CPAN 2026 EVALUATION EXAMS LATEST
QUESTIONS AND ANSWERS SURE A+
✔✔4 - ✔✔In a preoperative visit, information to be collected by the perianesthesia nurse
includes:
1. type of surgery to be performed, previous surgical history and verification of payment
source.
2. cardiac status, vaccination status, respiratory status, and location of patient's family
postoperatively.
3. surgical procedure, whether the patient has signed the consent form, and type of
anesthesia to be used.
4. preexisting diseases, laboratory values, neurological status, current medications, and
allergies.
✔✔4 - ✔✔A patient calls the preoperative center asking whether to continue taking his
daily dose of clonidine. The perianesthesia nurse is aware that clonidine should be:
1. taken only if the surgeon deems it necessary.
2. stopped at least 3 days preoperatively.
3. stopped at least 5 days preoperatively.
4. taken daily as prescribed.
,✔✔4 - ✔✔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.
✔✔1 - ✔✔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.
✔✔1 - ✔✔The perianesthesia nurse is aware that a dramatic decrease in the serum
calcium level may be caused by removal of the:
1. parathyroid glands.
2. pineal gland.
3. adrenal glands.
4. pituitary gland.
✔✔3
increased salivation due to stimulation of muscarinic receptors (can be contolled using
an antimuscarinic)
Other Side Effects:
catatonia
amnesia
deficits in working and episodic memory (associated with frequent use)
analgesia
elevated heart rate, cardiac output & blood pressure
post-op disorientation
sensory & perceptual illusions
vivid dreams
ulcerative cystitis (associated with chronic drug use)
Contraindications: - ✔✔The perianesthesia nurse recognizes that upon a patient's
arrival to the PACU, a side effect of ketamine anesthesia is:
1. decreased muscle tone.
,2. hypotension.
3. marked salivation.
4. nausea and vomiting.
✔✔2 - ✔✔By asking a tympanoplasty patient to wrinkle the forehead, pucker lips, smile,
and squeeze eyelids together, the PACU nurse is assessing the function of cranial
nerve:
1. V.
2. VII.
3. IX.
4. XII.
✔✔2 - ✔✔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.
✔✔1 - ✔✔A patient receives an intraoperative prophylactic dose of droperidol. The
PACU nurse is aware that this drug has a potentiating action when administered:
1. with narcotics and barbiturates.
2. with nonsteroidal anti-inflammatory drugs.
3. to a patient with increased ICP.
4. to a hypertensive patient.
✔✔1
YES/NO questions to the following:
Snoring ?Do you Snore Loudly (loud enough to be heard through closed doors or your
bed-partner elbows you for snoring at night)?
Tired ?Do you often feel Tired, Fatigued, or Sleepy during the daytime (such as falling
asleep during driving or talking to someone)?
Observed ?Has anyone Observed you Stop Breathing or Choking/Gasping during your
sleep ?
Pressure ?Do you have or are being treated for High Blood Pressure ?
Body Mass Index more than 35 kg/m2?
Age older than 50 ?
, Neck size large ? (Measured around Adams apple)Is your shirt collar 16 inches / 40cm
or larger?
Gender = Male ? - ✔✔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
✔✔4 - ✔✔The perianesthesia nurse receives a call inquiring about a patient who is in
surgery. The perianesthesia nurse's initial action is to:
1. transfer the call to the O.R. desk.
2. advise to call back later.
3. provide the information.
4. inform the family of the call.
✔✔3.
ASA 1: A normal healthy patient.
ASA 2: A patient with a mild systemic disease.
ASA 3: A patient with a severe systemic disease that is not life-threatening.
ASA 4: A patient with a severe systemic disease that is a constant threat to life.
ASA 5: A moribund patient who is not expected to survive without the operation. The
patient is not expected to survive beyond the next 24 hours without surgery.
ASA 6: A brain-dead patient whose organs are being removed with the intention of
transplanting them into another patient. - ✔✔During a preoperative telephone interview,
a 52-year-old patient states that he has been hospitalized twice in the past year for
management of insulin-dependent diabetes mellitus. The ASA status of this patient is:
1. Class I.
2. Class II.
3. Class III.
4. Class IV.
✔✔3
Around half of all people with latex allergy have allergic reactions when eating particular
foods, including avocado, banana, chestnut, kiwifruit, passionfruit, plum, strawberry and
tomato. This is because some of the proteins in latex that cause latex allergy are also
present in these fruits. - ✔✔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:
QUESTIONS AND ANSWERS SURE A+
✔✔4 - ✔✔In a preoperative visit, information to be collected by the perianesthesia nurse
includes:
1. type of surgery to be performed, previous surgical history and verification of payment
source.
