Adult Moderate Sedation Pretest 2025

Question 1 of 10

1. Question

Recommended fasting periods prior to a planned moderate sedation procedure of a healthy patient would be:

A. A minimum fasting period of six (6) hours for a meal that includes a cheeseburger and fries

B. A minimum fasting period of two (2) hours for a meal of clear chicken broth

C. A minimum fasting period of two (2) hours for a meal of plain toast and plain hot tea

D. All the above

Question 2 of 10

2. Question

Where in the 4 phases of a normal capnogram waveform is the EtCO2 measurement obtained?

A. Phase I

B. Phase II

C. Maximum point of the slope between Phase III and Phase IV

D. Phase IV

Question 3 of 10

3. Question

During a wound vac change, 3 doses of Fentanyl were administered over 20 minutes, and a loss of EtCO2 waveform on the monitor is noticed. Upon checking the patient, he is found to be unresponsive even with a deep sternal rub and loud verbal stimulation. A jaw thrust is performed until application of airway adjuncts can occur and evaluation of spontaneous breathing is performed. PPV is administered at a rate of 10 breaths per minute due to lack of spontaneous breaths by the patient. You determine the patient has slipped into a deeper than expected level of sedation (DteLS) and the order to administer a reversal medication is given by the MD. What is the best choice of reversal medication for this patient?

A. Flumazenil 0.2mg IV

B. Narcan .04-.08 mg IV

C. Narcan 0.1-0.2 mg IV

D. Flumazenil 1mg IV

Question 4 of 10

4. Question

Given that individuals respond differently to sedating medications, which of the following scenarios describes a patient who has achieved moderate sedation?

A. A 45 year-old female with a BMI of 28 who is now slurring her words in response to voice stimulation and moves with light tactile stimulation.

B. A 64 year-old 110 lb female with pancreatic cancer who routinely uses alprazolam (Xanax™) for anxiety and extended release opioids for pain and now presents for her MRI having taken 20mg of diazepam (Valium™) PO one hour ago. She appears totally normal and answers questions appropriately, stating that she is ready for the MRI.

C. A 46 year-old male having an inpatient dressing change is given 10mg of IV diazepam (Valium™) 10 minutes prior to the start of the procedure. He does not respond to loud voice or aggressive sternal rub.

D. A 24 year-old male is given 2 mg of midazolam (Versed™) IV prior to a screening colonoscopy. As the procedure begins, he reports that he is very nervous, his vitals are: HR 124, BP 148/98, RR 23.

Question 5 of 10

5. Question

Which Mallampati score should be assigned when visualizing this airway?

A. Mallampati I

B. Mallampati II

C. Mallampati III

D. Mallampati IV

Question 6 of 10

6. Question

In the pre procedure evaluation, the patient is an insulin dependent diabetic with a blood sugar of 120, morbidly obese, and has regularly scheduled dialysis three times a week. Which ASA physical status would be assigned to the patient?

A. ASA V

B. ASA II

C. ASA III

D. ASA IV

Question 7 of 10

7. Question

The minimum amount of patient identifiers used in a Time- out situation would be which of the following?

A. One

B. Two

C. Three

D. Four

Question 8 of 10

8. Question

The plan was for moderate sedation; Which description depicts a patient who has achieved moderate sedation?

A. Purposeful response following repeated or painful stimulation. Airway intervention may be required, and spontaneous ventilation may be inadequate.

B. Normal response to verbal stimulation. The airway and ventilation are unaffected.

C. Purposeful response to verbal commands and light touch. No airway intervention is required as the patient is following verbal commands.

D. Unarousable, even with painful stimulus. Airway intervention is often required, and spontaneous ventilation is frequently inadequate.

Question 9 of 10

9. Question

Oral medications are always considered minimal sedation/ anxiolytic.

True

False

Question 10 of 10

10. Question

When connecting the moderate sedation patient to the appropriate monitors, evidence shows which of the following to be true?

A. EtCO2 monitoring is a more sensitive indicator of hypoventilation than pulse oximetry

B. There is an advantage to using EtCO2 in addition to pulse oximetry

C. EtCO2 monitoring is a more sensitive indicator of hypoventilation than clinical observation