CPAN/CAPA set #2 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Patient's with acromegaly need constant vigilance in PACU because - CORRECT
ANSWER - Respiratory status.. because of protruding lower jaw and enlarged tongue
Hypersecretion of Growth Hormone causes this - CORRECT ANSWER - Acromegaly or
Giantism; usually happens before puberty
Hyposecretion of Growth Hormone causes this - CORRECT ANSWER - Simmonds
Disease; is characterized by premature senility, weakness, emaciated, mental lethargy and
wrinkled dry skin
What is a major cause of diabetes insipidus - CORRECT ANSWER - This condition is
characterized by the output of large volume of dilute sugar free urine which is caused by lack of
ADH
When ADH is secreted in large quantities, vasoconstriction of the smooth muscles occurs.. this
leads to - CORRECT ANSWER - elevated blood pressure
When blood supply to the kidneys is low - CORRECT ANSWER - Juxtaglomerular cells
are stimulated to release renin
A disease that is a deficiency of ACTH - CORRECT ANSWER - Addison Disease
When hemorrhage and trauma occurs during a surgical procedure - CORRECT
ANSWER - ADH secretion is elevated; this situation SIADH can be induced as a result of
overzealous fluid administration which can cause water intoxication
Addision crisis - CORRECT ANSWER - Dehydration, nausea, hypotension followed by
fever. Marked flaccidity of extremities, hyponatremia, hyperkalemia, azotemia, shock
, How does the nurse treat Addision Crisis - CORRECT ANSWER - Dexamethasone 2 - 4
IV along with D5NS
Symptoms of water intoxication - CORRECT ANSWER - Headache, muscular weakness,
anorexia, nausea and vomiting... this leads to confusion, hostility disorientation,
uncooperativeness, drowsiness or convulsion and coma
How to treat SIAD - CORRECT ANSWER - Fluid restriction, diuresis w/ mannitol and
lasix and administration of sodium chloride
Evidence based risk factors for PONV - CORRECT ANSWER - female, non smoker,
history of PONV, postop opiods
Best treatment for PONV - CORRECT ANSWER - Multimodal interventions;consisting of
more than one pharmacological intervention targeting different drug receptors are superior
Best position when patient is vomiting - CORRECT ANSWER - Head down position and
give oxygen immediately. Allows fluid to flow away from lungs rather than into lungs
Patient who has liver disease and had succinylcholine; what should the nurse monitor -
CORRECT ANSWER - Respiratory depression in the immediate postoperative period
What protein enzyme does the liver synthesizes - CORRECT ANSWER -
Pseudocholinesterase (plasma cholinesterese)
This protein is the principle enzyme in the metabolism of succinylcholine and the ester-type local
anesthetics - CORRECT ANSWER - Pseudocholinesterase
How do you treat type 1 hypersensitivity reaction (Anaphylactic) - CORRECT ANSWER -
Epinephrine and benadryl
Exam Questions and CORRECT Answers
Patient's with acromegaly need constant vigilance in PACU because - CORRECT
ANSWER - Respiratory status.. because of protruding lower jaw and enlarged tongue
Hypersecretion of Growth Hormone causes this - CORRECT ANSWER - Acromegaly or
Giantism; usually happens before puberty
Hyposecretion of Growth Hormone causes this - CORRECT ANSWER - Simmonds
Disease; is characterized by premature senility, weakness, emaciated, mental lethargy and
wrinkled dry skin
What is a major cause of diabetes insipidus - CORRECT ANSWER - This condition is
characterized by the output of large volume of dilute sugar free urine which is caused by lack of
ADH
When ADH is secreted in large quantities, vasoconstriction of the smooth muscles occurs.. this
leads to - CORRECT ANSWER - elevated blood pressure
When blood supply to the kidneys is low - CORRECT ANSWER - Juxtaglomerular cells
are stimulated to release renin
A disease that is a deficiency of ACTH - CORRECT ANSWER - Addison Disease
When hemorrhage and trauma occurs during a surgical procedure - CORRECT
ANSWER - ADH secretion is elevated; this situation SIADH can be induced as a result of
overzealous fluid administration which can cause water intoxication
Addision crisis - CORRECT ANSWER - Dehydration, nausea, hypotension followed by
fever. Marked flaccidity of extremities, hyponatremia, hyperkalemia, azotemia, shock
, How does the nurse treat Addision Crisis - CORRECT ANSWER - Dexamethasone 2 - 4
IV along with D5NS
Symptoms of water intoxication - CORRECT ANSWER - Headache, muscular weakness,
anorexia, nausea and vomiting... this leads to confusion, hostility disorientation,
uncooperativeness, drowsiness or convulsion and coma
How to treat SIAD - CORRECT ANSWER - Fluid restriction, diuresis w/ mannitol and
lasix and administration of sodium chloride
Evidence based risk factors for PONV - CORRECT ANSWER - female, non smoker,
history of PONV, postop opiods
Best treatment for PONV - CORRECT ANSWER - Multimodal interventions;consisting of
more than one pharmacological intervention targeting different drug receptors are superior
Best position when patient is vomiting - CORRECT ANSWER - Head down position and
give oxygen immediately. Allows fluid to flow away from lungs rather than into lungs
Patient who has liver disease and had succinylcholine; what should the nurse monitor -
CORRECT ANSWER - Respiratory depression in the immediate postoperative period
What protein enzyme does the liver synthesizes - CORRECT ANSWER -
Pseudocholinesterase (plasma cholinesterese)
This protein is the principle enzyme in the metabolism of succinylcholine and the ester-type local
anesthetics - CORRECT ANSWER - Pseudocholinesterase
How do you treat type 1 hypersensitivity reaction (Anaphylactic) - CORRECT ANSWER -
Epinephrine and benadryl
