Question of the Week
September 30, 2020
A preoperative patient asks what the facility is doing to prevent postoperative surgical site infections. The perianesthesia nurse is aware that according to the surgical care improvement project (SCIP), preop antibiotics should be administered:
- within 60 minutes of incision time.
- prior to induction.
- prior to leaving the holding area.
- upon arrival to the facility.
CPAN/CAPA Test Blueprint
Domain: Physiological Needs
Content Area: Domain: 3 Content Area/Task: A
Reference: Reference: Drain pg. 53
Question of the Week
September 23, 2020
In the event that a pharmacologically paralyzed patient is inadvertently extubated, the first priority of the PACU nurse is to:
- administer a muscarinic anticholinergic drug immediately.
- establish and maintain the airway and ventilation.
- administer an anticholinesterase drug immediately.
- 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?
- Sore throat
- Impaired swallowing ability
- Inspiratory stridor
- 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:
- Ensure a hemoglobin concentration ≥ 10 g.
- Treat tachydysrhythmias and hypotension.
- Monitor oxygen saturation via pulse oximetry.
- 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 19, 2020
Care for a patient who receives a skin graft to the forearm includes:
- maintain dependent position of the extremity.
- changing the bandages if necessary.
- elevation of the affected extremity.
- ROM exercises for the affected extremity.
CPAN/CAPA Test Blueprint
Domain: Physiological Needs
Content Area: G. Assess, diagnose, plan, intervene, and evaluate in order to promote stability of the integumentary 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:
- has had minor surgery.
- has normal vital signs.
- has had regional anesthesia.
- 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
August 5, 2020
The perianesthesia nurse learns that the patient takes MAO inhibitor routinely. This information is documented because of the potential lethal interaction with:
- meperidine.
- midazolam.
- succinylcholine.
- morphine.
CPAN/CAPA Test Blueprint
Domain: Physiological Needs
Content Area: L. Assess, diagnose, plan, intervene, and evaluate in order to promote stability of the fluid and electrolyte levels.
Reference:
Question of the Week
July 22, 2020
Prochlorperazine acts to treat postoperative nausea by affecting the:
- process of gastric emptying.
- chemoreceptor trigger zone.
- production of gastric acid.
- vestibular pathways.
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
July 15, 2020
Tidal volume is most precisely defined as the amount of:
- air exchange in one minute.
- gas passing into or out of the lungs in each respiratory cycle.
- gas remaining within the chest after maximal expiration.
- 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 8, 2020
In a 3-year-old patient, postintubation croup is least likely to develop when the patient has:
- remained in a supine position for a 1-hour procedure.
- been in a supine position for 15 minutes, then in a lateral position for 45 minutes.
- coughed actively and strained prior to extubation.
- required two attempts prior to successful intubation.
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 17, 2020
One of the most frequent side effects of ketamine anesthesia is:
- hallucination.
- respiratory depression.
- hypotension.
- 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 10, 2020
The perianesthesia nurse should question the accuracy of the SpO2 measurement when caring for a patient with which of the underlying condition?
- Cushing's disease.
- hypothyroidism.
- Raynaud's disease.
- 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
May 27, 2020
A patient 7 months pregnant is admitted for repair of a lacerated Achilles tendon. During assessment, contractions of her abdomen are noted. Which of the following positions should this patient be placed?
- Right lateral tilt position
- Left lateral tilt position
- Supine
- Trendelenburg
CPAN/CAPA Test Blueprint
Domain: Physiological Needs
Content Area: Assess, diagnose, plan, intervene, and evaluate in order to promote maintenance of normothermia.
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:
- competing for the receptor sites.
- stimulating the cerebral cortex.
- occupying the mu receptor sites.
- 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 13, 2020
When preparing a patient for a brachial plexus nerve block for upper extremity surgery, the perianesthesia nurse is aware that the safest and easiest approach is:
- subclavicular.
- supraclavicular.
- interscalene.
- axillary.
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
May 6, 2020
A pathological process that can interfere with accurate measurements of SpO2 when using a pulse oximeter is:
- Cushing's disease.
- hypoparathyroidism.
- Raynaud's disease.
- 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 29, 2020
To decrease nausea, the perianesthesia nurse instructs the patient to:
- take deep breaths.
- take several quick breaths.
- turn their head to the side.
- utilize Reiki or imagery.
CPAN/CAPA Test Blueprint
Domain: Physiological Needs
Content Area: Assess, diagnose, plan, intervene, and evaluate in order to promote maintenance of normothermia.
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:
- administer a muscarinic anticholinergic drug immediately.
- establish and maintain the airway and ventilation.
- administer an anticholinesterase drug immediately.
- 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 15, 2020
The perianesthesia nurse would expect a patient with COPD to have received which of the following anesthetic agents?
- Isoflurane
- Nitrous oxide
- Enflurane
- Halothane
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
February 12, 2020
The dissociative state attributed to ketamine anesthesia can be modified by the administration of a/an:
- antiarrhythmic.
- benzodiazepine.
- narcotic.
- 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
February 05, 2020
The perianesthesia nurse is aware that a dramatic decrease in the serum calcium level may be caused by removal of the:
- parathyroid glands.
- pineal gland.
- adrenal glands.
- pituitary gland.
CPAN/CAPA Test Blueprint
Domain: Physiological Needs
Content Area: Stability of the endocrine system
Reference: