CAPA practice questions form 1

A. Amiodarone - answer-During administration of bupivicaine locally, some of the medication is accidentally administered IV. When the patient develops ventricular arrhythmias, the perianesthesia nurse anticipates the administration of: A. Amiodarone B. Diphenhydramine C. Adenosine D. Lidocaine A. Audiovisual material that explains what to expect - answer-The perianesthesia nurse is aware that for a 9 year old patient, the most appropriate preoperative teaching approach focuses on: A. Audiovisual material that explains what to expect B. Avoiding unnecessary separation from the parent C. Verbal explanations of what will happen D. Instructions relayed to the parents A. Cardiac dysrhythmias - answer-A patient with a history of drug abuse and nasal ulcers is received in the PACU. The perianesthesia nurse monitors this patient closely for: A. Cardiac dysrhythmias B. Apnea C. Postural hypotension D. Somnolence A. Cocaine Helps minimize post-op pain and intraop bleeding for sinus surgeries - answer-A patient arrives in the PACU following an ethmoidectomy with a BP of 180/110. The nurse suspects that the hypertension is due to intraoperative administration of: A. Cocaine B. Droperidol C. Ondansetron D. Desflurane A. Consensual pupillary reflex, and is a normal response - answer-The perianesthesia nurse is aware that the constriction of the pupil in response to a light and the simultaneous constriction of the opposite pupil is a: A. Consensual pupillary reflex, and is a normal response B. Direct pupillary reflex, and is an abnormal response C. Direct pupillary reflex, and is a normal response D. Consensual pupillary reflex, and is an abnormal response A. Fifth - answer-All written discharge instructions to patients should be composed for reading at which grade level? A. Fifth B. Seventh C. Tenth D. Twelfth A. Hypokalemia - answer-The perianesthesia nurse is aware that a patient routinely taking a thiazides diuretic is at increased risk for: A. Hypokalemia B. Hyperkalemia C. Hypocalcemia D. Hypercalcemia A. Inform the surgeon that the patient does not have an adult caregiver - answer-A phase I perianesthesia nurse is about to call in a report to phase II, when the patient states, "I lied to the nurse when I was admitted. I don't have anybody to take care of me when I go home." The most appropriate response is to: A. Inform the surgeon that the patient does not have an adult caregiver B. Call report to phase II and transfer the patient C. Insist that the patient provide the telephone number of a friend D. Ask the surgeon to write an order for the patient to be discharged alone A. Interstitial cystitis - answer-When mast cells are noted in biopsy of the bladder, the perianesthesia suspects that the patient has: A. Interstitial cystitis B. Pernicious anemia C. Diverticulitis D. Cholecystitis A. Keeping the operative arm elevated for several days - answer-The perianesthesia nurse is aware that discharge instructions for a patient with an arteriovenous shunt include: A. Keeping the operative arm elevated for several days B. Checking blood pressure in the operative arm C. Keeping the operative arm dependent for several days D. Maintaining a pressure dressing over the site A. Racemic epinephrine administration - answer-A patient extubated 10 minutes post PACU admission is exhibiting croup cough and hoarseness. After 5 minutes of continued observation and administration of O2 with 40% mist, the patient's respiratory status has not changed. Which treatment can the nurse initially expect to implement? A. Racemic epinephrine administration B. Chest physiotherapy C. Suctioning D. Administration of corticosteroid A. Supported with education for patients and family - answer-According to the ASPAN's most current Perianesthesia Nursing Standards, Practice Recommendations and Interpretive Statements, visitation in the phase I level of care is: A. Supported with education for patients and family B. Discouraged due to privacy and emergency concerns C. Considered a standard of care in current practice D. Prohibited except for pediatric, intensive care, and overnight patients A. The emergence excitement phase after anesthesia - answer-Anxious parents are at the bedside of a toddler who is crying, kicking, and thrashing following bilateral myringotomy with insertion of tympanostomy. The perianesthesia nurse informs the parents that this behavior is: A. The emergence excitement phase after anesthesia B. A temper tantrum often seen in toddlers C. Associated with the surgical procedure D. Uncommon in children of this age A. They will wait for the minister - answer-A perianesthesia nurse arrives ahead of schedule to take a patient into surgery. The patient wants to pray prior to surgery and anxiously tells the nurse that a minister will be arriving in 5 minutes. The nurse tells the patient that: A. They will wait for the minister B. Surgery cannot be delayed C. The prayer may be offered after surgery D. The minister may enter the OR upon arrival B. 35.9C (95.9) - answer-The perianesthesia nurse is aware that which of the following is the highest body temperature indicative of hypothermia? A. 34.5C (94.1F) B. 35.9C (95.9) C. 37.6 (99.6) D. 38.5 (101.3) B. A low Hgb level - answer-Despite an SpO2 reading of 100%, a patient has a low arterial O2 content level. The perianesthesia nurse suspects: A. Hypovolemia B. A low Hgb level C. Hyperthermia D. An elevated HCT B. Be provided a separate negative-pressure isolation room in PACU - answer-Post surgical patients with active tuberculosis should: A. Remain in the OR under the care of the circulating nurse B. Be provided a separate negative-pressure isolation room in PACU C. Be provided an appropriately sized particulate mask D. Be recovered in an isolation room in the nursing unit B. Cushing's disease - answer-During the preoperative assessment, the perianesthesia nurse notes that the patient has a moon-shaped face, obese trunk, and thin extremities. The perianesthesia nurse suspects: A. lobstein's disease B. Cushing's disease C. Kearns-Sayre disease D. Klippel-fell syndrome B. Decrease anxiety to facilitate understanding of information - answer-The perianesthesia nurse is