CPAN CERTIFICATION EXAM 2025
LATEST ACTUAL EXAM QUESTIONS
AND DETAILED CORRECT ANSWERS |
ALREADY GRADED A+ 2025-2026
A pt. has received a stellate ganglion block. The
perianesthesia nurse evaluates for a successful block by
assessing for:
A. Horner's syndrome
B. pallor
C. diaphoresis
D. vasoconstriction at the site of the block Correct Answer
A. Horner's syndrome
After arrival in the PACU following a radical neck
dissection, the pt. becomes tachypneic with tracheal
deviation and oxygen desaturation. The perianesthesia
nurse suspects:
A. anterior cervical edema
B. vocal cord paralysis
C. tension pneumothorax
D. cervical facet displacement Correct Answer C. tension
pneumothorax
The pt. is admitted to the PACU with a laryngeal mask
airway (LMA) in place. The perianesthesia nurse
understands that a properly placed LMA :
A. conforms to the hypopharynx
B. passes through the glottic opening
,C. prevents aspiration
D. prevents laryngospasm Correct Answer A. conforms to
the hypopharynx
A pt. in the PACU has
ABG lab values of PH = 7.25, Pco2 + 50, pO2 = 99%,
HCO3 = 12. The pt. received pancuronium intra op. The
perianesthesia nurse observes for which possible
neuromuscular blockade interaction?
A. Inhibition of the setup of the block
B. Reversal of the effect of the block
C. Prolongation of the duration of the block
D. increase in the level of the block Correct Answer C.
Prolongation of the duration of the block
A pt. arrives in the PACU following a coronary artery
bypass graft. The pt. is on a ventilator with the following
settings: Vt = 650ml, FiO2 = 100%, AC mode set RR = 10,
and PEEP = 5cm. Critical ABG results are: PH =m 7.24,
Pco2 = 56, pO2 = 80, HCO3 = 22, SaO2 = 91%.
The perianesthesia nurse anticipates which of the
following interventions?
A. Increasing the Vt and the RR
B. Decreasing the PEEP an FiO2
C. Increasing the Vt and decreasing the RR
D. Increasing the PEEP and the RR Correct Answer A.
Increasing the Vt and the RR
A pt. arrives in the PACU following a coronary artery
bypass graft. The pt. is on a ventilator with the following
settings: Vt = 650ml, FiO2 = 100%, AC mode set RR = 10,
,and PEEP = 5cm. Critical ABG results are: PH =m 7.24,
Pco2 = 56, pO2 = 80, HCO3 = 22, SaO2 = 91%.
The perianesthesia nurse anticipates which of the
following interventions?
A. metabolic acidosis
B. metabolic and respiratory acidosis
C. respiratory acidosis
D. uncompensated respiratory alkalosis Correct Answer C.
respiratory acidosis
A pt. in the PACU becomes tachypneic and complains of
dyspnea and chest pain when taking a deep breath. The
pt is expectorating blood tinged sputum. The
perianesthesia nurse expects the immediate medical
management this pt. to include:
A. O2, morphine sulfate and heparin
B. codeine, O2 and erythromycin
Fentanyl, thoracentesis and albuterol
D. meperidine, O2 and warfarin Correct Answer A. O2,
morphine sulfate and heparin
The perianesthesia nurse is aware that which of the
following cardiac rhythms is more clinically ominous and
may Progress to a lethal dysrhythmia ?
A. Atrial flutter 4:1 response
B. Second degree type II heart block
C. Atrial fibrillation
D. First degree AV block Correct Answer B. Second
degree type II heart block
Thyroid storm is characterized by:
, A. hypothermia, somnolence, and bradycardia
B. fever, bradycardia and vasoconstriction
C. excitement, hypothermia and bradycardia
D. fever, tachycardia and cutaneous vasodilation Correct
Answer D. fever, tachycardia and cutaneous vasodilation
A pt. experiences a sudden rise in temperature post shock
wave lithotripsy. The PACU nurse suspects:
A. ureteral obstruction
B. malignant hyperthermia
C. sepsis
D. renal contusion Correct Answer C. sepsis
A family reports overhearing hospital staff members
discussing a combative pt who required restraint. The
liability issue of concern is:
A. personal accountability
B. medical malpractice
C. invasion of privacy
D. defamation of character Correct Answer C. invasion of
privacy
The perianesthesia nurse has given the pt. instructions
regarding taking medications on the day of surgery. Which
statement indicates that the pt understands the prep
teaching?
