Deck 14: Patient Monitoring and Local and Regional Anesthesia

Question 1

Local anesthesia blocks the transmission of pain impulses to the brain; as a result,the patient cannot feel pain but is able to move and feel pressure.

Answer 1

False

Question 2

The generic name for Marcaine is

A)bupivacaine.
B)cocaine.
C)lidocaine.
D)mepivacaine.

Answer 2

bupivacaine.

Question 3

Which method of anesthesia will most likely be used for an elective cystoscopy on an adult?

A)Block
B)General
C)Local
D)Regional

Answer 3

Local

Question 4

The generic name for Xylocaine is

A)bupivacaine.
B)cocaine.
C)lidocaine.
D)mepivacaine.

Question 5

The generic name for Sensorcaine is

A)bupivacaine.
B)cocaine.
C)lidocaine.
D)mepivacaine.

Question 6

Which one of the following local anesthetics is never injected?

A)Bupivacaine
B)Cocaine
C)Lidocaine
D)Mepivacaine

Question 7

The brand name for mepivacaine is

A)Carbocaine.
B)Marcaine.
C)Sensorcaine.
D)Xylocaine.

Question 8

The brand name for lidocaine is

A)Carbocaine.
B)Marcaine.
C)Sensorcaine.
D)Xylocaine.

Question 9

Cocaine is a controlled substance and when used in the surgical unit must never be left unattended.

Question 10

Which one of the following is not a vasoconstrictor?

A)Cocaine
B)Epinephrine
C)Lidocaine
D)Norepinephrine

Question 11

Which one of the following agents is not an amide anesthetic?

A)Bupivacaine
B)Cocaine
C)Lidocaine
D)Mepivacaine

Question 12

Which one of the following local anesthetics is only used topically?

A)Carbocaine
B)Cocaine
C)Mepivacaine
D)Sensorcaine

Question 13

Anesthesia that is administered at the surgical site is a _____________ anesthetic.

A)block
B)general
C)local
D)regional

Question 14

Lidocaine is available for injection in each of the following concentrations except

A)0.5%.
B)1%.
C)2%.
D)4%.

Question 15

The most common approach for a brachial plexus block is

A)axillary.
B)interscalene.
C)supraclavicular.
D)infraclavicular.

Question 16

The brand name for bupivacaine is

A)Carbocaine.
B)Marcaine.
C)Novocaine.
D)Xylocaine.

Question 17

The generic name for Carbocaine is

A)bupivacaine.
B)cocaine.
C)lidocaine.
D)mepivacaine.

Question 18

Which one of the following statements is not true of cocaine used in surgery?

A)Available in 4% and 10% solutions.
B)4% solution may be administered intravenously.
C)May be sprayed on the mucous membrane.
D)May be placed topically on nasal packing.

Question 19

Topical administration of 4% cocaine solution for a septoplasty is an example of a _______________ anesthetic.

A)block
B)general
C)local
D)regional

Question 20

A healthy 32-year-old woman is scheduled for elective excision of a nevus from her right shoulder.Which method of anesthesia is likely to be used?

A)Block
B)General
C)Local
D)Regional

Question 21

Which one of the following responses is not associated with the inadvertent injection of high-concentration epinephrine?

A)Cardiac arrest
B)Hypertension
C)Nausea and vomiting
D)Severe tachycardia

Question 22

Extremity blocks for the leg may be established at any of the following nerves' locations except

A)obturator.
B)brachial.
C)femoral.
D)sciatic.

Question 23

Which one of the following local anesthetics has the shortest duration?

A)Carbocaine
B)Marcaine
C)Sensorcaine
D)Xylocaine

Question 24

Which one of the following statements does not apply to regional blocks?

A)Sensory nerve supply is affected.
B)Motor nerve supply is affected.
C)Epidural anesthesia is one example.
D)They may be used for all types of surgical procedures.

Question 25

An 82-year-old patient is scheduled for colonoscopy.What form of anesthesia is most likely to be planned?

A)Local
B)Regional block
C)Monitored anesthesia care (MAC)
D)General

Question 26

An axillary approach for arm block requires the injection of local anesthetic agents at which nerve network?

A)Brachial plexus
B)Pampiniform plexus
C)Pectoralis bundle
D)Obturator bundle

Question 27

Which one of the following is not an indication for epidural block?

A)Provides anesthesia for cesarean section
B)Manages postoperative pain
C)Manages pain during labor and vaginal childbirth
D)Provides anesthesia for suprapubic resection of a bladder tumor

Question 28

For which type of regional block is the anesthetic agent injected into the space that surrounds the dura mater?

A)Spinal
B)Epidural
C)Caudal
D)Bier block

Question 29

Which type of regional block requires a needle to be inserted between the vertebral bodies and through the dura mater?

