CAPA

CAPA® Question of the Week

Each Wednesday at 6am ET, ABPANC will post a CPAN® and a CAPA® study question. Use these questions to test your knowledge, display in your unit and discuss with your colleagues. The answer, along with the next week’s question, will be posted the following Wednesday at 6am.

For each question, we will post the reference from ABPANC’s Study References List, as well as the domain and content area information from the Test Blueprint. For more questions and answers, you can purchase up to 4 Practice Exams.

View all CPAN questions below, or view all CPAN questions.

Question of the Week

February 14, 2024

The purpose of administering metoclopramide during the preoperative period is to:

  1. control intraoperative anesthesia requirements.
  2. potentiate the effects of benzodiazepines.
  3. promote gastric emptying.
  4. increase gastric pH.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Monitoring and Intervention: Pharmacology, pharmacodynamics, and pharmacokinetics" Major: 3 Minor: L

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 411

Question of the Week

January 31, 2024

For a 9-year-old patient, the most appropriate preoperative teaching approach focuses on:

  1. audiovisual material that explains what to expect.
  2. avoiding unnecessary separation from the parent.
  3. verbal explanations of what will happen.
  4. instructions relayed to the parents.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Care Considerations: Individualized patient care: Psychosocial factors" Major: 4 Minor: B

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 388

Question of the Week

January 17, 2024

The major symptom of compartment syndrome is:

  1. hypertension.
  2. diminished pulse pressure.
  3. excessive pain.
  4. spasticity.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Monitoring and Intervention: Abnormal physiological conditions" Major: 3 Minor: D

Reference: Critical Care Nursing Diagnosis and Management pg 794

Question of the Week

January 3, 2024

When caring for an elderly patient after spinal anesthesia, resolution may be prolonged because:

  1. the lean-to-fat ratio is altered.
  2. drug elimination is delayed.
  3. nerve transmission is impaired.
  4. more anesthetic is required.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Anesthesia: Anesthesia considerations for special populations: Geriatric" Major: 1 Minor: D

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 738

Question of the Week

December 20, 2023

The major symptom of compartment syndrome is:

  1. hypertension.
  2. diminished pulse pressure.
  3. excessive pain.
  4. spasticity.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Monitoring and Intervention: Abnormal physiological conditions" Major: 3 Minor: D

Reference: Critical Care Nursing Diagnosis and Management pg 794

Question of the Week

December 6, 2023

When caring for an elderly patient after spinal anesthesia, resolution may be prolonged because:

  1. the lean-to-fat ratio is altered.
  2. drug elimination is delayed.
  3. nerve transmission is impaired.
  4. more anesthetic is required.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Anesthesia: Anesthesia considerations for special populations: Geriatric Major: 1 Minor: D

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 738

Question of the Week

November 22, 2023

To lessen vertigo, nausea, and vomiting immediately following tympanoplasty, the perianesthesia nurse places the patient in which optimal position?

  1. Semi-Fowler's at 45 degrees
  2. Lateral on the operated side
  3. Position of comfort
  4. Lateral on the unoperated side

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Monitoring and Intervention: Postoperative nausea and vomiting (PONV)" Major: 3 Minor: N

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 459

Question of the Week

November 8, 2023

An early sign of a malignant hyperthermia crisis is:

  1. skin flushing.
  2. profound fever.
  3. masseter muscle rigidity.
  4. pink-tinged urine.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Monitoring and Intervention: Perianesthesia-specific emergencies" Major: 3 Minor: O

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 729, 766

Question of the Week

October 25, 2023

Visits by family or significant others to patients in the PACU has been shown to:

  1. increase length of stay.
  2. decrease staffing requirements.
  3. decrease anxiety level.
  4. increase anxiety level.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Professional Nursing Practice and Guidelines : Evidence-based practice" Major: 5 Minor: B

Reference: Perianesthesia Nursing Standards pg 72-75

Question of the Week

October 11, 2023

A perianesthesia nurse plans to remove the laryngeal mask airway (LMA) when the patient can:

  1. blink.
  2. open their eyes on command.
  3. open their mouth on command.
  4. swallow.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Monitoring and Intervention: Airway management" Major: 3 Minor: G

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 428

Question of the Week

September 27, 2023

The drug of choice for the treatment of malignant hyperthermia is:

  1. fentanyl.
  2. sodium bicarbonate.
  3. dantrolene.
  4. lidocaine.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Professional Nursing Practice and Guidelines: Malignant Hyperthermia Association of the United States (MHAUS) guidelines/protocol Major: 5 Minor: F

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 770 Critical Care Nursing Diagnosis and Management pg 1000

Question of the Week

September 13, 2023

A patient who has undergone a transurethral resection of the prostate (TURP) suddenly displays restlessness, tremors, and disorientation. The perianesthesia nurse anticipates administering:

  1. lactated Ringer's solution and midazolam IV.
  2. D5/W with potassium 20 mEq/L and diazepam IV.
  3. 3% sodium chloride and furosemide IV.
  4. normal saline and morphine sulfate IV.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Physiology: Physical responses to procedures and anesthesia Major: 2 Minor: C

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg413

Question of the Week

August 30, 2023

During the stir-up regimen, the most important element of lung volume enhancement is the:

  1. timing of the cough.
  2. expiratory effort.
  3. number of deep breaths.
  4. inspiratory hold.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Monitoring and Intervention: Airway management" Major: 3 Minor: G

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 389-390 Critical Care Nursing Diagnosis and Management pg 990-991

Question of the Week

August 16, 2023

The perianesthesia nurse is aware that according to ACLS guidelines, dopamine is the drug of choice for clinically significant hypotension when:

  1. hypokalemia is absent.
  2. hypovolemia is present.
  3. hypokalemia is present.
  4. hypovolemia is absent.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Professional Nursing Practice and Guidelines: ACLS guidelines" Major: 5 Minor: C

Reference: ACLS Provider Manual, 2020: Pharmacology table

Question of the Week

August 2, 2023

During the administration of bupivacaine locally, some of the medication is accidentally administered IV. When the patient develops ventricular arrhythmias, the perianesthesia nurse anticipates the administration of:

  1. amiodarone.
  2. diphenhydramine.
  3. adenosine.
  4. lidocaine.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Monitoring and Intervention: Perianesthesia-specific emergencies" Major: 3 Minor: O

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 327

Question of the Week

July 19, 2023

Parents visiting the PACU find that their 4-year-old child refuses to allow them to console or give care. The perianesthesia nurse explains that this behavior:

  1. results from the pain that the child is experiencing and will subside with medication.
  2. indicates that the child wants them to leave and return later.
  3. indicates that the parents need to be more firm with the child.
  4. is a normal response to the separation anxiety that the child is feeling.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Care Considerations: Individualized patient care: Psychosocial factors" Major: 4 Minor: B

Reference: Perianesthesia Nursing Core Curriculum pg. 145

Question of the Week

July 5, 2023

When caring for a young child, an uncuffed endotracheal tube is preferred because:

  1. air turbulence is reduced.
  2. the larynx is cylinder shaped.
  3. less volume is delivered.
  4. the larynx is funnel shaped.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Anesthesia: Anesthesia considerations for special populations: Pediatric" Major: 1 Minor: D

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg.423-424, 710-711

Question of the Week

June 21, 2023

During the administration of bupivacaine locally, some of the medication is accidentally administered IV. When the patient develops ventricular arrhythmias, the perianesthesia nurse anticipates the administration of:

  1. amiodarone.
  2. diphenhydramine.
  3. adenosine.
  4. lidocaine.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Monitoring and Intervention: Perianesthesia-specific emergencies" Major: 3 Minor: O

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 327

Question of the Week

June 7, 2023

When caring for a young child, an uncuffed endotracheal tube is preferred because:

  1. air turbulence is reduced.
  2. the larynx is cylinder shaped.
  3. less volume is delivered.
  4. the larynx is funnel shaped.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Anesthesia: Anesthesia considerations for special populations: Pediatric" Major: 1 Minor: D

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach 423-424, 710-711

Question of the Week

May 24, 2023

Which drug is considered a triggering agent for malignant hyperthermia?

  1. Propofol
  2. Atracurium
  3. Succinylcholine
  4. Nitrous oxide

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Monitoring and Intervention: Pharmacology, pharmacodynamics, and pharmacokinetics" Major: 3 Minor: L

Reference: Perianesthesia Nursing Core Curriculum pg 296

Question of the Week

May 10, 2023

A patient post appendectomy suddenly goes into supraventricular tachycardia. Vital signs are BP = 125/75; HR = 168; and R = 16. The nurse anticipates administering:

  1. lidocaine.
  2. propranolol.
  3. esmolol.
  4. adenosine.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Professional Nursing Practice and Guidelines: ACLS guidelines" Major: 5 Minor: C

Reference: Critical Care Nursing Diagnosis and Management pg 454-455

Question of the Week

April 26, 2023

A 20-kg child is admitted to the PACU following a tonsillectomy and adenoidectomy. After the child vomits, the anesthesiologist orders ondansetron. The proper IV dosage for this patient is:

  1. 0.15 mg/kg
  2. 0.25 mg/kg
  3. 0.5 mg/kg
  4. 1 mg/kg

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Monitoring and Intervention: Pharmacology, pharmacodynamics, and pharmacokinetics" Major: 3 Minor: L

Reference: Perianesthesia Nursing Core Curriculum pg 177

Question of the Week

April 12, 2023

While being cared for postoperatively, a patient confides, "I remember the entire surgery." After notifying the anesthesia provider, the perianesthesia nurse:

  1. discharges patient with postoperative instructions.
  2. apologizes and sympathizes.
  3. instructs the patient that it did not occur.
  4. discourages discussion of the event.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Professional Nursing Practice and Guidelines: Evidence-based practice" Major: 5 Minor: B

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg. 406-407

Question of the Week

March 29, 2023

Following treatment of a malignant hyperthermia crisis, dysrhythmias persist despite the correction of hyperkalemia and acidosis. The perianesthesia nurse questions an order for:

  1. amiodarone.
  2. verapamil.
  3. procainamide.
  4. lidocaine.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Professional Nursing Practice and Guidelines: Malignant Hyperthermia Association of the United States (MHAUS) guidelines/protocol" Major: 5 Minor: F

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 773

Question of the Week

March 15, 2023

A patient with a history of COPD, hypertension, alcoholism, and mitral valve regurgitation arrived in the PACU following surgery with spinal anesthesia. Vital signs are BP = 190/120, HR = 120, R = 18, and SpO2 = 80%. The perianesthesia nurse's first action is to:

  1. check the patient's capillary blood sugar.
  2. administer O2 at 3 L/min via nasal cannula.
  3. apply O2 via mask at 10 L/min.
  4. prepare the patient for intubation.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Monitoring and Intervention: Normal and abnormal diagnostic results" Major: 3 Minor: A

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 692

Question of the Week

March 1, 2023

A patient who has severe cardiovascular disease and limited activity, but is not incapacitated, is considered:

  1. ASA I.
  2. ASA II.
  3. ASA III.
  4. ASA IV.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Professional Nursing Practice and Guidelines: American Society of Anesthesiologists (ASA) guidelines" Major: 5 Minor: H

Reference: Perianesthesia Nursing Core Curriculum pg. 51

Question of the Week

February 15, 2023

One of the earliest physical assessment findings in tension pneumothorax is:

  1. generalized cyanosis.
  2. a deviated point of maximal intensity (PMI).
  3. laryngeal stridor.
  4. a decrease in breath sounds.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Physiology : Psysical Assessment" Major: 2 Minor: B

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg402

Question of the Week

February 1, 2023

The most effective preoperative educational strategy for demonstrating the perioperative experience to a group of preschool-aged children is a:

  1. long slide show and a tour of the OR.
  2. puppet show and a short slide presentation of a child traveling through surgery.
  3. demonstration and lecture of the OR equipment.
  4. movie about surgery and expectations during a stay in the ambulatory center.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Care Considerations : Individualized patient care: Psychosocial factors" Major: 4 Minor: B

Reference: Wong's Nursing Care of Infants and Children pg427

Question of the Week

January 18, 2023

A primary focus for preadmission assessment is to:

  1. reduce the mortality and morbidity rate.
  2. evaluate fitness for anesthesia and surgery.
  3. establish the necessity of the procedure.
  4. order laboratory and other diagnostic tests.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Professional Nursing Practice and Guidelines: ASPAN standards" Major: 5 Minor: G

Reference: Perianesthesia Nursing Standards pg40

Question of the Week

January 4, 2023

Following a rhytidectomy, one of the earliest indications of complication is:

  1. ptosis with periorbital edema.
  2. severe unilateral pain.
  3. a positive Chvostek's sign.
  4. discoloration of facial tissue.

CPAN/CAPA Test Blueprint

Domain:

Content Area: "Perianesthesia Monitoring and Intervention : Perianesthesia-specific emergencies" Major: 3 Minor: O

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 654

Question of the Week

December 21, 2022

With consideration of amnesic effects from anesthetic medications, postoperative instructions should be:

  1. given to the patient and a responsible adult in written form.
  2. given only to a member of the patient's family.
  3. documented in the patient's chart.
  4. written at a third-grade reading level.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Major: 4; Minor: C Subtopic: 3 Content Area: "Perianesthesia Care Considerations: Patient and family planning and education: Discharge instructions"

Reference: Drain's Perianesthesia Nursing: A Critical Care Approach pg 657

Question of the Week

December 7, 2022

A patient who is 8 months pregnant, is admitted for an emergency repair of a lacerated Achilles tendon. During the assessment, which of the following positions should this patient be placed?

  1. Right lateral
  2. Left lateral
  3. Supine
  4. Trendelenburg

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 1 Content Area/Task: M.

Reference: Reference: Drain pg. 750 Nagelhout’s Nurse Anesthesia (6th edition); pp. 1,064-1,065

Question of the Week

November 23, 2022

Flumazenil inhibits the central nervous system effects of benzodiazepines by:

  1. competing for the receptor sites.
  2. stimulating the cerebral cortex.
  3. occupying the mu receptor sites.
  4. metabolizing the medications.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 1 Content Area/Task: L.

Reference: Reference: Drain pg. 277 Nagelhout’s Nurse Anesthesia (6th edition); p. 107

Question of the Week

November 9, 2022

A patient calls the preoperative center asking whether to continue taking his daily dose of clonidine. The perianesthesia nurse is aware that clonidine should be:

  1. taken only if the surgeon deems it necessary.
  2. stopped at least 3 days preoperatively.
  3. stopped at least 5 days preoperatively.
  4. taken daily as prescribed.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 2 Content Area/Task: E.

Reference: Reference: Nagelhout pg 169

Question of the Week

October 26, 2022

A preoperative patient asks what the facility is doing to prevent postoperative surgical site infections. The perianesthesia nurse is aware that according to the surgical care improvement project (SCIP), preop antibiotics should be administered:

  1. within 60 minutes of incision time.
  2. prior to induction.
  3. prior to leaving the holding area.
  4. upon arrival to the facility.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 3 Content Area/Task: A.

Reference: Reference: Drain pg 53; Nagelhout’s Nurse Anesthesia (6th edition), p. 190

Question of the Week

October 12, 2022

A healthy patient inquires about NPO guidelines prior to surgery. Based on ASA guidelines, the perianesthesia nurse will reply:

  1. no solids for 6 hours and allow clear liquids 2 hours before surgery.
  2. no solids past midnight and allow clear liquids up to 4 hours before surgery.
  3. no solids for 4 hours and allow clear liquids up to 1 hour before surgery.
  4. no solids for 8 hours and allow clear liquids up to 3 hours before surgery.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: E. Provide patient/family/significant other education and evaluate understanding related to the perianesthesia/ procedural experience.

Reference: Reference: Nagelhout’s Nurse Anesthesia (6th edition); p.343

Question of the Week

September 28, 2022

A patient in Phase II recovery is complaining of nausea. Initially, the perianesthesia nurse instructs the patient to:

  1. inhale and exhale quickly.
  2. take deep breaths.
  3. turn the head to the side.
  4. utilize Reiki or imagery.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: E. Assess, diagnose, plan, intervene, and evaluate in order to promote stability of the gastrointestinal system.

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p. 411-412

Question of the Week

September 14, 2022

Effective postoperative education is achieved when the nurse:

  1. provides written instructions to the patient.
  2. completes the preoperative teaching plan.
  3. listens to a return verbalization.
  4. observes family participation.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. D. Metadata: Knowledge : 29 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 902

Question of the Week

August 31, 2022

The ASPAN established guidelines for an ambulatory surgery patient receiving moderate sedation require:

  1. a registered nurse providing continuous monitoring.
  2. the presence of a Certified Registered Nurse Anesthetist.
  3. continuous end tidal CO2 monitoring.
  4. continuous O2 administration.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. A. Metadata: Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: Perianesthesia Nursing Standards, Practice Recommendations, and Interpretive Statements, P. 74

Question of the Week

August 17, 2022

A 68-year-old diabetic patient is scheduled for ankle arthroscopy. The plan is for a popliteal block monitored anesthesia care (MAC) The perianesthesia nurse knows that regional blocks may be considered for diabetic patients because they cause fewer:

  1. psychological disturbances.
  2. risks of infection.
  3. metabolic disturbances.
  4. risks of nerve injury.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 2. E. Metadata: Population Served : 2 Adult / Cognitive Level : 2

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 513

Question of the Week

August 3, 2022

During a follow-up phone call for inguinal hernia repair, the patient states has significant scrotal edema. The perianesthesia nurse informs the patient:

  1. this is a normal post-operative expectation.
  2. to monitor temperature twice a day.
  3. to contact the physician immediately.
  4. soaking in a warm tub is beneficial.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 2. E. Metadata: Knowledge : 25 / Population Served : 2 Adult / Cognitive Level : 2

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 602-603

Question of the Week

July 20, 2022

Flumazenil is contraindicated in patients known to be physically dependent on:

  1. beta blockers.
  2. benzodiazepines.
  3. calcium channel blockers.
  4. corticosteroids.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. M. Metadata: Knowledge : 20 / Population Served : 04 / Cognitive Level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 268

Question of the Week

July 6, 2022

The drug of choice for reversing narcotic-induced respiratory depression is:

  1. naloxone.
  2. physostigmine.
  3. flumazenil.
  4. succinylcholine.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. L. Metadata: Knowledge : 18 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 266

Question of the Week

June 22, 2022

The perianesthesia nurse administers flumazenil to reverse the:

  1. agitation effects of ketamine.
  2. sedation effects of benzodiazepine.
  3. respiratory depressant effects of opioids.
  4. hypotensive effects of benzodiazepine.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. L. Metadata: Knowledge : 20 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 277

Question of the Week

June 8, 2022

The purpose of Foley catheter traction following prostatectomy is to:

  1. limit the risk of catheter dislodgment.
  2. encourage prostatic fossa hemostasis.
  3. avoid clot buildup in the catheter.
  4. maintain penile position.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. F. Metadata: Knowledge : 22 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 607

