Adult Moderate Sedation Recertification Pre-test 2025

Sloping of the plateau phase, as seen in the capnogram above would indicate:

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

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

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?

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

Which sequence accurately describes this waveform and the steps the sedationist should provide:

During a planned moderate sedation procedure, what is the minimum recommendation for monitoring the patient’s vital signs?

Which Mallampati score would you assign when visualizing this airway?

The above waveform depicts a rebreathing pattern. Under which common circumstance can rebreathing of CO2 occur?

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?

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

The patient is scheduled for a moderate sedation burn debridement.  The Attending physician has requested the assistance of a technician to scrub and remain sterile to assist with this lengthy, complicated procedure. Unfortunately, the technician has just been called away to an emergency. Is it appropriate for the sedationist to assist while providing moderate sedation and analgesia?

The waveform and flatline at the end of the capnograph could indicate which of the following:

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

Which sequence accurately describes the steps needed when the patient has this capnography waveform?  

Oral medications are always considered minimal sedation/ anxiolytic.      

A capnography reading of < 10 mmhg is expected with high quality CPR and means that the CPR is effective.

When preparing to perform a diagnostic liver biopsy with minimal sedation, the proceduralist state that there is no need for a preprocedure safety checklist or ‘time-out’ prior to procedural start due to the fact the patient will be awake during the entire procedure. The most appropriate response is:

A normal EtCO2 reading is 35-45 mmHq.

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