CPAN EXAM 2026 ACTUAL EXAM
WITH QUESTIONS AND CORRECT
ANSWERS GRADED A+
The nurse is caring for a patient following an electroconvulsive
therapy procedure. The patient is observed closely for
bradycardia and:
1) hyperkalemia
2) metabolic alkalosis
3) respiratory acidosis
4) hypotensionCorrect Answer 4) hypotension
A patient who received spinal anesthesia and has
postoperative hypothermia is rewarmed by radiant heat and
experiences a drop in blood pressure. The etiology of this
finding is:
1) vasodilation
2) myocardial depression
3) basal metabolic rate
4) parasympathetic responseCorrect Answer 1) vasodilation
The patient with a pneumonectomy should never be positioned:
1) on the non-operative side
2) on the operative side
3) supine
4) in semi-fowler's positionCorrect Answer 1) on the non-
operative side
The perianesthesia nurse is aware that older adult's tolerance
to cold is decreased because of:
,1) loss of subcutaneous fat
2) vascular fragility
3) ineffective piloerection
4) decreased dermal vascularityCorrect Answer 1) loss of
subcutaneous fat
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:
1) WBC or platelet antibodies
2) anti E - anti C interaction
3) blood type incompatibility
4) nonpyrogenic bacteriaCorrect Answer 1) WBC or platelet
antibodies
A potential negative side effect of positive end expiratory
pressure (PEEP) is:
1) alveolar collapse
2) deceased intrapulmonary shunting
3) increased cardiac output
4) hypertensionCorrect Answer 2) deceased intrapulmonary
shunting
The PACU nurse is concerned with renal blood flow in a patient
recovering from repair of an abdominal aortic aneurysm. The
expected urine output is:
1) 0.5 mL/kg/hr
2) 1.2 mL/kg/hr
3) 5 mL/kg/hr
4) 10 mL/kg/hrCorrect Answer 1) 0.5 mL/kg/hr
The perianesthesia nurse demonstrates understanding that
language and readable instructions are important to patient
,safety after discharge instructions are written in the vocabulary
of grade level.
1) 3
2) 5
3) 9
4) 12Correct Answer 2) 5
A patient has received Vecuronium as part of the anesthesia
regimen. The perianesthesia nurse anticipates which of the
following IV to be given for reversal of the effected?
1) Droperidol
2) Diphenhydramine
3) Naloxone
4) SugammadexCorrect Answer 4) Sugammadex
After reviewing an interscalene block the patient complains of
shortness of breath. The perianesthesia nurse is aware that the
block may have affected which nerve?
1) Transverse cervical
2) supraclavicular
3) phrenic
4) recurrent laryngealCorrect Answer 3) Phrenic
While assisting an anesthesiologist performing a block for reflex
sympathetic dystrophy, the perianesthesia nurse observes that
the affected arm becomes warm to the touch and flushed. The
patient reports a sensation of heaviness in the arm. The
perianesthesia nurse knows that this indicates which of the
following?
1) Ineffective regional block
2) severe allergic reaction
3) successful therapeutic block
, 4) extravasation of the medicationCorrect Answer 3) successful
therapeutic block
According to ASPAN Standards of Perianesthesia Nursing
Practice care in the post anesthesia phase I focuses on:
1) preparation of patient and family for home care
2) preparation of patient for extended care
3) transition of the patient from an anesthetized state to phase
II or an impatient setting.
4) transition of the patient from the preoperative to the
intraoperative phase.Correct Answer 3) transition of the patient
from an anesthetized state to phase II or an impatient setting.
The perianesthesia nurse caring for a 60kg patient who is npo
should maintain IV fluids hourly maintenance rate at:
1) 45 mL/hr
2) 55 mL/hr
3) 65 mL/hr
4) 100 mL/hrCorrect Answer 4) 100 mL/hr
* use 4-2-1 method
The perianesthesia nurse is titrating pain medications for a
postoperative patient in Phase I PACU. Pain medication orders
have changed from IV fentanyl to IV morphine. The
perianesthesia nurse knows that an equivalent analgesic of
fentanyl 0.1 mg is:
1) methadone 20 mg
2) morphine 10 mg
3) butorphanol 10mg
4) meperidine 125 mgCorrect Answer 2) morphine 10 mg
A patient is admitted to the PACU with a laryngeal mask airway
(LMA) in place. The perianesthesia nurse understands that a
properly placed LMA.
