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Atrium Health Pediatric Moderate Sedation Test
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Medical Staff Services
Atrium Health Pediatric Moderate Sedation Test
Please complete the Pediatric Moderate Sedation test in order to request Sedation privileges.
First Name:
Last Name:
Email Address:
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
12 . Transmucosal routes of administration includes which of the following?
A. Oral
B. Sublingual
C. Rectal
D. All of the above
13 . Prior to moderate sedation, pediatric patients should remain NPO for breast milk a minimum of
A. 1 hour.
B. 2 hours.
C. 4 hours.
D. 6 hours.
If you have any questions please contact your Credentialing Specialist.
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