. giving naloxone and flumazenil IV
c. increase the oxygen flow through the nasal cannula
d. begin the procedure as planned (which will stimulate respirations)
18. Specific patient exclusions for sedation and analgesia include:
a. patients currently receiving sedating doses of drugs for seizure control or pain management
b. situations where it is anticipated that sedation/analgesia will likely result in loss of ability to maintain protective airway reflexes
c. perioperative management of patients requiring deep sedation
d. pediatric patients
19. Older (geriatric) patients have an increased requirement for sedative/analgesic agents.
20. Per Hospital policy, patients who are to undergo procedures utilizing sedation and analgesia should be NPO (without food or drink) for a minimum of 4 hours prior to their procedure.