A)Spinal
B)Epidural
C)Caudal
D)Bier block

Question 30

Which local anesthetic has the longest duration?

A)Bupivacaine
B)Cocaine
C)Lidocaine with epinephrine
D)Mepivacaine

Question 31

Which is not a correct concentration for epinephrine?

A)1:1000
B)1:50,000
C)1:100,000
D)1:200,000

Question 32

Which one of the following statements does not apply to lidocaine?

A)Is an amide compound
B)Is available with epinephrine
C)Is fast acting
D)Lasts longer than bupivacaine

Question 33

For which type of regional block is the anesthetic agent injected into the subarachnoid space?

A)Spinal
B)Epidural
C)Caudal
D)Bier block

Question 34

Spinal anesthesia may be used for any of the following surgical procedures except

A)cesarean section.
B)embolectomy of the lower extremity.
C)intestinal resection.
D)transurethral resection of prostate.

Question 35

Which regional block requires that the anesthetic agent be injected into the space that surrounds the dura mater via the sacral canal?

A)Spinal
B)Epidural
C)Caudal
D)Bier block

Question 36

Marcaine is available in each of the following concentrations except

A)0.25%.
B)0.5%.
C)0.75%.
D)1%.

Question 37

Injection of local anesthetic into the nerve plexus that supplies the operative area is generally termed which one of the following?

A)Local anesthesia
B)Regional block
C)MAC
D)Intravenous regional anesthesia (IVRA) (Bier block)

Question 38

Extremity blocks for the arm may be established at any of the following nerves' locations except

A)obturator.
B)median.
C)radial.
D)ulnar.

Question 39

Which regional block requires that the anesthetic agent be injected into the muscle cone behind the eye?

A)Retrobulbar
B)Bier
C)Intrathecal
D)MAC

Question 40

Caudal blocks are primarily used for which one of the following?

A)Cesarean section
B)Embolectomy of the lower extremity
C)Vaginal childbirth
D)Postoperative pain management

Question 41

Which one of the following statements does not apply to Bier blocks?

A)They are a fast and effective method of anesthesia for reduction of fractures.
B)An intravenous (IV) line is established in the affected extremity.
C)A pneumatic tourniquet is applied to the affected extremity.
D)A local anesthetic agent is introduced through the IV line after the tourniquet has been inflated.

Question 42

Match the following terms with the correct definitions.
Listening to the sounds of the heart and lungs

A)Asystole
B)Auscultation
C)Blood pressure
D)Bradycardia
E)Capnometry
F)Dysrhythmia
G)Electrocardiography
H)Electroencephalogram
I)Exsanguination
J)Precordial

Question 43

An accurate reading of a surgical patient's core temperature may be taken from which location?

A)Forehead
B)Mouth
C)Esophagus
D)Axilla

Question 44

Match the following terms with the correct definitions.
Abnormal cardiac rhythm

A)Asystole
B)Auscultation
C)Blood pressure
D)Bradycardia
E)Capnometry
F)Dysrhythmia
G)Electrocardiography
H)Electroencephalogram
I)Exsanguination
J)Precordial

Question 45

The surgical patient's heart rate and rhythm are continually assessed using

A)a pulse oximeter.
B)a blood pressure cuff.
C)a capnometer.
D)electrocardiography.

Question 46

During open heart surgery,which advanced monitoring technique is used to assess cardiac function?

A)CVP line
B)Swan-Ganz catheter
C)TEE
D)ECG

Question 47

Which of the following patients would be the best candidate for monitoring by a registered nurse under local anesthesia?

A)Mentally challenged patient
B)10-month-old infant for circumcision
C)25 year old with pacemaker
D)82 year old for total knee repair

Question 48

Which piece of equipment is essential to perform an IVRA (Bier block)for a carpal tunnel release?

A)Nerve stimulator
B)Consciousness monitor
C)Tourniquet
D)Pulse oximeter

Question 49

An IVRA (Bier block)may be used for procedures such as

A)excision of a nevus on the shoulder.
B)removal of a groin nodule.
C)carpal tunnel release.
D)inferior rectus release.

Question 50

Match the following terms with the correct definitions.
Absence of heart beat

A)Asystole
B)Auscultation
C)Blood pressure
D)Bradycardia
E)Capnometry
F)Dysrhythmia
G)Electrocardiography
H)Electroencephalogram
I)Exsanguination
J)Precordial

Question 51

All are areas where a pulse oximeter can be placed,except

A)finger.
B)tongue.
C)earlobe.
D)toe.

Question 52

How is cocaine 4% administered to the mucosal surface during nasal surgery?

