CPAN

CPAN® 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 CAPA questions.

This Week's Question

February 21, 2024

Upon awakening in the PACU, a 3-year-old patient is inconsolable and refuses the attention of the nurse. The perianesthesia nurse is aware that this behavior is considered:

  1. a normal response of the protest phase of separation anxiety.
  2. passive resistance which is often used by toddlers.
  3. to be related to the pain of surgery.
  4. to be frustration related to the lack of privacy.

CPAN/CAPA Test Blueprint

Domain:

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

Question of the Week

February 7, 2024

A patient is admitted to the PACU following a laparoscopic Nissen fundoplication. Intraoperatively, the patient required chest tube placement for development of a tension pneumothorax. The perianesthesia nurse understands that which of the following in the patient’s history could be problematic at this time?

  1. Diabetes
  2. COPD
  3. Osteoporosis
  4. Angina

CPAN/CAPA Test Blueprint

Domain:

Content Area: Physiology: Potential complications to pre-existing conditions Major: 2 Minor: D

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. pp. 691-692

Question of the Week

January 24, 2024

After receiving an interscalene block, the patient complains of shortness of breath. The perianesthesia nurse is aware that the block may have affected which nerve?

  1. Transverse cervical
  2. Supraclavicular
  3. Phrenic
  4. Recurrent laryngeal

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. p. 335

Question of the Week

January 10, 2024

While assisting an anesthesiologist performing a block for reflex sympathetic dystrophy, the perianesthesia nurse observes that the affected arm becomes warm to the touch and flushed. The patient reports a sensation of heaviness in the arm. The perianesthesia nurse knows that this indicates which of the following?

  1. Ineffective regional block
  2. Severe allergic reaction
  3. Successful therapeutic block
  4. Extravasation of the medication

CPAN/CAPA Test Blueprint

Domain:

Content Area: Anesthesia: Anesthesia techniques: General Major: 1 Minor: A

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. p. 340

Question of the Week

December 27, 2023

After receiving an interscalene block, the patient complains of shortness of breath. The perianesthesia nurse is aware that the block may have affected which nerve?

  1. Transverse cervical
  2. Supraclavicular
  3. Phrenic
  4. Recurrent laryngeal

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. p. 335

Question of the Week

December 13, 2023

While assisting an anesthesiologist performing a block for reflex sympathetic dystrophy, the perianesthesia nurse observes that the affected arm becomes warm to the touch and flushed. The patient reports a sensation of heaviness in the arm. The perianesthesia nurse knows that this indicates which of the following?

  1. Ineffective regional block
  2. Severe allergic reaction
  3. Successful therapeutic block
  4. Extravasation of the medication

CPAN/CAPA Test Blueprint

Domain:

Content Area: Anesthesia: Anesthesia techniques: General Major: 1 Minor: A

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. p. 340

Question of the Week

November 29, 2023

While caring for a patient after lumbar posterior nerve root rhizotomy, the perianesthesia nurse notes the patient has no movement or sensation to the lower extremities. The priority nursing action is to notify the:

  1. anesthesiologist of muscle paralysis.
  2. operating room of the complications.
  3. surgeon of the absence of sensation.
  4. surgeon of lack of motor ability.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Fourth Edition. Perianesthesia Nursing Core Curriculum ; Preprocedure, Phase l and Phase ll PACU Nursing. Elsevier, St. Louis, MO, 2021. p. 497

Question of the Week

November 15, 2023

According to ASPAN Standards of Perianesthesia Nursing Practice, care in the post anesthesia Phase I focuses on:

  1. preparation of patient and family for home care.
  2. preparation of patient for extended care.
  3. transition of the patient from an anesthetized state to Phase II or an inpatient setting.
  4. transition of the patient from the preoperative to the intraoperative phase.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: American Society of PeriAnesthesia Nurses. Perianesthesia Nursing Standards, Practice Recommendations, and Interpretive Statements 2019 - 2020. ASPAN, Cherry Hill, NJ, 2019. p. 9

Question of the Week

November 1, 2023

Twenty minutes after admission to the PACU, a 24-year-old patient exhibits a productive cough, dyspnea, and expectoration of pink, frothy sputum. In report, the nurse is told that the patient experienced a post-extubation laryngospasm in the OR. The PACU nurse suspects that the patient has developed:

  1. a tracheal hemorrhage.
  2. acute respiratory failure.
  3. noncardiogenic pulmonary edema.
  4. a pulmonary embolism.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. p. 402

Question of the Week

October 18, 2023

The perianesthesia nurse is titrating pain medications for a postoperative patient in Phase I PACU. Pain medication orders have changed from IV fentanyl to IV morphine. The perianesthesia nurse knows that an equivalent analgesic of fentanyl 0.1 mg is:

  1. methadone 20 mg.
  2. morphine 10 mg.
  3. butorphanol 10 mg.
  4. meperidine 125 mg.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. p. 442

Question of the Week

October 4, 2023

The perianesthesia nurse caring for a 60-kg patient who is n.p.o. should maintain IV fluid hourly maintenance rate at:

  1. 45 mL/hr
  2. 55 mL/hr
  3. 65 mL/hr
  4. 100 mL/hr

CPAN/CAPA Test Blueprint

Domain:

Content Area: Perianesthesia Monitoring and Intervention: Fluid and electrolyte management Major: 3 Minor: I

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. p. 208

Question of the Week

September 20, 2023

A patient is admitted to the PACU with a laryngeal mask airway (LMA) in place. The perianesthesia nurse understands that a properly placed LMA:

  1. conforms to the hypopharynx.
  2. passes through the glottic opening.
  3. prevents aspiration.
  4. prevents laryngospasm.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Anesthesia: Anesthesia techniques: General Major: 1 Minor: A

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. pp. 428-430

Question of the Week

September 6, 2023

In postoperative patients with a history of end-stage renal disease, the administration of IV glucose and regular insulin is used to correct the complication of:

  1. hyponatremia.
  2. hypokalemia.
  3. hypernatremia.
  4. hyperkalemia.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Physiology: Potential complications to pre-existing conditions Major: 2 Minor: D

Reference: Nagelhout, J. and Sass, E. Nurse Anesthesia. Seventh Edition. Elsevier, St. Louis, MO, 2023 p. 964

