Name

1. Select all the opioids from the list.
Diazepam
Morphine
Fentanyl
Flumazenil
Hydromorphone

2. Which one is the most potent opioid?
Hydromorphone
Fentanyl
Meperidine
Morphine

3. Age-related changes in the kidney and liver can prolong an opioid's duration of action.
True False

4. Phenothiazines, trycyclic antidepressants, and CNS depressants may __________ therapeutic and adverse effects of opioids.
Reduce
Potentiate
Reverse
Equalize

5. Select all the adverse effects of Naloxone.
Precipitation of withdrawal symptoms
Reversal of analgesia
Headache
Nausea
Anxiety

Match the following two reversal agents to the sedation agents that they reverse:

6. Naloxone
Benzodiazepines
Opioids

7. Flumazenil
Benzodiazepines
Opioids

8. Patients receiving reversal agents need to undergo longer periods of monitoring because of which one of the following:
Of the adverse effects associated with these drugs
The analgesic properties of the sedation agents are removed
The half-life of the sedation agents are longer than those of the reversal agents
Of the potential for respiratory depression and dysrhythmias

9. Select all the adverse effects of flumazenil.
Precipitation of withdrawal symptoms
Reversal of analgesia
Headache
Nausea
Anxiety

10. A patient with severe systemic disease that is a constant potential threat to life.
ASA I
ASA II
ASA III
ASA IV
ASA V

11. A patient with systemic disease, caused either by the condition to be treated or other pathophysiological process, which does not result in limitation of activity.
ASA I
ASA II
ASA III
ASA IV
ASA V

12. The person administering sedation/analgesia must respond immediately to any adverse reaction or complication.
True False

13. The patient responds normally to verbal commands.
Minimal Sedation
Moderate Sedation
Deep Sedation
Anesthesia

14. Sedation/analgesia is not easily converted to deep sedation and loss of consciousness.
True False

15. The agents used, patient's physical status, and patient drug sensitivities all affect the level of sedation a patient will experience.
True False

16. The patient cannot be easily aroused, but responds purposefully following repeated or painful stimulation.
Minimal Sedation
Moderate Sedation
Deep Sedation
Anesthesia

For the following four questions, match the levels of sedation to the correct description:

17. Minimal Sedation

The patient may require assistance in maintaining an adequate airway.	Positive pressure ventilation may be required.
Spontaneous ventilations are adequate to maintain patent airway.	Respiratory and CV functions are unimpaired.

18. Moderate Sedation

The patient may require assistance in maintaining an adequate airway.	Positive pressure ventilation may be required.
Spontaneous ventilations are adequate to maintain patent airway.	Respiratory and CV functions are unimpaired.

19. Deep Sedation

The patient may require assistance in maintaining an adequate airway.	Positive pressure ventilation may be required.
Spontaneous ventilations are adequate to maintain patent airway.	Respiratory and CV functions are unimpaired.

20. Anesthesia

The patient may require assistance in maintaining an adequate airway.	Positive pressure ventilation may be required.
Spontaneous ventilations are adequate to maintain patent airway.	Respiratory and CV functions are unimpaired.

21. The patient is not arousable, even by painful stimulation.
Minimal Sedation
Moderate Sedation
Deep Sedation
Anesthesia

22. Oropharyngeal structures seen in Mallampati Class I:
Soft palate only (uvula not seen)
Soft palate, base of uvula
Soft palate, fauces, base of uvula
Soft palate, fauces, entire uvula, tonsillar pillars

23. Oropharyngeal structures seen in Mallampati Class II:
Soft palate only (uvula not seen)
Soft palate, base of uvula
Soft palate, fauces, base of uvula
Soft palate, fauces, entire uvula, tonsillar pillars

24. Oropharyngeal structures seen in Mallampati Class III:
Soft palate only (uvula not seen)
Soft palate, base of uvula
Soft palate, fauces, base of uvula
Soft palate, fauces, entire uvula, tonsillar pillars

25. Select the correct Mallampati classification seen in the picture.

Class I Class II Class III Class IV

26. Oropharyngeal structures seen in Mallampati Class IV:
Soft palate only (uvula not seen)
Soft palate, base of uvula
Soft palate, fauces, base of uvula
Soft palate, fauces, entire uvula, tonsillar pillars

27. Select the correct Mallampati classification seen in the picture.

Class I Class II Class III Class IV

28. Select all the monitoring parameters for the recovery period.
Neuromuscular Status
Vital Signs
O2 Saturations
Anxiety Level

29. Any patients who have received reversal agents need to be recovered for a minimum of ____ hour(s) after the procedure and/or the last dose of reversal agent.
One half
One
Two
Four

30. There must be documentation of a responsible ________ to transport a patient home (fill in the blank).