CAPA Test Bank Exam Questions with Answers Form .

CAPA Test Bank Exam Questions with Answers Form . Cardiac dysrhythmias - correct answer 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 - correct answer 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? A. Request that the friend interpret the written instructions B. Provide written instructions in spanish C. Determine the friend's ability to understand instructions D. Delay instructions until a certified interpreter can be located A. Keeping the operative arm elevated for several days - correct answer The perianesthesia nurse is aware that discharge instructions for a patient with an arteriovenous shunt include: A. Keeping the operative arm elevated for several days B. Checking blood pressure in the operative arm C. Keeping the operative arm dependent for several days D. Maintaining a pressure dressing over the site B. 35.9C (95.9) - correct answer The perianesthesia nurse is aware that which of the following is the highest body temperature indicative of hypothermia? A. 34.5C (94.1F) B. 35.9C (95.9) C. 37.6 (99.6) D. 38.5 (101.3) C. Urinary catheter removal on postoperative day 1 - correct answer Which of the following measures has been shown to decrease surgical complications? CAPA Test Bank Exam Questions with Answers Form A. Shaving the surgical site 24 hours before surgery B. Prophylactic antibiotics continued for 48 hours C. Urinary catheter removal on postoperative day 1 D. Preoperative antiseptic showers with chlorhexidine A. Racemic epinephrine administration - correct answer A patient extubated 10 minutes post PACU admission is exhibiting croup cough and hoarseness. After 5 minutes of continued observation and administration of O2 with 40% mist, the patient's respiratory status has not changed. Which treatment can the nurse initially expect to implement? A. Racemic epinephrine administration B. Chest physiotherapy C. Suctioning D. Administration of corticosteroid C. Pink urine - correct answer The perianesthesia nurse is aware that discharge instructions for a patient post-ureteral-stent insertion should include preparing the patient to expect: A. Mucuos plugs B. Bladder distention C. Pink urine D. Groin pain D. The patient actively participates - correct answer The perianesthesia nurse is aware that the use of mental images for stress and pain reduction is most effective when: A. A family member is present B. The nurse describes scenarios C. The patient has a history of chronic pain D. The patient actively participates C. A 30 year old undergoing an emergency surgery for a compound fracture - correct answer Which of the following patients is most likely to experience awareness under anesthesia? A. A 5 year old undergoing a tonsillectomy B. A 15 year old undergoing a scheduled arthroscopic knee procedure C. A 30 year old undergoing an emergency surgery for a compound fracture D. A 70 year old undergoing a colectomy for colon cancer A. Amiodarone - correct answer During administration of bupivicaine locally, some of the medication is accidentally administered IV. When the patient develops ventricular arrhythmias, the perianesthesia nurse anticipates the administration of: A. Amiodarone B. Diphenhydramine C. Adenosine D. Lidocaine A. The emergence excitement phase after anesthesia - correct answer Anxious parents are at the bedside of a toddler who is crying, kicking, and thrashing following bilateral myringotomy with insertion of tympanostomy. The perianesthesia nurse informs the parents that this behavior is: A. The emergence excitement phase after anesthesia B. A temper tantrum often seen in toddlers C. Associated with the surgical procedure D. Uncommon in children of this age D. Plasma cholinesterase deficiency - correct answer A patient with a history of alcoholism and tuberculosis is on ventilator support after 2 hours. The patient received incubating doses of succinylcholine, fentanyl, and midazolam, and proposal infusion intraoperatively. The perianesthesia nurse suspects: A. Noncardiogenic pulmonary edema B. Hypokalemia C. Hypoglycemia D. Plasma cholinesterase deficiency A. Audiovisual material that explains what to expect - correct answer The perianesthesia nurse is aware that for a 9 year old patient, the most appropriate preoperative teaching approach focuses on: A. Audiovisual material that explains what to expect B. Avoiding unnecessary separation from the parent C. Verbal explanations of what will happen D. Instructions relayed to the parents D. Adenosine - correct answer A post-appendectomy patient suddenly goes into supraventricular tachycardia. Vital signs are BP= 125/75, HR 168, and RR= 16. The nurse anticipates administering: A. Lidocaine B. Propanolol C. Esmolol D. Adenosine A. Cocaine Helps minimize post-op pain and intraop bleeding for sinus surgeries - correct answer A patient arrives in the PACU following an ethmoidectomy with a BP of 180/110. The nurse suspects that the hypertension is due to intraoperative administration of: A. Cocaine B. Droperidol C. Ondansetron D. Desflurane B. During the preoperative assessment - correct answer The perianesthesia nurse recognizes that the effective pain management of any patient with pain should begin: A. Initially in the PACU B. During the preoperative assessment C. With pain intensity scales for verbal patients only D. 30minutes prior to discharge from the hospital