Question of the Week

August 23, 2023

The perianesthesia nurse would be immediately concerned when a postoperative cataract patient awaiting discharge complains of:

  1. irritation or “something in my eye”.
  2. sudden onset of sharp ocular pain.
  3. dizziness and tinnitus.
  4. blurred vision and headache.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Fourth Edition. Perianesthesia Nursing Core Curriculum ; Preprocedure, Phase l and Phase ll PACU Nursing. Elsevier, St. Louis, MO, 2021. p. 673

Question of the Week

August 9, 2023

An 80-year-old patient who is hearing-impaired is being discharged home following cataract removal. In planning the discharge, the perianesthesia nurse should:

  1. avoid low lighting and noisy teaching environments.
  2. avoid using written instructions.
  3. provide small print discharge material.
  4. provide audiovisual aids in a teaching packet.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Perianesthesia Care Considerations: Patient and family planning and education: Communication principles and techniques Major: 4 Minor: C

Reference: American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Fourth Edition. Perianesthesia Nursing Core Curriculum ; Preprocedure, Phase l and Phase ll PACU Nursing. Elsevier, St. Louis, MO, 2021. p. 121 & 218

Question of the Week

July 26, 2023

A patient is admitted to the PACU following an L4-5 laminectomy with fusion. Thirty minutes after admission, drainage from the surgically placed drain is 500 mL of blood. Vital signs are: BP = 96/40, HR = 116, R = 30, and SpO2 93%. Hemoglobin is 8.5 and hematocrit is 28. The perianesthesia nurse anticipates administering:

  1. crystalloid solution.
  2. red blood cells.
  3. dextran 40.
  4. albumin.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Perianesthesia Monitoring and Intervention: Fluid and electrolyte management Major: 3 Minor: I

Reference: American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Fourth Edition. Perianesthesia Nursing Core Curriculum ; Preprocedure, Phase l and Phase ll PACU Nursing. Elsevier, St. Louis, MO, 2021. p. 851

Question of the Week

July 12, 2023

The perianesthesia nurse demonstrates understanding that language and readable instructions are important to patient safety after discharge, by ensuring patient discharge instructions are written in the vocabulary of grade level:

  1. 3
  2. 5
  3. 9
  4. 12

CPAN/CAPA Test Blueprint

Domain:

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

Reference: American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Fourth Edition. Perianesthesia Nursing Core Curriculum ; Preprocedure, Phase l and Phase ll PACU Nursing. Elsevier, St. Louis, MO, 2021. p. 902

Question of the Week

June 28, 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

June 14, 2023

The perianesthesia nurse demonstrates understanding that language and readable instructions are important to patient safety after discharge, by ensuring patient discharge instructions are written in the vocabulary of grade level:

  1. 3
  2. 5
  3. 9
  4. 12

CPAN/CAPA Test Blueprint

Domain:

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

Reference: American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Fourth Edition. Perianesthesia Nursing Core Curriculum ; Preprocedure, Phase l and Phase ll PACU Nursing. Elsevier, St. Louis, MO, 2021. p. 902

Question of the Week

May 31, 2023 – Updated

A patient has received Vecuronium as part of the anesthesia regimen. The perianesthesia nurse anticipates which of the following IV to be given for reversal of the effects?

  1. Droperidol
  2. Diphenhydramine
  3. Naloxone
  4. Sugammadex

CPAN/CAPA Test Blueprint

Domain:

Content Area: Anesthesia: Anesthetic and reversal agents Major: 1 Minor: B

Reference: American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Fourth Edition. Perianesthesia Nursing Core Curriculum ; Preprocedure, Phase l and Phase ll PACU Nursing. Elsevier, St. Louis, MO, 2021. p. 284

Question of the Week

May 17, 2023

An ambulatory surgery patient who is post direct laryngoscopy with general anesthesia exhibits stridor. The perianesthesia nurse anticipates orders for:

  1. percussion of the anterior chest.
  2. administration of nebulized racemic epinephrine.
  3. administration of naloxone IV.
  4. suctioning the pharynx.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Perianesthesia Monitoring and Intervention: Airway Management Major: 3 Minor: H

Reference: American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Fourth Edition. Perianesthesia Nursing Core Curriculum ; Preprocedure, Phase l and Phase ll PACU Nursing. Elsevier, St. Louis, MO, 2021. p. 162

Question of the Week

May 3, 2023

According to ASPAN Standards of Perianesthesia Nursing Practice, a hemodynamically stable 9-year-old patient who is not yet conscious requires which nurse;patient ratio?

  1. 1:1
  2. 1:2
  3. 1:3
  4. 2:1

CPAN/CAPA Test Blueprint

Domain:

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

Reference: American Society of PeriAnesthesia Nurses. Perianesthesia Nursing Standards, Practice Recommendations, and Interpretive Statements 2019 - 2020. ASPAN, Cherry Hill, NJ, 2019. p. 42

Question of the Week

April 19, 2023

After arrival in the PACU following a radical neck dissection, the patient becomes tachypneic with tracheal deviation and oxygen desaturation. The perianesthesia nurse suspects:

  1. anterior cervical edema.
  2. vocal cord paralysis.
  3. tension pneumothorax.
  4. cervical facet displacement.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. p. 402

Question of the Week

April 5, 2023

The universal symptom of compartment syndrome is:

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

CPAN/CAPA Test Blueprint

Domain:

Content Area: Physiology: Pathophysiology of body systems Major: 2 Minor: A

Reference: American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Fourth Edition. Perianesthesia Nursing Core Curriculum ; Preprocedure, Phase l and Phase ll PACU Nursing. Elsevier, St. Louis, MO, 2021. p. 705

Question of the Week

March 22, 2023

Which of the following drugs is contraindicated in patients who are sensitive to soybean oil, egg lecithin, or glycerol?

  1. Propofol
  2. Ketorolac
  3. Bupivacaine
  4. Ketamine

CPAN/CAPA Test Blueprint

Domain:

Content Area: Physiology: Potential complications to pre-existing conditions Major: 2 Minor: D

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. p. 274

Question of the Week

March 8, 2023

Postoperative discharge teaching for a patient who received an interscalene block with Ropivacaine should include instructions for the patient to:

  1. notify the surgeon for sudden pain or tingling of the arm.
  2. perform full range of motion exercises every 2 hours.
  3. contact the surgeon if the patient's hand is still numb 3 hours after surgery.
  4. protect the elbow to avoid damage to ulnar nerve until block resolves.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. p. 340

Question of the Week

February 22, 2023

Crutch training instruction after arthroscopic right knee surgery should include:

  1. leading with the unaffected leg.
  2. applying dominant weight to axillary pads.
  3. taking large, steady steps.
  4. standing erect and looking downward when walking.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Fourth Edition. Perianesthesia Nursing Core Curriculum ; Preprocedure, Phase l and Phase ll PACU Nursing. Elsevier, St. Louis, MO, 2021. p. 700

Question of the Week

February 8, 2023

When conducting a discharge phone call on a patient following a partial thyroidectomy, which of the following complaints should prompt the nurse to recommend immediate medical follow-up?

  1. Tetany
  2. Nausea
  3. Headache
  4. Tinnitus

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. pp. 591-592

Question of the Week

January 25, 2023

A 6-year-old child and the parents are experiencing anxiety prior to the child's scheduled surgery. In this situation, the perianesthesia nurse would most appropriately:

  1. instruct the parents not to bring the child's siblings on the day of surgery.
  2. allow the parents to remain with the patient up until surgery.
  3. limit information about inpatient process.
  4. time preparations one day before surgery.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Perianesthesia Care Considerations: Patient and family planning and education: Discharge instructions Major: 2 Minor: C

Reference: American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Fourth Edition. Perianesthesia Nursing Core Curriculum ; Preprocedure, Phase l and Phase ll PACU Nursing. Elsevier, St. Louis, MO, 2021. p. 144

Question of the Week

January 11, 2023

The PACU nurse is concerned with renal blood flow in a patient recovering from repair of an abdominal aortic aneurysm. The expected urine output is:

  1. 0.5 mL/kg/hr.
  2. 1-2 mL/kg/hr.
  3. 5 mL/kg/hr.
  4. 10 mL/kg/hr.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 7th Ed. Elsevier Saunders, 2018. p. 197

Question of the Week

December 28, 2022

A patient in the PACU following a parathyroidectomy reports perioral numbness and pain with muscle spasm in the arm after each blood pressure reading. These findings are indicative of:

  1. hypercalcemia.
  2. hypocalcemia.
  3. hypernatremia.
  4. hyponatremia.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Fourth Edition. Perianesthesia Nursing Core Curriculum ; Preprocedure, Phase l and Phase ll PACU Nursing. Elsevier, St. Louis, MO, 2021. p. 506

Question of the Week

December 14, 2022

Tidal volume is defined as the amount of air:

  1. exchanged in one minute.
  2. passing into or out of the lungs in each respiratory cycle.
  3. remaining within the chest after maximal expiration.
  4. exchanged with full inspiration and expiration.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Drain 161

Question of the Week

November 30, 2022

In caring for a toddler, the perianesthesia nurse is aware that the primary cause of anxiety prior to surgery is:

  1. fear of the medical equipment.
  2. striving for approval.
  3. loss of privacy.
  4. separation from parents.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Wong 352

Question of the Week

November 16, 2022

One of the most frequent side effects of ketamine anesthesia is:

  1. hallucination
  2. nausea
  3. muscle fasciculations
  4. bradycardia

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Drain 282, Core 263

Question of the Week

November 2, 2022

The perianesthesia nurse is giving discharge instructions to a patient when the patient states, "I do not think I will be able to empty this drain by myself." The perianesthesia nurse should start with:

  1. "Would you like me to show you how?"
  2. "What do you know about the drain?"
  3. "You can do it. It’s not that hard."
  4. "Your doctor will remove it in the office."

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. D. Metadata: Knowledge : 31 / Population Served : 2 Adult / Cognitive level : 2

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

Question of the Week

October 19, 2022

A patient was treated for laryngospasm with positive pressure and administration of succinylcholine. The perianesthesia nurse's plan for this patient is to:

  1. observe patient for another hour before transfer to the floor.
  2. continue ventilation until complete respiratory functioning has returned.
  3. install a dehumidifier in the patient’s room.
  4. limit the patient's visitors in the room

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. B. Metadata: Additional Task : 1 / Knowledge : 9 / Population Served : 2 Adult / Cognitive level : 2

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 159 (Drain 7th Ed 2018)

Question of the Week

October 5, 2022

The patient was brought to PACU post left pneumonectomy. The perianesthesia nurse should position the patient:

  1. prone.
  2. on the right side.
  3. on the left side.
  4. Trendelenburg.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. B. Metadata: Additional Task : 1 / Knowledge : 8 / Population Served : 2 Adult / Cognitive level : 2

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 486

Question of the Week

September 21, 2022

The perianesthesia nurse has reviewed the surgical consent with the patient prior to a procedure. The patient has further questions. The nurse is aware that these questions should be addressed by the:

  1. OR circulating nurse.
  2. R.N. in the preoperative area.
  3. surgeon performing the procedure.
  4. R.N. in the holding area.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. A. Metadata: Knowledge : 39 / Population Served : 2 Adult / Cognitive level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 67

Question of the Week

September 7, 2022

A patient in mild respiratory distress is in Phase I PACU. Another patient is a 6-year- old child whose parents have left to eat. A third patient has just arrived from the operating room. There are two patients waiting for discharge to Phase II, and one who is ready for discharge but waiting to void. According to the ASPAN Standards there should be at least:

  1. two nurses.
  2. three nurses.
  3. four nurses.
  4. five nurses.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. A. Metadata: Knowledge : 38 / Population Served : 1 Pediatric / Cognitive level : 1

Reference: Reference: (Inactive) 6D American Society of PeriAnesthesia Page(s): (6E) Standards Book 2019- 2020 pages 36-37

Question of the Week

August 24, 2022

The perianesthesia nurse verifies patient understanding regarding post-operative opioid use postoperatively when the patient states that using opioids after surgery can cause:

  1. diarrhea.
  2. nausea and vomiting.
  3. hypotension.
  4. insomnia.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 2. E. Metadata: Knowledge : 17 / Population Served : 2 Adult

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 445

Question of the Week

August 10, 2022

The perianesthesia nurse instructs a patient who received a brachial plexus nerve block to:

  1. immediately report numbness and burning sensation.
  2. be aware all blocks last only for 8 hours.
  3. not apply a brace on the affected arm.
  4. be proactive with pain medication to avoid uncontrollable discomfort.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 2. E. Metadata: Knowledge : 19 / Population Served : 2 Adult / Cognitive level : 2

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 340

Question of the Week

July 27, 2022

The perianesthesia nurse is aware that which of the following drugs blocks the 5HT3 serotonin receptor?

