CPAN LATEST EXAMS SCRIPT ALL QUESTIONS AND
ANSWERS SURE A+
✔✔The pt. who received general anesthesia with desflurane and succinylcholine
remains apneas and intubated in the Phase I PACU. The perianesthesia nurse
suspects:
A. has pseudocholinesterase deficiency
B. has malignant hyperthermia
C. will require reversal with glycopyrrolate and neostigmine
D. is progressing normally and will be extubated soon - ✔✔A. has
pseudocholinesterase deficiency
✔✔A pt. has received a stellate ganglion block. The perianesthesia nurse evaluates for
a successful block by assessing for:
A. Horner's syndrome
B. pallor
C. diaphoresis
D. vasoconstriction at the site of the block - ✔✔A. Horner's syndrome
✔✔After arrival in the PACU following a radical neck dissection, the pt. becomes
tachypneic with tracheal deviation and oxygen desaturation. The perianesthesia nurse
suspects:
A. anterior cervical edema
, B. vocal cord paralysis
C. tension pneumothorax
D. cervical facet displacement - ✔✔C. tension pneumothorax
✔✔The pt. is admitted to the PACU with a laryngeal mask airway (LMA) in place. The
perianesthesia nurse understands that a properly placed LMA :
A. conforms to the hypopharynx
B. passes through the glottic opening
C. prevents aspiration
D. prevents laryngospasm - ✔✔A. conforms to the hypopharynx
✔✔A pt. in the PACU has
ABG lab values of PH = 7.25, Pco2 + 50, pO2 = 99%, HCO3 = 12. The pt. received
pancuronium intra op. The perianesthesia nurse observes for which possible
neuromuscular blockade interaction?
A. Inhibition of the setup of the block
B. Reversal of the effect of the block
C. Prolongation of the duration of the block
D. increase in the level of the block - ✔✔C. Prolongation of the duration of the block
✔✔A pt. arrives in the PACU following a coronary artery bypass graft. The pt. is on a
ventilator with the following settings: Vt = 650ml, FiO2 = 100%, AC mode set RR = 10,
and PEEP = 5cm. Critical ABG results are: PH =m 7.24, Pco2 = 56, pO2 = 80, HCO3 =
22, SaO2 = 91%.
The perianesthesia nurse anticipates which of the following interventions?
A. Increasing the Vt and the RR
B. Decreasing the PEEP an FiO2
C. Increasing the Vt and decreasing the RR
D. Increasing the PEEP and the RR - ✔✔A. Increasing the Vt and the RR
✔✔A pt. arrives in the PACU following a coronary artery bypass graft. The pt. is on a
ventilator with the following settings: Vt = 650ml, FiO2 = 100%, AC mode set RR = 10,
and PEEP = 5cm. Critical ABG results are: PH =m 7.24, Pco2 = 56, pO2 = 80, HCO3 =
22, SaO2 = 91%.
The perianesthesia nurse anticipates which of the following interventions?
A. metabolic acidosis
B. metabolic and respiratory acidosis
C. respiratory acidosis
D. uncompensated respiratory alkalosis - ✔✔C. respiratory acidosis
✔✔A pt. in the PACU becomes tachypneic and complains of dyspnea and chest pain
when taking a deep breath. The pt is expectorating blood tinged sputum. The
perianesthesia nurse expects the immediate medical management this pt. to include:
A. O2, morphine sulfate and heparin
B. codeine, O2 and erythromycin
ANSWERS SURE A+
✔✔The pt. who received general anesthesia with desflurane and succinylcholine
remains apneas and intubated in the Phase I PACU. The perianesthesia nurse
suspects:
A. has pseudocholinesterase deficiency
B. has malignant hyperthermia
C. will require reversal with glycopyrrolate and neostigmine
D. is progressing normally and will be extubated soon - ✔✔A. has
pseudocholinesterase deficiency
✔✔A pt. has received a stellate ganglion block. The perianesthesia nurse evaluates for
a successful block by assessing for:
A. Horner's syndrome
B. pallor
C. diaphoresis
D. vasoconstriction at the site of the block - ✔✔A. Horner's syndrome
✔✔After arrival in the PACU following a radical neck dissection, the pt. becomes
tachypneic with tracheal deviation and oxygen desaturation. The perianesthesia nurse
suspects:
A. anterior cervical edema
, B. vocal cord paralysis
C. tension pneumothorax
D. cervical facet displacement - ✔✔C. tension pneumothorax
✔✔The pt. is admitted to the PACU with a laryngeal mask airway (LMA) in place. The
perianesthesia nurse understands that a properly placed LMA :
A. conforms to the hypopharynx
B. passes through the glottic opening
C. prevents aspiration
D. prevents laryngospasm - ✔✔A. conforms to the hypopharynx
✔✔A pt. in the PACU has
ABG lab values of PH = 7.25, Pco2 + 50, pO2 = 99%, HCO3 = 12. The pt. received
pancuronium intra op. The perianesthesia nurse observes for which possible
neuromuscular blockade interaction?
A. Inhibition of the setup of the block
B. Reversal of the effect of the block
C. Prolongation of the duration of the block
D. increase in the level of the block - ✔✔C. Prolongation of the duration of the block
✔✔A pt. arrives in the PACU following a coronary artery bypass graft. The pt. is on a
ventilator with the following settings: Vt = 650ml, FiO2 = 100%, AC mode set RR = 10,
and PEEP = 5cm. Critical ABG results are: PH =m 7.24, Pco2 = 56, pO2 = 80, HCO3 =
22, SaO2 = 91%.
The perianesthesia nurse anticipates which of the following interventions?
A. Increasing the Vt and the RR
B. Decreasing the PEEP an FiO2
C. Increasing the Vt and decreasing the RR
D. Increasing the PEEP and the RR - ✔✔A. Increasing the Vt and the RR
✔✔A pt. arrives in the PACU following a coronary artery bypass graft. The pt. is on a
ventilator with the following settings: Vt = 650ml, FiO2 = 100%, AC mode set RR = 10,
and PEEP = 5cm. Critical ABG results are: PH =m 7.24, Pco2 = 56, pO2 = 80, HCO3 =
22, SaO2 = 91%.
The perianesthesia nurse anticipates which of the following interventions?
A. metabolic acidosis
B. metabolic and respiratory acidosis
C. respiratory acidosis
D. uncompensated respiratory alkalosis - ✔✔C. respiratory acidosis
✔✔A pt. in the PACU becomes tachypneic and complains of dyspnea and chest pain
when taking a deep breath. The pt is expectorating blood tinged sputum. The
perianesthesia nurse expects the immediate medical management this pt. to include:
A. O2, morphine sulfate and heparin
B. codeine, O2 and erythromycin
