CPAN, CAPA Cert questions
The nurse presenting conscious sedation to a patient:
1. Will not have obligations that interfere with tracking of the affected person.
2. Might also circulate as long as monitor alarms are set.
Three. May additionally administer propofol for brief tactics.
4. May additionally display ASA IV patients - ANS1.
Domain: Safety Needs
Content Area: Protect patient from damage and take preventive measures associated with the
usage of shielding protection gadgets and system (which include, however now not restrained
to, padded side rails, safety straps, restraints)
Reference: American Society of PeriAnesthesia Nurses. Perianesthesia Nursing Standards,
Practice Recommendations, and Interpretive Statements 2015 - 2017. ASPAN, Cherry Hill, NJ,
2015. Pg 63.
In caring for a patient at hazard for noncardiogenic pulmonary edema, the perianesthesia nurse
knows that the high-quality technique for prevention is to:
1. Elevate head in high fowler's position.
2. Hold blood strain below a hundred and eighty systolic.
3. Save you fluid overload by using proscribing IV fluids within the elderly.
Four. Maintain airway and administer supplemental O2. - ANS
A patient with type 2 diabetes mellitus is admitted the day of surgical procedure with a glucose
of 610 mg/dl. The perianesthesia nurse is conscious that the affected person can be at chance
for:
1. Diabetic ketoacidosis.
2. Hypercalcemia.
Three. Diabetes insipidus.
Four. Hyperkalemia. - ANS1. 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 within the pregnant
patient?
1. Acetaminophen
2. Famotidine
3. Ondansetron
four. Ketorolac - ANS4. Ketolorac
Domain: Physiological Needs
, Content Area: an appropriate medicinal drug routine (along with, however no longer restrained
to, minimal interruption of ordinary medicinal drug regimen, preemptive interventions)
Reference: Hodgson, B., and Kizior, R. Saunders Nursing Drug Handbook 2015. Saunders
(Elsevier), 2015. Pg 660-661
During discharge making plans of a patient who has acquired 6 units of regular recombinant
human insulin (Humulin) subcutaneously, the perianesthesia nurse acknowledges that the
PEAK motion will arise in:
1. 1-5 hours.
2. Five-7 hours.
3. 10-20 mins.
Four. 30-forty five mins - ANS1. 1 to 5 hours
Domain: Physiological Needs
Content Area: balance of endocrine machine
Reference: Hodgson, B., and Kizior, R. Saunders Nursing Drug Handbook 2015. Saunders
(Elsevier), 2015.Pg 622-623.
A patient inside the PACU who received trendy anesthesia is wide awake and alert with stable
crucial symptoms. When the perianesthesia nurse gets rid of the patient's oxygen the O2
saturation periodically drops to 88%. The perianestheisa nurse's next great motion is to:
1. Notify the anesthesia company
2. Administer albuterol nebulizer
3. Start the stir-up routine
four. Carry out chin carry - ANS3. Begin the stir-up routine
Domain: Physiological Needs
Content Area: Stability of breathing system
Reference: Urden, L., et al. Thelan's Critical Care Nursing, Diagnosis and Management,
seventh Ed. Elsevier, 2014. Pg 1103.
During a pre-op evaluation, a affected person reports taking his morning dose of medical
marijuana. The perianesthesia nurse understands that:
1. Current use may also impair capacity to provide consent.
2. No movement is needed because of domestic medicinal drug routine.
Three. It is proper if there are not any physical signs and symptoms of marijuana intoxication
4. Recent use will lower submit-op agitation - ANS1. Latest use might also impair capacity to
present consent
Domain: Safety Needs
Content Area: Deliver, report, and communicate care primarily based on popular national
requirements of perianesthesia nursing practice and applicable laws, tips, and rules
Reference: Fleisher, L. And Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health
Sciences, December, 2011. Pg 616-617.
Of the following sufferers, that's MOST APPROPRIATE for immediate music to the Phase II
location?