A)Injection
B)Spray
C)Irrigation
D)IV

Question 53

Which one of the following blocks requires exsanguination of the affected extremity?

A)Axillary
B)Bier
C)Intrathecal
D)Caudal

Question 54

The precordial stethoscope is taped to the surgical patient's

A)shoulder.
B)esophagus.
C)chest.
D)arm.

Question 55

Which local anesthetic is not recommended for use for obstetrical epidural anesthesia?

A)Lidocaine 1%
B)Bupivacaine 0.75%
C)Ropivacaine 0.5%
D)Mepivacaine 1.5%

Question 56

Which of the following is not a dysrhythmia that the surgical technologist should be familiar with?

A)Sinus rhythm
B)Bradycardia
C)Asystole
D)Tachycardia

Question 57

To render an extremity bloodless by elevation and constriction is termed

A)fasciculation.
B)vasoconstriction.
C)exsanguination.
D)tourniquet application.

Question 58

Capnometry can serve as a valuable tool in the early detection of

A)high blood pressure.
B)consciousness.
C)hypothermia.
D)malignant hyperthermia.

Question 59

Which statement does not apply to axillary blocks?

A)The arm must first be exsanguinated.
B)30 to 40 mL of local is injected.
C)They make the entire arm numb.
D)They may be used for procedures from elbow to fingers.

Question 60

Which one of the following is an intravenous block?

A)Axillary
B)Bier
C)Retrobulbar
D)Caudal

Question 61

Match the following terms with the correct definitions.
Measure of the force of blood against the arterial walls

A)Asystole
B)Auscultation
C)Blood pressure
D)Bradycardia
E)Capnometry
F)Dysrhythmia
G)Electrocardiography
H)Electroencephalogram
I)Exsanguination
J)Precordial

Question 62

Match the following terms with the correct definitions.
Measure of expired carbon dioxide

A)Asystole
B)Auscultation
C)Blood pressure
D)Bradycardia
E)Capnometry
F)Dysrhythmia
G)Electrocardiography
H)Electroencephalogram
I)Exsanguination
J)Precordial

Question 63

Define the following acronyms.
a. ABG
b. CVP
c. MAC
d. PVC

Question 64

Match the following types of patient monitoring to the parameters they measure.
Force of blood against vessel walls

A)Auscultation
B)Blood pressure
C)Capnometry
D)Electrocardiography
E)Pulse oximetry

Question 65

Match the following terms with the correct definitions.
Render bloodless

A)Asystole
B)Auscultation
C)Blood pressure
D)Bradycardia
E)Capnometry
F)Dysrhythmia
G)Electrocardiography
H)Electroencephalogram
I)Exsanguination
J)Precordial

Question 66

Match the following types of patient monitoring to the parameters they measure.
Heart rate and rhythm

A)Auscultation
B)Blood pressure
C)Capnometry
D)Electrocardiography
E)Pulse oximetry

Question 67

Match the following types of patient monitoring to the parameters they measure.
Expired carbon dioxide

A)Auscultation
B)Blood pressure
C)Capnometry
D)Electrocardiography
E)Pulse oximetry

Question 68

Match the following terms with the correct definitions.
Record of electrical activity of the brain

A)Asystole
B)Auscultation
C)Blood pressure
D)Bradycardia
E)Capnometry
F)Dysrhythmia
G)Electrocardiography
H)Electroencephalogram
I)Exsanguination
J)Precordial

Question 69

Match the following terms with the correct definitions.
Process of recording electrical activity of the heart

A)Asystole
B)Auscultation
C)Blood pressure
D)Bradycardia
E)Capnometry
F)Dysrhythmia
G)Electrocardiography
H)Electroencephalogram
I)Exsanguination
J)Precordial

Question 70

Match the following types of patient monitoring to the parameters they measure.
Oxygen saturation of blood

A)Auscultation
B)Blood pressure
C)Capnometry
D)Electrocardiography
E)Pulse oximetry

Question 71

Match the following terms with the correct definitions.
Pertaining to the anterior surface of the body overlying the heart

A)Asystole
B)Auscultation
C)Blood pressure
D)Bradycardia
E)Capnometry
F)Dysrhythmia
G)Electrocardiography
H)Electroencephalogram
I)Exsanguination
J)Precordial

Question 72

Match the following types of patient monitoring to the parameters they measure.
Sounds of the chest

A)Auscultation
B)Blood pressure
C)Capnometry
D)Electrocardiography
E)Pulse oximetry

Question 73

Match the following terms with the correct definitions.
Slow heart rate

A)Asystole
B)Auscultation
C)Blood pressure
D)Bradycardia
E)Capnometry
F)Dysrhythmia
G)Electrocardiography
H)Electroencephalogram
I)Exsanguination
J)Precordial