CPAN, CAPA Cert questions and Answers|
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During discharge planning of a patient who has received 6 units of regular recombinant human
insulin (Humulin) subcutaneously, the perianesthesia nurse recognizes that the PEAK action will
occur in:
1. 1-5 hours.
2. 5-7 hours.
3. 10-20 minutes.
4. 30-45 minutes Correct Ans-1. 1 to 5 hours
Domain: Physiological Needs
Content Area: stability of endocrine system
Reference: Hodgson, B., and Kizior, R. Saunders Nursing Drug Handbook 2015. Saunders
(Elsevier), 2015.pg 622-623.
A patient in the PACU who received general anesthesia is awake and alert with stable vital signs.
When the perianesthesia nurse removes the patient's oxygen the O2 saturation periodically drops
to 88%. The perianestheisa nurse's next best action is to:
1. notify the anesthesia provider
2. administer albuterol nebulizer
3. begin the stir-up regimen
4. perform chin lift Correct Ans-3. begin the stir-up regimen
Domain: Physiological Needs
Content Area: Stability of respiratory system
, Reference: Urden, L., et al. Thelan's Critical Care Nursing, Diagnosis and Management, 7th Ed.
Elsevier, 2014. pg 1103.
During a pre-op assessment, a patient reports taking his morning dose of medical marijuana. The
perianesthesia nurse understands that:
1. recent use may impair ability to give consent.
2. no action is needed due to home medication regimen.
3. it is acceptable if there are no physical signs of marijuana intoxication
4. recent use will decrease post-op agitation Correct Ans-1. recent use may impair ability to
give consent
Domain: Safety Needs
Content Area: Deliver, document, and communicate care based on accepted national standards of
perianesthesia nursing practice and applicable laws, guidelines, and regulations
Reference: Fleisher, L. and Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health
Sciences, December, 2011. pg 616-617.
Of the following patients, which is MOST APPROPRIATE for fast track to the Phase II area?
1. A 50 year old female who underwent a screening colonoscopy who is responsive to verbal
stimuli
2. A 40 year old who is awake, alert and pain free following a spermatocelectomy
3. A 17 year old female who is awake, alert and complaining of level 5 pain after open reduction
of a wrist fracture
4. A 76 year old inpatient who had a debridement of a heel wound under intravenous anesthesia
Correct Ans-2. A 40 year old who is awake, alert and pain free following a
spermatocelectomy.
Latest Update
During discharge planning of a patient who has received 6 units of regular recombinant human
insulin (Humulin) subcutaneously, the perianesthesia nurse recognizes that the PEAK action will
occur in:
1. 1-5 hours.
2. 5-7 hours.
3. 10-20 minutes.
4. 30-45 minutes Correct Ans-1. 1 to 5 hours
Domain: Physiological Needs
Content Area: stability of endocrine system
Reference: Hodgson, B., and Kizior, R. Saunders Nursing Drug Handbook 2015. Saunders
(Elsevier), 2015.pg 622-623.
A patient in the PACU who received general anesthesia is awake and alert with stable vital signs.
When the perianesthesia nurse removes the patient's oxygen the O2 saturation periodically drops
to 88%. The perianestheisa nurse's next best action is to:
1. notify the anesthesia provider
2. administer albuterol nebulizer
3. begin the stir-up regimen
4. perform chin lift Correct Ans-3. begin the stir-up regimen
Domain: Physiological Needs
Content Area: Stability of respiratory system
, Reference: Urden, L., et al. Thelan's Critical Care Nursing, Diagnosis and Management, 7th Ed.
Elsevier, 2014. pg 1103.
During a pre-op assessment, a patient reports taking his morning dose of medical marijuana. The
perianesthesia nurse understands that:
1. recent use may impair ability to give consent.
2. no action is needed due to home medication regimen.
3. it is acceptable if there are no physical signs of marijuana intoxication
4. recent use will decrease post-op agitation Correct Ans-1. recent use may impair ability to
give consent
Domain: Safety Needs
Content Area: Deliver, document, and communicate care based on accepted national standards of
perianesthesia nursing practice and applicable laws, guidelines, and regulations
Reference: Fleisher, L. and Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health
Sciences, December, 2011. pg 616-617.
Of the following patients, which is MOST APPROPRIATE for fast track to the Phase II area?
1. A 50 year old female who underwent a screening colonoscopy who is responsive to verbal
stimuli
2. A 40 year old who is awake, alert and pain free following a spermatocelectomy
3. A 17 year old female who is awake, alert and complaining of level 5 pain after open reduction
of a wrist fracture
4. A 76 year old inpatient who had a debridement of a heel wound under intravenous anesthesia
Correct Ans-2. A 40 year old who is awake, alert and pain free following a
spermatocelectomy.