The nurse presenting conscious sedation to a patient:
1. Will not have obligations that interfere with tracking of the affected person.
2. Might also circulate as long as monitor alarms are set.
Three. May additionally administer propofol for brief tactics.
4. May additionally display ASA IV patients - ANS1.
Domain: Safety Needs
Content Area: Protect patient from damage and take preventive measures associated with the
usage of shielding protection gadgets and system (which include, however now not restrained
to, padded side rails, safety straps, restraints)
Reference: American Society of PeriAnesthesia Nurses. Perianesthesia Nursing Standards,
Practice Recommendations, and Interpretive Statements 2015 - 2017. ASPAN, Cherry Hill, NJ,
2015. Pg 63.
In caring for a patient at hazard for noncardiogenic pulmonary edema, the perianesthesia nurse
knows that the high-quality technique for prevention is to:
1. Elevate head in high fowler's position.
2. Hold blood strain below a hundred and eighty systolic.
3. Save you fluid overload by using proscribing IV fluids within the elderly.
Four. Maintain airway and administer supplemental O2. - ANS
A patient with type 2 diabetes mellitus is admitted the day of surgical procedure with a glucose
of 610 mg/dl. The perianesthesia nurse is conscious that the affected person can be at chance
for:
1. Diabetic ketoacidosis.
2. Hypercalcemia.
Three. Diabetes insipidus.
Four. Hyperkalemia. - ANS1. 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 within the pregnant
patient?
1. Acetaminophen
2. Famotidine
3. Ondansetron
four. Ketorolac - ANS4. Ketolorac
Domain: Physiological Needs
, Content Area: an appropriate medicinal drug routine (along with, however no longer restrained
to, minimal interruption of ordinary medicinal drug regimen, preemptive interventions)
Reference: Hodgson, B., and Kizior, R. Saunders Nursing Drug Handbook 2015. Saunders
(Elsevier), 2015. Pg 660-661
During discharge making plans of a patient who has acquired 6 units of regular recombinant
human insulin (Humulin) subcutaneously, the perianesthesia nurse acknowledges that the
PEAK motion will arise in:
1. 1-5 hours.
2. Five-7 hours.
3. 10-20 mins.
Four. 30-forty five mins - ANS1. 1 to 5 hours
Domain: Physiological Needs
Content Area: balance of endocrine machine
Reference: Hodgson, B., and Kizior, R. Saunders Nursing Drug Handbook 2015. Saunders
(Elsevier), 2015.Pg 622-623.
A patient inside the PACU who received trendy anesthesia is wide awake and alert with stable
crucial symptoms. When the perianesthesia nurse gets rid of the patient's oxygen the O2
saturation periodically drops to 88%. The perianestheisa nurse's next great motion is to:
1. Notify the anesthesia company
2. Administer albuterol nebulizer
3. Start the stir-up routine
four. Carry out chin carry - ANS3. Begin the stir-up routine
Domain: Physiological Needs
Content Area: Stability of breathing system
Reference: Urden, L., et al. Thelan's Critical Care Nursing, Diagnosis and Management,
seventh Ed. Elsevier, 2014. Pg 1103.
During a pre-op evaluation, a affected person reports taking his morning dose of medical
marijuana. The perianesthesia nurse understands that:
1. Current use may also impair capacity to provide consent.
2. No movement is needed because of domestic medicinal drug routine.
Three. It is proper if there are not any physical signs and symptoms of marijuana intoxication
4. Recent use will lower submit-op agitation - ANS1. Latest use might also impair capacity to
present consent
Domain: Safety Needs
Content Area: Deliver, report, and communicate care primarily based on popular national
requirements of perianesthesia nursing practice and applicable laws, tips, and rules
Reference: Fleisher, L. And Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health
Sciences, December, 2011. Pg 616-617.
Of the following sufferers, that's MOST APPROPRIATE for immediate music to the Phase II
location?
