CPAN FINAL EXAM NEWEST 2024 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
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 - ANSWER>>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 - ANSWER>>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. - ANSWER>>1
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. - ANSWER>>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. - ANSWER>>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. - ANSWER>>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. striving for approval.
3. loss of privacy.
4. separation from parents. - ANSWER>>4
One of the most frequent side effects of ketamine anesthesia is:
1. hallucination.
2. respiratory depression.
3. hypotension.
4. bradycardia. - ANSWER>>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. - ANSWER>>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. - ANSWER>>1
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. - ANSWER>>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. - ANSWER>>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. - ANSWER>>2
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. G- GANSWER>>2
A Gstandard Gof Gpractice Gfor Gpost Ganesthesia Gnursing Gis Gestablished Gby Gwhich
Gacceptable Glevels Gof Gnursing Gaction?
1. Promoting Gindependent Gnursing Gjudgment
2. Specifying Gthe Gnursing Ggoal Gwhile Gdefining Gappropriate Gnursing Gmeasures
3. Identifying Gthe Gnursing Gactions Gthat Gmeet GJCAHO Gcriteria
4. Prescribing Gthe Gnursing Gintervention Grelative Gto Gstanding Gorders
G- GANSWER>>2
A GPACU Geducation/research Gcommittee Gshould Ghave Gthree Gcommitments,
Gwhich Gmust Ginclude Gall Gof Gthe Gfollowing Gexcept:
1. development Gof Ginnovative Gthinking.
2. freedom Gof Ginquiry.
3. individual Gprogress Gof Geach Gnurse.
4. excellence Gin Gpractice. G- GANSWER>>3
The Gdissociative Gstate Gattributed Gto Gketamine Ganesthesia Gcan Gbe Gmodified
Gby Gthe Gadministration Gof Ga/an:
1. antiarrhythmic.
2. benzodiazepine.
3. narcotic.
4. anticonvulsant. G- GANSWER>>2
Following Ga Ghernia Grepair, Ga G3-month-old Gis Gadmitted Gto Gthe GPACU
Gpositioned Gon Ghis Gside Gwith Ga Gpacifier Gin Ghis Gmouth. GThe Gairway Gbecomes
Gobstructed Gby Gthe Gtongue. GThe Gobstruction Gcan Gbe Galleviated Gby:
1. removing Gthe Gpacifier.
2. pinching Gthe Gcheeks.
3. turning Ghim Gon Ghis Gback.
4. jaw Gthrust Gor Gchin Glift G- GANSWER>>4
A Gpost-op Gpatient Gawaiting Gtransport Gto Ga Gsurgical Gfloor Gis Gawake Gand
Gresponds Gappropriately Gto Gcommands. GThe Gperioperative Gnurse Ginstructs
Gthe Gpatient Gto Gflex Gand Gextend Ghis/ Gher Glower Gextremities; Gthe Gpurpose Gof
Gthis Gis Gto:
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
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 - ANSWER>>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 - ANSWER>>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. - ANSWER>>1
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. - ANSWER>>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. - ANSWER>>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. - ANSWER>>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. striving for approval.
3. loss of privacy.
4. separation from parents. - ANSWER>>4
One of the most frequent side effects of ketamine anesthesia is:
1. hallucination.
2. respiratory depression.
3. hypotension.
4. bradycardia. - ANSWER>>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. - ANSWER>>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. - ANSWER>>1
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. - ANSWER>>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. - ANSWER>>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. - ANSWER>>2
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. G- GANSWER>>2
A Gstandard Gof Gpractice Gfor Gpost Ganesthesia Gnursing Gis Gestablished Gby Gwhich
Gacceptable Glevels Gof Gnursing Gaction?
1. Promoting Gindependent Gnursing Gjudgment
2. Specifying Gthe Gnursing Ggoal Gwhile Gdefining Gappropriate Gnursing Gmeasures
3. Identifying Gthe Gnursing Gactions Gthat Gmeet GJCAHO Gcriteria
4. Prescribing Gthe Gnursing Gintervention Grelative Gto Gstanding Gorders
G- GANSWER>>2
A GPACU Geducation/research Gcommittee Gshould Ghave Gthree Gcommitments,
Gwhich Gmust Ginclude Gall Gof Gthe Gfollowing Gexcept:
1. development Gof Ginnovative Gthinking.
2. freedom Gof Ginquiry.
3. individual Gprogress Gof Geach Gnurse.
4. excellence Gin Gpractice. G- GANSWER>>3
The Gdissociative Gstate Gattributed Gto Gketamine Ganesthesia Gcan Gbe Gmodified
Gby Gthe Gadministration Gof Ga/an:
1. antiarrhythmic.
2. benzodiazepine.
3. narcotic.
4. anticonvulsant. G- GANSWER>>2
Following Ga Ghernia Grepair, Ga G3-month-old Gis Gadmitted Gto Gthe GPACU
Gpositioned Gon Ghis Gside Gwith Ga Gpacifier Gin Ghis Gmouth. GThe Gairway Gbecomes
Gobstructed Gby Gthe Gtongue. GThe Gobstruction Gcan Gbe Galleviated Gby:
1. removing Gthe Gpacifier.
2. pinching Gthe Gcheeks.
3. turning Ghim Gon Ghis Gback.
4. jaw Gthrust Gor Gchin Glift G- GANSWER>>4
A Gpost-op Gpatient Gawaiting Gtransport Gto Ga Gsurgical Gfloor Gis Gawake Gand
Gresponds Gappropriately Gto Gcommands. GThe Gperioperative Gnurse Ginstructs
Gthe Gpatient Gto Gflex Gand Gextend Ghis/ Gher Glower Gextremities; Gthe Gpurpose Gof
Gthis Gis Gto:
