CAPA Certification Study Guide Book Questions
and Answers| Latest Update
Your pt has been prescribed Norco 5/325 every 4 hrs for pain on discharge home. Your pt takes
Tylenol at home daily for chronic pain. What do you tell him?
A. Continue to take tylenol and norco
B. Tell him to stop taking tylenol and just take norco
C. Tell pt there is tylenol is norco and recommended amount of tylenol a day is 4000mg. Work
with the pt to plan a appropriate dose
D. Tell pt to not take norco Correct Ans-C
An organ most commonly affected by tylenol is
A. Liver
B. Kidney
C. Stomach
D. Intestines Correct Ans-A
Typical discharge instructions for a pt who has had a cystoscopy would include all the following
except:
A. You may have blood in the urine for 24048 hrs. This is normal
B. Call the doctor if you develop a fever or chills
C. Call the doctor if you have burning with urination
D. Call the doctor if you are unable to urinate after 6 hrs Correct Ans-C
,Your discharge instructions for pain control for a post-op knee arthroscopic pt include all the
following except:
A. Ice
B. Elevation
C. Soak in a warm bathtub
D. Oral pain meds Correct Ans-C
Your pt suffered a cardiac arrest in the recovery area. He is scheduled to be admitted to the ICU
when a room is available. To potentially improve the pt's mortality rate and neurologic function,
what tx do you expect to be ordered?
A. Epinephrine drip
B. Sequential compression device
C. Therapeutic hypothermia
D. Fluid restriction Correct Ans-C
You are assisting with a procedure where the surgeon is using local. The pt starts to complain of
numbness around the mouth. You know this
A. Is a normal occurrence with local
B. This is due to the location of the injection
C. This is due to the pt being NPO and thirsty
D. This is the first sign of systemic local anesthesia toxicity Correct Ans-D
,Survival from cardiac arrest is highest when CPR and defib is administered within
A. 1 min
B. 3-5min
C. 5-10 min
D. 10-15 min Correct Ans-B
Preanesthesia phase Correct Ans-- Focused on preparation for surgery
- Assessment of pts physical, mental, and spiritual needs to completed to identify issues needing
to be addressed
- May also include education on what to expect in the following phases of care and possibly
discharge teaching
- Staffing depends on pt acuity, age of pts and if needed, sedation for preoperative nerve blocks
Postanesthesia Phase 1 Correct Ans-- Immediate post-operative area
- Pt may need assistance with breathing or other life saving measures
- Requires constant attention
- New admissions should be closely monitored until critical needs are met, such as airway and
VS are stable, the initial assessment is completed, and the pt is calm without competitiveness or
agitation
- VS every 15min
Postanesthesia Phase 1 staffing Correct Ans-- Staffing should be 1:1 or 2:1
- There should be at least 2 nurses in the unit, 1 who is carding for the pt and one is immediately
available to provide assistance as needed
- 1 nurse in the unit must be competent in phase 1
, - The nurse may have 2 pts if both are hemodynamically stable, conscious, over age 8, or under 8
with family/caregiver at bedside
- The nurse may have 1 pt if under 8 years old and unconscious
- The nurse may have 1 pt who is not conscious but hemodynamically stable, with a stable
airway over the age of 8 and 1 pt who is conscious and stable
- Occasionally 1 pt who is critical and unstable may require 2 nurses
Postanesthesia phase 2 Correct Ans-- The pts in this area are preparing to go home
- Here pt receives discharge instructions
- Still requires monitoring for complications related to surgery or medications
- VS every 30-60min (at arrival and discharge)
Postanesthesia phase 2 staffing Correct Ans-- 1:3 if over the age of 8 or under 8 with family
present
- if the pt is under 8 w/out family, ration should be 1:2
- 2 staff members are required to be in the unit at all times (1 RN competent in phase 2)
- Staffing will be 1 nurse to 1 pt if pt becomes unstable and requires transfer to higher level of
care
Extended care Correct Ans-- Area where pts require extended observation after discharge
from phase 2
- Staffing should be 1:3-5
- These pts are typically waiting for transport home/inpt bed
and Answers| Latest Update
Your pt has been prescribed Norco 5/325 every 4 hrs for pain on discharge home. Your pt takes
Tylenol at home daily for chronic pain. What do you tell him?
