PESI CAPA/CPAN TEST QUESTIONS
AND ANSWERS
1). The recommended dose of Dantrolene for the initial management of a Malignant
Hyperthermia crisis is: - Correct Answers -2.5 mg/kg is correct
2.5mcg/kg
3.5 mcg/kg
2.0 mg/kg
All of the following medications can be used to treat dysrhythmias in a Malignant
Hyperthermia (MH) crisis except:
Lidoce
Amiodorone
Metoprolol
Dilitazem - Correct Answers -Dilitazem
Ester type local anesthetics are primarily metabolized by:
the liver
the kidneys
the lungs
pseudocholinesterase - Correct Answers -pseudocholinesterase
Which of the following early symptoms is not consistent with local anesthetic toxicity?
Tinnitus
Metallic taste in mouth
Tachycardia
Hypotension - Correct Answers -Hypotension
5). The PACU nurse is preparing to restock the Malignant Hyperthermia cart on the unit.
What is the acceptable number of Dantrolene bottles that should be stocked on the
cart?
18
26
36
38 - Correct Answers -36
, Which of the following inhalation agents should not be used for an inhalation mask
induction?
Halothane
Sevoflurane
Isoflurane
Nitrous oxide - Correct Answers -Isoflurane
7). A morbidly obese female with a negative medical history is transported to the OR
from the ER for an emergency exploratory laparotomy. What ASA score would be
appropriately assigned for this patient?
11E22E - Correct Answers -2e
8). The anesthesiologist concludes the preoperative assessment and discusses the
anesthetic risks, benefits, and alternatives to a Chinese-speaking patient so that
informed consent can be obtained. The preoperative nurse observes the patient staring
with confusion as the anesthesiologist prepares the consent form. The preoperative
nurse should:
Consult with the patient representative covering the preoperative areaAsk family a
member to translate for the anesthesiologistAsk the native Chinese speaking
transporter to assist
Utilize the hospital appointed Chinese interpreter - Correct Answers -Utilize the hospital
appointed Chinese interpreter
9). To optimize perioperative management and reduce the intraoperative risk in a child
with a URI undergoing general anesthesia, what inhalation agent would be the best
choice for the anesthesia provider to administer for intraoperative maintenance?
DesfluranceIsofluraneSevofluraneEnflurane - Correct Answers -Sevoflurane
The epidural space contains all of the following structures except:
Cerebral spinal fluidAdipose tissueBlood vesselsLymph and capillaries - Correct
Answers -
11). Scenario: A 24 year old male arrives to the PACU following a gun shot wound to
the abdomen in which a exploratory laparotomy and small bowel resection was
performed. During the case the patient lost 4 liters of blood and was adequately
resuscitated. Due to the large fluid shifts expected postoperatively the patient arrives
intubated and is placed on a vent with the following settings: Fi02 50%, TV 600ml, SIMV
12, PEEP 5, Pressure Support 5. The family members are outside the PACU
demanding to see the patient. ASPAN's practice recommendation on visitation in the
PACU is:
Determined by the perianesthesia nurse following a comprehensive assessment of the
patientRestricted to pediatric patientsNot based on practitioner guidelines set forth by
ASPANBased on the discretion of the nursing supervisor - Correct Answers -
Determined by the perianesthesia nurse following a comprehensive assessment of the
patient
AND ANSWERS
1). The recommended dose of Dantrolene for the initial management of a Malignant
Hyperthermia crisis is: - Correct Answers -2.5 mg/kg is correct
2.5mcg/kg
3.5 mcg/kg
2.0 mg/kg
All of the following medications can be used to treat dysrhythmias in a Malignant
Hyperthermia (MH) crisis except:
Lidoce
Amiodorone
Metoprolol
Dilitazem - Correct Answers -Dilitazem
Ester type local anesthetics are primarily metabolized by:
the liver
the kidneys
the lungs
pseudocholinesterase - Correct Answers -pseudocholinesterase
Which of the following early symptoms is not consistent with local anesthetic toxicity?
Tinnitus
Metallic taste in mouth
Tachycardia
Hypotension - Correct Answers -Hypotension
5). The PACU nurse is preparing to restock the Malignant Hyperthermia cart on the unit.
What is the acceptable number of Dantrolene bottles that should be stocked on the
cart?
18
26
36
38 - Correct Answers -36
, Which of the following inhalation agents should not be used for an inhalation mask
induction?
Halothane
Sevoflurane
Isoflurane
Nitrous oxide - Correct Answers -Isoflurane
7). A morbidly obese female with a negative medical history is transported to the OR
from the ER for an emergency exploratory laparotomy. What ASA score would be
appropriately assigned for this patient?
11E22E - Correct Answers -2e
8). The anesthesiologist concludes the preoperative assessment and discusses the
anesthetic risks, benefits, and alternatives to a Chinese-speaking patient so that
informed consent can be obtained. The preoperative nurse observes the patient staring
with confusion as the anesthesiologist prepares the consent form. The preoperative
nurse should:
Consult with the patient representative covering the preoperative areaAsk family a
member to translate for the anesthesiologistAsk the native Chinese speaking
transporter to assist
Utilize the hospital appointed Chinese interpreter - Correct Answers -Utilize the hospital
appointed Chinese interpreter
9). To optimize perioperative management and reduce the intraoperative risk in a child
with a URI undergoing general anesthesia, what inhalation agent would be the best
choice for the anesthesia provider to administer for intraoperative maintenance?
DesfluranceIsofluraneSevofluraneEnflurane - Correct Answers -Sevoflurane
The epidural space contains all of the following structures except:
Cerebral spinal fluidAdipose tissueBlood vesselsLymph and capillaries - Correct
Answers -
11). Scenario: A 24 year old male arrives to the PACU following a gun shot wound to
the abdomen in which a exploratory laparotomy and small bowel resection was
performed. During the case the patient lost 4 liters of blood and was adequately
resuscitated. Due to the large fluid shifts expected postoperatively the patient arrives
intubated and is placed on a vent with the following settings: Fi02 50%, TV 600ml, SIMV
12, PEEP 5, Pressure Support 5. The family members are outside the PACU
demanding to see the patient. ASPAN's practice recommendation on visitation in the
PACU is:
Determined by the perianesthesia nurse following a comprehensive assessment of the
patientRestricted to pediatric patientsNot based on practitioner guidelines set forth by
ASPANBased on the discretion of the nursing supervisor - Correct Answers -
Determined by the perianesthesia nurse following a comprehensive assessment of the
patient