Question of the Week

May 25, 2022

Following a diagnostic laparotomy, a patient who received O2, propofol, succinylcholine, and isoflurane complains of severe muscle pain in the neck and shoulders. The probable cause of the myalgia is:

  1. paralytic reversal.
  2. intraoperative positioning.
  3. muscle fasciculations.
  4. positive-pressure ventilation.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. D. Metadata: Knowledge : 25 / Population Served : 2 Adult / Cognitive Level : 2

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 305

Question of the Week

May 11, 2022

The dressing of a patient who has undergone an otologic procedure is found to be wet with a colorless fluid. The fluid may be:

  1. cerebrospinal fluid.
  2. plasma.
  3. vitreous fluid.
  4. lymphatic fluid.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. C. Metadata: Knowledge : 5 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 458

Question of the Week

April 27, 2022

The postoperative assessment of a patient who has undergone endoscopic sinus surgery includes:

  1. speech pattern.
  2. visual acuity.
  3. balance.
  4. hearing.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. C. Metadata: Knowledge : 23 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 459

Question of the Week

April 13, 2022

A side effect of an anticholinesterase drug is:

  1. decreased secretions.
  2. bronchodilatation.
  3. bradycardia.
  4. decreased GI peristalsis.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. B. Metadata: Knowledge : 17 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 278

Question of the Week

March 30, 2022

During pregnancy, the cardiac output increases by:

  1. 0% - 10%
  2. 30% – 50%
  3. 60% – 70%
  4. 80% – 90%

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. B. Metadata: Knowledge : 7 / Population Served : 04 / Cognitive Level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 618

Question of the Week

March 16, 2022

Oxygen saturation is a reflection of the patient’s true oxygen status in relation to:

  1. arterial blood gases
  2. hemoglobin level
  3. respiratory rate
  4. temperature

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Knowledge : 19 / Population Served : 1 Pediatric / Cognitive Level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 340 Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 173

Question of the Week

March 2, 2022

A pediatric patient who received general anesthesia is unresponsive on admission to the PACU, is extubated and an oral airway is placed. Upon awakening, the patient expels the airway and begins thrashing, but does not vocalize. Assessment reveals: SpO2 = 88% and falling, and breath sounds absent on auscultation. The priority nursing action is to:

  1. insert a nasopharyngeal airway.
  2. administer humidified O2.
  3. initiate positive-pressure ventilation.
  4. initiate oropharyngeal suctioning.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Knowledge : 9 / Population Served : 1 Pediatric / Cognitive Level : 2

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 720

Question of the Week

February 16, 2022

A patient is most likely to experience a sickle cell crisis following:

  1. minimal blood loss.
  2. exposure to inhalation agents.
  3. depressed respiratory function.
  4. administration of muscle relaxants.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Knowledge : 8 / Population Served : 2 Adult / Cognitive Level : 2

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 698

Question of the Week

February 2, 2022

A patient is most likely to experience a sickle cell crisis following:

  1. minimal blood loss.
  2. exposure to inhalation agents.
  3. depressed respiratory function.
  4. administration of muscle relaxants.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Knowledge : 8 / Population Served : 2 Adult / Cognitive Level : 2

Reference: Reference: 11C Drain’s PeriAnesthesia Nursing 2018 Page(s): p 698; Nagelhout Nurse Anesthesia 6th edition. Pp. 835-836.

Question of the Week

January 19, 2022

While being discharged, a patient who has had carpal tunnel release under an axillary block reports that the extremity is still numb. The nursing priority is to:

  1. elevate the hand above the level of the heart at all times.
  2. delay the discharge until extremity sensation returns.
  3. remove the dressing and observe for compartment syndrome.
  4. alert the surgeon immediately due to neurovascular compromise.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 1 Content Area/Task: D.

Reference: Reference: Drain pg 555-556

Question of the Week

January 5, 2022

The perianesthesia nurse should question the accuracy of the SpO2 measurement when caring for a patient with which of the underlying condition?

  1. Cushing's disease.
  2. hypothyroidism.
  3. Raynaud's disease.
  4. hyperthyroidism.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 1 Content Area/Task: B.

Reference: Reference: Urden 454 “Physiologic limitations of pulse oximetry include elevated levels of abnormal hemoglobin, the presence of vascular dyes, and poor tissue profusion. Also, “Poor tissue perfusion in the area with the prove leads to loss of pulsatile flow and signal failure”.

Question of the Week

December 22, 2021

A patient who is 8 months pregnant, is admitted for an emergency repair of a lacerated Achilles tendon. During the assessment, which of the following positions should this patient be placed?

  1. Right lateral
  2. Left lateral
  3. Supine
  4. Trendelenburg

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 1 Content Area/Task: M.

Reference: Reference: Drain pg. 750

Question of the Week

December 8, 2021

Flumazenil inhibits the central nervous system effects of benzodiazepines by:

  1. competing for the receptor sites.
  2. stimulating the cerebral cortex.
  3. occupying the mu receptor sites.
  4. metabolizing the medications.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 1 Content Area/Task: L.

Reference: Reference: Drain pg. 277

Question of the Week

November 24, 2021

A patient calls the preoperative center asking whether to continue taking his daily dose of clonidine. The perianesthesia nurse is aware that clonidine should be:

  1. taken only if the surgeon deems it necessary.
  2. stopped at least 3 days preoperatively.
  3. stopped at least 5 days preoperatively.
  4. taken daily as prescribed.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 2 Content Area/Task: E.

Reference: Reference: Nagelhout pg 169

Question of the Week

November 10, 2021

A preoperative patient asks what the facility is doing to prevent postoperative surgical site infections. The perianesthesia nurse is aware that according to the surgical care improvement project (SCIP), preop antibiotics should be administered:

  1. within 60 minutes of incision time.
  2. prior to induction.
  3. prior to leaving the holding area.
  4. upon arrival to the facility.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 3 Content Area/Task: A.

Reference: Reference: Drain pg 53

Question of the Week

October 27, 2021

A healthy patient inquires about NPO guidelines prior to surgery. Based on ASA guidelines, the perianesthesia nurse will reply:

  1. no solids for 6 hours and allow clear liquids 2 hours before surgery.
  2. no solids past midnight and allow clear liquids up to 4 hours before surgery.
  3. no solids for 4 hours and allow clear liquids up to 1 hour before surgery.
  4. no solids for 8 hours and allow clear liquids up to 3 hours before surgery.