2. cardiac status, vaccination status, respiratory status, and location of patient's family
postoperatively.
3. surgical procedure, whether the patient has signed the consent form, and type of
anesthesia to be used.
4. preexisting diseases, laboratory values, neurological status, current medications, and
allergies.
✔✔4 - ✔✔A patient calls the preoperative center asking whether to continue taking his
daily dose of clonidine. The perianesthesia nurse is aware that clonidine should be:
1. taken only if the surgeon deems it necessary.
2. stopped at least 3 days preoperatively.
3. stopped at least 5 days preoperatively.
4. taken daily as prescribed.
,✔✔4 - ✔✔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.
✔✔1 - ✔✔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.
✔✔1 - ✔✔The perianesthesia nurse is aware that a dramatic decrease in the serum
calcium level may be caused by removal of the:
1. parathyroid glands.
2. pineal gland.
3. adrenal glands.
4. pituitary gland.
✔✔3
increased salivation due to stimulation of muscarinic receptors (can be contolled using
an antimuscarinic)
Other Side Effects:
catatonia
amnesia
deficits in working and episodic memory (associated with frequent use)
analgesia
elevated heart rate, cardiac output & blood pressure
post-op disorientation
sensory & perceptual illusions
vivid dreams
ulcerative cystitis (associated with chronic drug use)
Contraindications: - ✔✔The perianesthesia nurse recognizes that upon a patient's
arrival to the PACU, a side effect of ketamine anesthesia is:
1. decreased muscle tone.
,2. hypotension.
3. marked salivation.
4. nausea and vomiting.
✔✔2 - ✔✔By asking a tympanoplasty patient to wrinkle the forehead, pucker lips, smile,
and squeeze eyelids together, the PACU nurse is assessing the function of cranial
nerve:
1. V.
2. VII.
3. IX.
4. XII.
✔✔2 - ✔✔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.
✔✔1 - ✔✔A patient receives an intraoperative prophylactic dose of droperidol. The
PACU nurse is aware that this drug has a potentiating action when administered:
1. with narcotics and barbiturates.
2. with nonsteroidal anti-inflammatory drugs.
3. to a patient with increased ICP.
4. to a hypertensive patient.
✔✔1
YES/NO questions to the following:
Snoring ?Do you Snore Loudly (loud enough to be heard through closed doors or your
bed-partner elbows you for snoring at night)?
Tired ?Do you often feel Tired, Fatigued, or Sleepy during the daytime (such as falling
asleep during driving or talking to someone)?
Observed ?Has anyone Observed you Stop Breathing or Choking/Gasping during your
sleep ?
Pressure ?Do you have or are being treated for High Blood Pressure ?
Body Mass Index more than 35 kg/m2?
Age older than 50 ?
, Neck size large ? (Measured around Adams apple)Is your shirt collar 16 inches / 40cm
or larger?
Gender = Male ? - ✔✔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
✔✔4 - ✔✔The perianesthesia nurse receives a call inquiring about a patient who is in
surgery. The perianesthesia nurse's initial action is to:
1. transfer the call to the O.R. desk.
2. advise to call back later.
3. provide the information.
4. inform the family of the call.
✔✔3.
ASA 1: A normal healthy patient.
ASA 2: A patient with a mild systemic disease.
ASA 3: A patient with a severe systemic disease that is not life-threatening.
ASA 4: A patient with a severe systemic disease that is a constant threat to life.
ASA 5: A moribund patient who is not expected to survive without the operation. The
patient is not expected to survive beyond the next 24 hours without surgery.
ASA 6: A brain-dead patient whose organs are being removed with the intention of
transplanting them into another patient. - ✔✔During a preoperative telephone interview,
a 52-year-old patient states that he has been hospitalized twice in the past year for
management of insulin-dependent diabetes mellitus. The ASA status of this patient is:
1. Class I.
2. Class II.
3. Class III.
4. Class IV.
✔✔3
Around half of all people with latex allergy have allergic reactions when eating particular
foods, including avocado, banana, chestnut, kiwifruit, passionfruit, plum, strawberry and
tomato. This is because some of the proteins in latex that cause latex allergy are also
present in these fruits. - ✔✔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:
