CPAN EXAM PRE 1 ACTUAL TEST PAPER QUESTIONS CORRECT ANSWERS GRADED A PLUS
Question:
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
Answer:
A. Increased O2 consumption, increased ventilatory requirements
Question:
The perianesthesia nurse is aware that a main focus for pre admission assessment is to: A. Evaluate
fitness for anesthesia and surgery B. Reduce the mortality and morbidity rate C. Establish the
necessity of the procedure D. Order laboratory and other diagnostic tests
Answer:
B. Reduce the mortality and morbidity rate
Question:
To lessen vertigo, n/v immediately following tympanoplasty the perianesthesia nurse would place
the patient in which optimal position? A. Semi fowlers @ 45 degrees B. Lateral on the operated side
C. Position of comfort D. Lateral on the unoperated side
Answer:
D. Lateral on the unoperated side
Question:
When caring for a diabetic patient, the major objective of the perianesthesia nurse is to prevent: A.
Fluid volume excess B. fluid volume deficit C. Hyperglycemia D. Hypoglycemia
Answer:
, D. Hypoglycemia
Question:
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
Answer:
D. malignant hyperthermia
Question:
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
Answer:
A. does not disturb the packing
Question:
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
Answer:
B. naloxone 0.1mg to 0.2mg
Question:
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
Answer:
A. severe unilateral pain
Question:
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
Answer:
A. Increased O2 consumption, increased ventilatory requirements
Question:
The perianesthesia nurse is aware that a main focus for pre admission assessment is to: A. Evaluate
fitness for anesthesia and surgery B. Reduce the mortality and morbidity rate C. Establish the
necessity of the procedure D. Order laboratory and other diagnostic tests
Answer:
B. Reduce the mortality and morbidity rate
Question:
To lessen vertigo, n/v immediately following tympanoplasty the perianesthesia nurse would place
the patient in which optimal position? A. Semi fowlers @ 45 degrees B. Lateral on the operated side
C. Position of comfort D. Lateral on the unoperated side
Answer:
D. Lateral on the unoperated side
Question:
When caring for a diabetic patient, the major objective of the perianesthesia nurse is to prevent: A.
Fluid volume excess B. fluid volume deficit C. Hyperglycemia D. Hypoglycemia
Answer:
, D. Hypoglycemia
Question:
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
Answer:
D. malignant hyperthermia
Question:
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
Answer:
A. does not disturb the packing
Question:
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
Answer:
B. naloxone 0.1mg to 0.2mg
Question:
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
Answer:
A. severe unilateral pain
