CPAN EXAM 2026/2027 QUESTIONS AND
CORRECT ANSWERS GRADED A+
A pt. is admitted to the PACU after receiving anesthesia. The pt. is tachypneic, has
muscle rigidity, tachycardia and dysrhythmia. The perianesthesia nurse suspects:
A. neuroleptic malignant syndrome
B. post operative hemorrhage
C. hypoxic brain damage
D. malignant hyperthermia
D. malignant hyperthermia
The pt. arrives in the PACU post stapedectomy, complaining vertigo. The
perianesthesia nurse notes that the pt.has packing retained within the ear. The
perianesthesia nurse:
A. does not disturb the packing
B. adviseds the pt to cough
C. advises the pt to blow nose
D. removes the packing
A. does not disturb the packing
A 70 year old pt is admitted following moderate IV sedation with morphine and
midazolam. The pits unresponsive and the skin is cool and diaphoretic.VS are
,95/60, 50, RR 8 and SpO2 88%on RA. Following O2 administration, no
improvement is noted. The nurse anticipates administering:
A. atropine 0.5mg to 1.0mg
B. naloxone 0.1mg to 0.2mg
C. naloxone 0.6mg to 2.0mg
D. atropine 1.5mg to 2.0mg
B. naloxone 0.1mg to 0.2mg
Following a rhytidectomy, one of the earliest indications of complications is:
A. severe unilateral pain
B. ptosis with periorbital edema
C. a positive Chvostek's sign
D. discoloration of facial tissue
A. severe unilateral pain
What risk factors woulda let the perianesthesia nurse of a patients decreased
chance of PONV?
A. Use of opioids, length of procedure
B. Female, non smoker, use of opioids
C. Male smoker, history of motion sickness
D. Female hypertension, history of PONV
B. Female, non smoker, use of opioids
,When developing a plan of care for an autistic patient in the preoperative setting,
the best way for the nurse to communicate would be to :
A. avoid consistent eye contact
B. communicate only to the caregiver
C. communicate directly with detail
D. maintain eye contact and speak slowly
A. avoid consistent eye contact
Its. requiring walker for home should have them adjusted so that their elbows are
bent:
A. 10 degrees
B. 15 degrees
C. 20-30 degrees
D. 45-50 degrees
C. 20-30 degrees
Following implantation of a cardiac defibrillator, discharge instructions should
include:
A. placing a magnet over the device once a day
B. limiting the arm movement on the affected side
C. discontinuation of antidysrhythmic medication
D. how to adjust the defibrillation threshold
B. limiting the arm movement on the affected side
, The perianesthesia nurse tells the pt. that their planned surgical procedure is an
unwise choice of treatment. The is in violation of the patient's:
A. autonomy
B. advocacy
C. justice
D. beneficence
A. autonomy
When caring for a pt., the perianesthesia nurse fails to give his/her name to the pt.
The nurse is violating which of the following :
A. Nurse Practice Act
B. Clinical Practice Guidelines
C. Patient's Bill of Rights
D. Joint Commission Policy
C. Patient's Bill of Rights
Which is correct regarding post operative shivering?
A. Increased O2 consumption, increased ventilatory requirements
B. Decreased O2 consumption, increased ventilatory requirements
C. Minor mechanism of heat production, prolonged PACU Phase 1 time
D. Need for close monitoring for hypotension and diffuse muscle aches
A. Increased O2 consumption, increased ventilatory requirements
CORRECT ANSWERS GRADED A+
A pt. is admitted to the PACU after receiving anesthesia. The pt. is tachypneic, has
muscle rigidity, tachycardia and dysrhythmia. The perianesthesia nurse suspects:
A. neuroleptic malignant syndrome
B. post operative hemorrhage
C. hypoxic brain damage
D. malignant hyperthermia
D. malignant hyperthermia
The pt. arrives in the PACU post stapedectomy, complaining vertigo. The
perianesthesia nurse notes that the pt.has packing retained within the ear. The
perianesthesia nurse:
A. does not disturb the packing
B. adviseds the pt to cough
C. advises the pt to blow nose
D. removes the packing
A. does not disturb the packing
A 70 year old pt is admitted following moderate IV sedation with morphine and
midazolam. The pits unresponsive and the skin is cool and diaphoretic.VS are
,95/60, 50, RR 8 and SpO2 88%on RA. Following O2 administration, no
improvement is noted. The nurse anticipates administering:
A. atropine 0.5mg to 1.0mg
B. naloxone 0.1mg to 0.2mg
C. naloxone 0.6mg to 2.0mg
D. atropine 1.5mg to 2.0mg
B. naloxone 0.1mg to 0.2mg
Following a rhytidectomy, one of the earliest indications of complications is:
A. severe unilateral pain
B. ptosis with periorbital edema
C. a positive Chvostek's sign
D. discoloration of facial tissue
A. severe unilateral pain
What risk factors woulda let the perianesthesia nurse of a patients decreased
chance of PONV?
A. Use of opioids, length of procedure
B. Female, non smoker, use of opioids
C. Male smoker, history of motion sickness
D. Female hypertension, history of PONV
B. Female, non smoker, use of opioids
,When developing a plan of care for an autistic patient in the preoperative setting,
the best way for the nurse to communicate would be to :
A. avoid consistent eye contact
B. communicate only to the caregiver
C. communicate directly with detail
D. maintain eye contact and speak slowly
A. avoid consistent eye contact
Its. requiring walker for home should have them adjusted so that their elbows are
bent:
A. 10 degrees
B. 15 degrees
C. 20-30 degrees
D. 45-50 degrees
C. 20-30 degrees
Following implantation of a cardiac defibrillator, discharge instructions should
include:
A. placing a magnet over the device once a day
B. limiting the arm movement on the affected side
C. discontinuation of antidysrhythmic medication
D. how to adjust the defibrillation threshold
B. limiting the arm movement on the affected side
, The perianesthesia nurse tells the pt. that their planned surgical procedure is an
unwise choice of treatment. The is in violation of the patient's:
A. autonomy
B. advocacy
C. justice
D. beneficence
A. autonomy
When caring for a pt., the perianesthesia nurse fails to give his/her name to the pt.
The nurse is violating which of the following :
A. Nurse Practice Act
B. Clinical Practice Guidelines
C. Patient's Bill of Rights
D. Joint Commission Policy
C. Patient's Bill of Rights
Which is correct regarding post operative shivering?
A. Increased O2 consumption, increased ventilatory requirements
B. Decreased O2 consumption, increased ventilatory requirements
C. Minor mechanism of heat production, prolonged PACU Phase 1 time
D. Need for close monitoring for hypotension and diffuse muscle aches
A. Increased O2 consumption, increased ventilatory requirements
