CPI EXAM EXAM SCRIPT TESTED QUESTIONS
AND SOLUTIONS 100 PERCENT CORRECT
◉ Which patient population is more sensitive to dosage errors
A. Male patients 25-40
B. Bariatric patients
C. A patient with a history of polypharmacy
D. Pediatric patients. Answer: D. Pediatric patients
◉ The National Patient Safety Goals directed at improving staff
communication review the need for
A. ensuring important test results are communicated to the right
person on time
B. transferring patients to the correct next level of care
C. completing perioperative charting prior to transfer to the
postanesthesia care unit
D. Conducting a daily huddle on the unit. Answer: A, ensuring
important test results are communicated to the right person on time
◉ Which of the following is a potential contraindication to the use of
a pneumatic tourniquet?
A. Pt has undergone prev joint replacement surgery
B. Pt is older than 80 years old
,C. Pt has sickle cell anemia
D. Pt's operative extremity has been shaved. Answer: C. Sickle cell
anemia
◉ Which of the following is part of the surgical check list
A. When the pt last ate food or drank fluids
B. whether any special equipment, devices or implants will be needed
C. Whom the surgeon should talk to after surgery
D. What pharmacy the patient uses. Answer: B. Whether any special
equipment, devices or implants will be needed
◉ A pt taking ginger preoperatively is at risk for surgical
complications that include bleeding, hypotension and
A. hypoglycemia
B. Bradycardia
C. hypokalemia
D. liver dysfunction. Answer: B. Bradycardia
◉ A patient is on long term acetyl salicylic acid therapy.
Preoperatively, the pt should be counselled to discontinue taking the
medication _________ prior to surgery
A. 1 week
B. 2 weeks
C. 3 weeks
D. 4 weeks. Answer: B. 2 weeks
,◉ A pt-specific risk factor for venous thromboembolism (VTE) is
A. a prev hx of stroke
B. duration of surgery
C. intraoperative position
D. use of a pneumatic tourniquet. Answer: A. previous history of
stroke
◉ Actively warming surgical patients with forced air to prevent
hypothermia should begin
A. as soon as the patient enters the OR or procedure room
B. In the recovery room
C. in the preoperative holding area
D. just before the surgeon makes the incision. Answer: C. in the
preoperative holding area
◉ Which of the following indicators demonstrates a patient who is at
increased risk of developing a pressure ulcer during a surgical
procedure
A. Aged 50 or older
B. Hx of recent gallbladder surgery
C. Female
D. Poor preoperative nutritional status. Answer: D. Poor preoperative
nutritional status
, ◉ Based on data collected during the patient assessment, the
perioperative RN
A. identifies an outcome
B. Formulates a nursing diagnosis
C. develops a plan of care
D. performs nursing interventions. Answer: B. formulates a nursing
diagnosis
◉ Liquid peracetic acid low-temperature sterilant is used for devices
that meet all of the following criteria except:
A. Device must be approved for this process
B. Device must be heat sensitive
C. Device must be aerated
D. Device must be immersed. Answer: C. Device must be aerated
◉ During surgery the patients respirations become increasingly
shallow, and the pupils become smaller and smaller until they are
pinpoint. How should this situation be managed?
A. The patient should be extubated and bagged with 100% oxygen
B. This is normal and is not cause for alarm
C. The anesthetic should be discontinued, and a narcotic antagonist
such as naloxone (Narcan) should be administered
D. Oxygen should be increased while anesthetic is decreased. Answer:
C. The anesthetic should be discontinued, and a narcotic antagonist
such as naloxone (Narcan) should be administered
AND SOLUTIONS 100 PERCENT CORRECT
◉ Which patient population is more sensitive to dosage errors
A. Male patients 25-40
B. Bariatric patients
C. A patient with a history of polypharmacy
D. Pediatric patients. Answer: D. Pediatric patients
◉ The National Patient Safety Goals directed at improving staff
communication review the need for
A. ensuring important test results are communicated to the right
person on time
B. transferring patients to the correct next level of care
C. completing perioperative charting prior to transfer to the
postanesthesia care unit
D. Conducting a daily huddle on the unit. Answer: A, ensuring
important test results are communicated to the right person on time
◉ Which of the following is a potential contraindication to the use of
a pneumatic tourniquet?
A. Pt has undergone prev joint replacement surgery
B. Pt is older than 80 years old
,C. Pt has sickle cell anemia
D. Pt's operative extremity has been shaved. Answer: C. Sickle cell
anemia
◉ Which of the following is part of the surgical check list
A. When the pt last ate food or drank fluids
B. whether any special equipment, devices or implants will be needed
C. Whom the surgeon should talk to after surgery
D. What pharmacy the patient uses. Answer: B. Whether any special
equipment, devices or implants will be needed
◉ A pt taking ginger preoperatively is at risk for surgical
complications that include bleeding, hypotension and
A. hypoglycemia
B. Bradycardia
C. hypokalemia
D. liver dysfunction. Answer: B. Bradycardia
◉ A patient is on long term acetyl salicylic acid therapy.
Preoperatively, the pt should be counselled to discontinue taking the
medication _________ prior to surgery
A. 1 week
B. 2 weeks
C. 3 weeks
D. 4 weeks. Answer: B. 2 weeks
,◉ A pt-specific risk factor for venous thromboembolism (VTE) is
A. a prev hx of stroke
B. duration of surgery
C. intraoperative position
D. use of a pneumatic tourniquet. Answer: A. previous history of
stroke
◉ Actively warming surgical patients with forced air to prevent
hypothermia should begin
A. as soon as the patient enters the OR or procedure room
B. In the recovery room
C. in the preoperative holding area
D. just before the surgeon makes the incision. Answer: C. in the
preoperative holding area
◉ Which of the following indicators demonstrates a patient who is at
increased risk of developing a pressure ulcer during a surgical
procedure
A. Aged 50 or older
B. Hx of recent gallbladder surgery
C. Female
D. Poor preoperative nutritional status. Answer: D. Poor preoperative
nutritional status
, ◉ Based on data collected during the patient assessment, the
perioperative RN
A. identifies an outcome
B. Formulates a nursing diagnosis
C. develops a plan of care
D. performs nursing interventions. Answer: B. formulates a nursing
diagnosis
◉ Liquid peracetic acid low-temperature sterilant is used for devices
that meet all of the following criteria except:
A. Device must be approved for this process
B. Device must be heat sensitive
C. Device must be aerated
D. Device must be immersed. Answer: C. Device must be aerated
◉ During surgery the patients respirations become increasingly
shallow, and the pupils become smaller and smaller until they are
pinpoint. How should this situation be managed?
A. The patient should be extubated and bagged with 100% oxygen
B. This is normal and is not cause for alarm
C. The anesthetic should be discontinued, and a narcotic antagonist
such as naloxone (Narcan) should be administered
D. Oxygen should be increased while anesthetic is decreased. Answer:
C. The anesthetic should be discontinued, and a narcotic antagonist
such as naloxone (Narcan) should be administered
