CPAN Practice Exam 2 - Questions With Insightful
Solutions
Sleep apnea in severely obese patients is related to:
a. Excess pharyngeal tissue
b. Hypoglossal nerve paralysis
c. Hypocarbia with acidosis
d. Supine lateral positioning Correct Answer - A
A patient reports lightheadedness, mouth numbness, and ringing in the ears
following a regional block. The perianesthesia nurse recognizes this as:
a. Allergic reaction
b. Transient hypotension
c. Local anesthesia toxicity
d. Acute stroke Correct Answer - C
In order to safely transport a pediatric postoperative patient, ASPAN
standards recommend that the patient should be accompanied by:
a. A registered health care aid plus a driver
b. One responsible adult
c. Two responsible adults
d. One adult and another child to sit with infant Correct Answer - C
A patient with a history of bronchial asthma and hypertension is admitted to
the PACU following an outpatient procedure. The patient is drowsy but
responsive, bilateral breath sounds are clear, and vital signs are: BP =
220/110, HR = 72, and RR = 16. The perianesthesia nurse will anticipate the
administration of:
a. Propanolol
b. Hydralazine
c. Labetalol
d. Nitroprusside Correct Answer - B
, An ambulatory surgery patient who is post direct laryngoscopy with general
anesthesia exhibits stridor. The perianesthesia nurse anticipates orders for:
a. Percussion of the anterior chest
b. Administration of nebulized racemic epinephrine
c. Administration of naloxone IV
d. Suctioning the pharynx Correct Answer - B
A patient is admitted to the PACU following a thoracic aneurysm repair. Once
extubated, the patient is exhibiting positive Trousseau's sign and skeletal
muscle weakness. The perianesthesia nurse anticipates evaluating the
patient's:
a. Serum calcium level
b. Serum potassium level
c. Extremities for pulses
d. Heart for new murmurs Correct Answer - A
The on-call PACU nurse is receiving reports on a patient who is vented,
combative and on multiple vasoactive IV drips. While the second on-call nurse
is assisting the first nurse, a 10-year-old pediatric patient who has had a
tonsillar bleed arrives in the PACU. According to the ASPAN Practice
Recommendations regarding patient classification and staffing, the most
appropriate action for the first nurse to take is to ask the:
a. Second PACU nurse to take the report on and immediately assume care of
the pediatric patient
b. Second PACU nurse to take the report on the pediatric patient, and then
allow the parents to watch the child
c. Anesthesia provider to remain with the child until the first patient is
stabilized, and the second nurse can assume care
d. Receiving pediatric floor nurse to send a "sitter" to watch the pediatric
patient until the second nurse can assume care Correct Answer - C
The safest time to remove an LMA is:
a. When the patient is in high Fowler's position and awake
b. After the patient is suctioned during light anesthesia
c. During stage II recovery from anesthesia
Solutions
Sleep apnea in severely obese patients is related to:
a. Excess pharyngeal tissue
b. Hypoglossal nerve paralysis
c. Hypocarbia with acidosis
d. Supine lateral positioning Correct Answer - A
A patient reports lightheadedness, mouth numbness, and ringing in the ears
following a regional block. The perianesthesia nurse recognizes this as:
a. Allergic reaction
b. Transient hypotension
c. Local anesthesia toxicity
d. Acute stroke Correct Answer - C
In order to safely transport a pediatric postoperative patient, ASPAN
standards recommend that the patient should be accompanied by:
a. A registered health care aid plus a driver
b. One responsible adult
c. Two responsible adults
d. One adult and another child to sit with infant Correct Answer - C
A patient with a history of bronchial asthma and hypertension is admitted to
the PACU following an outpatient procedure. The patient is drowsy but
responsive, bilateral breath sounds are clear, and vital signs are: BP =
220/110, HR = 72, and RR = 16. The perianesthesia nurse will anticipate the
administration of:
a. Propanolol
b. Hydralazine
c. Labetalol
d. Nitroprusside Correct Answer - B
, An ambulatory surgery patient who is post direct laryngoscopy with general
anesthesia exhibits stridor. The perianesthesia nurse anticipates orders for:
a. Percussion of the anterior chest
b. Administration of nebulized racemic epinephrine
c. Administration of naloxone IV
d. Suctioning the pharynx Correct Answer - B
A patient is admitted to the PACU following a thoracic aneurysm repair. Once
extubated, the patient is exhibiting positive Trousseau's sign and skeletal
muscle weakness. The perianesthesia nurse anticipates evaluating the
patient's:
a. Serum calcium level
b. Serum potassium level
c. Extremities for pulses
d. Heart for new murmurs Correct Answer - A
The on-call PACU nurse is receiving reports on a patient who is vented,
combative and on multiple vasoactive IV drips. While the second on-call nurse
is assisting the first nurse, a 10-year-old pediatric patient who has had a
tonsillar bleed arrives in the PACU. According to the ASPAN Practice
Recommendations regarding patient classification and staffing, the most
appropriate action for the first nurse to take is to ask the:
a. Second PACU nurse to take the report on and immediately assume care of
the pediatric patient
b. Second PACU nurse to take the report on the pediatric patient, and then
allow the parents to watch the child
c. Anesthesia provider to remain with the child until the first patient is
stabilized, and the second nurse can assume care
d. Receiving pediatric floor nurse to send a "sitter" to watch the pediatric
patient until the second nurse can assume care Correct Answer - C
The safest time to remove an LMA is:
a. When the patient is in high Fowler's position and awake
b. After the patient is suctioned during light anesthesia
c. During stage II recovery from anesthesia
