Moderate Sedation Test
Adult/Geriatric
Circle the correct answer for each question:
1) The intent of Moderate Sedation is to obtund, dull or reduce the awareness of pain:
a) without loss of consciousness
b) with resulting loss of protective reflexes
c) with resulting drop in blood pressure
d) with resulting depression of respirations
2) The desired effect of Moderate Sedation is for the patient to:
a) be unaware of anything that is going on around them
b) be able to hear but not respond
c) remain arousable and able to respond
d) assist with the procedure if necessary
3) Moderate Sedation may only be administered:
a) Intravenously
b) by a Registered Nurse
c) in the presence of a physician with moderate sedation privileges
d) after a pre-op has been given
4) Minimal Sedation is characterized by:
a) normal respirations, normal eye movements, and diminished protective reflexes
b) decreased respirations, normal eye movements, and intact protective reflexes
c) intact protective reflexs, normal eye movements,and normal respirations
d) normal respirations, rapid eye movement, and intact protective reflexes
5) Moderate Sedation is characterized by the patient's ability to maintain:
a) a patent airway, protective reflexes and responsiveness to physical stimulation and verbal commands
b) a patent airway, large variations in blood pressure, and minimal urinary output
c) protective reflexes, responsiveness only to deep painful stimulation, and corneal reflexes
d) normal respiratory rate, normal blood pressure and absence of verbal responses
6) Deep Sedation is defined as a medically controlled state of depressed consciousness or unconsciousness that may:
a) have loss of protective reflexes
b) not alter patient’s alertness
c) not alter responsiveness to verbal commands
d) not alter response to light tactile stimulation
7) The patient who has slipped into a state of general anesthesia may exhibit which of the following signs and
symptoms:
a) intact protective reflexes
b) purposeful responses to repeated or painful stimulation
c) awareness of environment
d) depressed spontaneous ventilation or drug-induced depression of neuromuscular function
8) A patient who is receiving Moderate Sedation and has been assessed as a level “2” on the approved Sedation Scale
would be described as:
a) frequently drowsy, arousable, drifts off to sleep during conversation
b) occasionally drowsy, easy to arouse
c) awake and alert
d) Somnolent, minimal or no response to stimuli
9) All of the following pieces of emergency equipment must be immediately accessible to all locations where
Moderate Sedation is being administered except:
a) Suction
b) oxygen
c) ventilator
d) EKG monitor/defibrillator
10) The patients heart rate, respiratory rate, blood pressure and pulse oximetry must be monitored:
a) every 15 minutes
b) continuously
c) every 10 minutes
d) every 5 minutes
11) The half life of Narcan is 1 – 1.5 hours. It is important to monitor Moderate Sedation patients for an
additional 2 hours for respiratory depression after using a reversal agent because:
a) The patient can experience amnesia
b) Resedation can occur
c) They are at increased risk for aspiration
d) Hypersensitivity can occur
12) Romazicon can cause seizures in patients who:
a) are elderly
b) use benzodiazepines to control their seizures
c) are heavy alcohol consumers
d) use barbiturates
13) The pre-procedure documentation requirements of physicians who are credentialed to administer
moderate sedation include all of the following except:
a) History & Physical (dictated or handwritten)
b) Presedation Assessment of Physical Status Classification & airway assessment
c) Plan for anesthesia
d) Discharge Criteria
14) Reversal agents which are appropriate for narcotics are:
1) Romazicon 2) Narcan 3) Aminophylline 4) Revex
a) 1 & 2
b) 2 & 4
c) 3 & 4
d) 1 & 4
15) The reversal agent for Benzodiazepines is:
a) Romazicon
b) Narcan
c) Stadol
d)Aminophylline
16) According to the guidelines for Moderate Sedation, the adult dosage of Fentanyl (Sublimaze) is:
a) 50 - 100 mg
b) 0.05 - 0.20 mg
c) 50 - 100 mcg
d) 20 - 40 mg
17) In healthy adults, Versed (Midazolam) should be titrated at the rate of:
a) no more than 1 mg over a three minute period
b) 1mg to begin with and titrate slowly up to slurred speech
c) a minimum 2.5mg over a one minute period
d) up to 5mg over a one minute period
18) For elderly or debilitated patients receiving Valium for Moderate Sedation the recommended dosage is:
a) 5 – 20 mg
b) 10 - 20 mg
c) 2 – 20 mg
d) 2 – 5 mg
19) Moderate Sedation is generally achieved when there is slurred speech, but the patient is arousable:
a) True
b) False
20) Level four of the Sedation Scale is the ultimate goal of Moderate Sedation:
a) True
b) False
Moderate Sedation Test
Pediatric/Neonatal
Pediatric Questions:
1) Chloral Hydrate is to be administered orally to a 20kg child. Which of the following doses falls within the proper
dosing range:
a) 100mg
b) 250mg
c) 1000mg
d) 2500mg
2) When administering Demerol alone or in combination with other medications for sedation, the nurse should be
monitoring closely for _____________________ in addition to other Moderate Sedation parameters.
a) hypertension
b) seizures
c) tachycardia
d) amnesia
3) Romazicon may be used as a reversal agent for Chloral Hydrate.
a) True
b) False
4) Approximately 12% of patients receiving IV Ketamine experience
a) emergence reactions accompanied by hallucinations
b) a drop in O2 saturation requiring supplemental oxygen
c) immediate sedation with no side effects
d) prolonged sedation requiring reversal with Narcan
5) Moderate Sedation of the pediatric patient in an outpatient setting encourages the administration of oral sedation
medications at home prior to arrival for procedure.
a) True
b) False
Neonatal Questions:
1) Versed is ordered for a 31-week neonate weighing 3200 grams. An appropriate dose is:
a) 0.32 - 0.8 mg
b) 0.8 - 1.2 mg
c) 3.2 mg
d) 0.2 - 0.5 mg
2) A 30 week neonate is intubated and Valium is ordered. The reversal agent for Valium is:
a) Naloxone
b) Fentanyl
c) Flumazenil
d) Thorazine
3) The neonate on a ventilator can still receive Moderate Sedation.
a) True
b) False
4) A neonate is given Chloral Hydrate in order to have a CT scan. This is Moderate Sedation.
a)True
b)False
Moderate Sedation Test
Answer Sheet
Date_________________
Department_________________________
Name_____________________________________
Score_____________
Doctor #_________________
Adult/GeriatricTest
Pediatric Questions
Neonatal Questions
1)____
1)____
1)____
2)____
2)____
2)____
3)____
3)____
3)____
4)____
4)____
4)____
5)____
5)____
6)____
7)____
8)____
9)____
10)____
11)____
12)____
13)____
14)____
15)____
16)____
17)____
18)____
19)____
20)____