Domain: Safety Needs

Question of the Week

September 2, 2020

During a follow-up phone call for a patient that has had a laparoscopic cholecystectomy, the perianesthesia nurse finds that the patient is experiencing severe shoulder pain despite taking analgesics. The nurse should instruct the patient:

  1. that this is normal following laparoscopic procedures.
  2. to apply ice packs to abdomen.
  3. maintain upright position to relieve pain.
  4. to notify the surgeon regarding this problem.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Perform post‐discharge assessment.

Reference:

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 4, 2020

Six hours postoperatively, a patient has not voided and his bladder is palpably distended. The patient refuses catheterization. If the nurse catheterizes the patient against his wishes, this is considered:

  1. tort.
  2. assault.
  3. malpractice.
  4. battery.

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:

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 19, 2020

A preoperative patient is admitted to the holding area prior to joint surgery. The patient asks what the facility is doing to prevent postoperative surgical site infections. The perianesthesia nurse is aware that according to the surgical care improvement project (SCIP), preop antibiotics should be administered:

  1. within 60 minutes of incision time.
  2. prior to induction.
  3. prior to leaving the holding area.
  4. upon arrival to the facility.

CPAN/CAPA Test Blueprint

Domain: 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:

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 25, 2019

The Faces Pain Rating Scale measurement tool is most appropriate for:

  1. a 2-year-old toddler.
  2. an 8-year-old child.
  3. a 15 year-old child.
  4. an infant.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Develop and implement effective multidisciplinary perianesthesia plan of care that addresses pain management

Reference: Hockenberry, M., & Wilson, D. (2015). Wong's Nursing Care of Infants and Children (10th ed.). 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 27, 2019

The perianesthesia nurse should utilize which of the following screening tools to identify patients at risk for obstructive sleep apnea?

  1. STOP-Bang Questionnaire
  2. Aldrete Scoring Tool
  3. Ramsey Sedation Scale
  4. Pasero Opioid Induced Sedation Scale

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

October 16, 2019

During a preoperative interview a patient admits to being allergic to avocados. The nurse is aware that this patient may be at risk for an allergic reaction to:

  1. propofol.
  2. midazolam.
  3. latex.
  4. gluten.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Protect the patient from harm and take preventive measures related to adverse environmental influences (including, but not limited to, latex and/or equipment failure

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

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 21, 2019

Which of the following places the patient at the highest risk of postoperative nausea and vomiting (PONV)?

  1. Type of surgery.
  2. Smoking status.
  3. Duration of surgery.
  4. Female gender.

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.

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.