  1. Haloperidol
  2. Fosaprepitant
  3. Promethazine
  4. Ondansetron

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. N. Metadata: Knowledge : 17 / Population Served : 2 Adult / Cognitive level : 1

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 251

Question of the Week

July 13, 2022

A pediatric patient is admitted to the PACU after repair of a fractured humerus. The arm is splinted, bent at the elbow, and lying across his chest. He is awake and whimpering, refuses to answer questions, and cries out when touched. Based on FLACC scale of 5, the perianesthesia nurse’s first action is to:

  1. apply 2 liters O2 by nasal cannula.
  2. evaluate for pain medication.
  3. apply an arm sling immediately.
  4. ask permission from patient to take medicine.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. M. Metadata: Knowledge : 13 / Population Served : 1 Pediatric / Cognitive level : 3

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 723

Question of the Week

June 29, 2022

In caring for a patient receiving a blood transfusion, the perianesthesia nurse is aware that the most likely cause of a nonhemolytic febrile transfusion is:

  1. WBC or platelet antibodies.
  2. anti-E–anti-C interaction.
  3. blood type incompatibility.
  4. nonpyrogenic bacteria.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. J. Metadata: Knowledge : 11 / Population Served : 2 Adult / Cognitive level : 2

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 414 Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 578

Question of the Week

June 15, 2022

A patient complains of tingling in the toes and fingers following a parathyroidectomy; Chvostek’s sign is positive. Pending postoperative orders, the PACU nurse should expect to:

  1. administer dilantin, 100 mg IV slow push.
  2. administer prednisone, 100 mg IV stat.
  3. request stat ionized calcium.
  4. hyperventilate the patient.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. H. Metadata: Knowledge : 22 / Population Served : 2 / Cognitive level : 3

Reference: Reference: Nagelhout, J. and Sass, E. Nurse Anesthesia. Sixth Edition, p 920

Question of the Week

June 1, 2022

A patient is admitted to the PACU following a small-bowel resection. The patient is extremely lethargic, confused, and has the following vital signs: BP = 100/50, R = 8 and shallow, T = 34.8°C (94.6°F). Myxedema coma is diagnosed. Initially, the nurse prepares to:

  1. provide fluid challenge.
  2. administer calcium chloride IV.
  3. rapidly rewarm the patient.
  4. administer levothyroxine IV.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. H. Metadata: Knowledge : 18 / Population Served : 2 / Cognitive level : 2

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 500 ; Urden -Critical Care Nursing, pg. pg.759-761

Question of the Week

May 18, 2022

The perianesthesia nurse is aware that the older adult’s tolerance to cold is decreased because of:

  1. loss of subcutaneous fat.
  2. vascular fragility.
  3. ineffective piloerection.
  4. decreased dermal vascularity

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. G. Metadata: Knowledge : 12 / Population Served : 3 / Cognitive level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 210

Question of the Week

May 4, 2022

The patient with a pneumonectomy should never be positioned:

  1. on the non-operative side.
  2. on the operative side.
  3. supine.
  4. in semi-Fowler’s position.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. D. Metadata: Population Served : 2 Adult / Cognitive level : 3

Reference: Reference: Drain’s PeriAnesthesia Nursing pg. 486

Question of the Week

April 20, 2022

A perianesthesia nurse assesses cranial nerve VII in a patient post mastoidectomy by asking the patient to:

  1. wrinkle the forehead.
  2. stick out the tongue.
  3. lift the head.
  4. shrug shoulders.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. C. Metadata: Knowledge : 15 / Population Served : 2 Adult / Cognitive level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 458; Urden -Critical Care Nursing, pg.536

Question of the Week

April 6, 2022

A patient admitted postoperatively following a Hickman catheter placement becomes pulseless, unresponsive, and apneic. The perianesthesia nurse begins CPR at the following ratio:

  1. 15 compressions and 1 breaths.
  2. 15 compressions and 2 breaths.
  3. 30 compressions and 1 breath.
  4. 30 compressions and 2 breaths.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. B. Metadata: Knowledge : 36 / Population Served : 2 Adult / Cognitive level : 3

Reference: Reference: 2B American Heart Association ACLS Provider Manual Page(s): 112

Question of the Week

March 23, 2022

A patient who received spinal anesthesia and has postoperative hypothermia is rewarmed by radiant heat and experiences a drop in blood pressure. The etiology of this finding is:

  1. vasodilation
  2. myocardial depression
  3. basal metabolic rate
  4. parasympathetic response

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. B. Metadata: Knowledge : 12 / Population Served : 2 / Cognitive level : 2

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 334

Question of the Week

March 9, 2022

The nurse is caring for a patient following an electroconvulsive therapy procedure. The patient is observed closely for bradycardia and:

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

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. B. Metadata: Knowledge : 10 / Population Served : 2 Adult / Cognitive level : 2

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 841

Question of the Week

February 23, 2022

When a partial non-rebreather mask is used, the O2 flow rate should be sufficient to:

  1. prevent the reservoir bag from collapsing during inspiration.
  2. prevent the reservoir bag from collapsing during exhalation.
  3. allow the reservoir bag to collapse between inspiration and exhalation.
  4. keep the reservoir bag fully inflated during inspiration and exhalation.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Knowledge : 14 / Population Served : 2 Adult / Cognitive level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 371

Question of the Week

February 9, 2022

The nurse is caring for a patient following an electroconvulsive therapy procedure. The patient is observed closely for bradycardia and:

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

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. B. Metadata: Knowledge : 10 / Population Served : 2 Adult / Cognitive level : 2

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 841

Question of the Week

January 26, 2022

When a partial non-rebreather mask is used, the O2 flow rate should be sufficient to:

  1. prevent the reservoir bag from collapsing during inspiration.
  2. prevent the reservoir bag from collapsing during exhalation.
  3. allow the reservoir bag to collapse between inspiration and exhalation.
  4. keep the reservoir bag fully inflated during inspiration and exhalation.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Knowledge : 14 / Population Served : 2 Adult / Cognitive level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 371; Urden – Critical Care Nursing pg. 488 -TABLE 20.1 ‘Oxygen Therapy Systems’

Question of the Week

January 12, 2022

A patient's wound is positive for methicillin-resistant Staphylococcus aureus (MRSA). The perianesthesia nurse is aware that the patient requires which type of isolation precautions?

  1. Respiratory
  2. Contact
  3. Droplet
  4. Standard

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Drain 52

Question of the Week

December 29, 2021

After extubating a patient, which of the following symptoms should be immediately reported to the anesthesia provider?

  1. sore throat
  2. dry mouth
  3. stridor
  4. hoarseness

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Nagelhaut 435-436, 1150

Question of the Week

December 15, 2021

Tidal volume is defined as the amount of air:

  1. exchanged in one minute.
  2. passing into or out of the lungs in each respiratory cycle.
  3. remaining within the chest after maximal expiration.
  4. exchanged with full inspiration and expiration.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Drain 161

Question of the Week

December 1, 2021

In caring for a toddler, the perianesthesia nurse is aware that the primary cause of anxiety prior to surgery is:

  1. fear of the medical equipment.
  2. striving for approval.
  3. loss of privacy.
  4. separation from parents.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Wong 352

Question of the Week

November 17, 2021

One of the most frequent side effects of ketamine anesthesia is:

  1. hallucination
  2. nausea
  3. muscle fasciculations
  4. bradycardia

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Drain 282, Core 263

Question of the Week

November 3, 2021

In the event that a pharmacologically paralyzed patient is inadvertently extubated, the first priority of the PACU nurse is to:

  1. administer a muscarinic anticholinergic drug immediately
  2. establish and maintain the airway and ventilation
  3. administer an anticholinesterase drug immediately.
  4. assess for muscle recovery before reintubating.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Drain 430

Question of the Week

October 20, 2021

The perianesthesia nurse is giving discharge instructions to a patient when the patient states, "I do not think I will be able to empty this drain by myself." The perianesthesia nurse should start with:

  1. "Would you like me to show you how?"
  2. "You can do it. It’s not that hard."
  3. "Your doctor will remove it in the office."
  4. "What do you know about the drain?"

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. D. Metadata: Knowledge : 31 / Population Served : 2 Adult / Cognitive level : 2

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

Question of the Week

October 6, 2021

A patient was treated for laryngospasm with positive pressure and administration of succinylcholine. The perianesthesia nurse's plan for this patient is to:

  1. observe patient for another hour before transfer to the floor.
  2. continue ventilation until complete respiratory functioning has returned.
  3. install a dehumidifier in the patient’s room.
  4. limit the patient's visitors in the room.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. B. Metadata: Additional Task : 1 / Knowledge : 9 / Population Served : 2 Adult / Cognitive level : 2

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 159 ( Drain 7th Ed 2018)

Question of the Week

September 22, 2021

The patient was brought to PACU post left pneumonectomy. The perianesthesia nurse should position the patient:

  1. prone.
  2. on the left side.
  3. on the right side.
  4. Trendelenburg.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. B. Metadata: Additional Task : 1 / Knowledge : 8 / Population Served : 2 Adult / Cognitive level : 2

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 486

Question of the Week

September 8, 2021

The perianesthesia nurse has reviewed the surgical consent with the patient prior to a procedure. The patient has further questions. The nurse is aware that these questions should be addressed by the:

  1. OR circulating nurse.
  2. R.N. in the preoperative area.
  3. surgeon performing the procedure.
  4. R.N. in the holding area.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. A. Metadata: Knowledge : 39 / Population Served : 2 Adult / Cognitive level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 67

Question of the Week

August 25, 2021

A patient in mild respiratory distress is in Phase I PACU. Another patient is a 6-year- old child whose parents have left to eat. A third patient has just arrived from the operating room. There are two patients waiting for discharge to Phase II, and one who is ready for discharge but waiting to void. According to the ASPAN Standards there should be at least:

  1. two nurses.
  2. three nurses.
  3. four nurses.
  4. five nurses.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 3. A. Metadata: Knowledge : 38 / Population Served : 1 Pediatric / Cognitive level : 1

Reference: Reference: (Inactive) 6D American Society of PeriAnesthesia Page(s): (6E) Standards Book 2019- 2020 pages 36-37

Question of the Week

August 11, 2021

The perianesthesia nurse verifies patient understanding regarding post-operative f opioid use postoperatively when the patient states that using opioids after surgery can cause:

  1. diarrhea.
  2. nausea and vomiting.
  3. hypotension.
  4. insomnia.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 2. E. Metadata: Knowledge : 17 / Population Served : 2 Adult

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 445

Question of the Week

July 28, 2021

The perianesthesia nurse instructs a patient who received a brachial plexus nerve block to:

  1. immediately report numbness and burning sensation.
  2. be aware all blocks last only for 8 hours.
  3. not apply a brace on the affected arm.
  4. be proactive with pain medication to avoid uncontrollable discomfort.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 2. E. Metadata: Knowledge : 19 / Population Served : 2 Adult / Cognitive level : 2

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 340

Question of the Week

July 14, 2021

The perianesthesia nurse is aware that which of the following drugs blocks the 5HT3 serotonin receptor?

  1. Haloperidol
  2. Fosaprepitant
  3. Promethazine
  4. Ondansetron

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. N. Metadata: Knowledge : 17 / Population Served : 2 Adult / Cognitive level : 1

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 251

Question of the Week

June 30, 2021

A pediatric patient is admitted to the PACU after repair of a fractured humerus. The arm is splinted, bent at the elbow, and lying across his chest. He is awake and whimpering, refuses to answer questions, and cries out when touched. Based on FLACC scale of 5, the perianesthesia nurse’s first action is to:

  1. apply 2 liters O2 by nasal cannula.
  2. evaluate for pain medication.
  3. apply an arm sling immediately.
  4. ask permission from patient to take medicine.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. M. Metadata: Knowledge : 13 / Population Served : 1 Pediatric / Cognitive level : 3

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 723

Question of the Week

June 16, 2021

In caring for a patient receiving a blood transfusion, the perianesthesia nurse is aware that the most likely cause of a nonhemolytic febrile transfusion is:

  1. WBC or platelet antibodies.
  2. anti-E–anti-C interaction.
  3. blood type incompatibility.
  4. nonpyrogenic bacteria.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. J. Metadata: Knowledge : 11 / Population Served : 2 Adult / Cognitive level : 2

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 414 Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 578

Question of the Week

June 2, 2021

A patient complains of tingling in the toes and fingers following a parathyroidectomy; Chvostek’s sign is positive. Pending postoperative orders, the PACU nurse should expect to:

  1. administer dilantin, 100 mg IV slow push.
  2. administer prednisone, 100 mg IV stat.
  3. request stat ionized calcium.
  4. hyperventilate the patient.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. H. Metadata: Knowledge : 22 / Population Served : 2 / Cognitive level : 3

Reference: Reference: Nagelhout, J. and Sass, E. Nurse Anesthesia. Sixth Edition, p 920

Question of the Week

May 19, 2021

A patient is admitted to the PACU following a small-bowel resection. The patient is extremely lethargic, confused, and has the following vital signs: BP = 100/50, R = 8 and shallow, T = 34.8°C (94.6°F). Myxedema coma is diagnosed. Initially, the nurse prepares to:

  1. provide fluid challenge.
  2. administer calcium chloride IV.
  3. rapidly rewarm the patient.
  4. administer levothyroxine IV.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. H. Metadata: Knowledge : 18 / Population Served : 2 / Cognitive level : 2

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 500

Question of the Week

May 5, 2021

The perianesthesia nurse is aware that the older adult’s tolerance to cold is decreased because of:

  1. vascular fragility.
  2. neffective piloerection.
  3. loss of subcutaneous fat.
  4. decreased dermal vascularity.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. G. Metadata: Knowledge : 12 / Population Served : 3 / Cognitive level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 210

Question of the Week

April 21, 2021

The patient with a pneumonectomy should never be positioned:

  1. on the non-operative side.
  2. on the operative side.
  3. supine.
  4. in semi-Fowler’s position.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. D. Metadata: Population Served : 2 Adult / Cognitive level : 3

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 486

Question of the Week

April 7, 2021

A perianesthesia nurse assesses cranial nerve VII in a patient post mastoidectomy by asking the patient to:

  1. wrinkle the forehead.
  2. stick out the tongue.
  3. lift the head.
  4. shrug shoulders.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. C. Metadata: Knowledge : 15 / Population Served : 2 Adult / Cognitive level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 458

Question of the Week

March 24, 2021

A patient admitted postoperatively following a Hickman catheter placement becomes pulseless, unresponsive, and apneic. The perianesthesia nurse begins CPR at the following ratio:

  1. 15 compressions and 1 breaths.
  2. 15 compressions and 2 breaths.
  3. 30 compressions and 1 breath.
  4. 30 compressions and 2 breaths.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. B. Metadata: Knowledge : 36 / Population Served : 2 Adult / Cognitive level : 3

Reference: Reference: 2B American Heart Association ACLS Provider Manual Page(s): 112

Question of the Week

March 10, 2021

A patient who received spinal anesthesia and has postoperative hypothermia is rewarmed by radiant heat and experiences a drop in blood pressure. The etiology of this finding is:

  1. vasodilation.
  2. myocardial depression.
  3. basal metabolic rate.
  4. parasympathetic response.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. B. Metadata: Knowledge : 12 / Population Served : 2 / Cognitive level : 2

Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 334

Question of the Week

February 24, 2021

The nurse is caring for a patient following an electroconvulsive therapy procedure. The patient is observed closely for bradycardia and:

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

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. B. Metadata: Knowledge : 10 / Population Served : 2 Adult / Cognitive level : 2

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 841

Question of the Week

February 10, 2021

When a partial non-rebreather mask is used, the O2 flow rate should be sufficient to:

  1. prevent the reservoir bag from collapsing during inspiration.
  2. prevent the reservoir bag from collapsing during exhalation.
  3. allow the reservoir bag to collapse between inspiration and exhalation.
  4. keep the reservoir bag fully inflated during inspiration and exhalation.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Knowledge : 14 / Population Served : 2 Adult / Cognitive level : 1

Reference: Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 371

Question of the Week

January 27, 2021

On arrival in the PACU, an open cholecystectomy patient is experiencing severe right abdominal pain, tachypnea, diaphoresis, tachycardia, and anxiety. The initial vital signs are: BP = 90/50, HR = 126, R = 30, SpO2 = 88%. The PACU nurse expects to initially treat the patient for:

  1. tachycardia.
  2. hypotension.
  3. tachypnea.
  4. hypoxemia.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Knowledge : 9 / Population Served : 2 Adult / Cognitive level : 2

Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 366-367

Question of the Week

January 13, 2021

In Phase I recovery, a child presents with crowing respirations and a bark-like cough. Administration of 40% cool humidified O2 does not relieve the symptoms. The perianesthesia nurse anticipates the need for:

  1. aerosolized albuterol.
  2. subcutaneous epinephrine.
  3. theophylline infusion.
  4. nebulized racemic epinephrine.

CPAN/CAPA Test Blueprint

Domain:

Content Area: Content Area: 1. A. Metadata: Knowledge : 18 / Population Served : 1 Pediatric / Cognitive level : 1

Reference: 7B Perianesthesia Nursing Core Curriculum Page(s): 162

Question of the Week

December 30, 2020

One of the most frequent side effects of ketamine anesthesia is:

  1. muscle fasciculations
  2. nausea
  3. hallucination
  4. bradycardia

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Drain 282, Core 263

Question of the Week

December 16, 2020

In the event that a pharmacologically paralyzed patient is inadvertently extubated, the first priority of the PACU nurse is to:

  1. assess for muscle recovery before reintubating.
  2. administer a muscarinic anticholinergic drug immediately.
  3. administer an anticholinesterase drug immediately.
  4. establish and maintain the airway and ventilation.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Core 276

Question of the Week

December 2, 2020

A patient's wound is positive for methicillin-resistant Staphylococcus aureus (MRSA). The perianesthesia nurse is aware that the patient requires which type of isolation precautions?

  1. Respiratory
  2. Contact
  3. Droplet
  4. Standard

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Drain 52

Question of the Week

November 18, 2020

After extubating a patient, which of the following symptoms should be immediately reported to the anesthesia provider?

