CPAN EXAM 1 PRACTICE EXAM WITH 300
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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When a transdermal nitroglycerin patch must be applied on a patient requiring extended
PACU stay, the perianesthesia nurse knows that:
A. remove the patch after 24hours
B. clip the hair at the application site
C. identify the level of current anginal discomfort
D. place the patch on an inner forearm for quick identification
B. clip the hair at the application site
A+ TEST BANK 1
, CPAN EXAM PRACTICE EXAM
A 20 year old male with a history of spina bifida and latex allergy is admitted to the
preoperative holding area. The patient reveals a family member with an unexplained death
during an operative procedure. The perianethesia nurse anticipates the anesthesia regimen
would consist of:
A. sevoflurane, O2, fentanyl, and pancuronium bromide
B. etomidate, nitrous oxide, propofol, and fentanyl
C. succinylcholine, nitrous oxide, fentanylm and droperidol
D. tetracaine epidural, desflurane, propofol, and fentanyl
B. etomidate, nitrous oxide, propofol, and fentanyl
Preoperatively, a patient is administered an H2 antagonist. The perianesthesia nurse knows
this helps reduce the risk of aspiration in surgical patients by:
A. inhibiting the secretion of gastric fluid
B. increasing the pH of gastric fluid
C. decreasing the pH of gastric fluid
D. promoting gastric emptying
A. inhibiting the secretion of gastric fluid
A patient has received pancuronium bromide IV as part of the anesthesia regimen. The
perianesthesia nurse anticipates which of the following to be given for reversal of the effects?
A. droperidol with atropine IV
B. diphenhydramine IV
C. Naloxone IV
D. Neostigmine with glycopyrrolate IV
D. Neostigmine with glycopyrrolate IV
A+ TEST BANK 2
, CPAN EXAM PRACTICE EXAM
The anesthesiologist informs the PACU nurse on duty that an arriving patient has had a
dilation and curettage after a failed self-abortion attempt. The nurse has requested in the
past not to care for patients having abortions. According to the ANA code for nurses, the:
A. nurse is obligated to provide for the patient's safety
B. anesthesiologist must provide care for the patient
C. nurse has the right to refuse care for this patient
D. manager must provide another nurse
A. nurse is obligated to provide for the patient's safety
The most important criteria to be assessed and documented regarding the patient with a
right-sided chest tube include all of the following EXCEPT:
a. Vital signs to include blood pressure, heart rate, and rhythm
b. Fluctuations in the water seal chamber
c. Frequency of Trendelenburg positioning for fluid drainage
d. Condition of dressing and surrounding tissue
C
The Phase II PACU nurse assesses his patient's readiness for discharge. When the patient
reports that she has no transportation and no one to stay with her at home, the Phase II
nurse:
a. Keeps the patient in the department and extra 4 to 6 hours
b. Notifies the surgeon/primary care provider and follows the department procedures and
policies
c. Calls the patient's nearest neighbor to request assistance and to check on the patient
d. Obtains a taxi/bus voucher and accompanies the patient to the appropriate exit
B
A+ TEST BANK 3
, CPAN EXAM PRACTICE EXAM
The perianesthesia Phase I nurse has worked a hectic 10-hour shift, and the current schedule
implies there will be at least 8 more hours of surgery and recovery time ahead. The schedule
indicates this nurse will begin an "on-call" status in 2 hours. The perianesthesia nurse taking a
call knows the following criteria should be met:
a. A minimum of 2 hours provided between shifts to allow for adequate nurse recuperation
b. Staff refusing to complete "on-call" requirements are subject to discipline
c. Minimum staffing ratios are rarely necessary when working "on-call"
d. Leadership should provide a plan to augment "on-call" staff based on patient census and
acuity
D
A new orientee is revewing guidelines for clinical documentation in the Phase I PACU. When
discussing the documentation of any phone calls made to report changes in a patient's
condition, a number of important elements are identified. These include the time the call was
made, the person who made the call, the individual who was called, and:
a. What the person who was called was doing at the time of the call
b. What the person who made the call was doing at the time of the call
c. All information given and received during the call
d. The number of patients and staff in the unit at the time of the call
C
An 18-year-old female patient is scheduled for a diagnostic laparoscopy for suspected
endometriosis. She is a healthy non-smoker, with a passion for sports and athletic training.
She was recently accepted into a health coach program. She reports a history of seasickness
when on watercraft. Current vital signs include a BP of 92/54 and a resting HR of 56. When
documenting her risks for postoperative complications, the perianesthesia nurse notes risk
factors for postoperative nausea and vomiting (PONV) to include all of the following EXCEPT:
a. Female gender
b. Smoking status
A+ TEST BANK 4