WITH QUESTIONS AND CORRECT
ANSWERS GRADED A+
The nurse is caring for a patient following an electroconvulsive
therapy procedure. The patient is observed closely for
bradycardia and:
1) hyperkalemia
2) metabolic alkalosis
3) respiratory acidosis
4) hypotensionCorrect Answer 4) hypotension
A patient who received spinal anesthesia and has
postoperative hypothermia is rewarmed by radiant heat and
experiences a drop in blood pressure. The etiology of this
finding is:
1) vasodilation
2) myocardial depression
3) basal metabolic rate
4) parasympathetic responseCorrect Answer 1) vasodilation
The patient with a pneumonectomy should never be positioned:
1) on the non-operative side
2) on the operative side
3) supine
4) in semi-fowler's positionCorrect Answer 1) on the non-
operative side
The perianesthesia nurse is aware that older adult's tolerance
to cold is decreased because of:
,1) loss of subcutaneous fat
2) vascular fragility
3) ineffective piloerection
4) decreased dermal vascularityCorrect Answer 1) loss of
subcutaneous fat
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:
1) WBC or platelet antibodies
2) anti E - anti C interaction
3) blood type incompatibility
4) nonpyrogenic bacteriaCorrect Answer 1) WBC or platelet
antibodies
A potential negative side effect of positive end expiratory
pressure (PEEP) is:
1) alveolar collapse
2) deceased intrapulmonary shunting
3) increased cardiac output
4) hypertensionCorrect Answer 2) deceased intrapulmonary
shunting
The PACU nurse is concerned with renal blood flow in a patient
recovering from repair of an abdominal aortic aneurysm. The
expected urine output is:
1) 0.5 mL/kg/hr
2) 1.2 mL/kg/hr
3) 5 mL/kg/hr
4) 10 mL/kg/hrCorrect Answer 1) 0.5 mL/kg/hr
The perianesthesia nurse demonstrates understanding that
language and readable instructions are important to patient
,safety after discharge instructions are written in the vocabulary
of grade level.
1) 3
2) 5
3) 9
4) 12Correct Answer 2) 5
A patient has received Vecuronium as part of the anesthesia
regimen. The perianesthesia nurse anticipates which of the
following IV to be given for reversal of the effected?
1) Droperidol
2) Diphenhydramine
3) Naloxone
4) SugammadexCorrect Answer 4) Sugammadex
After reviewing an interscalene block the patient complains of
shortness of breath. The perianesthesia nurse is aware that the
block may have affected which nerve?
1) Transverse cervical
2) supraclavicular
3) phrenic
4) recurrent laryngealCorrect Answer 3) Phrenic
While assisting an anesthesiologist performing a block for reflex
sympathetic dystrophy, the perianesthesia nurse observes that
the affected arm becomes warm to the touch and flushed. The
patient reports a sensation of heaviness in the arm. The
perianesthesia nurse knows that this indicates which of the
following?
1) Ineffective regional block
2) severe allergic reaction
3) successful therapeutic block
, 4) extravasation of the medicationCorrect Answer 3) successful
therapeutic block
According to ASPAN Standards of Perianesthesia Nursing
Practice care in the post anesthesia phase I focuses on:
1) preparation of patient and family for home care
2) preparation of patient for extended care
3) transition of the patient from an anesthetized state to phase
II or an impatient setting.
4) transition of the patient from the preoperative to the
intraoperative phase.Correct Answer 3) transition of the patient
from an anesthetized state to phase II or an impatient setting.
The perianesthesia nurse caring for a 60kg patient who is npo
should maintain IV fluids hourly maintenance rate at:
1) 45 mL/hr
2) 55 mL/hr
3) 65 mL/hr
4) 100 mL/hrCorrect Answer 4) 100 mL/hr
* use 4-2-1 method
The perianesthesia nurse is titrating pain medications for a
postoperative patient in Phase I PACU. Pain medication orders
have changed from IV fentanyl to IV morphine. The
perianesthesia nurse knows that an equivalent analgesic of
fentanyl 0.1 mg is:
1) methadone 20 mg
2) morphine 10 mg
3) butorphanol 10mg
4) meperidine 125 mgCorrect Answer 2) morphine 10 mg
A patient is admitted to the PACU with a laryngeal mask airway
(LMA) in place. The perianesthesia nurse understands that a
properly placed LMA.
