CAPA EVALUATION TEST ANSWERS AND
QUESTIONS SET A+
✔✔D. Reduce the residual gastric volume - ✔✔When giving preoperative instructions
for an adult, the nurse instructs that clear liquids may be ingested 2 hours before
induction of anesthesia, know that in most patients, this will:
A. Decrease peristalsis of the intestines
B. Create an alkaline pH
C. Have no effect on gastric acidity
D. Reduce the residual gastric volume
✔✔C. 3% sodium chloride and furosemide IV
TURP = fluid overload + hyponatremia from bladder irrigations - ✔✔A patient who has
undergone a transurethral resection of the prostate (TURP) suddenly displays
restlessness, tremors, and disorientation. The PACU nurse would anticipate
administering:
A. Lactated ringer's solution and midazolam IV
B. D5W with potassium 20 meq/L and diazepam IV
C. 3% sodium chloride and furosemide IV
D. Normal saline and morphine sulfate IV
✔✔C. "You will fall asleep." - ✔✔When preparing a 3 year old patient for surgery, the
perianesthesia nurse should say:
A. "If you are good, you will see your parents when you wake up."
B. "You will be put to sleep."
C. "You will fall asleep."
D. "After the procedure, you will feel much better."
✔✔C. Promote gastric emptying - ✔✔The perianesthesia nurse is aware that the
purpose of administering metoclopramide during the preoperative period is to:
, A. Control intraoperative anesthesia requirements
B. Potential the effects of benzodiazepines
C. Promote gastric emptying
D. Increase gastric pH
✔✔C. Food and Drug Administration - ✔✔The perianesthesia nurse knows that serious
injury from a medical product must be reported within 10 days to the:
A. American Medical Association
B. Occupational Safety and Health Administration
C. Food and Drug Administration
D. Centers for Disease Control and Prevention
✔✔B. Place the affected limb at heart level - ✔✔A patient who has undergone an ORIF
of the tibia following a crush injury reports severe pain in the affected lower leg on
passive ROM of the toes, and an inability to move the toes. The foot appears pale and
too edematous to detect pulses. After notifying the surgeon, the perianesthesia nurse
should:
A. Apply a splint to the affected limb
B. Place the affected limb at heart level
C. Initiate physical therapy to the affected limb
D. Wrap the affected limb with warm blankets
✔✔B. Drug elimination is delayed - ✔✔When caring for a geriatric patient after spinal
anesthesia, the perianesthesia nurse is aware that resolution may be prolonged
because:
A. The lean-to-fat ratio is altered
B. Drug elimination is delayed
C. Nerve transmission is impaired
D. More anesthetic is required
✔✔. Cardiac dysrhythmias - ✔✔A patient with a history of drug abuse and nasal ulcers
is received in the PACU. The perianesthesia nurse monitors this patient closely for:
A. Cardiac dysrhythmias
B. Apnea
C. Postural hypotension
D. Somnolence
✔✔D. Delay instructions until a certified interpreter can be located - ✔✔A Spanish-
speaking patient arrives for a pre-operative admission interview accompanied by a
bilingual companion. The patient understands English but speaks only Spanish. What
action should the perianesthesia nurse take regarding the preoperative NPO
instructions?
QUESTIONS SET A+
✔✔D. Reduce the residual gastric volume - ✔✔When giving preoperative instructions
for an adult, the nurse instructs that clear liquids may be ingested 2 hours before
induction of anesthesia, know that in most patients, this will:
A. Decrease peristalsis of the intestines
B. Create an alkaline pH
C. Have no effect on gastric acidity
D. Reduce the residual gastric volume
✔✔C. 3% sodium chloride and furosemide IV
TURP = fluid overload + hyponatremia from bladder irrigations - ✔✔A patient who has
undergone a transurethral resection of the prostate (TURP) suddenly displays
restlessness, tremors, and disorientation. The PACU nurse would anticipate
administering:
A. Lactated ringer's solution and midazolam IV
B. D5W with potassium 20 meq/L and diazepam IV
C. 3% sodium chloride and furosemide IV
D. Normal saline and morphine sulfate IV
✔✔C. "You will fall asleep." - ✔✔When preparing a 3 year old patient for surgery, the
perianesthesia nurse should say:
A. "If you are good, you will see your parents when you wake up."
B. "You will be put to sleep."
C. "You will fall asleep."
D. "After the procedure, you will feel much better."
✔✔C. Promote gastric emptying - ✔✔The perianesthesia nurse is aware that the
purpose of administering metoclopramide during the preoperative period is to:
, A. Control intraoperative anesthesia requirements
B. Potential the effects of benzodiazepines
C. Promote gastric emptying
D. Increase gastric pH
✔✔C. Food and Drug Administration - ✔✔The perianesthesia nurse knows that serious
injury from a medical product must be reported within 10 days to the:
A. American Medical Association
B. Occupational Safety and Health Administration
C. Food and Drug Administration
D. Centers for Disease Control and Prevention
✔✔B. Place the affected limb at heart level - ✔✔A patient who has undergone an ORIF
of the tibia following a crush injury reports severe pain in the affected lower leg on
passive ROM of the toes, and an inability to move the toes. The foot appears pale and
too edematous to detect pulses. After notifying the surgeon, the perianesthesia nurse
should:
A. Apply a splint to the affected limb
B. Place the affected limb at heart level
C. Initiate physical therapy to the affected limb
D. Wrap the affected limb with warm blankets
✔✔B. Drug elimination is delayed - ✔✔When caring for a geriatric patient after spinal
anesthesia, the perianesthesia nurse is aware that resolution may be prolonged
because:
A. The lean-to-fat ratio is altered
B. Drug elimination is delayed
C. Nerve transmission is impaired
D. More anesthetic is required
✔✔. Cardiac dysrhythmias - ✔✔A patient with a history of drug abuse and nasal ulcers
is received in the PACU. The perianesthesia nurse monitors this patient closely for:
A. Cardiac dysrhythmias
B. Apnea
C. Postural hypotension
D. Somnolence
✔✔D. Delay instructions until a certified interpreter can be located - ✔✔A Spanish-
speaking patient arrives for a pre-operative admission interview accompanied by a
bilingual companion. The patient understands English but speaks only Spanish. What
action should the perianesthesia nurse take regarding the preoperative NPO
instructions?