A. Continue to take tylenol and norco
B. Tell him to stop taking tylenol and just take norco
C. Tell pt there is tylenol is norco and recommended amount of tylenol a day is 4000mg. Work
with the pt to plan a appropriate dose
D. Tell pt to not take norco Correct Ans-C
An organ most commonly affected by tylenol is
A. Liver
B. Kidney
C. Stomach
D. Intestines Correct Ans-A
Typical discharge instructions for a pt who has had a cystoscopy would include all the following
except:
A. You may have blood in the urine for 24048 hrs. This is normal
B. Call the doctor if you develop a fever or chills
C. Call the doctor if you have burning with urination
D. Call the doctor if you are unable to urinate after 6 hrs Correct Ans-C
,Your discharge instructions for pain control for a post-op knee arthroscopic pt include all the
following except:
A. Ice
B. Elevation
C. Soak in a warm bathtub
D. Oral pain meds Correct Ans-C
Your pt suffered a cardiac arrest in the recovery area. He is scheduled to be admitted to the ICU
when a room is available. To potentially improve the pt's mortality rate and neurologic function,
what tx do you expect to be ordered?
A. Epinephrine drip
B. Sequential compression device
C. Therapeutic hypothermia
D. Fluid restriction Correct Ans-C
You are assisting with a procedure where the surgeon is using local. The pt starts to complain of
numbness around the mouth. You know this
A. Is a normal occurrence with local
B. This is due to the location of the injection
C. This is due to the pt being NPO and thirsty
D. This is the first sign of systemic local anesthesia toxicity Correct Ans-D
,Survival from cardiac arrest is highest when CPR and defib is administered within
A. 1 min
B. 3-5min
C. 5-10 min
D. 10-15 min Correct Ans-B
Preanesthesia phase Correct Ans-- Focused on preparation for surgery
- Assessment of pts physical, mental, and spiritual needs to completed to identify issues needing
to be addressed
- May also include education on what to expect in the following phases of care and possibly
discharge teaching
- Staffing depends on pt acuity, age of pts and if needed, sedation for preoperative nerve blocks
Postanesthesia Phase 1 Correct Ans-- Immediate post-operative area
- Pt may need assistance with breathing or other life saving measures
- Requires constant attention
- New admissions should be closely monitored until critical needs are met, such as airway and
VS are stable, the initial assessment is completed, and the pt is calm without competitiveness or
agitation
- VS every 15min
Postanesthesia Phase 1 staffing Correct Ans-- Staffing should be 1:1 or 2:1
- There should be at least 2 nurses in the unit, 1 who is carding for the pt and one is immediately
available to provide assistance as needed
- 1 nurse in the unit must be competent in phase 1
, - The nurse may have 2 pts if both are hemodynamically stable, conscious, over age 8, or under 8
with family/caregiver at bedside
- The nurse may have 1 pt if under 8 years old and unconscious
- The nurse may have 1 pt who is not conscious but hemodynamically stable, with a stable
airway over the age of 8 and 1 pt who is conscious and stable
- Occasionally 1 pt who is critical and unstable may require 2 nurses
Postanesthesia phase 2 Correct Ans-- The pts in this area are preparing to go home
- Here pt receives discharge instructions
- Still requires monitoring for complications related to surgery or medications
- VS every 30-60min (at arrival and discharge)
Postanesthesia phase 2 staffing Correct Ans-- 1:3 if over the age of 8 or under 8 with family
present
- if the pt is under 8 w/out family, ration should be 1:2
- 2 staff members are required to be in the unit at all times (1 RN competent in phase 2)
- Staffing will be 1 nurse to 1 pt if pt becomes unstable and requires transfer to higher level of
care
Extended care Correct Ans-- Area where pts require extended observation after discharge
from phase 2
- Staffing should be 1:3-5
- These pts are typically waiting for transport home/inpt bed
