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Atrium Health Adult Moderate Sedation Test
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Medical Staff Services
Atrium Health Adult Moderate Sedation Test
Please complete the Adult Moderate Sedation Test in order to request Sedation privileges.
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Last Name:
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Department
1 . Which of the following is NOT a goal of moderate sedation?
A) Mood alteration
B) Elevation of the pain threshold
C) Rapid return of the patient to his or her presedation state
D) Inducing a deep sleep in the patient so that he or she will not remember the procedure
2 . The Joint Commission defines moderate sedation as
A) a depressed level of consciousness
B) no interventions are required to maintain a patent airway and spontaneous ventilation is adequate
C) purposeful response to verbal commands either alone or accompanied by light tactile stimulation
D) All of the above
3 . The ideal agent for moderate sedation would be
A) titratable
B) rapid acting
C) eliminated expeditiously
D) All of the above
4 . Midazolam intravenously has a length of action of
A) one to two minutes after discontinuation of drip
B) five minutes
C) less than two hours
D) more than six hours
5 . Reversal of ketamine can be accomplished using
A) naloxone
B) nalmefene
C) flumazenil
D) Ketamine cannot be reversed
6 . According to the American Society of Anesthesiologists (ASA) Physical Status Classification, which of the following patients would be a good candidate for moderate sedation in most settings?
A) A declared brain-dead patient
B) A patient with mild-to-moderate systemic disease
C) A patient with severe systemic disease that is incapacitating and life-threatening
D) A patient with severe systemic disease with functional limitation that is not incapacitating
7 . Discharge criteria typically includes
A) intact protective reflexes
B) adequate respiratory function and stable vital signs
C) attainment of a preprocedural level of consciousness
D) All of the above
8 . Patient with Mallampati scale with a Class 3 airway, the practitioner would be able to visualize
A) the hard palate only
B) all the oral structures
C) base of the uvula
D) the tongue only
9 . Chest wall rigidity is a complication of
A) Fentanyl
B) Propofol
C) Ketamine
D) Midazolam
10 . Patients at risk of oversedation include
A) obese patients
B) elderly patients
C) pediatric patients
D) All of the above
11 . Which of the following factors increases the risk of a paradoxical reaction during moderate sedation?
A) Older age
B) Hyperoxia
C) Overmedication
D) Administration of pain medications
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