CAPA — Certified Ambulatory Perianesthesia
Nurse, Certified WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL DEFINED
ANSWERS LATEST ALREADY GRADED A+
(2026/2027)
Question 1
A 45-year-old patient is scheduled for an outpatient
cholecystectomy under general anesthesia. Which of the
following is the priority nursing action during the
preoperative assessment?
A) Confirm NPO status
B) Review the patient's medication list for herbals and
supplements
C) Obtain baseline vital signs
D) Verify surgical consent
Correct Answer: B
Rationale: While all options are essential, reviewing
1
,herbals and supplements is the priority because many
(e.g., Ginkgo biloba, garlic, ginseng) increase bleeding
risk or interact with anesthetics. This specific safety check
prevents potentially fatal intraoperative complications
that are often missed in routine medication reconciliation.
Question 2
A patient receiving monitored anesthesia care (MAC) with
propofol becomes restless and combative. What is the
most appropriate initial nursing intervention?
A) Administer IV midazolam
B) Increase the propofol infusion rate
C) Ensure patient safety and call for assistance
D) Apply soft wrist restraints
Correct Answer: C
Rationale: During MAC, paradoxical excitement can occur.
Patient safety is the immediate priority—protect the
airway, prevent falls, and summon help. Chemical or
2
,physical restraints are not first-line actions without
adequate staffing and assessment of hypoxia or
hypercarbia as underlying causes.
Question 3
Which inhalation anesthetic agent is most strongly
associated with malignant hyperthermia (MH) and
requires dantrolene availability?
A) Sevoflurane
B) Desflurane
C) Isoflurane
D) Nitrous oxide
Correct Answer: A
Rationale: Sevoflurane is a potent trigger for MH in
susceptible patients. All volatile agents except nitrous
oxide can trigger MH, but sevoflurane is the most common
trigger in current practice due to its widespread use.
3
, Dantrolene is the specific antidote and must be
immediately accessible.
Question 4
A patient has a history of severe postoperative nausea
and vomiting (PONV). Which antiemetic acts as a
serotonin (5-HT3) receptor antagonist and is most
commonly used prophylactically?
A) Metoclopramide
B) Ondansetron
C) Droperidol
D) Scopolamine
Correct Answer: B
Rationale: Ondansetron is a 5-HT3 receptor antagonist
that is first-line for PONV prophylaxis due to its
favorable side-effect profile. It is typically given at
induction and has a long half-life suitable for ambulatory
surgery.
4
Nurse, Certified WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL DEFINED
ANSWERS LATEST ALREADY GRADED A+
(2026/2027)
Question 1
A 45-year-old patient is scheduled for an outpatient
cholecystectomy under general anesthesia. Which of the
following is the priority nursing action during the
preoperative assessment?
A) Confirm NPO status
B) Review the patient's medication list for herbals and
supplements
C) Obtain baseline vital signs
D) Verify surgical consent
Correct Answer: B
Rationale: While all options are essential, reviewing
1
,herbals and supplements is the priority because many
(e.g., Ginkgo biloba, garlic, ginseng) increase bleeding
risk or interact with anesthetics. This specific safety check
prevents potentially fatal intraoperative complications
that are often missed in routine medication reconciliation.
Question 2
A patient receiving monitored anesthesia care (MAC) with
propofol becomes restless and combative. What is the
most appropriate initial nursing intervention?
A) Administer IV midazolam
B) Increase the propofol infusion rate
C) Ensure patient safety and call for assistance
D) Apply soft wrist restraints
Correct Answer: C
Rationale: During MAC, paradoxical excitement can occur.
Patient safety is the immediate priority—protect the
airway, prevent falls, and summon help. Chemical or
2
,physical restraints are not first-line actions without
adequate staffing and assessment of hypoxia or
hypercarbia as underlying causes.
Question 3
Which inhalation anesthetic agent is most strongly
associated with malignant hyperthermia (MH) and
requires dantrolene availability?
A) Sevoflurane
B) Desflurane
C) Isoflurane
D) Nitrous oxide
Correct Answer: A
Rationale: Sevoflurane is a potent trigger for MH in
susceptible patients. All volatile agents except nitrous
oxide can trigger MH, but sevoflurane is the most common
trigger in current practice due to its widespread use.
3
, Dantrolene is the specific antidote and must be
immediately accessible.
Question 4
A patient has a history of severe postoperative nausea
and vomiting (PONV). Which antiemetic acts as a
serotonin (5-HT3) receptor antagonist and is most
commonly used prophylactically?
A) Metoclopramide
B) Ondansetron
C) Droperidol
D) Scopolamine
Correct Answer: B
Rationale: Ondansetron is a 5-HT3 receptor antagonist
that is first-line for PONV prophylaxis due to its
favorable side-effect profile. It is typically given at
induction and has a long half-life suitable for ambulatory
surgery.
4
