These CRNA practice questions target management — including TNS, Transient Neurological Symptoms, MABL, Maximum Allowable Blood Loss. The complete CRNA deck holds 1050 flashcards, 190 of them dedicated to this topic. Study the free samples below, then unlock the whole collection for a one-time $7.
190
Cards on this topic
1050
Total CRNA cards
$7
Full access
A patient develops sudden tachycardia and rising EtCO2 (65 mmHg) despite hyperventilation during a laparoscopic cholecystectomy with Sevoflurane. What is the immediate first step in management according to 2026 MHAUS guidelines?
Show answer →The immediate first step is to discontinue the triggering agent (volatile anesthetics/succinylcholine) and hyperventilate with 100% O2 at 10+ L/min. Do NOT waste time changing the circuit or CO2 absorbent. Call for help and the MH cart. Exam Strategy: NBCRNA often tests the first action. While Dantrolene is the definitive treatment, stopping the trigger and hyperventilation are the immediate priorities. If Call for help is an option, it is often prioritized simultaneously. Use charcoal filters if available to rapidly clear residual gas.
Which local anesthetic concentration and patient positioning are most strongly associated with the development of Transient Neurological Symptoms (TNS) following spinal anesthesia?
Show answer →Agent: Lidocaine (especially concentrations >2%, and hyperbaric formulations). Positioning: Lithotomy and Knee-Arthroscopy positions are the highest risk. Risk is lower with bupivacaine, ropivacaine, or 2-chloroprocaine. Exam Focus: If a question asks for the best way to reduce TNS risk in a lithotomy patient, the answer is usually switching to bupivacaine or avoiding lidocaine.
How does the flexed lateral decubitus (kidney) position affect venous return and what is the primary mechanism?
Show answer →Flexion of the table can cause significant compression of the Inferior Vena Cava (IVC), leading to decreased venous return, decreased cardiac output, and sudden hypotension. This position also compromises the dependent lung's ventilation further due to abdominal pressure. NBCRNA Focus: Be prepared for sudden hemodynamic instability upon table flexion; ensure the kidney rest is under the iliac crest, not the ribs.
A 4-kg neonate is undergoing emergency abdominal surgery. What is the calculated Maximum Allowable Blood Loss (MABL) if the starting Hct is 45% and the target Hct is 30%?
Show answer →First, calculate Estimated Blood Volume (EBV) for a neonate (~90 mL/kg): 4 kg x 90 mL/kg = 360 mL. Use the formula: MABL = [EBV x (Hct initial - Hct target)] / Hct initial. MABL = [360 x (45 - 30)] / 45 = [360 x 15] / 45 = 120 mL. Clinical Pearl: Neonates have the highest EBV per kg (90-100 mL/kg), while premature infants are even higher (100-110 mL/kg). Exam Tip: Ensure you use the correct EBV for the age group. Distractors will use 70 mL/kg (adult) or 80 mL/kg (older child) to lead you to the wrong MABL.
How does acute opioid intoxication versus chronic opioid use typically affect the Minimum Alveolar Concentration (MAC) of volatile anesthetics?
Show answer →Acute Intoxication: Decreases MAC due to additive CNS depression and synergistic effects with volatile agents. Chronic Use: Often results in tolerance, which may slightly increase MAC or have no effect, but the patient will require significantly higher intraoperative and postoperative opioid doses (cross-tolerance). Exam Tip: Differentiate between acute and chronic effects; acute intoxication is an immediate safety risk for respiratory depression and aspiration.
Keep going
You just saw a few. The full deck covers every CRNA topic.
One-time payment · less than 1¢ per card · 30-day money-back guarantee
Try 30 free CRNA cards firstThe full CRNA deck contains 1050 flashcards, and 190 of them focus on management. This page shows 5 free samples.
Our CRNA deck dedicates 190 of 1050 cards (18%) to management — always cross-check the official NBCRNA exam outline for the current blueprint weighting.
Yes — the samples on this page are free, and the CRNA preview page has 30 more free cards. Full access to all 1050 cards is a one-time $7.
Assessment
30 cards
Diagnostics
60 cards
Equipment
80 cards
Pathology
130 cards
Pharmacology
150 cards
Physiology
150 cards
Procedures
210 cards
CRNA practice test
20 mixed questions across every topic, with answers — see where you stand →
CRNA study guide
Topic weights, difficulty breakdown and a 5-step study plan →
Eligibility rules, fees, question counts and passing standards are set by the certifying body and change over time. Always confirm them at the source before you apply or schedule your exam — our flashcards are practice material, not the official handbook.