CPAN/CAPA Test Blueprint

Domain:

Content Area: E. Provide patient/family/significant other education and evaluate understanding related to the perianesthesia/ procedural experience.

Reference:

Question of the Week

October 13, 2021

A patient in Phase II recovery is complaining of nausea. Initially, the perianesthesia nurse instructs the patient to:

  1. inhale and exhale quickly.
  2. take deep breaths.
  3. turn the head to the side.
  4. utilize Reiki or imagery.

CPAN/CAPA Test Blueprint

Domain:

Content Area: E. Assess, diagnose, plan, intervene, and evaluate in order to promote stability of the gastrointestinal system.

Reference:

Question of the Week

September 29, 2021

While being discharged, a patient who has had carpal tunnel release under an axillary block reports that the extremity is still numb. The nursing priority is to:

  1. provide a sling or protection for the numb extremity.
  2. delay the discharge until sensation returns.
  3. remove the dressing and observe for compartment syndrome.
  4. alert the surgeon immediately due to neurovascular compromise.

CPAN/CAPA Test Blueprint

Domain:

Content Area: D. Assess, diagnose, plan, intervene, and evaluate in order to promote stability of the musculoskeletal system.

Reference:

Question of the Week

September 15, 2021

Effective postoperative education is achieved when the nurse:

  1. provides written instructions to the patient.
  2. completes the preoperative teaching plan.
  3. listens to a return verbalization.
  4. observes family participation.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. D. Metadata: Knowledge : 29 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 902

Question of the Week

September 1, 2021

The ASPAN established guidelines for an ambulatory surgery patient receiving moderate sedation require:

  1. a registered nurse providing continuous monitoring.
  2. the presence of a Certified Registered Nurse Anesthetist.
  3. continuous end tidal CO2 monitoring.
  4. continuous O2 administration.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. A. Metadata: Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: Perianesthesia Nursing Standards, Practice Recommendations, and Interpretive Statements, p. 66

Question of the Week

August 18, 2021

A 68-year-old diabetic patient is scheduled for ankle arthroscopy. The plan is for a popliteal block monitored anesthesia care (MAC) The perianesthesia nurse knows that regional blocks may be considered for diabetic patients because they cause fewer:

  1. psychological disturbances.
  2. risks of infection.
  3. metabolic disturbances.
  4. risks of nerve injury.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 2. E. Metadata: Population Served : 2 Adult / Cognitive Level : 2

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 513

Question of the Week

August 4, 2021

During a follow-up phone call for inguinal hernia repair, the patient states has significant scrotal edema. The perianesthesia nurse informs the patient:

  1. this is a normal post-operative expectation.
  2. to monitor temperature twice a day.
  3. to contact the physician immediately.
  4. soaking in a warm tub is beneficial.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 2. E. Metadata: Knowledge : 25 / Population Served : 2 Adult / Cognitive Level : 2

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 602-603

Question of the Week

July 21, 2021

Which of the following is an inappropriate discharge instruction for the postoperative cervical cone biopsy patient?

  1. Expect light vaginal bleeding.
  2. Menstrual-type cramping is normal.
  3. Low backache is normal.
  4. Resume sexual intercourse when desired.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 2. A. Metadata: Population Served : 12 / Cognitive Level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 658

Question of the Week

July 7, 2021

Flumazenil is contraindicated in patients known to be physically dependent on:

  1. beta blockers.
  2. benzodiazepines.
  3. calcium channel blockers.
  4. corticosteroids.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. M. Metadata: Knowledge : 20 / Population Served : 04 / Cognitive Level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 268

Question of the Week

June 23, 2021

The drug of choice for reversing narcotic-induced respiratory depression is:

  1. naloxone.
  2. physostigmine.
  3. flumazenil.
  4. succinylcholine.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. L. Metadata: Knowledge : 18 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 266

Question of the Week

June 9, 2021

The perianesthesia administers flumazenil to reverse the:

  1. agitation effects of ketamine.
  2. sedation effects of benzodiazepine.
  3. respiratory depressant effects of opioids.
  4. hypotensive effects of benzodiazepine.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. L. Metadata: Knowledge : 20 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 277

Question of the Week

May 26, 2021

The purpose of Foley catheter traction following prostatectomy is to:

  1. limit the risk of catheter dislodgment.
  2. encourage prostatic fossa hemostasis.
  3. avoid clot buildup in the catheter.
  4. maintain penile position.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. F. Metadata: Knowledge : 22 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 607

Question of the Week

May 12, 2021

Following a diagnostic laparotomy, a patient who received O2, propofol, succinylcholine, and isoflurane complains of severe muscle pain in the neck and shoulders. The probable cause of the myalgia is:

  1. paralytic reversal.
  2. intraoperative positioning.
  3. muscle fasciculations.
  4. positive-pressure ventilation.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. D. Metadata: Knowledge : 25 / Population Served : 2 Adult / Cognitive Level : 2

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 305

Question of the Week

April 28, 2021

The dressing of a patient who has undergone an otologic procedure is found to be wet with a colorless fluid. The fluid may be:

  1. cerebrospinal fluid.
  2. plasma.
  3. vitreous fluid.
  4. lymphatic fluid.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. C. Metadata: Knowledge : 5 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 458

Question of the Week

April 14, 2021

The postoperative assessment of a patient who has undergone endoscopic sinus surgery includes:

  1. speech pattern.
  2. visual acuity.
  3. balance.
  4. hearing.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. C. Metadata: Knowledge : 23 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 459

Question of the Week

March 31, 2021

A side effect of an anticholinesterase drug is:

  1. decreased secretions.
  2. bronchodilatation.
  3. bradycardia.
  4. decreased GI peristalsis.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. B. Metadata: Knowledge : 17 / Population Served : 2 Adult / Cognitive Level : 1

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 278

Question of the Week

March 17, 2021

During pregnancy, the cardiac output increases by:

  1. 10% – 20%
  2. 30% – 50%
  3. 60% – 70%
  4. 80% – 90%

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. B. Metadata: Knowledge : 7 / Population Served : 04 / Cognitive Level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 618

Question of the Week

March 3, 2021

Oxygen saturation is a reflection of the patient’s true oxygen status in relation to:

  1. arterial blood gases.
  2. hemoglobin level.
  3. respiratory rate.
  4. temperature.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Knowledge : 19 / Population Served : 1 Pediatric / Cognitive Level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 340 Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 173

