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

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

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.