  1. sore throat
  2. dry mouth
  3. stridor
  4. hoarseness

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Core 376, Nagelhaut 435, 1150

Question of the Week

November 4, 2020

Tidal volume is defined as the amount of air:

  1. exchanged in one minute.
  2. passing into or out of the lungs in each respiratory cycle.
  3. remaining within the chest after maximal expiration.
  4. exchanged with full inspiration and expiration.

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Core 338

Question of the Week

October 21, 2020

In caring for a toddler, the perianesthesia nurse is aware that the primary cause of anxiety prior to surgery is:

  1. fear of the medical equipment
  2. striving for approval
  3. loss of privacy
  4. separation from parents

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Core, pg 145

Question of the Week

October 7, 2020

One of the most frequent side effects of ketamine anesthesia is:

  1. hallucination
  2. nausea
  3. muscle fasciculations
  4. bradycardia

CPAN/CAPA Test Blueprint

Domain:

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

Reference: Reference: Drain 282, Core 263

Question of the Week

September 23, 2020

In the event that a pharmacologically paralyzed patient is inadvertently extubated, the first priority of the PACU nurse is to:

  1. administer a muscarinic anticholinergic drug immediately.
  2. establish and maintain the airway and ventilation.
  3. administer an anticholinesterase drug immediately.
  4. assess for muscle recovery before reintubating.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

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

Reference: Reference: Core 276

Question of the Week

September 09, 2020

After extubation of a patient, which of the following would be considered most serious?

  1. Sore throat
  2. Impaired swallowing ability
  3. Inspiratory stridor
  4. Hoarseness

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

August 26, 2020

Which of the following interventions would be used first to maintain adequate perfusion and oxygen supply to cardiac muscles following hepatic surgery in a patient with a history of coronary artery disease:

  1. Ensure a hemoglobin concentration ≥ 10 g.
  2. Treat tachydysrhythmias and hypotension.
  3. Monitor oxygen saturation via pulse oximetry.
  4. Administer appropriate medications.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

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

Reference:

Question of the Week

August 12, 2020

The use of the pulse oximeter has become a routine part of PACU care. The post anesthesia nurse may decide that oximetry monitoring is indicated when the patient:

  1. has had minor surgery.
  2. has normal vital signs.
  3. has had regional anesthesia.
  4. is severely hypothermic.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

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

Reference:

Question of the Week

July 15, 2020

Tidal volume is most precisely defined as the amount of:

  1. air exchange in one minute.
  2. gas passing into or out of the lungs in each respiratory cycle.
  3. gas remaining within the chest after maximal expiration.
  4. air exchange with full inspiration and expiration.

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

June 17, 2020

One of the most frequent side effects of ketamine anesthesia is:

  1. hallucination.
  2. respiratory depression.
  3. hypotension.
  4. bradycardia.

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 3, 2020

In providing preoperative teaching to a patient requesting spinal anesthesia, the perianesthesia nurse is aware that an absolute contraindication for spinal anesthesia is:

  1. patient refusal.
  2. chronic back pain.
  3. multiple sclerosis.
  4. sickle cell anemia.

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

May 20, 2020

In administering flumazenil, the perianesthesia nurse is aware that it inhibits the central 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: 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

May 6, 2020

A pathological process that can interfere with accurate measurements of SpO2 when using a pulse oximeter is:

  1. Cushing's disease.
  2. hypoparathyroidism.
  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

April 22, 2020

In the event that a pharmacologically paralyzed patient is inadvertently extubated, the first priority of the PACU nurse is to:

  1. administer a muscarinic anticholinergic drug immediately.
  2. establish and maintain the airway and ventilation.
  3. administer an anticholinesterase drug immediately.
  4. assess for muscle recovery before reintubating.

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 8, 2020

A PACU nurse identifies an increased number of postoperative infections and utilizes a quality improvement tool to collect more data. When deficiencies are noted in the Phase I area, the nurse next considers:

  1. developing a poster board on commonly used antibiotics.
  2. presenting staff with an in-service on infection control.
  3. apprising the infectious disease service of the occurrences.
  4. notifying the OR clinical specialist.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Protect the patient from harm through the use of protective safety devices and equipment.

Reference:

Question of the Week

March 25, 2020

A staff nurse denied a merit increase expresses vigorous support for management and its policies instead of showing anger. The nurse’s behavior is characterized as:

  1. identification.
  2. reaction formation.
  3. sublimation.
  4. rationalization.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide and maintain patient privacy and confidentiality.

Reference:

Question of the Week

March 11, 2020

A standard of practice for post anesthesia nursing is established by which acceptable levels of nursing action?

  1. Promoting independent nursing judgment
  2. Specifying the nursing goal while defining appropriate nursing measures
  3. Identifying the nursing actions that meet JCAHO criteria
  4. Prescribing the nursing intervention relative to standing orders

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Recognize and respect patient/family/significant other diversity.

Reference:

Question of the Week

February 26, 2020

A PACU education/research committee should have three commitments, which must include all of the following except:

  1. development of innovative thinking.
  2. freedom of inquiry.
  3. individual progress of each nurse.
  4. excellence in practice.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Protect the patient from harm through the use of protective safety devices and equipment.

Reference:

Question of the Week

February 12, 2020

The dissociative state attributed to ketamine anesthesia can be modified by the administration of a/an:

  1. antiarrhythmic.
  2. benzodiazepine.
  3. narcotic.
  4. anticonvulsant.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: An appropriate medication regimen (including, but not limited to, minimal interruption of normal medication regimen and preemptive interventions)

Reference:

Question of the Week

January 29, 2020

Following a hernia repair, a 3-month-old is admitted to the PACU positioned on his side with a pacifier in his mouth. The airway becomes obstructed by the tongue. The obstruction can be alleviated by:

  1. removing the pacifier.
  2. pinching the cheeks.
  3. turning him on his back.
  4. jaw thrust or chin lift

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the respiratory system.

Reference: American Heart Association, PALS Provider Manual. 2016. Pg 37.

Question of the Week

January 15, 2020

A post-op patient awaiting transport to a surgical floor is awake and responds appropriately to commands. The perioperative nurse instructs the patient to flex and extend his/ her lower extremities; the purpose of this is to:

  1. ensure that the patient follows commands.
  2. prevent the complication of venous stasis.
  3. accelerate emergence from anesthesia.
  4. assess if patient is ready for discharge.