Question of the Week

February 17, 2021

A pediatric patient who received general anesthesia is unresponsive on admission to the PACU, is extubated and an oral airway is placed. Upon awakening, the patient expels the airway and begins thrashing, but does not vocalize. Assessment reveals: SpO2 = 88% and falling, and breath sounds absent on auscultation. The priority nursing action is to:

  1. insert a nasopharyngeal airway.
  2. administer humidified O2.
  3. initiate positive-pressure ventilation.
  4. initiate oropharyngeal suctioning.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Knowledge : 9 / Population Served : 1 Pediatric / Cognitive Level : 2

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 720

Question of the Week

February 3, 2021

A patient is most likely to experience a sickle cell crisis following:

  1. minimal blood loss.
  2. exposure to inhalation agents.
  3. depressed respiratory function.
  4. administration of muscle relaxants.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Knowledge : 8 / Population Served : 2 Adult / Cognitive Level : 2

Reference: Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 698

Question of the Week

January 20, 2021

In a patient who has a normal oxyhemoglobin dissociation curve, hypoxemia is usually indicated when the percentage of arterial O2 saturation falls below:

  1. 90%
  2. 93%
  3. 95%
  4. 97%

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Population Served : 1 Pediatric / Cognitive Level : 1

Reference: 11C Drain's PeriAnesthesia Nursing 2018 Page(s): p 173

Question of the Week

January 6, 2021

A patient’s ABG results are: pH- 7.32, pCO2- 50, pO2- 80, HCO 3− 24. These findings indicate:

  1. metabolic alkalosis.
  2. respiratory acidosis.
  3. metabolic acidosis.
  4. respiratory alkalosis.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Knowledge : 6 / Population Served : 2 Adult / Cognitive Level : 2

Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): p 234

Question of the Week

December 23, 2020

The perianesthesia nurse should question the accuracy of the SpO2 measurement when caring for a patient with which of the underlying condition?

  1. Cushing's disease.
  2. hypothyroidism.
  3. Raynaud's disease.
  4. hyperthyroidism.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 1 Content Area/Task: B.

Reference: Core 753

Question of the Week

December 9, 2020

A patient who is 8 months pregnant, is admitted for an emergency repair of a lacerated Achilles tendon. During the assessment, which of the following positions should this patient be placed?

  1. Right lateral
  2. Left lateral side
  3. Supine
  4. Trendelenburg

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 1 Content Area/Task: M.

Reference: Drain 750

Question of the Week

November 25, 2020

Flumazenil inhibits the central nervous system effects of benzodiazepines by:

  1. competing for the receptor sites.
  2. stimulating the cerebral cortex.
  3. occupying the mu receptor sites.
  4. metabolizing the medications.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 1 Content Area/Task: L.

Reference: Reference: Core 268

Question of the Week

November 11, 2020

When preparing a patient for a brachial plexus nerve block for an upper extremity surgery, the perianesthesia nurse is aware that the safest and easiest approach is:

  1. subclavicular.
  2. supraclavicular.
  3. interscalene.
  4. axillary.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 1 Content Area/Task: C.

Reference: Reference: Drain 342

Question of the Week

October 28, 2020

Which of the following anesthetic gases is less likely to induce coughing and laryngospasm?

  1. Isoflurane
  2. Nitrous oxide
  3. Enflurane
  4. Halothane

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 1 Content Area/Task: L.

Reference: Reference: Core pg 271

Question of the Week

October 14, 2020

A patient calls the preoperative center asking whether to continue taking his daily dose of clonidine. The perianesthesia nurse is aware that clonidine should be:

  1. taken only if the surgeon deems it necessary
  2. stopped at least 3 days preoperatively
  3. stopped at least 5 days preoperatively
  4. taken daily as prescribed

CPAN/CAPA Test Blueprint

Domain:

Content Area: Domain: 2 Content Area/Task: E.

Reference: Reference: Nagelhout pg 169

Question of the Week

September 30, 2020

A preoperative patient asks what the facility is doing to prevent postoperative surgical site infections. The perianesthesia nurse is aware that according to the surgical care improvement project (SCIP), preop antibiotics should be administered:

  1. within 60 minutes of incision time.
  2. prior to induction.
  3. prior to leaving the holding area.
  4. upon arrival to the facility.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Domain: 3 Content Area/Task: A

Reference: Reference: Drain pg. 53

Question of the Week

September 16, 2020

When educating the patient on what to expect during the administration of spinal anesthesia, the perianesthesia nurse understands that the progression of blockage occurs in the following order:

  1. sensory, motor, autonomic
  2. motor, sensory, autonomic
  3. autonomic, sensory, motor
  4. motor, autonomic, sensory

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide patient/family/significant other education and evaluate understanding related to the perianesthesia/ procedural experience.

Reference:

Question of the Week

September 2, 2020

During a follow-up phone call for a patient that has had a laparoscopic cholecystectomy, the perianesthesia nurse finds that the patient is experiencing severe shoulder pain despite taking analgesics. The nurse should instruct the patient:

  1. that this is normal following laparoscopic procedures.
  2. to apply ice packs to abdomen.
  3. maintain upright position to relieve pain.
  4. to notify the surgeon regarding this problem.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Perform post‐discharge assessment.

Reference:

Question of the Week

August 19, 2020

Care for a patient who receives a skin graft to the forearm includes:

  1. maintain dependent position of the extremity.
  2. changing the bandages if necessary.
  3. elevation of the affected extremity.
  4. ROM exercises for the affected extremity.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: G. Assess, diagnose, plan, intervene, and evaluate in order to promote stability of the integumentary system.

Reference:

Question of the Week

August 5, 2020

The perianesthesia nurse learns that the patient takes MAO inhibitor routinely. This information is documented because of the potential lethal interaction with:

  1. meperidine.
  2. midazolam.
  3. succinylcholine.
  4. morphine.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: L. Assess, diagnose, plan, intervene, and evaluate in order to promote stability of the fluid and electrolyte levels.

Reference:

Question of the Week

July 22, 2020

Prochlorperazine acts to treat postoperative nausea by affecting the:

  1. process of gastric emptying.
  2. chemoreceptor trigger zone.
  3. production of gastric acid.
  4. vestibular pathways.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Assess, diagnose, plan, intervene, and evaluate in order to promote stability of the gastrointestinal system.

Reference:

Question of the Week

July 8, 2020

In a 3-year-old patient, postintubation croup is least likely to develop when the patient has:

  1. remained in a supine position for a 1-hour procedure.
  2. been in a supine position for 15 minutes, then in a lateral position for 45 minutes.
  3. coughed actively and strained prior to extubation.
  4. required two attempts prior to successful intubation.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Assess, diagnose, plan, intervene, and evaluate in order to promote stability of the respiratory system.

Reference:

Question of the Week

June 10, 2020

The perianesthesia nurse should question the accuracy of the SpO2 measurement when caring for a patient with which of the underlying condition?

  1. Cushing's disease.
  2. hypothyroidism.
  3. Raynaud's disease.
  4. hyperthyroidism.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Assess, diagnose, plan, intervene, and evaluate in order to promote stability of the cardiovascular and peripheral vascular systems.

Reference:

Question of the Week

May 27, 2020

A patient 7 months pregnant is admitted for repair of a lacerated Achilles tendon. During assessment, contractions of her abdomen are noted. Which of the following positions should this patient be placed?

  1. Right lateral tilt position
  2. Left lateral tilt position
  3. Supine
  4. Trendelenburg

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Assess, diagnose, plan, intervene, and evaluate in order to promote maintenance of normothermia.

Reference:

Question of the Week

May 13, 2020

When preparing a patient for a brachial plexus nerve block for upper extremity surgery, the perianesthesia nurse is aware that the safest and easiest approach is:

  1. subclavicular.
  2. supraclavicular.
  3. interscalene.
  4. axillary.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Assess, diagnose, plan, intervene, and evaluate in order to promote stability of the neurological system.

Reference:

Question of the Week

April 29, 2020

To decrease nausea, the perianesthesia nurse instructs the patient to:

  1. take deep breaths.
  2. take several quick breaths.
  3. turn their head to the side.
  4. utilize Reiki or imagery.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Assess, diagnose, plan, intervene, and evaluate in order to promote maintenance of normothermia.

Reference:

Question of the Week

April 15, 2020

The perianesthesia nurse would expect a patient with COPD to have received which of the following anesthetic agents?

  1. Isoflurane
  2. Nitrous oxide
  3. Enflurane
  4. Halothane

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Assess, diagnose, plan, intervene, and evaluate in order to promote stability of the fluid and electrolyte levels.

Reference:

Question of the Week

April 1, 2020

In a preoperative visit, information to be collected by the perianesthesia nurse includes:

  1. type of surgery to be performed, previous surgical history and verification of payment source.
  2. cardiac status, vaccination status, respiratory status, and location of patient's family postoperatively.
  3. surgical procedure, whether the patient has signed the consent form, and type of anesthesia to be used.
  4. preexisting diseases, laboratory values, neurological status, current medications, and allergies.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide patient/family/significant other education and evaluate understanding related to the perianesthesia/ procedural experience.

Reference:

Question of the Week

March 18, 2020

A patient calls the preoperative center asking whether to continue taking his daily dose of clonidine. The perianesthesia nurse is aware that clonidine should be:

  1. taken only if the surgeon deems it necessary.
  2. stopped at least 3 days preoperatively.
  3. stopped at least 5 days preoperatively.
  4. taken daily as prescribed.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide patient/family/significant other education and evaluate understanding related to the perianesthesia/ procedural experience.

Reference:

Question of the Week

March 4, 2020

Six hours postoperatively, a patient has not voided and his bladder is palpably distended. The patient refuses catheterization. If the nurse catheterizes the patient against his wishes, this is considered:

  1. tort.
  2. assault.
  3. malpractice.
  4. battery.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Deliver, document, and communicate care based on accepted national standards of perianesthesia nursing practice and applicable laws, guidelines, and regulations.

Reference:

Question of the Week

February 19, 2020

A preoperative patient is admitted to the holding area prior to joint surgery. The patient asks what the facility is doing to prevent postoperative surgical site infections. The perianesthesia nurse is aware that according to the surgical care improvement project (SCIP), preop antibiotics should be administered:

  1. within 60 minutes of incision time.
  2. prior to induction.
  3. prior to leaving the holding area.
  4. upon arrival to the facility.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Deliver, document, and communicate care based on accepted national standards of perianesthesia nursing practice and applicable laws, guidelines, and regulations.

Reference:

Question of the Week

February 05, 2020

The perianesthesia nurse is aware that a dramatic decrease in the serum calcium level may be caused by removal of the:

  1. parathyroid glands.
  2. pineal gland.
  3. adrenal glands.
  4. pituitary gland.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the endocrine system

Reference:

Question of the Week

January 22, 2020

The perianesthesia nurse recognizes that upon a patient’s arrival to the PACU, a side effect of ketamine anesthesia is:

  1. decreased muscle tone.
  2. hypotension.
  3. marked salivation.
  4. nausea and vomiting.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Physiological comfort (including, but not limited to, relief from pain, shivering, nausea, vomiting, temperature control and appropriate positioning.

Reference: ASPAN. Schick, L. and Windle, P., (Editors) Third Edition. Perianesthesia Nursing Core Curriculum – Preoperative, Phase I and Phase II PACU Nursing. WB Saunders, St. Louis, MO., 2015. Pp 216, 364-366.

Question of the Week

January 08, 2020

By asking a tympanoplasty patient to wrinkle the forehead, pucker lips, smile, and squeeze eyelids together, the PACU nurse is assessing the function of cranial nerve:

  1. V.
  2. VII.
  3. IX.
  4. XII.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of neurological system

Reference: Schick, L., & Windle, P. (2015). ASPAN Perianesthesia Nursing Core Curriculum: Preprocedure, phase I and phase II, PACU nursing (3rd ed.). Elsevier.

Question of the Week

December 25, 2019

The Faces Pain Rating Scale measurement tool is most appropriate for:

  1. a 2-year-old toddler.
  2. an 8-year-old child.
  3. a 15 year-old child.
  4. an infant.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Develop and implement effective multidisciplinary perianesthesia plan of care that addresses pain management

Reference: Hockenberry, M., & Wilson, D. (2015). Wong's Nursing Care of Infants and Children (10th ed.). Elsevier.

Question of the Week

December 11, 2019

A patient receives an intraoperative prophylactic dose of droperidol. The PACU nurse is aware that this drug has a potentiating action when administered:

  1. with narcotics and barbiturates.
  2. with nonsteroidal anti-inflammatory drugs.
  3. to a patient with increased ICP.
  4. to a hypertensive patient.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the hematologic and immune systems

Reference: Drain, C. and Odom-Forren, J. (2018). Drain’s PeriAnesthesia Nursing: A critical care approach (7th ed.). Elsevier.

Question of the Week

November 27, 2019

The perianesthesia nurse should utilize which of the following screening tools to identify patients at risk for obstructive sleep apnea?

  1. STOP-Bang Questionnaire
  2. Aldrete Scoring Tool
  3. Ramsey Sedation Scale
  4. Pasero Opioid Induced Sedation Scale

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Deliver, document and communicate care based on accepted national standards of perianesthesia nursing practice and applicable laws, guidelines, and regulations

Reference: Schick, L., & Windle, P. (2015). ASPAN Perianesthesia Nursing Core Curriculum: Preprocedure, phase I and phase II, PACU nursing (3rd ed.). Elsevier.

Question of the Week

November 13, 2019

The perianesthesia nurse receives a call inquiring about a patient who is in surgery. The perianesthesia nurse's initial action is to:

  1. transfer the call to the O.R. desk.
  2. advise to call back later.
  3. provide the information.
  4. inform the family of the call.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide and maintain patient privacy and confidentiality

Reference: Schick, L., & Windle, P. (2015). ASPAN Perianesthesia Nursing Core Curriculum: Preprocedure, phase I and phase II, PACU nursing (3rd ed.). Elsevier.

Question of the Week

October 30, 2019

During a preoperative telephone interview, a 52-year-old patient states that he has been hospitalized twice in the past year for management of insulin-dependent diabetes mellitus. The ASA status of this patient is:

  1. Class I.
  2. Class II.
  3. Class III.
  4. Class IV.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the Respiratory system

Reference: Schick, L., & Windle, P. (2015). ASPAN Perianesthesia Nursing Core Curriculum: Preprocedure, phase I and phase II, PACU nursing (3rd ed.). Elsevier.

Question of the Week

October 16, 2019

During a preoperative interview a patient admits to being allergic to avocados. The nurse is aware that this patient may be at risk for an allergic reaction to:

  1. propofol.
  2. midazolam.
  3. latex.
  4. gluten.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Protect the patient from harm and take preventive measures related to adverse environmental influences (including, but not limited to, latex and/or equipment failure

Reference: Drain, C. and Odom-Forren, J. (2018). Drain’s PeriAnesthesia Nursing: A critical care approach (7th ed.). Elsevier.

Question of the Week

October 02, 2019

Patient information about what to expect following a spinal anesthetic includes:

  1. remaining flat for 12 hours afterwards.
  2. anticipating a headache as a common complication.
  3. a loss of sensation of temperature in the legs.
  4. pain control for 12 hours.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide patient/family/significant other education

Reference: Schick, L., & Windle, P. (2015). ASPAN Perianesthesia Nursing Core Curriculum: Preprocedure, phase I and phase II, PACU nursing (3rd ed.). Elsevier.

Question of the Week

September 18, 2019

Preoperative instructions for oral fluid restriction for patients with no risk factors include NPO for clear liquids prior to surgery because emptying occurs within:

  1. 30 minutes.
  2. 1 hour.
  3. 90 minutes.
  4. 2 hours.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the gastrointestinal system

Reference: Schick, L., & Windle, P. (2015). ASPAN Perianesthesia Nursing Core Curriculum: Preprocedure, phase I and phase II, PACU nursing (3rd ed.). Elsevier.

Question of the Week

September 04, 2019

According to ACLS guidelines, the dosage of drugs administered via the endotracheal tube route is:

  1. half the normal IV dose.
  2. one time the normal IV dose.
  3. two times the normal IV dose.
  4. three times the normal IV dose.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the fluid and electrolyte levels

Reference: American Heart Association. (2016). Advanced Cardiovascular Life Support (ACLS) Provider Manual. AMA.

Question of the Week

August 21, 2019

Which of the following places the patient at the highest risk of postoperative nausea and vomiting (PONV)?

  1. Type of surgery.
  2. Smoking status.
  3. Duration of surgery.
  4. Female gender.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Deliver, document, and communicate care based on accepted national standards of perianesthesia nursing practice and applicable laws, guidelines, and regulations

Reference: Schick, L., & Windle, P. (2015). ASPAN Perianesthesia Nursing Core Curriculum: Preprocedure, phase I and phase II, PACU nursing (3rd ed.). Elsevier.

Question of the Week

August 07, 2019

Anxious parents are at the bedside of a toddler who is crying, kicking, and thrashing following bilateral myringotomy with insertion of tympanostomy. The perianesthesia nurse informs the parents that this behavior is:

  1. the emergence excitement phase after anesthesia.
  2. a temper tantrum often seen in toddlers.
  3. associated with the surgical procedure.
  4. uncommon in children of this age.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide psychosocial support to patient/family/significant other

Reference: Drain, C. and Odom-Forren, J. (2018). Drain’s PeriAnesthesia Nursing: A critical care approach (7th ed.). Elsevier.

Question of the Week

July 24, 2019

Which of the following is an indicator of readiness for extubation in a post anesthesia patient weighing 60 kg?

  1. Respiratory rate of 30 breaths per minute
  2. Tidal volume of 300 ml and a vital capacity of 900 ml
  3. Ability to open eyes and move extremities on command
  4. Ability to sustain a head lift for 3 seconds

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the Respiratory system

Reference: Schick, L., & Windle, P. (2015). ASPAN Perianesthesia Nursing Core Curriculum: Preprocedure, phase I and phase II, PACU nursing (3rd ed.). Elsevier.

Question of the Week

July 10, 2019

The perianesthesia nurse is aware that a dramatic decrease in the serum calcium level may be caused by removal of the:

  1. parathyroid glands.
  2. pineal gland.
  3. adrenal glands.
  4. pituitary gland.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the endocrine system

Reference: Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. Pg 579.

The CPAN® and CAPA® Practice Exams and Question of the Week Program are study tools only. ABPANC’s practice examinations should be regarded as a tool to assess strengths and weaknesses. They are not intended to serve as a study guide nor should they be used as a substitute for studying. While content may be representative of the type of knowledge and skills tested on the CPAN® and CAPA® certification examinations, these materials are not identical to the content of the examinations. A passing score on a practice examination does not in any way guarantee a passing score on any ABPANC certification examination. Use of a practice examination or Question of the Week is not a requirement for eligibility or for success in passing any ABPANC certification examination.

The Practice Exams and Questions of the Week are copyrighted materials owned by ABPANC. Requests to reproduce or otherwise use these materials should be directed to: abpanc@cpancapa.org
© 2019 American Board of Perianesthesia Nursing Certification, Inc. All rights reserved.