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 | May 24, 2017

The perianesthesia nurse is reviewing literature on post-operative urinary retention. The perianesthesia nurse  understands that studies with the strongest evidence are:

  • 1. single, well-designed, random, controlled trials.
  • 2. expert opinion from nationally known authorities.
  • 3. descriptive or qualitative nonexperimental studies.
  • 4. a meta-analysis of multiple  controlled studies.

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 | May 17, 2017

A healthy patient inquires about NPO guidelines prior to surgery.  Based on ASA guidelines, the perianesthesia nurse will reply:

  • 1. no solids for 6 hours and allow clear liquids 2 hours before surgery.
  • 2. no solids past midnight and allow clear liquids up to  4 hours before surgery.
  • 3. no solids for 4 hours and allow clear liquids up to 1 hour before surgery.
  • 4. no solids for 8 hours and allow clear liquids up to 3 hours before surgery.

CPAN/CAPA Test Blueprint

Domain: Behavioral and Cognitive Needs

Content Area: Provide patient/family/significant other education and evaluate understanding related to the perianesthesia/procedural experience

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. 195

QUESTION OF THE WEEK | May 10, 2017

Following a blood transfusion reaction, the perianesthesia nurse anticipates the patient’s first voided specimen should be tested for:

  • 1. creatinine and sulfates.
  • 2. urea and bicarbonate.
  • 3. hematocrit and sodium phosphate.
  • 4. hemoglobin and urobilinogen.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: stability of the cardiovascular and peripheral vascular systems

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. Pg 205.

QUESTION OF THE WEEK | May 03, 2017

During the pre-operative assessment of a 28 week pregnant patient, the perianesthesia nurse hears a grade II systolic murmur with a split S2. The perianesthesia nurse should:

  • 1. know that this is normal.
  • 2. immediately notify the surgeon.
  • 3. call for a stat electrocardiogram.
  • 4. place the patient in a side lying position.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: stability of the cardiovascular and peripheral vascular systems

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 897.

QUESTION OF THE WEEK | 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

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 1233.

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.

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.