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.

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 29, 2020

The perianesthesia nurse is aware that a dramatic increase in the calcium may be cause by removal of the:

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

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

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

July 1, 2020

In caring for a preschool-aged child, the perianesthesia nurse is aware that the child’s 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: Behavioral Health and Cognitive Needs

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

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.