CPAN COMPREHENSIVE ACTUAL ALL EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔3 - ✔✔In a patient status post thyroidectomy, the perianesthesia nurse would
anticipate postoperative signs of thyrotoxic crisis to include:
1. hyponatremia.
2. hypothermia.
3. tachycardia.
4. bradycardia.
✔✔3 - ✔✔Which of the following nursing interventions is most effective for a patient with
a history of postoperative nausea and vomiting?
1. Providing ice chips
2. Administering ranitidine
3. Prevention
4. Avoiding administration of analgesics
✔✔2 - ✔✔A perianesthesia nurse is providing discharge instructions to a patient who
asks questions about the phenazopyridine prescription. The nurse explains that it:
1. needs to be taken on an empty stomach.
,2. provides relief from urgency and burning sensation.
3. helps minimize bleeding and formation of blood clots.
4. treats bacteria present in the urinary tract.
✔✔1 - ✔✔A patient in the PACU following hip arthroplasty complains of numbness to
toes of affected extremity. The patient has most likely sustained an injury to the:
1. peroneal nerve.
2. femoral artery.
3. Achilles tendon.
4. sciatic nerve.
✔✔1 - ✔✔Surgery is scheduled for 0830. The patient reports drinking 6 ounces of water
at 0600 with medications. Following American Society of Anesthesiologists (ASA)
minimum fasting guidelines for n.p.o., the perianesthesia nurse:
1. continues with the preoperative check-in process.
2. medicates the patient for nausea.
3. informs the patient that the case may be cancelled.
4. notifies the surgeon.
✔✔2 - ✔✔A patient who speaks limited English is preparing for gallbladder surgery. The
perianesthesia nurse is aware that the appropriate interpreter to utilize for this patient is:
1. an interpreter who is married to the patient's sister.
2. an interpreter who has a contract with the facility.
3. the patient's English-speaking husband.
4. the patient's bilingual significant other.
✔✔2 - ✔✔A potential negative side effect of positive end-expiratory pressure (PEEP) is:
1. alveolar collapse.
2. decreased intrapulmonary shunting.
3. increased cardiac output.
4. hypertension.
✔✔1 - ✔✔A patient complains of dyspnea and chest pain after the insertion of a central-
line catheter. The patient's breath sounds are diminished. After physician notification,
the priority nursing action is to:
1. prepare for the insertion of a chest tube.
2. obtain an order for analgesic.
3. apply a positive-pressure airway ventilator.
4. prepare for immediate removal of the central line.
,✔✔2 - ✔✔The dissociative state attributed to ketamine anesthesia can be modified by
the administration of a/an:
1. antiarrhythmic.
2. benzodiazepine.
3. antagonist.
4. anticonvulsant.
✔✔3 - ✔✔Care for a patient who receives a skin graft to the forearm includes:
1. maintain dependent position of the extremity.
2. changing the bandages if necessary.
3. elevation of the affected extremity.
4. ROM exercises for the affected extremity.
✔✔1
Use of meperidine with an MAOI can lead to hypertension, convulsions, and coma. -
✔✔The perianesthesia nurse learns that the patient takes MAO inhibitor routinely. This
information is documented because of the potential lethal interaction with:
1. meperidine.
2. midazolam.
3. succinylcholine.
4. morphine.
✔✔2 - ✔✔Prochlorperazine acts to treat postoperative nausea by affecting the:
1. process of gastric emptying.
2. chemoreceptor trigger zone.
3. production of gastric acid.
4. vestibular pathways.
✔✔1 - ✔✔In a 3-year-old patient, postintubation croup is least likely to develop when
the patient has:
1. remained in a supine position for a 1-hour procedure.
2. been in a supine position for 15 minutes, then in a lateral position for 45 minutes.
3. coughed actively and strained prior to extubation.
4. required two attempts prior to successful intubation.
✔✔2 - ✔✔Following a hernia repair, a 3-month-old is admitted to the PACU positioned
on his side with a pacifier in his mouth. The airway becomes obstructed by the tongue.
The obstruction can be alleviated by:
, 1. removing the pacifier.
2. pinching the cheeks.
3. turning him on his back.
4. hyperextending the jaw.
✔✔3
Signs and symptoms of Raynaud's disease include:
Cold fingers or toes.
Color changes in your skin in response to cold or stress.
Numb, prickly feeling or stinging pain upon warming or stress relief. - ✔✔The
perianesthesia nurse should question the accuracy of the SpO2 measurement when
caring for a patient with which of the underlying condition?
1. Cushing's disease.
2. hypothyroidism.
3. Raynaud's disease.
4. hyperthyroidism.
✔✔2
Because your liver is on the right side of your abdomen, lying on your left side helps
keep the uterus off that large organ. Sleeping on the left side also improves circulation
to the heart and allows for the best blood flow to the fetus, uterus, and kidneys. - ✔✔A
patient 7 months pregnant is admitted for repair of a lacerated Achilles tendon. During
assessment, contractions of her abdomen are noted. Which of the following positions
should this patient be placed?
1. Right lateral tilt position
2. Left lateral tilt position
3. Supine
4. Trendelenburg
✔✔4
The axillary approach to the brachial plexus is considered the safest of the four
approaches because of reduced risk to surrounding structures such as the risk of
phrenic nerve blockade and/or pneumothorax, but the general risks of accidental
intravascular and intraneural injection still exists. - ✔✔When preparing a patient for a
brachial plexus nerve block for upper extremity surgery, the perianesthesia nurse is
aware that the safest and easiest approach is:
1. subclavicular.
2. supraclavicular.
3. interscalene.
4. axillary.
