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 | 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


Check back next week for the answer!

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Previous Questions & Answers

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.

QUESTION OF THE WEEK | December 28, 2016

The perianesthesia nurse is aware that discharge instructions for a post laparoscopic splenectomy should include:

  • 1. the need for long term erythropoietin therapy.
  • 2. the need for filgrastin granulocyte colony stimulating factor.
  • 3. awareness of susceptibility to and prevention of infection.
  • 4. avoiding preoperative corticosteroid treatment.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

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

Reference:

Urden, L., et al. Thelan’s Critical Care Nursing, Diagnosis and Management, 7th Ed. Elsevier, 2014. pg 878.

QUESTION OF THE WEEK | December 21, 2016

While providing preoperative education to a patient taking kava kava, the perianesthesia educates not to take this herbal before surgery for:

  • 1. 1 week
  • 2. 1 day
  • 3. 3 days
  • 4. 3 weeks

CPAN/CAPA Test Blueprint

Domain: Behavioral and Cognitive Needs

Content Area: Provide patient/family/significant other education and evaluate understanding related to medications (for example, when to discontinue or resume; interactions with prescriptions, over the counter medications, herbal supplements, alcohol, and/or illegal drugs)

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. pg 251

QUESTION OF THE WEEK | December 14, 2016

A few hours after being discharged from an ambulatory surgery unit, post resection of a bladder tumor, a patient's significant other calls saying they are not able to get in touch with the patient's surgeon and the patient is having problems. Despite taking hydrocodone for severe pain, the patient continues to complain of level 10 pain, skin is pale and cool, patient is very weak and anxious. Catheter is draining urine that looks like pure blood. The perianesthesia nurse advises to:

  • 1. attempt to call the patient's primary care physician.
  • 2. keep patient NPO and call 911 immediately.
  • 3. re-medicate the patient for pain and wait for the urologist to return the call.
  • 4. re-medicate the patient for pain and encourage large amounts of oral fluids.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Perform post discharge assessment (including, but not limited to, follow-up visit and/or telephone call)

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. pg 761-762

QUESTION OF THE WEEK | December 07, 2016

An adult patient in the Phase I PACU suddenly coughs up frothy pink sputum. The perianesthesia nurse suspects:

  • 1. pulmonary embolus related to hypercoagulability.
  • 2. pneumothorax related to alveolar rupture post mechanical ventilation.
  • 3. pulmonary edema related to increased negative pressure in the chest cavity.
  • 4. pseudocholinesterase deficiency related to depolarizing muscle relaxant usage.

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 1108-1109.

QUESTION OF THE WEEK | November 30, 2016

A patient with type 2 diabetes mellitus is admitted the day of surgery with a glucose of 610 mg/dl. The perianesthesia nurse is aware that the patient may be at risk for:

  • 1. diabetic ketoacidosis.
  • 2. hypercalcemia.
  • 3. diabetes insipidus.
  • 4. hyperkalemia.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of Endocrine System

Reference:

Fleisher, L. and Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health Sciences, December, 2011. Pg 122.

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