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

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:

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.