CAPA Questions and Complete
Solutions Graded A+
While a 55-year-old patient is being interviewed for elective surgery, the patient reports taking no
medications, except for echinacea. The perianesthesia nurse is aware that teaching instructions include:
A. continuing all herbal supplements up to the day of surgery.
B. discontinuing all herbal supplements 2 weeks prior to surgery.
C. knowing that 60% of all modern drugs are derived from plants.
D. discontinuing all herbal supplements 2 days prior to surgery. - Answer: B.) discontinuing all herbal
supplements 2 weeks prior to surgery.
A 3-year-old patient with a history of spina bifida is received postoperatively with audible wheezes and
retractions. The perianesthesia nurse observes blisters under an adhesive bandage and suspects: -
Answer: a latex allergy or sensitivity.
Following spinal anesthesia, the best indicator of complete return of function is the ability to: - Answer:
urinate.
A patient arrives in the PACU following liver biopsy. The patient is lying on the left side and is
complaining of pain. The perianesthesia nurse's first action is to:
cover the patient with a blanket.
notify the physician for an IV pain medication order.
quickly connect the patient to the monitors.
reposition the patient on the right side. - Answer: reposition the patient on the right side
When transferring a patient, a standardized approach to the hand-off report includes an opportunity for
the receiving nurse to:
obtain patient valuables from the transferring nurse.
ask questions from the transferring nurse.
view the patient's past medical records.
ask questions of the patient regarding their care. - Answer: ask questions from the transferring nurse
,Upon a patient's arrival to the PACU, the perianesthesia nurse assesses the correct placement of the
endotracheal tube by:
evaluating the respiratory effort.
checking the cuff inflation.
measuring residual tidal volume.
auscultating the chest bilaterally. - Answer: auscultating the chest bilaterally
The purpose of administering metoclopramide during the preoperative period is to:
control intraoperative anesthesia requirements.
potentiate the effects of benzodiazepines.
promote gastric emptying.
increase gastric pH. - Answer: promote gastric emptying
For a 9-year-old patient, the most appropriate preoperative teaching approach focuses on:
audiovisual material that explains what to expect.
avoiding unnecessary separation from the parent.
verbal explanations of what will happen.
instructions relayed to the parents. - Answer: audiovisual material that explains what to expect
The major symptom of compartment syndrome is:
hypertension.
diminished pulse pressure.
excessive pain.
spasticity. - Answer: excessive pain
When caring for an elderly patient after spinal anesthesia, resolution may be prolonged because:
the lean-to-fat ratio is altered.
drug elimination is delayed.
, nerve transmission is impaired.
more anesthetic is required. - Answer: drug elimination is delayed
To lessen vertigo, nausea, and vomiting immediately following tympanoplasty, the perianesthesia nurse
places the patient in which optimal position?
Semi-Fowler's at 45 degrees
Lateral on the operated side
Position of comfort
Lateral on the unoperated side - Answer: lateral on the unoperated side
An early sign of a malignant hyperthermia crisis is:
skin flushing.
profound fever.
masseter muscle rigidity.
pink-tinged urine. - Answer: masseter muscle rigidity
Visits by family or significant others to patients in the PACU has been shown to:
increase length of stay.
decrease staffing requirements.
decrease anxiety level.
increase anxiety level. - Answer: decrease anxiety level
A perianesthesia nurse plans to remove the laryngeal mask airway (LMA) when the patient can:
blink.
open their eyes on command.
open their mouth on command.
swallow. - Answer: open their mouth on command
The drug of choice for the treatment of malignant hyperthermia is:
Solutions Graded A+
While a 55-year-old patient is being interviewed for elective surgery, the patient reports taking no
medications, except for echinacea. The perianesthesia nurse is aware that teaching instructions include:
A. continuing all herbal supplements up to the day of surgery.
B. discontinuing all herbal supplements 2 weeks prior to surgery.
C. knowing that 60% of all modern drugs are derived from plants.
D. discontinuing all herbal supplements 2 days prior to surgery. - Answer: B.) discontinuing all herbal
supplements 2 weeks prior to surgery.
A 3-year-old patient with a history of spina bifida is received postoperatively with audible wheezes and
retractions. The perianesthesia nurse observes blisters under an adhesive bandage and suspects: -
Answer: a latex allergy or sensitivity.
Following spinal anesthesia, the best indicator of complete return of function is the ability to: - Answer:
urinate.
A patient arrives in the PACU following liver biopsy. The patient is lying on the left side and is
complaining of pain. The perianesthesia nurse's first action is to:
cover the patient with a blanket.
notify the physician for an IV pain medication order.
quickly connect the patient to the monitors.
reposition the patient on the right side. - Answer: reposition the patient on the right side
When transferring a patient, a standardized approach to the hand-off report includes an opportunity for
the receiving nurse to:
obtain patient valuables from the transferring nurse.
ask questions from the transferring nurse.
view the patient's past medical records.
ask questions of the patient regarding their care. - Answer: ask questions from the transferring nurse
,Upon a patient's arrival to the PACU, the perianesthesia nurse assesses the correct placement of the
endotracheal tube by:
evaluating the respiratory effort.
checking the cuff inflation.
measuring residual tidal volume.
auscultating the chest bilaterally. - Answer: auscultating the chest bilaterally
The purpose of administering metoclopramide during the preoperative period is to:
control intraoperative anesthesia requirements.
potentiate the effects of benzodiazepines.
promote gastric emptying.
increase gastric pH. - Answer: promote gastric emptying
For a 9-year-old patient, the most appropriate preoperative teaching approach focuses on:
audiovisual material that explains what to expect.
avoiding unnecessary separation from the parent.
verbal explanations of what will happen.
instructions relayed to the parents. - Answer: audiovisual material that explains what to expect
The major symptom of compartment syndrome is:
hypertension.
diminished pulse pressure.
excessive pain.
spasticity. - Answer: excessive pain
When caring for an elderly patient after spinal anesthesia, resolution may be prolonged because:
the lean-to-fat ratio is altered.
drug elimination is delayed.
, nerve transmission is impaired.
more anesthetic is required. - Answer: drug elimination is delayed
To lessen vertigo, nausea, and vomiting immediately following tympanoplasty, the perianesthesia nurse
places the patient in which optimal position?
Semi-Fowler's at 45 degrees
Lateral on the operated side
Position of comfort
Lateral on the unoperated side - Answer: lateral on the unoperated side
An early sign of a malignant hyperthermia crisis is:
skin flushing.
profound fever.
masseter muscle rigidity.
pink-tinged urine. - Answer: masseter muscle rigidity
Visits by family or significant others to patients in the PACU has been shown to:
increase length of stay.
decrease staffing requirements.
decrease anxiety level.
increase anxiety level. - Answer: decrease anxiety level
A perianesthesia nurse plans to remove the laryngeal mask airway (LMA) when the patient can:
blink.
open their eyes on command.
open their mouth on command.
swallow. - Answer: open their mouth on command
The drug of choice for the treatment of malignant hyperthermia is:
