CPAN Board Exam Study Guide: Comprehensive
Phase I Post-Anesthesia Care Summary &
Practice Questions University of Pennsylvania
is an advanced professional assessment designed for registered nurses specializing
in immediate Phase I post-anesthesia recovery. The curriculum tests clinical
expertise across vital nursing competencies, including airway management,
hemodynamic stability, anesthesia pharmacology, and acute complications. Mastering
these core physiological and perianesthesia monitoring concepts allows candidates to
successfully pass the examination and validate their clinical decision-making skills
Your patient has experienced protracted vomiting. What condition
may occur?
A) Respiratory acidosis
B) Respiratory alkalosis
C) Metabolic acidosis
D) Metabolic alkalosis ,,,answer,,,,..4) D
,Other causes of metabolic alkalosis include diuretics, potassium
deficiency, heart, kidney, and liver failure.
The following tools assess the risk for what condition- Apfel score,
POVOC score?
A) Post-operative nausea and
vomiting
B) Obstructive sleep
apnea
C)
Pain
D) Respiratory depression
,,,answer,,,,..5) A
Apfel score and POVOC scores assess post-operative nausea and
vomiting (PONV). The POVOC score is used primarily in children.
The tool assesses the duration of surgery, if the surgery was
strabismus, and history of post op nausea in the child or family.
The koivuranta score is another tool that may be used for adults.
6) Which of the following occurs when your patient experiences
autonomic dysreflexia?
,A) Sudden blood pressure elevation.
B) Sudden drop in blood pressure
C) Sudden loss of sensation below the waist
D) Sudden increase in heart rate. ,,,answer,,,,..6) A
Elevation of blood pressure and bradycardia occurs when a patient
experience autonomic dysreflexia. Treatment includes emptying the
patient's bowel and bladder.
7) The gold standard to test for malignant hyperthermia is:
A) Brain biopsy
B) Blood test to assess bleeding time.
C) Caffeine halothane contracture test
D) Gene mutation test " ,,,answer,,,,..7) C
The caffeine halothane contracture test is the gold standard test
for malignant hyperthermia.
1) A high spinal block may cause which of the
following? A) Increased Blood pressure
B) Increased heart rate.
, C) Ineffective pain control
D) Respiratory distress ,,,answer,,,,..1) D
Treatment for a high spinal block includes ACLS, vasopressors and
fluids. Other effects of a high spinal include nausea and vomiting,
anxiety, and upper extremity sensory changes. Spinal blocks can
cause complications if medication travels above T4.
2) Your patient is eight years old. What communication approach
would you use?
A) Engage in conversations that encourage critical thinking.
B) Use play to explain procedures, use story books and puppets.
C) Speak in simple sentences and explore using relative concepts.
D) Prepare for procedures immediately before the event. "
,,,answer,,,,..2)
A
Children eight years old should be encouraged to use critical
thinking. Using play with story books and puppets and speaking in
simple sentences works well for children ages 3 to 5. Preparing for
procedures immediately before is used for toddlers aged 1 to 2.
Phase I Post-Anesthesia Care Summary &
Practice Questions University of Pennsylvania
is an advanced professional assessment designed for registered nurses specializing
in immediate Phase I post-anesthesia recovery. The curriculum tests clinical
expertise across vital nursing competencies, including airway management,
hemodynamic stability, anesthesia pharmacology, and acute complications. Mastering
these core physiological and perianesthesia monitoring concepts allows candidates to
successfully pass the examination and validate their clinical decision-making skills
Your patient has experienced protracted vomiting. What condition
may occur?
A) Respiratory acidosis
B) Respiratory alkalosis
C) Metabolic acidosis
D) Metabolic alkalosis ,,,answer,,,,..4) D
,Other causes of metabolic alkalosis include diuretics, potassium
deficiency, heart, kidney, and liver failure.
The following tools assess the risk for what condition- Apfel score,
POVOC score?
A) Post-operative nausea and
vomiting
B) Obstructive sleep
apnea
C)
Pain
D) Respiratory depression
,,,answer,,,,..5) A
Apfel score and POVOC scores assess post-operative nausea and
vomiting (PONV). The POVOC score is used primarily in children.
The tool assesses the duration of surgery, if the surgery was
strabismus, and history of post op nausea in the child or family.
The koivuranta score is another tool that may be used for adults.
6) Which of the following occurs when your patient experiences
autonomic dysreflexia?
,A) Sudden blood pressure elevation.
B) Sudden drop in blood pressure
C) Sudden loss of sensation below the waist
D) Sudden increase in heart rate. ,,,answer,,,,..6) A
Elevation of blood pressure and bradycardia occurs when a patient
experience autonomic dysreflexia. Treatment includes emptying the
patient's bowel and bladder.
7) The gold standard to test for malignant hyperthermia is:
A) Brain biopsy
B) Blood test to assess bleeding time.
C) Caffeine halothane contracture test
D) Gene mutation test " ,,,answer,,,,..7) C
The caffeine halothane contracture test is the gold standard test
for malignant hyperthermia.
1) A high spinal block may cause which of the
following? A) Increased Blood pressure
B) Increased heart rate.
, C) Ineffective pain control
D) Respiratory distress ,,,answer,,,,..1) D
Treatment for a high spinal block includes ACLS, vasopressors and
fluids. Other effects of a high spinal include nausea and vomiting,
anxiety, and upper extremity sensory changes. Spinal blocks can
cause complications if medication travels above T4.
2) Your patient is eight years old. What communication approach
would you use?
A) Engage in conversations that encourage critical thinking.
B) Use play to explain procedures, use story books and puppets.
C) Speak in simple sentences and explore using relative concepts.
D) Prepare for procedures immediately before the event. "
,,,answer,,,,..2)
A
Children eight years old should be encouraged to use critical
thinking. Using play with story books and puppets and speaking in
simple sentences works well for children ages 3 to 5. Preparing for
procedures immediately before is used for toddlers aged 1 to 2.
