Topical administration of 4% cocaine solution for a septoplasty is an example of a _______________ anesthetic. a. block b. general c. local d. regional

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

The most common approach for a brachial plexus block is a. axillary. b. interscalene. c. supraclavicular. d. infraclavicular.

Which method of anesthesia will most likely be used for an elective cystoscopy on an adult? a. Block b. General c. Local d. Regional

Which local anesthetic is only used topically? a. Carbocaine b. Cocaine c. Mepivacaine d. Sensorcaine

Which statement 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.

Which drug is not a vasoconstrictor? a. Cocaine b. Epinephrine c. Lidocaine d. Norepinephrine

Lidocaine is available for injection in each of the following concentrations except a. 0.5%. b. 1%. c. 2%. d. 4%.

Which statement does not apply to lidocaine? a. Lidocaine is an amide compound. b. Lidocaine is available with epinephrine. c. Lidocaine is fast acting. d. Lidocaine lasts longer than bupivacaine.

Which local anesthetic has the longest duration? a. Bupivacaine b. Cocaine c. Lidocaine with epinephrine d. Mepivacaine

Marcaine is available in each of the following concentrations except a. 0.25%. b. 0.5%. c. 0.75%. d. 1%.

Which is not a correct concentration for epinephrine? a. 1:1000 b. 1:50,000 c. 1:100,000 d. 1:200,000

Which response is not associated with the inadvertent injection of high-concentration epinephrine? a. Cardiac arrest b. Hypertension c. Nausea and vomiting d. Severe tachycardia

Which local anesthetic has the shortest duration? a. Carbocaine b. Marcaine c. Sensorcaine d. Xylocaine

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

Injection of local anesthetic into the nerve plexus that supplies the operative area is generally termed a. local anesthesia b. a regional block c. MAC d. intravenous regional anesthesia (IVRA) (Bier block)

Which statement 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.

For which type of regional block is the anesthetic agent injected into the subarachnoid space? a. Spinal b. Epidural c. Caudal d. Bier block

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

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.

An epidural block is used for all of the following reasons except a. providing anesthesia for cesarean section. b. managing postoperative pain. c. managing pain during labor and vaginal childbirth/ d. providing anesthesia for suprapubic resection of a bladder tumor.

Which regional block requires the anesthetic agent to be injected into the space that surrounds the dura mater via the sacral canal? a. Spinal b. Epidural c. Caudal d. Bier block

Caudal blocks are primarily used for a. cesarean section b. embolectomy of the lower extremity c. vaginal childbirth d. postoperative pain management

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

Extremity blocks for the arm may be established at any of the following nerves’ locations except a. obturator. b. median. c. radial. d. ulnar.

Extremity blocks for the leg may be established at any of the following nerves’ locations except a. obturator. b. brachial. c. femoral. d. sciatic.

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

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.

Which type of block is an intravenous block? a. Axillary b. Bier c. Retrobulbar d. Caudal

To render an extremity bloodless by elevation and constriction is termed a. fasciculation. b. vasoconstriction. c. exsanguination. d. tourniquet application.

Which nerve block requires exsanguination of the affected extremity? a. Axillary b. Bier c. Intrathecal d. Caudal

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

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

Which statement 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.

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.

The precordial stethoscope is taped to the surgical patient’s a. shoulder. b. esophagus. c. chest. d. arm.

_________________ is not considered a dysrhythmia. a. Sinus rhythm b. Bradycardia c. Asystole d. Tachycardia

All are areas where a pulse oximeter can be placed, except a. finger. b. tongue. c. earlobe. d. toe.

An accurate reading of a surgical patient’s core temperature may be taken from which location? a. Forehead b. Mouth c. Esophagus d. Axilla

Capnometry can serve as a valuable tool in the early detection of a. high blood pressure. b. consciousness. c. hypothermia. d. malignant hyperthermia.

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

Which patient 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

How is cocaine 4% administered to the mucosal surface during nasal surgery? a. Injection b. Spray c. Irrigation d. IV

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%

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. True/false

false

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

true