PESI CAPA/CPAN test || Solved Correctly.
1). The recommended dose of Dantrolene for the initial management of a Malignant
Hyperthermia crisis is:
2.5mcg/kg
3.5 mcg/kg
2.0 mg/kg
2.5 mg/kg correct answers 2.5 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
12). 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. An
initial ABG is drawn and the results are as follows: pH-7.30, pCO2-49, pO2-85, HCO3-24,
SaO2-95%. Based on the ABG results, the perianesthesia nurse would expect to make the
following ventilator changes:
Increase FiO2 to 60%Decrease rate to 10Increase tidal volume to 650mlIncrease IMV to 12
correct answers Increase IMV to 12
13). 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 high-pressure alarm on the ventilator begins to sound. Which of the following nursing
interventions would be the most appropriate for the PACU nurse?
Stimulate/encourage the patient to breathAuscultate bilateral breath soundsDecrease the tidal
volume accordinglyAssess the ventilator for circuit leaks correct answers Auscultate bilateral
breath sounds
1). The recommended dose of Dantrolene for the initial management of a Malignant
Hyperthermia crisis is:
2.5mcg/kg
3.5 mcg/kg
2.0 mg/kg
2.5 mg/kg correct answers 2.5 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
12). 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. An
initial ABG is drawn and the results are as follows: pH-7.30, pCO2-49, pO2-85, HCO3-24,
SaO2-95%. Based on the ABG results, the perianesthesia nurse would expect to make the
following ventilator changes:
Increase FiO2 to 60%Decrease rate to 10Increase tidal volume to 650mlIncrease IMV to 12
correct answers Increase IMV to 12
13). 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 high-pressure alarm on the ventilator begins to sound. Which of the following nursing
interventions would be the most appropriate for the PACU nurse?
Stimulate/encourage the patient to breathAuscultate bilateral breath soundsDecrease the tidal
volume accordinglyAssess the ventilator for circuit leaks correct answers Auscultate bilateral
breath sounds