A. I will only have a small amount of water with the
medications I take on the morning of surgery
B. Since I have A-Fib, I need to take my warfarin on the
morning of surgery
LATEST ACTUAL EXAM QUESTIONS
AND DETAILED CORRECT ANSWERS |
ALREADY GRADED A+ 2025-2026
A pt. has received a stellate ganglion block. The
perianesthesia nurse evaluates for a successful block by
assessing for:
A. Horner's syndrome
B. pallor
C. diaphoresis
D. vasoconstriction at the site of the block Correct Answer
A. Horner's syndrome
After arrival in the PACU following a radical neck
dissection, the pt. becomes tachypneic with tracheal
deviation and oxygen desaturation. The perianesthesia
nurse suspects:
A. anterior cervical edema
B. vocal cord paralysis
C. tension pneumothorax
D. cervical facet displacement Correct Answer C. tension
pneumothorax
The pt. is admitted to the PACU with a laryngeal mask
airway (LMA) in place. The perianesthesia nurse
understands that a properly placed LMA :
A. conforms to the hypopharynx
B. passes through the glottic opening
,C. prevents aspiration
D. prevents laryngospasm Correct Answer A. conforms to
the hypopharynx
A pt. in the PACU has
ABG lab values of PH = 7.25, Pco2 + 50, pO2 = 99%,
HCO3 = 12. The pt. received pancuronium intra op. The
perianesthesia nurse observes for which possible
neuromuscular blockade interaction?
A. Inhibition of the setup of the block
B. Reversal of the effect of the block
C. Prolongation of the duration of the block
D. increase in the level of the block Correct Answer C.
Prolongation of the duration of the block
A pt. arrives in the PACU following a coronary artery
bypass graft. The pt. is on a ventilator with the following
settings: Vt = 650ml, FiO2 = 100%, AC mode set RR = 10,
and PEEP = 5cm. Critical ABG results are: PH =m 7.24,
Pco2 = 56, pO2 = 80, HCO3 = 22, SaO2 = 91%.
The perianesthesia nurse anticipates which of the
following interventions?
A. Increasing the Vt and the RR
B. Decreasing the PEEP an FiO2
C. Increasing the Vt and decreasing the RR
D. Increasing the PEEP and the RR Correct Answer A.
Increasing the Vt and the RR
A pt. arrives in the PACU following a coronary artery
bypass graft. The pt. is on a ventilator with the following
settings: Vt = 650ml, FiO2 = 100%, AC mode set RR = 10,
,and PEEP = 5cm. Critical ABG results are: PH =m 7.24,
Pco2 = 56, pO2 = 80, HCO3 = 22, SaO2 = 91%.
The perianesthesia nurse anticipates which of the
following interventions?
A. metabolic acidosis
B. metabolic and respiratory acidosis
C. respiratory acidosis
D. uncompensated respiratory alkalosis Correct Answer C.
respiratory acidosis
A pt. in the PACU becomes tachypneic and complains of
dyspnea and chest pain when taking a deep breath. The
pt is expectorating blood tinged sputum. The
perianesthesia nurse expects the immediate medical
management this pt. to include:
A. O2, morphine sulfate and heparin
B. codeine, O2 and erythromycin
Fentanyl, thoracentesis and albuterol
D. meperidine, O2 and warfarin Correct Answer A. O2,
morphine sulfate and heparin
The perianesthesia nurse is aware that which of the
following cardiac rhythms is more clinically ominous and
may Progress to a lethal dysrhythmia ?
A. Atrial flutter 4:1 response
B. Second degree type II heart block
C. Atrial fibrillation
D. First degree AV block Correct Answer B. Second
degree type II heart block
Thyroid storm is characterized by:
, A. hypothermia, somnolence, and bradycardia
B. fever, bradycardia and vasoconstriction
C. excitement, hypothermia and bradycardia
D. fever, tachycardia and cutaneous vasodilation Correct
Answer D. fever, tachycardia and cutaneous vasodilation
A pt. experiences a sudden rise in temperature post shock
wave lithotripsy. The PACU nurse suspects:
A. ureteral obstruction
B. malignant hyperthermia
C. sepsis
D. renal contusion Correct Answer C. sepsis
A family reports overhearing hospital staff members
discussing a combative pt who required restraint. The
liability issue of concern is:
A. personal accountability
B. medical malpractice
C. invasion of privacy
D. defamation of character Correct Answer C. invasion of
privacy
The perianesthesia nurse has given the pt. instructions
regarding taking medications on the day of surgery. Which
statement indicates that the pt understands the prep
teaching?
A. I will only have a small amount of water with the
medications I take on the morning of surgery
B. Since I have A-Fib, I need to take my warfarin on the
morning of surgery
