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MODERATE SEDATION
CERTIFICATION EXAM
QUESTIONS WITH CORRE CT
ANSWERS
Question :moderate sedation is a medically induced state
of depressed consciousness:
Correct answer:true
Question :when a pt is moderately sedated, he/she can
maintain his/her airway, age appropriate responses to verbal and tactile stimuli are present and protective airway reflexes are preserved
Correct answer:true
Question :moderate sedation is the same as deep sedation
Correct answer:false
Question :when administering moderate sedation, deep
sedation or general anesthesia can result
Correct answer:true
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Question :reasons that there should be a 2nd person in the
procedure room to monitor the patient are:
Correct answer:-respiratory depression and upper airway
obstruction are the most common causes of sedation catastrophes -early detection and treatment of airway problems are the goals of monitoring -cardiac arrest is a late manifestation of respiratory depression
Question :it is important that pts follow the pre-procedure
fasting instructions because:
Correct answer:-pulmonary aspirations of gastric contents
can occur in pts who are moderately sedated
Question :pts who are older or have systemic disease
might need more sedation than the average pt
Correct answer:false
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Question :it is important to ask pts what their allergies are
before administering medications, even if they have been asked on admission
Correct answer:true
Question :it is important to ask pts if they have had any
prior reactions to sedation
Correct answer:true
Question :snoring is a type of airway obstruction, and if it
occurs the patient's head should be repositioned to open the airway as much as possible
Correct answer:true
Question :when a pt is sedated, the pulse ox does not have
to be on
Correct answer:false
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Question :versed (midazolam) is a sedative and amnesiac
that is 2-4 times more potent than diazepam (valium) and is reversed with romazicon (flumazenil)
Correct answer:true
Question :for the reversal of sedative effects of
benzodiazepines administered for conscious sedation, the recommended initial dose of romazicon is 0.2 mg (2 mL) administered intravenously over 15 seconds. if the desired level of consciousness is not obtained after waiting an additional 45 seconds, a second dose of 0.2 mg (2 mL) can be injected and repeated at 60-second intervals where necessary (up to a maximum of 4 additional times) to a maximum total dose of 1 mg (10 mL)
Correct answer:true
Question :narcan is used to reverse the effects of demerol
and fentanyl