CAPA® Question of the Week

Each Wednesday at 6am ET, ABPANC will post a CPAN® and a CAPA® study question. Use these questions to test your knowledge, display in your unit and discuss with your colleagues. The answer, along with the next week’s question, will be posted the following Wednesday at 6am.

For each question, we will post the reference from ABPANC’s Study References List (Appendix D), as well as the domain and content area information from the Test Blueprint. For more questions and answers, you can purchase up to 4 Practice Exams.

If you would like to have the question delivered to your inbox each week you can sign up for the Study Question of the Week program.

THIS WEEK'S QUESTION | April 26, 2017

Patient anxiety over perceived loss of privacy and dignity in the PACU can be minimized by:

  • 1. anticipating the administration of an anxiolytic agent.
  • 2. providing clothing and blankets that provide adequate cover.
  • 3. assuring that all access to the OR is restricted.
  • 4. reassuring that anxiety is part of the surgical experience.

CPAN/CAPA Test Blueprint

Domain: Behavioral and Cognitive Needs

Content Area: Provide and maintain patient privacy and confidentiality


Check back next week for the answer!

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Previous Questions & Answers

QUESTION OF THE WEEK | April 19, 2017

The perianesthesia nurse is aware that geriatric patients present a challenge because:

  • 1. pain perception increases with age.
  • 2. most experience increased pharmacokinetics.
  • 3. of the presence of arthritis.
  • 4. of the potential for cardiovascular events.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the cardiovascular and peripheral vascular systems.

Reference:

Urden, L., et al. Thelan’s Critical Care Nursing, Diagnosis and Management, 7th Ed. Elsevier, 2014. pg 1073.

QUESTION OF THE WEEK | April 12, 2017

A 7-year- old patient arrives in the Phase I PACU with crowing respirations and an initial SaO 2 of 90% following tonsillectomy. A racemic epinephrine treatment is ordered STAT. The most immediate nursing action is to:

  • 1. administer humidified O2.
  • 2. page the anesthesiologist STAT to the PACU.
  • 3. administer 100% O2 by non-rebreather mask.
  • 4. page respiratory staff STAT to the PACU.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the respiratory system

Reference:

Fleisher, L. and Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health Sciences, December, 2011. pg 106.

QUESTION OF THE WEEK | April 05, 2017

A patient has received a right stellate ganglion block.The perianesthesia nurse notes the right eyelid is droopy and pupil is constricted, the left pupil is dilated. These symptoms are indicative of:

  • 1. Budd-Chiari Syndrome.
  • 2. Horner’s Syndrome.
  • 3. facial nerve paralysis.
  • 4. damage to right brachial nerve.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: stability of the neurological system

Reference:

American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Third Edition. Perianesthesia Nursing Core Curriculum – Preoperative, Phase I and Phase II PACU Nursing. WB Saunders, St. Louis, MO., 2015. pg 679

QUESTION OF THE WEEK | March 29, 2017

When assessing a patient for perceived nerve palsy following hip arthroplasty, the perianesthesia nurse asks the patient to:

  • 1. plantar flex toes on operative side.
  • 2. externally rotate the operative hip.
  • 3. dorsiflex foot on operative side.
  • 4. flex the knee on operative side.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: stability of the musculoskeletal system

Reference:

American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Third Edition.

QUESTION OF THE WEEK | March 22, 2017

A patient in PACU who had spinal anesthesia reports dull sensation at the umbilicus.  This represents  a dermatone  level of

  • 1. S1
  • 2. T10
  • 3. T5
  • 4. T4

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the neurological system

Reference:

American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Third Edition. Perianesthesia Nursing Core Curriculum – Preoperative, Phase I and Phase II PACU Nursing. WB Saunders, St. Louis, MO., 2015. pg 357.

QUESTION OF THE WEEK | March 15, 2017

During the admission process, a patient states that his mother “almost died due to pseudocholinesterase deficiency.” The perianesthesia nurse's priority is to:

  • 1. notify the anesthesiologist.
  • 2. refer patient to primary care physician.
  • 3. instruct the patient to notify the surgeon.
  • 4. notify the operating room charge nurse.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the respiratory system

Reference:

Fleisher, L. and Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health Sciences, December, 2011. pg 695.

QUESTION OF THE WEEK | March 08, 2017

During a follow-up phone call, a patient who had taken two doses of hydrocodone over a 24-hour period reports severe pain. The perianesthesia nurse’s BEST response is to:

  • 1. encourage the patient to take the medication as prescribed, to achieve pain control.
  • 2. instruct the patient to increase exercises to promote healing.
  • 3. instruct the patient to go to the local emergency department.
  • 4. encourage the patient to call the surgeon for a change in prescription.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Develop and implement effective multidisciplinary perianesthesia plan of care that addresses pain management

Reference:

American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Third Edition. Perianesthesia Nursing Core Curriculum – Preoperative, Phase I and Phase II PACU Nursing. WB Saunders, St. Louis, MO., 2015. pg 445.

QUESTION OF THE WEEK | March 01, 2017

A perianesthesia nurse would suspect a postdural puncture headache if a postoperative patient reports in a phone call worsening pain:

  • 1. when upright.
  • 2. when supine.
  • 3. while at rest.
  • 4. only at night.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of the neurological system

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. Pg 330-331.

QUESTION OF THE WEEK | February 22, 2017

While giving discharge instructions to the parent of a 4-year-old patient, a perianesthesia nurse smells alcohol on the breath of the parent. The parent’s gait is unsteady and speech is slurred. The perianesthesia nurse’s next course of action would be to:

  • 1. retain the patient until another caregiver is available.
  • 2. continue discharge of the patient to the parent.
  • 3. arrange for a taxi to transport them home.
  • 4. allow the parent to sign the patient out against medical advice.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Develop and implement effective multidisciplinary perianesthesia plan of care that addresses safe transport to the home or discharge care site.

Reference:

American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P., (Editors) Third Edition. Perianesthesia Nursing Core Curriculum – Preoperative, Phase I and Phase II PACU Nursing. WB Saunders, St. Louis, MO., 2015. pg 1281.

QUESTION OF THE WEEK | February 15, 2017

While reviewing a patient's Advance Directives, the perianesthesia nurse understands that a durable power of attorney for healthcare involves the patient's:

  • 1. appointed individual.
  • 2. next of kin.
  • 3. spiritual counselor.
  • 4. estate lawyer.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Deliver, document, and communicate care based on accepted national standards of perianesthesia nursing practice and applicable laws, guidelines, and regulations

Reference:

Urden, L., et al. Thelan’s Critical Care Nursing, Diagnosis and Management, 7th Ed. Elsevier, 2014. Pg 44.

QUESTION OF THE WEEK | February 08, 2017

A patient with Vancomycin-resistant enterococcus (VRE) is admitted to the PACU. To prevent spread of infection, the perianesthesia nurse uses standard precautions and institutes which of the following isolation measures?

  • 1. Contact
  • 2. Droplet
  • 3. Reverse
  • 4. Airborne

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Protect the patient from harm and take preventive measures related to exposure to infections and diseases

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. Pg 48-49.

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