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</p> <section data-block="SingleChoice"> <h3>Which of the following is the preferred method of anesthesia for cesarean delivery when there are no contraindications?</h3> <ul> <li>General anesthesia</li> <li>Neuraxial anesthesia</li> <li>Local infiltration anesthesia</li> <li>Total intravenous anesthesia (TIVA)</li> </ul> </section> <section data-block="SingleChoice"> <h3>What is a key physiologic change during pregnancy that affects neuraxial anesthesia?</h3> <ul> <li>Decreased epidural venous plexus</li> <li>Increased spinal cerebrospinal fluid (CSF) volume</li> <li>Increased epidural venous plexus</li> <li>Decreased cardiac output</li> </ul> </section> <section data-block="SingleChoice"> <h3>Which of the following conditions is an absolute contraindication for neuraxial analgesia?</h3> <ul> <li>Maternal request for analgesia</li> <li>Chronic hypertension</li> <li>Severe maternal hypovolemia</li> <li>Gestational diabetes</li> </ul> </section> <section data-block="SingleChoice"> <h3>Why is it preferred to use chlorhexidine gluconate for skin preparation before neuraxial procedures?</h3> <ul> <li>It has a pleasant odor for patients</li> <li>It provides immediate action and residual antimicrobial activity</li> <li>It is more effective than alcohol-based solutions for all patients</li> <li>It is the only approved antiseptic for neuraxial anesthesia</li> </ul> </section> <section data-block="SingleChoice"> <h3>Which of the following opioid-sparing strategies is recommended for post-cesarean pain management?</h3> <ul> <li>Multimodal analgesia including NSAIDs and acetaminophen</li> <li>Sole reliance on intravenous morphine</li> <li>Continuous epidural fentanyl infusion without adjuncts</li> <li>Early administration of high-dose opioids</li> </ul> </section> <section data-block="SingleChoice"> <h3>What is the most appropriate initial intervention for spinal-induced hypotension during cesarean delivery?</h3> <ul> <li>Phenylephrine 50-100 mcg IV bolus</li> <li>Epinephrine 1 mg IV push</li> <li>Immediate administration of naloxone</li> <li>Trendelenburg positioning of the patient</li> </ul> </section> <section data-block="SingleChoice"> <h3>What is the first-line treatment for eclampsia in an obstetric patient?</h3> <ul> <li>Magnesium sulfate</li> <li>Phenytoin</li> <li>Midazolam</li> <li>Sodium bicarbonate</li> </ul> </section> <section data-block="SingleChoice"> <h3>Which of the following is a primary concern with general anesthesia in obstetric patients?</h3> <ul> <li>Delayed emergence</li> <li>Risk of aspiration and difficult airway management</li> <li>Reduced effectiveness of muscle relaxants</li> <li>Excessive oxygenation</li> </ul> </section> <section data-block="SingleChoice"> <h3>What is a major risk factor for postpartum hemorrhage that anesthesia providers must consider?</h3> <ul> <li>Uterine atony</li> <li>Fetal macrosomia alone</li> <li>Early administration of oxytocin</li> <li>Use of epidural anesthesia</li> </ul> </section> <section data-block="SingleChoice"> <h3>When managing an amniotic fluid embolism, which of the following actions is most critical?</h3> <ul> <li>Immediate administration of diuretics</li> <li>Rapid airway management and cardiovascular support</li> <li>Encouraging maternal hyperventilation</li> <li>Waiting for laboratory confirmation before intervening</li> </ul> </section> <p> </p> <p>
</p> <section data-block="SingleChoice"> <h3>Which of the following are the signs of Cushing’s triad?</h3> <ul> <li>Hypotension, tachycardia, and respiratory distress</li> <li>Hypertension, bradycardia, and respiratory rhythm irregularity</li> <li>Hypotension, bradycardia, and hyperventilation</li> <li>Hypertension, tachycardia, and apnea</li> </ul> </section> <section data-block="SingleChoice"> <h3>In which year did Congress pass legislation providing CRNAs direct reimbursement under Medicare?</h3> <ul> <li>1975</li> <li>1986</li> <li>1990</li> <li>2001</li> </ul> </section> <section data-block="SingleChoice"> <h3>In which year was the National Association of Nurse Anesthetists (NANA) founded?</h3> <ul> <li>1915</li> <li>1931</li> <li>1939</li> <li>1956</li> </ul> </section> <section data-block="SingleChoice"> <h3>Up to ____% of working nurses exhibit signs of Substance Use Disorder?</h3> <ul> <li>20%</li> <li>5%</li> <li>10%</li> <li>15%</li> </ul> </section> <section data-block="SingleChoice"> <h3>Which of the following are the five nerves to be blocked in an ankle block?</h3> <ul> <li>Femoral, sciatic, sural, deep peroneal, superficial peroneal</li> <li>Tibial, saphenous, obturator, sciatic, sural</li> <li>Deep peroneal, superficial peroneal, tibial, saphenous, sciatic</li> <li>Deep peroneal, superficial peroneal, sural, tibial, saphenous</li> </ul> </section> <p> </p> <p>
</p> <section data-block="SingleChoice"> <h3>What is the primary purpose of conducting a trial case in the Enhanced Recovery After Surgery (ERAS) pathway?</h3> <ul> <li>To assess patient satisfaction</li> <li>To identify successes and gaps in preparation and execution</li> <li>To promote the hospital’s reputation</li> </ul> </section> <section data-block="SingleChoice"> <h3>Which of the following is essential for supporting the coordination of care across various practice settings in the ERAS pathway?</h3> <ul> <li>Face-to-face communication only</li> <li>Electronic health records (EHR)</li> <li>Patient’s family members</li> </ul> </section> <section data-block="SingleChoice"> <h3>In the prehospital/preadmission phase, which aspect is critical to the success of the ERAS program?</h3> <ul> <li>Patient education and expectation management</li> <li>Selecting the best hospital room</li> <li>Avoiding preoperative medication</li> </ul> </section> <section data-block="SingleChoice"> <h3>What is a common patient-related barrier to the implementation of the ERAS pathway?</h3> <ul> <li>Lack of available medications</li> <li>Understanding changes in perioperative processes</li> <li>Unavailability of qualified surgeons</li> </ul> </section> <section data-block="SingleChoice"> <h3>What are some types of multimodal analgesia that should be considered for the patient?</h3> <ul> <li>Non-opioids (e.g., acetaminophen, NSAIDs)</li> <li>Regional blocks</li> <li>Music therapy</li> <li>All of the above</li> </ul> </section> <p> </p> <p>