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

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.