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 | 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


Check back next week for the answer!

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Previous Questions & Answers

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.

QUESTION OF THE WEEK | February 01, 2017

The PRIORITY nursing action for a patient who experiences a grand mal seizure while in the ambulatory surgery unit is to:

  • 1. notify the neurologist.
  • 2. time the length of seizure.
  • 3. maintain patient airway.
  • 4. restrain extremities.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of respiratory system

Reference:

Urden, L., et al. Thelan’s Critical Care Nursing, Diagnosis and Management, 7th Ed. Elsevier, 2014. Pg 1061.

QUESTION OF THE WEEK | January 25, 2017

During a postoperative phone call, a 23-year- old patient complains of severe neck and back pain, vomiting, and blurred vision. The patient states, “It feels tender where they took out the epidural catheter.” The perianesthesia nurse should:

  • 1. explain that vomiting is normal postoperatively.
  • 2. encourage the patient to increase activity and exercise.
  • 3. reassure the patient and notify the anesthesiologist.
  • 4. instruct the patient to discontinue drinking caffeinated beverages.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Develop and implement effective multidisciplinary perianesthesia plan of care that addresses optimization of the healing process (including, but not limited to, nutrition, hydration, smoking cessation, and alternative therapies).

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 360.

QUESTION OF THE WEEK | January 18, 2017

A patient’s procedure requiring general anesthesia was delayed. Upon meeting discharge criteria, the patient states “My spouse can’t see to drive, now that it’s dark.” The most appropriate action is to:

  • 1. observe the patient for an additional hour, then allow the patient to drive.
  • 2. admit the patient for extended overnight observation.
  • 3. contact the local social services department.
  • 4. assist the spouse in securing alternate transportation.

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 | January 11, 2017

According to the ASPAN Standards of Perianesthesia Nursing Practice, the recommended nurse-to-patient ratio for care of an unstable patient in Phase II requiring transfer is:

  • 1. 1:1
  • 2. 2:1
  • 3. 1:2
  • 4. 1:3

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:

American Society of PeriAnesthesia Nurses. Perianesthesia Nursing Standards, Practice Recommendations, and Interpretive Statements 2015 - 2017. ASPAN, Cherry Hill, NJ, 2015. Pg 33

QUESTION OF THE WEEK | January 04, 2017

A 7 months pregnant patient is admitted for repair of a lacerated Achilles tendon. Which of the following positions should this patient be placed?

  • 1. Right lateral tilt position
  • 2. Left lateral tilt position
  • 3. Supine
  • 4. Trendelenburg

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Physiological comfort (including, but not limited to, relief from pain, shivering, nausea and vomiting; temperature control and appropriate positioning)

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. Pg 727.

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