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A patient in mild respiratory distress is in Phase I PACU. Another patient is a 6-year- old child
whose parents have left to eat. A third patient has just arrived from the operating room. There are
two patients waiting for discharge to Phase II, and one who is ready for discharge but waiting to
void. According to the ASPAN Standards there should be at least:
-two nurses.
-three nurses.
-four nurses.
-five nurses.
#3 four nurses
(CPAN/CAPA Test Blueprint
Domain:
Content Area: Content Area: 3. A. Metadata: Knowledge : 38 / Population Served : 1 Pediatric /
Cognitive level : 1)
The perianesthesia nurse verifies patient understanding regarding post-operative opioid use
postoperatively when the patient states that using opioids after surgery can cause:
-diarrhea.
-nausea and vomiting.
-hypotension.
-insomnia.
#2 nausea and vomiting
, CPAN Certification Exam (Latest
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(Content Area: Content Area: 2. E. Metadata: Knowledge : 17 / Population Served : 2 Adult
Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 445)
The perianesthesia nurse instructs a patient who received a brachial plexus nerve block to:
-immediately report numbness and burning sensation.
-be aware all blocks last only for 8 hours.
-not apply a brace on the affected arm.
-be proactive with pain medication to avoid uncontrollable discomfort.
#4 be proactive with pain meds to avoid uncontrollable discomfort (Content Area: Content Area:
2. E. Metadata: Knowledge : 19 / Population Served : 2 Adult / Cognitive level : 2
Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 340)
The perianesthesia nurse is aware that which of the following drugs blocks the 5HT3 serotonin
receptor?
-Haloperidol
-Fosaprepitant
-Promethazine
-Ondansetron
#4 Ondansetron (Content Area: Content Area: 1. N. Metadata: Knowledge : 17 / Population
Served : 2 Adult / Cognitive level : 1
Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 251)
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A pediatric patient is admitted to the PACU after repair of a fractured humerus. The arm is
splinted, bent at the elbow, and lying across his chest. He is awake and whimpering, refuses to
answer questions, and cries out when touched. Based on FLACC scale of 5, the perianesthesia
nurse's first action is to:
-apply 2 liters O2 by nasal cannula.
-evaluate for pain medication.
-apply an arm sling immediately.
-ask permission from patient to take medicine.
#2 (Content Area: Content Area: 1. M. Metadata: Knowledge : 13 / Population Served : 1
Pediatric / Cognitive level : 3
Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 723)
In caring for a patient receiving a blood transfusion, the perianesthesia nurse is aware that the
most likely cause of a nonhemolytic febrile transfusion is:
-WBC or platelet antibodies.
-anti-E-anti-C interaction.
-blood type incompatibility.
-nonpyrogenic bacteria.
#1 WBC or platelet antibodies (Content Area: Content Area: 1. J. Metadata: Knowledge : 11 /
Population Served : 2 Adult / Cognitive level : 2
Reference: Reference: 11C Drain's PeriAnesthsia Nursing Page(s): 414 Reference: 7B
Perianesthesia Nursing Core Curriculum Page(s): 578 )