2
CPAN Exam questions with precise detailed answers || || || || || ||
When educating the patient on what to expect during the administration of spinal
|| || || || || || || || || || || || ||
anesthesia, the perianesthesia nurse understands that the progression of blockage occurs in
|| || || || || || || || || || || ||
the following order:
|| ||
1. sensory, motor, autonomic
|| || ||
2. motor, sensory, autonomic
|| || ||
3. autonomic, sensory, motor
|| || ||
4. motor, autonomic, sensory - ✔✔3
|| || || || ||
After extubation of a patient, which of the following would be considered most serious?
|| || || || || || || || || || || || ||
1. Sore throat
|| ||
2. Impaired swallowing ability
|| || ||
3. Inspiratory stridor
|| ||
4. Hoarseness - ✔✔3
|| || ||
Which of the following interventions would be used first to maintain adequate perfusion
|| || || || || || || || || || || || ||
and oxygen supply to cardiac muscles following hepatic surgery in a patient with a history
|| || || || || || || || || || || || || || ||
of coronary artery disease:
|| || ||
1. Ensure a hemoglobin concentration ≥ 10 g.
|| || || || || || ||
2. Treat tachydysrhythmias and hypotension.
|| || || ||
3. Monitor oxygen saturation via pulse oximetry.
|| || || || || ||
4. Administer appropriate medications. - ✔✔1
|| || || || ||
,2
The use of the pulse oximeter has become a routine part of PACU care. The post anesthesia
|| || || || || || || || || || || || || || || || ||
nurse may decide that oximetry monitoring is indicated when the patient:
|| || || || || || || || || ||
1. has had minor surgery.
|| || || ||
2. has normal vital signs.
|| || || ||
3. has had regional anesthesia.
|| || || ||
4. is severely hypothermic. - ✔✔4
|| || || || ||
The perianesthesia nurse is aware that a dramatic decrease in the calcium may be cause by
|| || || || || || || || || || || || || || || ||
removal of the: || ||
1. pituitary gland.
|| ||
2. thyroid gland.
|| ||
3. parathyroid gland.
|| ||
4. adrenal glands. - ✔✔3
|| || || ||
Tidal volume is most precisely defined as the amount of:
|| || || || || || || || ||
1. air exchange in one minute.
|| || || || ||
2. gas passing into or out of the lungs in each respiratory cycle.
|| || || || || || || || || || || ||
3. gas remaining within the chest after maximal expiration.
|| || || || || || || ||
4. air exchange with full inspiration and expiration. - ✔✔2
|| || || || || || || || ||
In caring for a preschool-aged child, the perianesthesia nurse is aware that the child's
|| || || || || || || || || || || || || ||
primary cause of anxiety prior to surgery is:
|| || || || || || ||
1. fear of the medical equipment.
|| || || || ||
,2
2. striving for approval.
|| || ||
3. loss of privacy.
|| || ||
4. separation from parents. - ✔✔4
|| || || || ||
One of the most frequent side effects of ketamine anesthesia is:
|| || || || || || || || || ||
1. hallucination.
||
2. respiratory depression.
|| ||
3. hypotension.
||
4. bradycardia. - ✔✔1
|| || ||
In providing preoperative teaching to a patient requesting spinal anesthesia, the
|| || || || || || || || || || ||
perianesthesia nurse is aware that an absolute contraindication for spinal anesthesia is:
|| || || || || || || || || || ||
1. patient refusal.
|| ||
2. chronic back pain.
|| || ||
3. multiple sclerosis.
|| ||
4. sickle cell anemia. - ✔✔1
|| || || || ||
In administering flumazenil, the perianesthesia nurse is aware that it inhibits the central
|| || || || || || || || || || || || ||
effects of benzodiazepines by:
|| || ||
1. competing for the receptor sites.
|| || || || ||
2. stimulating the cerebral cortex.
|| || || ||
3. occupying the mu receptor sites.
|| || || || ||
4. metabolizing the medications. - ✔✔1
|| || || || ||
, 2
A pathological process that can interfere with accurate measurements of SpO2 when using
|| || || || || || || || || || || || ||
a pulse oximeter is:
|| || ||
1. Cushing's disease.
|| ||
2. hypoparathyroidism.
||
3. Raynaud's disease.
|| ||
4. hyperthyroidism. - ✔✔3
|| || ||
In the event that a pharmacologically paralyzed patient is inadvertently extubated, the first
|| || || || || || || || || || || || ||
priority of the PACU nurse is to:
|| || || || || ||
1. administer a muscarinic anticholinergic drug immediately.
|| || || || || ||
2. establish and maintain the airway and ventilation.
|| || || || || || ||
3. administer an anticholinesterase drug immediately.
|| || || || ||
4. assess for muscle recovery before reintubating. - ✔✔2
|| || || || || || || ||
A PACU nurse identifies an increased number of postoperative infections and utilizes a
|| || || || || || || || || || || || ||
quality improvement tool to collect more data. When deficiencies are noted in the Phase I
|| || || || || || || || || || || || || || ||
area, the nurse next considers:
|| || || ||
1. developing a poster board on commonly used antibiotics.
|| || || || || || || ||
2. presenting staff with an in-service on infection control.
|| || || || || || || ||
3. apprising the infectious disease service of the occurrences.
|| || || || || || || ||
4. notifying the OR clinical specialist. - ✔✔2
|| || || || || || ||
CPAN Exam questions with precise detailed answers || || || || || ||
When educating the patient on what to expect during the administration of spinal
|| || || || || || || || || || || || ||
anesthesia, the perianesthesia nurse understands that the progression of blockage occurs in
|| || || || || || || || || || || ||
the following order:
|| ||
1. sensory, motor, autonomic
|| || ||
2. motor, sensory, autonomic
|| || ||
3. autonomic, sensory, motor
|| || ||
4. motor, autonomic, sensory - ✔✔3
|| || || || ||
After extubation of a patient, which of the following would be considered most serious?
|| || || || || || || || || || || || ||
1. Sore throat
|| ||
2. Impaired swallowing ability
|| || ||
3. Inspiratory stridor
|| ||
4. Hoarseness - ✔✔3
|| || ||
Which of the following interventions would be used first to maintain adequate perfusion
|| || || || || || || || || || || || ||
and oxygen supply to cardiac muscles following hepatic surgery in a patient with a history
|| || || || || || || || || || || || || || ||
of coronary artery disease:
|| || ||
1. Ensure a hemoglobin concentration ≥ 10 g.
|| || || || || || ||
2. Treat tachydysrhythmias and hypotension.
|| || || ||
3. Monitor oxygen saturation via pulse oximetry.
|| || || || || ||
4. Administer appropriate medications. - ✔✔1
|| || || || ||
,2
The use of the pulse oximeter has become a routine part of PACU care. The post anesthesia
|| || || || || || || || || || || || || || || || ||
nurse may decide that oximetry monitoring is indicated when the patient:
|| || || || || || || || || ||
1. has had minor surgery.
|| || || ||
2. has normal vital signs.
|| || || ||
3. has had regional anesthesia.
|| || || ||
4. is severely hypothermic. - ✔✔4
|| || || || ||
The perianesthesia nurse is aware that a dramatic decrease in the calcium may be cause by
|| || || || || || || || || || || || || || || ||
removal of the: || ||
1. pituitary gland.
|| ||
2. thyroid gland.
|| ||
3. parathyroid gland.
|| ||
4. adrenal glands. - ✔✔3
|| || || ||
Tidal volume is most precisely defined as the amount of:
|| || || || || || || || ||
1. air exchange in one minute.
|| || || || ||
2. gas passing into or out of the lungs in each respiratory cycle.
|| || || || || || || || || || || ||
3. gas remaining within the chest after maximal expiration.
|| || || || || || || ||
4. air exchange with full inspiration and expiration. - ✔✔2
|| || || || || || || || ||
In caring for a preschool-aged child, the perianesthesia nurse is aware that the child's
|| || || || || || || || || || || || || ||
primary cause of anxiety prior to surgery is:
|| || || || || || ||
1. fear of the medical equipment.
|| || || || ||
,2
2. striving for approval.
|| || ||
3. loss of privacy.
|| || ||
4. separation from parents. - ✔✔4
|| || || || ||
One of the most frequent side effects of ketamine anesthesia is:
|| || || || || || || || || ||
1. hallucination.
||
2. respiratory depression.
|| ||
3. hypotension.
||
4. bradycardia. - ✔✔1
|| || ||
In providing preoperative teaching to a patient requesting spinal anesthesia, the
|| || || || || || || || || || ||
perianesthesia nurse is aware that an absolute contraindication for spinal anesthesia is:
|| || || || || || || || || || ||
1. patient refusal.
|| ||
2. chronic back pain.
|| || ||
3. multiple sclerosis.
|| ||
4. sickle cell anemia. - ✔✔1
|| || || || ||
In administering flumazenil, the perianesthesia nurse is aware that it inhibits the central
|| || || || || || || || || || || || ||
effects of benzodiazepines by:
|| || ||
1. competing for the receptor sites.
|| || || || ||
2. stimulating the cerebral cortex.
|| || || ||
3. occupying the mu receptor sites.
|| || || || ||
4. metabolizing the medications. - ✔✔1
|| || || || ||
, 2
A pathological process that can interfere with accurate measurements of SpO2 when using
|| || || || || || || || || || || || ||
a pulse oximeter is:
|| || ||
1. Cushing's disease.
|| ||
2. hypoparathyroidism.
||
3. Raynaud's disease.
|| ||
4. hyperthyroidism. - ✔✔3
|| || ||
In the event that a pharmacologically paralyzed patient is inadvertently extubated, the first
|| || || || || || || || || || || || ||
priority of the PACU nurse is to:
|| || || || || ||
1. administer a muscarinic anticholinergic drug immediately.
|| || || || || ||
2. establish and maintain the airway and ventilation.
|| || || || || || ||
3. administer an anticholinesterase drug immediately.
|| || || || ||
4. assess for muscle recovery before reintubating. - ✔✔2
|| || || || || || || ||
A PACU nurse identifies an increased number of postoperative infections and utilizes a
|| || || || || || || || || || || || ||
quality improvement tool to collect more data. When deficiencies are noted in the Phase I
|| || || || || || || || || || || || || || ||
area, the nurse next considers:
|| || || ||
1. developing a poster board on commonly used antibiotics.
|| || || || || || || ||
2. presenting staff with an in-service on infection control.
|| || || || || || || ||
3. apprising the infectious disease service of the occurrences.
|| || || || || || || ||
4. notifying the OR clinical specialist. - ✔✔2
|| || || || || || ||
