CPAN, CAPA Cert questions & answers 2023

CPAN, CAPA Cert questions & answers 2023The nurse providing conscious sedation to a patient: 1. will not have duties that interfere with monitoring of the patient. 2. may circulate as long as monitor alarms are set. 3. may administer propofol for short procedures. 4. may monitor ASA IV patients 1. Domain: Safety Needs Content Area: Protect patient from harm and take preventive measures related to the use of protective safety devices and equipment (including, but not limited to, padded side rails, safety straps, restraints) Reference: American Society of PeriAnesthesia Nurses. Perianesthesia Nursing Standards, Practice Recommendations, and Interpretive Statements . ASPAN, Cherry Hill, NJ, 2015. Pg 63. In caring for a patient at risk for noncardiogenic pulmonary edema, the perianesthesia nurse understands that the best method for prevention is to: 1. elevate head in high fowler's position. 2. maintain blood pressure below 180 systolic. 3. prevent fluid overload by limiting IV fluids in the elderly. 4. maintain airway and administer supplemental O2. ... 00:12 01:42 A patient with type 2 diabetes mellitus is admitted the day of surgery with a glucose of 610 mg/dl. The perianesthesia nurse is aware that the patient may be at risk for: 1. diabetic ketoacidosis. 2. hypercalcemia. 3. diabetes insipidus. 4. hyperkalemia. 1. DKA Domain: Physiological Needs Content Area: Stability of Endocrine System Reference: Fleisher, L. and Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health Sciences, December, 2011. Pg 122. The perianesthesia nurse is aware that which drug is contraindicated in the pregnant patient? 1. Acetaminophen 2. Famotidine 3. Ondansetron 4. Ketorolac 4. Ketolorac Domain: Physiological Needs Content Area: an appropriate medication regimen (including, but not limited to, minimal interruption of normal medication regimen, preemptive interventions) Reference: Hodgson, B., and Kizior, R. Saunders Nursing Drug Handbook 2015. Saunders (Elsevier), 2015. Pg 660-661 During discharge planning of a patient who has received 6 units of regular recombinant human insulin (Humulin) subcutaneously, the perianesthesia nurse recognizes that the PEAK action will occur in: 1. 1-5 hours. 2. 5-7 hours. 3. 10-20 minutes. 4. 30-45 minutes 1. 1 to 5 hours Domain: Physiological Needs Content Area: stability of endocrine system Reference: Hodgson, B., and Kizior, R. Saunders Nursing Drug Handbook 2015. Saunders (Elsevier), 622-623. A patient in the PACU who received general anesthesia is awake and alert with stable vital signs. When the perianesthesia nurse removes the patient's oxygen the O2 saturation periodically drops to 88%. The perianestheisa nurse's next best action is to: 1. notify the anesthesia provider 2. administer albuterol nebulizer 3. begin the stir-up regimen 4. perform chin lift 3. begin the stir-up regimen Domain: Physiological Needs Content Area: Stability of respiratory system Reference: Urden, L., et al. Thelan's Critical Care Nursing, Diagnosis and Management, 7th Ed. Elsevier, 2014. pg 1103. During a pre-op assessment, a patient reports taking his morning dose of medical marijuana. The perianesthesia nurse understands that: 1. recent use may impair ability to give consent. 2. no action is needed due to home medication regimen. 3. it is acceptable if there are no physical signs of marijuana intoxication 4. recent use will decrease post-op agitation 1. recent use may impair ability to give consent 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: Fleisher, L. and Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health Sciences, December, 2011. pg 616-617. Of the following patients, which is MOST APPROPRIATE for fast track to the Phase II area? 1. A 50 year old female who underwent a screening colonoscopy who is responsive to verbal stimuli 2. A 40 year old who is awake, alert and pain free following a spermatocelectomy 3. A 17 year old female who is awake, alert and complaining of level 5 pain after open reduction of a wrist fracture 4. A 76 year old inpatient who had a debridement of a heel wound under intravenous anesthesia 2. A 40 year old who is awake, alert and pain free following a spermatocelectomy. Domain: Safety Needs Content Area: Facilitate patient access to an environment that accommodates physical, mental, and emotional abilities/limitations Reference: American Society of PeriAnesthesia Nurses. Perianesthesia Nursing Standards, Practice Recommendations, and Interpretive Statements . ASPAN, Cherry Hill, NJ, 2015. Pg 66-67. The preoperative nurse is aware that the BEST method to prepare a 5 year old child for surgery is to provide: 1. video to be reviewed more than once with explanation and demonstration on the day of surgery. 2. a phone call to the guardian 5-7 days prior to surgery with explanation of the preoperative process. 3. pictures, diagrams and models for practice and handling of actual equipment. 4. an opportunity for the child to speak with nurse without the guardian present. 3. pictures, diagrams and models for practice and handling of actual equipment. Domain: Behavioral and Cognitive Needs Content Area: Provide patient/family/significant other education and evaluate understanding related to preparations for procedures/surgery. Reference: American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Third Edition. Perianesthesia Nursing Core Curriculum - Preoperative, Phase I and Phase II PACU Nursing. WB Saunders, St. Louis, MO., 2015. 203-204. A 12 year old with known sickle cell disease and autism has undergone an inguinal hernia repair. The perianesthesia nurse is aware that the MAIN surgical risk to this patient is: 1. hypoxia from anesthesia. 2. end-organ damage. 3. renal insufficiency. 4. toxicity from heavy metal. 1. hypoxia from anesthesia. Domain: Physiological Needs Content Area: Stability of Respiratory System Reference: Hockenberry, M., Wilson, D. Wong's Nursing Care of Infants and Children. 10th Ed. CV. Mosby, 2015. pg 1348. The perianesthesia nurse is aware that one major advantage of propofol over other intravenous induction agents is: 1. predictability of action. 2. rapid patient recovery. 3. increased cerebral perfusion. 4. no airway requirements 2. rapid patient recovery. Domain: Physiological Needs Content Area: Stability of respiratory system Reference: Litwack, K. Clinical Coach for Effective Perioperative Nursing Care, F.A. Davis Co., 2009. pg 48