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

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

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.