QUESTIONS AND ANSWERS SURE A+
✔✔3 - ✔✔In a patient status post thyroidectomy, the perianesthesia nurse would
anticipate postoperative signs of thyrotoxic crisis to include:
1. hyponatremia.
2. hypothermia.
3. tachycardia.
4. bradycardia.
✔✔3 - ✔✔Which of the following nursing interventions is most effective for a patient with
a history of postoperative nausea and vomiting?
1. Providing ice chips
2. Administering ranitidine
3. Prevention
4. Avoiding administration of analgesics
✔✔2 - ✔✔A perianesthesia nurse is providing discharge instructions to a patient who
asks questions about the phenazopyridine prescription. The nurse explains that it:
1. needs to be taken on an empty stomach.
,2. provides relief from urgency and burning sensation.
3. helps minimize bleeding and formation of blood clots.
4. treats bacteria present in the urinary tract.
✔✔1 - ✔✔A patient in the PACU following hip arthroplasty complains of numbness to
toes of affected extremity. The patient has most likely sustained an injury to the:
1. peroneal nerve.
2. femoral artery.
3. Achilles tendon.
4. sciatic nerve.
✔✔1 - ✔✔Surgery is scheduled for 0830. The patient reports drinking 6 ounces of water
at 0600 with medications. Following American Society of Anesthesiologists (ASA)
minimum fasting guidelines for n.p.o., the perianesthesia nurse:
1. continues with the preoperative check-in process.
2. medicates the patient for nausea.
3. informs the patient that the case may be cancelled.
4. notifies the surgeon.
✔✔2 - ✔✔A patient who speaks limited English is preparing for gallbladder surgery. The
perianesthesia nurse is aware that the appropriate interpreter to utilize for this patient is:
1. an interpreter who is married to the patient's sister.
2. an interpreter who has a contract with the facility.
3. the patient's English-speaking husband.
4. the patient's bilingual significant other.
✔✔2 - ✔✔A potential negative side effect of positive end-expiratory pressure (PEEP) is:
1. alveolar collapse.
2. decreased intrapulmonary shunting.
3. increased cardiac output.
4. hypertension.
✔✔1 - ✔✔A patient complains of dyspnea and chest pain after the insertion of a central-
line catheter. The patient's breath sounds are diminished. After physician notification,
the priority nursing action is to:
1. prepare for the insertion of a chest tube.
2. obtain an order for analgesic.
3. apply a positive-pressure airway ventilator.
4. prepare for immediate removal of the central line.
,✔✔2 - ✔✔The dissociative state attributed to ketamine anesthesia can be modified by
the administration of a/an:
1. antiarrhythmic.
2. benzodiazepine.
3. antagonist.
4. anticonvulsant.
✔✔3 - ✔✔Care for a patient who receives a skin graft to the forearm includes:
1. maintain dependent position of the extremity.
2. changing the bandages if necessary.
3. elevation of the affected extremity.
4. ROM exercises for the affected extremity.
✔✔1
Use of meperidine with an MAOI can lead to hypertension, convulsions, and coma. -
✔✔The perianesthesia nurse learns that the patient takes MAO inhibitor routinely. This
information is documented because of the potential lethal interaction with:
1. meperidine.
2. midazolam.
3. succinylcholine.
4. morphine.
✔✔2 - ✔✔Prochlorperazine acts to treat postoperative nausea by affecting the:
1. process of gastric emptying.
2. chemoreceptor trigger zone.
3. production of gastric acid.
4. vestibular pathways.
✔✔1 - ✔✔In a 3-year-old patient, postintubation croup is least likely to develop when
the patient has:
1. remained in a supine position for a 1-hour procedure.
2. been in a supine position for 15 minutes, then in a lateral position for 45 minutes.
3. coughed actively and strained prior to extubation.
4. required two attempts prior to successful intubation.
✔✔2 - ✔✔Following a hernia repair, a 3-month-old is admitted to the PACU positioned
on his side with a pacifier in his mouth. The airway becomes obstructed by the tongue.
The obstruction can be alleviated by:
, 1. removing the pacifier.
2. pinching the cheeks.
3. turning him on his back.
4. hyperextending the jaw.
✔✔3
Signs and symptoms of Raynaud's disease include:
Cold fingers or toes.
Color changes in your skin in response to cold or stress.
Numb, prickly feeling or stinging pain upon warming or stress relief. - ✔✔The
perianesthesia nurse should question the accuracy of the SpO2 measurement when
caring for a patient with which of the underlying condition?
1. Cushing's disease.
2. hypothyroidism.
3. Raynaud's disease.
4. hyperthyroidism.
✔✔2
Because your liver is on the right side of your abdomen, lying on your left side helps
keep the uterus off that large organ. Sleeping on the left side also improves circulation
to the heart and allows for the best blood flow to the fetus, uterus, and kidneys. - ✔✔A
patient 7 months pregnant is admitted for repair of a lacerated Achilles tendon. During
assessment, contractions of her abdomen are noted. Which of the following positions
should this patient be placed?
1. Right lateral tilt position
2. Left lateral tilt position
3. Supine
4. Trendelenburg
✔✔4
The axillary approach to the brachial plexus is considered the safest of the four
approaches because of reduced risk to surrounding structures such as the risk of
phrenic nerve blockade and/or pneumothorax, but the general risks of accidental
intravascular and intraneural injection still exists. - ✔✔When preparing a patient for a
brachial plexus nerve block for upper extremity surgery, the perianesthesia nurse is
aware that the safest and easiest approach is:
1. subclavicular.
2. supraclavicular.
3. interscalene.
4. axillary.
