CPAN® 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

Care for a patient who has received ketamine includes:

  • 1. aromatherapy.
  • 2. a quiet environment.
  • 3. verbal stimulation.
  • 4. increased lighting.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: a therapeutic environment (including, but not limited to, minimal interruption of normal regimen and preemptive interventions)


Check back next week for the answer!

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Previous Questions & Answers

QUESTION OF THE WEEK | March 15, 2017

A patient in the Phase I PACU is experiencing acute emergence delirium. The PACU nurse suspects the PRIMARY cause to be:

  • 1. hypoxemia.
  • 2. hypoglycemia.
  • 3. pain.
  • 4. sepsis.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: stability of respiratory system

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. pg 402

QUESTION OF THE WEEK | March 08, 2017

A patient with a history of stroke and expressive aphasia arrives in PACU. In order to communicate effectively with the patient, the perianesthesia nurse plans to:

  • 1. use an interpreter for the deaf /mute.
  • 2. correct the person's speech as needed.
  • 3. maintain a normal voice volume.
  • 4. allow patient to use a writing tablet or slate.

CPAN/CAPA Test Blueprint

Domain: Behavioral and Cognitive Needs

Content Area: Assess patient’s/family’s/significant others’ ability to learn, learning style (including, but not limited to, kinetic, auditory, and visual), readiness to learn, and barriers to learning

Reference:

Urden, L., et al. Thelan’s Critical Care Nursing, Diagnosis and Management, 7th Ed. Elsevier, 2014. pg 661.

QUESTION OF THE WEEK | March 01, 2017

Post-op care of a patient who is paraplegic includes monitoring for signs of:

  • 1. autonomic dysreflexia.
  • 2. phantom limb pain.
  • 3. malignant hyperthermia.
  • 4. adrenal crisis.

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 481

QUESTION OF THE WEEK | February 22, 2017

According to the ASPAN Standards of Post Anesthesia Nursing Practice, which of the following statements regarding Phase I of post anesthesia care is accurate?

  • 1. Two RNs, one of whom is certified, are present when a patient is recovering.
  • 2. Two licensed nurses, one of whom is an RN, are present when a patient is recovering.
  • 3. Two competent personnel, one of whom is an RN, are present in the area where the patient is received.
  • 4. Two RNs, one of whom is competent in Phase I nursing are in the same room where the patient is received.

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 23-24.

QUESTION OF THE WEEK | February 15, 2017

A patient develops laryngospasm in the PACU. The priority intervention is:

  • 1. positive pressure ventilation.
  • 2. to administer ventolin via a nebulizer.
  • 3. to reintubate the patient.
  • 4. to administer 40 mg furosemide IV.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of respiratory 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 471.

QUESTION OF THE WEEK | February 08, 2017

A patient is admitted to PACU following shoulder arthroplasty with an interscalene block using bupivacaine. The monitor shows bradycardia with premature ventricular complexes. The patient also complains of lightheadedness and circumoral numbness. The nurse prepares for the administration of:

  • 1. morphine
  • 2. lidocaine
  • 3. lipids
  • 4. adenosine

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: an appropriate medication regimen (including, but not limited to, minimal interruption of normal medication regimen and preemptive interventions)

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. pg 321-322

QUESTION OF THE WEEK | February 01, 2017

After 30 minutes in the PACU, a patient post thyroidectomy develops a prolonged Q-T interval and decreased blood pressure. The perianesthesia nurse assesses this as:

  • 1. hypocalcemia.
  • 2. hypermagnesemia.
  • 3. hypokalemia.
  • 4. hyperkalemia.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of endocrine system

Reference:

Urden, L., et al. Thelan’s Critical Care Nursing, Diagnosis and Management, 7th Ed. Elsevier, 2014. pg 313-315.

QUESTION OF THE WEEK | January 25, 2017

A patient with a history of substance abuse has been in the PACU for 45 minutes and has received analgesics as ordered. The patient now reports a pain rating of 8 on a scale of 0 to 10. The perianesthesia nurse recognizes:

  • 1. the patient's increased analgesic requirements.
  • 2. a drug seeking behavior.
  • 3. that physical withdrawal  is appropriate in the perioperative period.
  • 4. an immediate need for behavioral counseling.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

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

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 117

QUESTION OF THE WEEK | January 18, 2017

A patient is admitted to PACU status post shoulder arthroscopy with an interscalene block. The perianesthesia nurse demonstrates the priority nursing care, which is to:

  • 1. check for bladder distention.
  • 2. monitor for orthostatic hypotension.
  • 3. protect the affected arm.
  • 4. avoid analgesics in immediate post-op period.

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. pg 335.

QUESTION OF THE WEEK | January 11, 2017

A patient awakens in the PACU status-post laparoscopic assisted vaginal hysterectomy. The patient is sweating and appears pale. The heart rate is 110 beats/min, respiratory rate is 28, and temperature is 98.4 F. The perianesthesia nurse recognizes that if left untreated, a potential complication this condition could precipitate is:

  • 1. hypertension.
  • 2. aspiration.
  • 3. bronchospasm.
  • 4. non-cardiogenic pulmonary edema.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: Stability of Respiratory System

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. pg 405.

QUESTION OF THE WEEK | January 04, 2017

The condition of a patient in the PACU has changed from stable to unstable. The patient’s spouse asks for an update.  The perianesthesia nurse should:

  • 1. provide information about the patient's condition to the spouse.
  • 2. refuse to provide information.
  • 3. check with the nursing supervisor.
  • 4. check to see whether permission has been given by the patient.

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 24.

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.