CPAN, CAPA CERT EXAMS WITH
a a a a
VERIFIED QUESTION AND ANSWERS
a a a
A a12 ayear aold awith aknown asickle acell adisease aand aautism ahas aundergone aan
ainguinal a hernia arepair. aThe aperianesthesia anurse ais aaware athat athe aMAIN
asurgical arisk ato athis a patient ais:
1. hypoxia afrom aanesthesia.
2. end-organ adamage.
3. renal ainsufficiency.
4. toxicity afrom aheavy ametal.
-ANSWERS-1. ahypoxia afrom aanesthesia.
Domain: aPhysiological aNeeds
Content aArea: aStability aof aRespiratory aSystem
Reference: aHockenberry, aM., aWilson, aD. aWong's aNursing aCare aof aInfants aand
aChildren. a 10th aEd. aCV. aMosby, a2015. apg a 1348.
A apatient aarrives ain aPhase aI aPACU areceiving aoxygen aby anasal a cannula aat a2 aliters aper
a minute. aThe awave aforms aon apulse aoximetry aare ainitially anormal awith aan aoxygen
asaturation a of a100%. aTen aminutes aafter aarrival ato aPhase aI athe aalarm ais asounded aand
athe anurse anotes a that athe amonitor ahas astopped atracking athe apulse. aThe
aperianesthesia anurse ashould a FIRST:
1. increase athe aoxygen aflow arate ato athe anasal acannula.
2. move athe aprobe afrom athe afinger ato athe aearlobe.
3. encourage apatient ato acough aand adeep abreathe.
4. evaluate athe apatient afor aadverse aphysiological achanges.
-ANSWERS-4. aevaluate athe apatient afor aadverse aphysiological
achanges. a Domain: aPhysiological aNeeds
Content aArea: aStability aof arespiratory asystem
Reference: aOdom-Forren, aJ. aDrain's aPeriAnesthesia aNursing: aA aCritical aCare
aApproach. a 6th aEd. aElsevier aSaunders, a2013. apg a357.
A apatient ain athe aPACU awho areceived ageneral aanesthesia ais aawake aand aalert awith
astable a vital asigns. aWhen athe aperianesthesia anurse aremoves athe apatient's aoxygen athe
aO2 a saturation aperiodically adrops ato a88%. aThe aperianestheisa anurse's anext abest
aaction ais ato:
1. notify athe aanesthesia aprovider
2. administer aalbuterol anebulizer
3. begin athe astir-up aregimen
, 4. perform achin alift
-ANSWERS-3. abegin athe astir-up
aregimen a Domain: aPhysiological aNeeds
Content aArea: aStability aof arespiratory asystem
Reference: aUrden, aL., aet aal. aThelan's aCritical aCare aNursing, aDiagnosis aand
aManagement, a 7th aEd. aElsevier, a2014. apg a1103.
A apatient awith atype a2 adiabetes amellitus ais aadmitted athe aday aof asurgery awith aa
aglucose aof a 610 amg/dl. aThe aperianesthesia anurse ais aaware athat athe apatient amay abe aat
arisk afor:
1. diabetic aketoacidosis.
2. hypercalcemia.
3. diabetes ainsipidus.
4. hyperkalemia.
-ANSWERS-1. aDKA
Domain: aPhysiological aNeeds
Content aArea: aStability aof aEndocrine aSystem
Reference: aFleisher, aL. aand aRoizen, aM. aEssence aof aAnesthesia aPractice, a3rd aEd.
a Elsevier aHealth aSciences, aDecember, a2011. aPg a122.
A aweek abefore aa apatient's asurgery, ait awas anoted ain athe ahistory aand aphysical
aassessment a that athe apatient ahas aacute abronchitis. aThe aperianesthesia anurse's aBEST
aaction ais ato:
1. proceed awith asurgery.
2. get aan aorder afor aan aantibiotic.
3. notify athe asurgeon.
4. postpone athe asurgery.
-ANSWERS-3. anotify athe asurgeon.
a Domain: aPhysiological aNeeds
Content aArea: aStability aof arespiratory asystem
Reference: aAmerican aSociety aof aPeriAnesthesia aNurses. aPerianesthesia aNursing
a Standards, aPractice aRecommendations, aand aInterpretive aStatements a2015 a - a2017.
a ASPAN, aCherry aHill, aNJ, a2015. apg a34
During aa apre-op aassessment, aa apatient areports ataking ahis amorning adose aof amedical
a marijuana. aThe aperianesthesia anurse aunderstands athat:
1. recent ause amay aimpair aability ato agive aconsent.
2. no aaction ais aneeded adue ato ahome a medication aregimen.
3. it ais aacceptable aif athere aare ano aphysical asigns aof amarijuana aintoxication
4. recent ause awill adecrease apost-op aagitation
-ANSWERS-1. arecent ause amay aimpair aability ato agive
aconsent a Domain: aSafety aNeeds
Content aArea: aDeliver, adocument, aand acommunicate acare abased aon aaccepted anational
a standards aof aperianesthesia anursing apractice aand aapplicable alaws, aguidelines, aand
a regulations
Reference: aFleisher, aL. aand aRoizen, aM. aEssence aof aAnesthesia aPractice, a3rd aEd.
a Elsevier aHealth aSciences, aDecember, a2011. apg a616-617.
a a a a
VERIFIED QUESTION AND ANSWERS
a a a
A a12 ayear aold awith aknown asickle acell adisease aand aautism ahas aundergone aan
ainguinal a hernia arepair. aThe aperianesthesia anurse ais aaware athat athe aMAIN
asurgical arisk ato athis a patient ais:
1. hypoxia afrom aanesthesia.
2. end-organ adamage.
3. renal ainsufficiency.
4. toxicity afrom aheavy ametal.
-ANSWERS-1. ahypoxia afrom aanesthesia.
Domain: aPhysiological aNeeds
Content aArea: aStability aof aRespiratory aSystem
Reference: aHockenberry, aM., aWilson, aD. aWong's aNursing aCare aof aInfants aand
aChildren. a 10th aEd. aCV. aMosby, a2015. apg a 1348.
A apatient aarrives ain aPhase aI aPACU areceiving aoxygen aby anasal a cannula aat a2 aliters aper
a minute. aThe awave aforms aon apulse aoximetry aare ainitially anormal awith aan aoxygen
asaturation a of a100%. aTen aminutes aafter aarrival ato aPhase aI athe aalarm ais asounded aand
athe anurse anotes a that athe amonitor ahas astopped atracking athe apulse. aThe
aperianesthesia anurse ashould a FIRST:
1. increase athe aoxygen aflow arate ato athe anasal acannula.
2. move athe aprobe afrom athe afinger ato athe aearlobe.
3. encourage apatient ato acough aand adeep abreathe.
4. evaluate athe apatient afor aadverse aphysiological achanges.
-ANSWERS-4. aevaluate athe apatient afor aadverse aphysiological
achanges. a Domain: aPhysiological aNeeds
Content aArea: aStability aof arespiratory asystem
Reference: aOdom-Forren, aJ. aDrain's aPeriAnesthesia aNursing: aA aCritical aCare
aApproach. a 6th aEd. aElsevier aSaunders, a2013. apg a357.
A apatient ain athe aPACU awho areceived ageneral aanesthesia ais aawake aand aalert awith
astable a vital asigns. aWhen athe aperianesthesia anurse aremoves athe apatient's aoxygen athe
aO2 a saturation aperiodically adrops ato a88%. aThe aperianestheisa anurse's anext abest
aaction ais ato:
1. notify athe aanesthesia aprovider
2. administer aalbuterol anebulizer
3. begin athe astir-up aregimen
, 4. perform achin alift
-ANSWERS-3. abegin athe astir-up
aregimen a Domain: aPhysiological aNeeds
Content aArea: aStability aof arespiratory asystem
Reference: aUrden, aL., aet aal. aThelan's aCritical aCare aNursing, aDiagnosis aand
aManagement, a 7th aEd. aElsevier, a2014. apg a1103.
A apatient awith atype a2 adiabetes amellitus ais aadmitted athe aday aof asurgery awith aa
aglucose aof a 610 amg/dl. aThe aperianesthesia anurse ais aaware athat athe apatient amay abe aat
arisk afor:
1. diabetic aketoacidosis.
2. hypercalcemia.
3. diabetes ainsipidus.
4. hyperkalemia.
-ANSWERS-1. aDKA
Domain: aPhysiological aNeeds
Content aArea: aStability aof aEndocrine aSystem
Reference: aFleisher, aL. aand aRoizen, aM. aEssence aof aAnesthesia aPractice, a3rd aEd.
a Elsevier aHealth aSciences, aDecember, a2011. aPg a122.
A aweek abefore aa apatient's asurgery, ait awas anoted ain athe ahistory aand aphysical
aassessment a that athe apatient ahas aacute abronchitis. aThe aperianesthesia anurse's aBEST
aaction ais ato:
1. proceed awith asurgery.
2. get aan aorder afor aan aantibiotic.
3. notify athe asurgeon.
4. postpone athe asurgery.
-ANSWERS-3. anotify athe asurgeon.
a Domain: aPhysiological aNeeds
Content aArea: aStability aof arespiratory asystem
Reference: aAmerican aSociety aof aPeriAnesthesia aNurses. aPerianesthesia aNursing
a Standards, aPractice aRecommendations, aand aInterpretive aStatements a2015 a - a2017.
a ASPAN, aCherry aHill, aNJ, a2015. apg a34
During aa apre-op aassessment, aa apatient areports ataking ahis amorning adose aof amedical
a marijuana. aThe aperianesthesia anurse aunderstands athat:
1. recent ause amay aimpair aability ato agive aconsent.
2. no aaction ais aneeded adue ato ahome a medication aregimen.
3. it ais aacceptable aif athere aare ano aphysical asigns aof amarijuana aintoxication
4. recent ause awill adecrease apost-op aagitation
-ANSWERS-1. arecent ause amay aimpair aability ato agive
aconsent a Domain: aSafety aNeeds
Content aArea: aDeliver, adocument, aand acommunicate acare abased aon aaccepted anational
a standards aof aperianesthesia anursing apractice aand aapplicable alaws, aguidelines, aand
a regulations
Reference: aFleisher, aL. aand aRoizen, aM. aEssence aof aAnesthesia aPractice, a3rd aEd.
a Elsevier aHealth aSciences, aDecember, a2011. apg a616-617.