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: Urden, L., et al. Thelan’s Critical Care Nursing, Diagnosis and Management, 7th Ed. Elsevier, 2014. Pg 354.

Question of the Week

January 01, 2020

A geriatric patient's advanced age puts them at an increased risk for post-operative:

  1. anorexia.
  2. hypothermia.
  3. nausea.
  4. pain.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Develop and implement effective multidisciplinary perianesthesia plan of care that addresses: measures to prevent complications

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

Question of the Week

December 18, 2019

During emergence from general anesthesia, a patient exhibits rapidly increasing symptoms of asthma. Vital signs are: BP = 190/100, HR = 144, R = 36, and SaO2 = 86%. The perianesthesia nurse anticipates giving which of the following medications initially?

  1. Dexamethasone
  2. Nebulized epinephrine
  3. Nebulized albuterol
  4. Isoproterenol

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Appropriate medication regimen (including, but not limited to, minimal interruption of normal medication regimen and preemptive interventions)

Reference: Hodgson, K. and Kizior, R. (2017). Saunders Nursing Drug Handbook 2017. Elsevier.

Question of the Week

December 04, 2019

A patient with streptococcal group A pharyngitis arrives in Phase I PACU. The perianesthesia nurse plans that the nurse to patient ratio should be:

  1. two nurses to one patient.
  2. one nurse to two patients.
  3. one nurse to one patient.
  4. one nurse to three patients.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Protect the patient from harm and take preventive measures related to exposure to infectious diseases

Reference: ASPAN. (2017). 2017-2018 PeriAnesthesia Nursing Standards, Practice Recommendations and Interpretive Statements. ASPAN.

Question of the Week

November 20, 2019

A 35-year-old patient arrives in the Phase I PACU crying and repeatedly asks, “Can’t my mother come in here with me?” The perianesthesia nurse:

  1. informs the patient that visitation is prohibited in the PACU.
  2. reassures the patient and administers an analgesic.
  3. allows a brief visit at a time appropriate for patient, visitors, and staff.
  4. sedates the patient secondary to postanesthetic confusion.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

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

Reference: ASPAN. (2018). 2019-2020 PeriAnesthesia Nursing Standards, Practice Recommendations and Interpretive Statements. ASPAN.

Question of the Week

November 06, 2019

In a patient status post thyroidectomy, the perianesthesia nurse would anticipate postoperative signs of thyrotoxic crisis to include:

  1. hyponatremia.
  2. hypothermia.
  3. tachycardia.
  4. bradycardia.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the endocrine system

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

Question of the Week

October 23, 2019

Which of the following nursing interventions is most effective for a patient with a history of postoperative nausea and vomiting?

  1. Providing ice chips
  2. Administering ranitidine
  3. Prevention
  4. Avoiding administration of analgesics

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the gastrointestinal system

Reference: Urden, L., Stacy, K., & Lough, M. (2017). Critical Care Nursing: Diagnosis and management (8th ed.). Elsevier.

Question of the Week

October 09, 2019

The most common type of reaction to latex-containing products is a/an:

  1. desensitizing allergic reaction.
  2. Type IV reaction.
  3. Type I reaction.
  4. irritating nonallergic reaction.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Protect the patient from harm through the use of protective safety devices and equipment

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

Question of the Week

September 25, 2019

A perianesthesia nurse is providing discharge instructions to a patient who asks questions about the phenazopyridine prescription. The nurse explains that it:

  1. needs to be taken on an empty stomach.
  2. provides relief from urgency and burning sensation.
  3. helps minimize bleeding and formation of blood clots.
  4. treats bacteria present in the urinary tract.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide patient/family/significant other education

Reference: Hodgson, K. and Kizior, R. (2019). Saunders Nursing Drug Handbook 2019. Elsevier.

Question of the Week

September 11, 2019

A patient in the PACU following hip arthroplasty complains of numbness to toes of affected extremity. The patient has most likely sustained an injury to the:

  1. peroneal nerve.
  2. femoral artery.
  3. Achilles tendon.
  4. sciatic nerve.

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

August 28, 2019

Surgery is scheduled for 0830. The patient reports drinking 6 ounces of water at 0600 with medications. Following American Society of Anesthesiologists (ASA) minimum fasting guidelines for n.p.o., the perianesthesia nurse:

  1. continues with the preoperative check-in process.
  2. medicates the patient for nausea.
  3. informs the patient that the case may be cancelled.
  4. notifies the surgeon.

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 14, 2019

A patient who speaks limited English is preparing for gallbladder surgery. The perianesthesia nurse is aware that the appropriate interpreter to utilize for this patient is:

  1. an interpreter who is married to the patient's sister.
  2. an interpreter who has a contract with the facility.
  3. the patient's English-speaking husband.
  4. the patient's bilingual significant other.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Recognize and respect patient/family/significant other diversity

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 31, 2019

A potential negative side effect of positive end-expiratory pressure (PEEP) is:

  1. alveolar collapse.
  2. decreased intrapulmonary shunting.
  3. increased cardiac output.
  4. hypertension.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of cardiovascular and peripheral vascular systems

Reference: Urden, L., Stacy, K., & Lough, M. (2017). Critical Care Nursing: Diagnosis and management (8th ed.). Elsevier.

Question of the Week

July 17, 2019

A patient complains of dyspnea and chest pain after the insertion of a central-line catheter. The patient’s breath sounds are diminished. After physician notification, the priority nursing action is to:

  1. prepare for the insertion of a chest tube.
  2. obtain an order for analgesic.
  3. apply a positive-pressure airway ventilator.
  4. prepare for immediate removal of the central line.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of respiratory system

Reference: Urden, L., Stacy, K., & Lough, M. (2017). Critical Care Nursing: Diagnosis and management (8th ed.). Elsevier.

Question of the Week

July 03, 2019

The dissociative state attributed to ketamine anesthesia can be modified by the administration of a/an:

  1. antiarrhythmic.
  2. benzodiazepine.
  3. antagonist.
  4. anticonvulsant.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: An appropriate medication regimen (including, but not limited to, minimal interruption of normal medication regimen and preemptive interventions)

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, page 365-6.

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.