Certified Neuroscience Registered Nurse (CNRN) Practice Exam

What is an example of an intraoperative event that should be reported to the PACU RN?

1. Routine monitoring of vitals

2. Difficult intubation

3. Administering anesthesia

4. Positioning the patient on the table

The correct answer is: Difficult intubation

Difficult intubation is a significant intraoperative event that requires careful monitoring and communication with the postoperative care team, such as the PACU RN. This is because difficult intubation can lead to potential complications, including airway obstruction, respiratory distress, or the need for further interventions, which may affect the patient's recovery process. Reporting this finding ensures that the PACU RN is aware of the challenges faced during surgery and can closely monitor the patient for any immediate postoperative complications related to airway management. In contrast, routine monitoring of vitals is expected and does not typically indicate any complications that require special attention upon transfer to the recovery area. Administering anesthesia is also a standard practice that does not pertain to an unusual intraoperative event; it is part of the surgical process and, while important, does not need to be specifically reported unless there were complications. Positioning the patient on the operating table is a common procedure that is essential for the surgery but does not signify an event that necessitates reporting, unless there are resultant complications or concerns regarding patient safety.