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NBCRNA EXAM 2024
NBCRNA EXAM 2024\2025 WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
- In the elderly, the time needed for clinical recovery from neuromuscular blockade is significantly increased for: A. Cisatracurium B. Vecuronium C. Pipecuronium D. Mivacurium - Accurate Answers✔✔B. Vecuronium
- Considerations for the management of a patient with myotonic dystrophy under general anesthesia should include a(an): A. Anticholinesterase reversal B. Midazolam premedication C. Short-acting nondepolarizer D. Succinylcholine infusion - Accurate Answers✔✔C. Short-acting nondepolarizer
- Which drug would have a normal pharmacokinetic profile in a patient with severe liver disease? A. Pancuronium B. Succinylcholine C. Mivacurium D. Atracurium - Accurate Answers✔✔D. Atracurium
- Which of the following neuromuscular blocking agents is a benzylisoquinoline compound? A. Vecuronium B. Succinylcholine C. Pancuronium D. Mivacurium - Accurate Answers✔✔D. Mivacurium
- When providing positive pressure ventilation via a bag-valve-mask device, inspiratory pressure should be limited to: A. 15 cm H B. 25 cm H C. 40 cm H D. 50 cm H20 - Accurate Answers✔✔B. 25 cm H
- What is the first sign of magnesium toxicity when used for seizure prophylaxis in preeclampsia? A. Respiratory depression B. Hypotension
C. Cardiac conduction defects D. Loss of deep tendon reflexes - Accurate Answers✔✔D. Loss of deep tendon reflexes
- In the hypothermic patient undergoing left atrial to femoral bypass for repair of a thoracolumbar aneurysm, the most common dysrhythmia encountered with atrial cannulation is: A. Atrial fibrillation. B. Bradycardia. C. Junctional rhythm. D. Ventricular tachycardia. - Accurate Answers✔✔A. Atrial fibrillation.
- Intrathecal narcotic administration is associated with: A. Loss of proprioception B. Skeletal muscle weakness C. Selective sensory blockade D. Sympathetic nervous system denervation - Accurate Answers✔✔C. Selective sensory blockade
- A mass spectrometer measures the concentrations of inhaled agents by measuring: A. Intensity of transmitted light B. Paramagnetism C. Molecular weight
D. pH sensitivity - Accurate Answers✔✔C. Molecular weight
- The BEST indicator for CAD in the pre-operative assessment for vascular surgery patients is: A. Electrocardiogram B. History and physical C. Presence of S3 gallop D. Exercise tolerance - Accurate Answers✔✔D. Exercise tolerance
- An increase in the drug half-life in the geriatric population is usually due to: A. Age-associated induction of cytochrome P450 activity B. A shift from first-order to zero-order kinetics C. Reduced liver blood flow D. Increased volume of distribution - Accurate Answers✔✔D. Increased volume of distribution
- What is the MOST likely complication of combined spinal/epidural analgesia during labor and delivery? A. Higher than anticipated dermatome level of analgesia B. Epidural catheter insertion into the intrathecal space C. Epidurally administered drug leakage into the intrathecal space D. Higher incidence of fetal bradycardia - Accurate Answers✔✔C. Epidurally administered drug leakage into the intrathecal space
- Which agent is MOST likely to maintain renal blood flow during periods of induced hypotension? A. Nitroglycerin B. Nitroprusside C. Fenoldopam D. Trimethaphan - Accurate Answers✔✔C. Fenoldopam
- What is the threshold pressure (PSI) for a primary pressure fail-safe device on an anesthesia machine? A. 10 B. 20 C. 30 D. 40 - Accurate Answers✔✔B. 20
- Radial nerve block often can be determined by the patient's inability to perform which of the following actions of the arm? A. Flexion B. Extension C. Pronation D. Adduction - Accurate Answers✔✔B. Extension
- The check valve in the low pressure system is designed to: A. Prevent excessive airway pressures
B. Prevent scavenged gases from reentering the circuit C. Facilitate equipment testing before induction of anesthesia D. Minimize the pumping effect associated with positive-pressure ventilation - Accurate Answers✔✔D. Minimize the pumping effect associated with positive-pressure ventilation
- Autonomic hyperreflexia can: A. Develop immediately after spinal cord injury B. Result in hypotension and tachycardia C. Be prevented by "light" anesthesia D. Be treated with vasodilators or alpha blockers - Accurate Answers✔✔D. Be treated with vasodilators or alpha blockers
- The MOST common preventable critical incident associated with anesthesia equipment is: A. Failure to ventilate caused by circuit disconnection B. Barotrauma caused by excessive positive pressures C. Hypoxia caused by a delivery piping misconnection D. Overdose due to vaporizer cross fill contamination - Accurate Answers✔✔A. Failure to ventilate caused by circuit disconnection
- A patient in the PACU is found to have residual neuromuscular blockade despite reversal with neostigmine and glycopyrrolate. Which of the following would further impair reversal? A. Hyperkalemia
B. Hypoalbuminemia C. Respiratory acidosis due to hypoventilation D. Residual synthetic opioids - Accurate Answers✔✔C. Respiratory acidosis due to hypoventilation