CPAN EXAM PRE 5 ACTUAL TEST PAPER QUESTIONS CORRECT ANSWERS GRADED A PLUS
Question:
3
Answer:
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
Question:
1
Answer:
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.
Question:
4
Answer:
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.
Question:
3
Answer:
,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.
Question:
2
Answer:
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.
Question:
4
Answer:
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. striving for approval. 3. loss of
privacy. 4. separation from parents.
Question:
1
Answer:
One of the most frequent side effects of ketamine anesthesia is: 1. hallucination. 2. respiratory
depression. 3. hypotension. 4. bradycardia.
Question:
1
Answer:
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.
,Question:
1
Answer:
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.
Question:
3
Answer:
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.
Question:
2
Answer:
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.
Question:
2
Answer:
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.
, Question:
2
Answer:
A staff nurse denied a merit increase expresses vigorous support for management and its policies
instead of showing anger. The nurse's behavior is characterized as: 1. identification. 2. reaction
formation. 3. sublimation. 4. rationalization.
Question:
2
Answer:
A standard of practice for post anesthesia nursing is established by which acceptable levels of
nursing action? 1. Promoting independent nursing judgment 2. Specifying the nursing goal while
defining appropriate nursing measures 3. Identifying the nursing actions that meet JCAHO criteria
4. Prescribing the nursing intervention relative to standing orders
Question:
3
Answer:
A PACU education/research committee should have three commitments, which must include all of
the following except: 1. development of innovative thinking. 2. freedom of inquiry. 3. individual
progress of each nurse. 4. excellence in practice.
Question:
2
Answer:
The dissociative state attributed to ketamine anesthesia can be modified by the administration of
a/an: 1. antiarrhythmic. 2. benzodiazepine. 3. narcotic. 4. anticonvulsant.
Question:
3
Answer:
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
Question:
1
Answer:
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.
Question:
4
Answer:
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.
Question:
3
Answer:
,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.
Question:
2
Answer:
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.
Question:
4
Answer:
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. striving for approval. 3. loss of
privacy. 4. separation from parents.
Question:
1
Answer:
One of the most frequent side effects of ketamine anesthesia is: 1. hallucination. 2. respiratory
depression. 3. hypotension. 4. bradycardia.
Question:
1
Answer:
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.
,Question:
1
Answer:
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.
Question:
3
Answer:
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.
Question:
2
Answer:
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.
Question:
2
Answer:
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.
, Question:
2
Answer:
A staff nurse denied a merit increase expresses vigorous support for management and its policies
instead of showing anger. The nurse's behavior is characterized as: 1. identification. 2. reaction
formation. 3. sublimation. 4. rationalization.
Question:
2
Answer:
A standard of practice for post anesthesia nursing is established by which acceptable levels of
nursing action? 1. Promoting independent nursing judgment 2. Specifying the nursing goal while
defining appropriate nursing measures 3. Identifying the nursing actions that meet JCAHO criteria
4. Prescribing the nursing intervention relative to standing orders
Question:
3
Answer:
A PACU education/research committee should have three commitments, which must include all of
the following except: 1. development of innovative thinking. 2. freedom of inquiry. 3. individual
progress of each nurse. 4. excellence in practice.
Question:
2
Answer:
The dissociative state attributed to ketamine anesthesia can be modified by the administration of
a/an: 1. antiarrhythmic. 2. benzodiazepine. 3. narcotic. 4. anticonvulsant.
