CPAN questions with updated Answers
100% complete verified solution/Graded
A+
3 - ANS When educating the patient on what to expect during the administration of
spinal anesthesia, the perianesthesia nurse understands that the progression of
blockage occurs in the following order:
1. sensory, motor, autonomic
2. motor, sensory, autonomic
3. autonomic, sensory, motor
4. motor, autonomic, sensory
3 - ANS 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
1 - ANS 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.
4 - ANS 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.
3 - ANS The perianesthesia nurse is aware that a dramatic decrease in the calcium
may be cause by removal of the:
1. pituitary gland.
2. thyroid gland.
3. parathyroid gland.
4. adrenal glands.
2 - ANS 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.
4 - ANS 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.
1 - ANS One of the most frequent side effects of ketamine anesthesia is:
1. hallucination.
2. respiratory depression.
3. hypotension.
4. bradycardia.
1 - ANS 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.
1 - ANS 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.
3 - ANS 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.
2 - ANS 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.
2 - ANS 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.
2 - ANS 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.
2 - ANS 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
3 - ANS 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.
2 - ANS The dissociative state attributed to ketamine anesthesia can be modified by
the administration of a/an:
1. antiarrhythmic.
2. benzodiazepine.
3. narcotic.
4. anticonvulsant.
4 - ANS 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
2 - ANS 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:
100% complete verified solution/Graded
A+
3 - ANS When educating the patient on what to expect during the administration of
spinal anesthesia, the perianesthesia nurse understands that the progression of
blockage occurs in the following order:
1. sensory, motor, autonomic
2. motor, sensory, autonomic
3. autonomic, sensory, motor
4. motor, autonomic, sensory
3 - ANS 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
1 - ANS 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.
4 - ANS 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.
3 - ANS The perianesthesia nurse is aware that a dramatic decrease in the calcium
may be cause by removal of the:
1. pituitary gland.
2. thyroid gland.
3. parathyroid gland.
4. adrenal glands.
2 - ANS 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.
4 - ANS 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.
1 - ANS One of the most frequent side effects of ketamine anesthesia is:
1. hallucination.
2. respiratory depression.
3. hypotension.
4. bradycardia.
1 - ANS 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.
1 - ANS 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.
3 - ANS 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.
2 - ANS 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.
2 - ANS 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.
2 - ANS 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.
2 - ANS 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
3 - ANS 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.
2 - ANS The dissociative state attributed to ketamine anesthesia can be modified by
the administration of a/an:
1. antiarrhythmic.
2. benzodiazepine.
3. narcotic.
4. anticonvulsant.
4 - ANS 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
2 - ANS 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:
