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 | April 26, 2017

An unresponsive 25 kg patient arrives to PACU after an emergency appendectomy. Anesthetic agents received in the OR include sevoflurane, morphine, and rocuronium. Vitals on arrival are BP=100/72, HR=125, RR=26, T=37° C (99.1°F), SaO2=95%. After 10 minutes, the temperature increases to 38.6° C (101.5 °F) with generalized trunk rigidity, and premature ventricular contraction. The perianesthesia nurse suspects that the patient is exhibiting signs of:

  • 1. Duchenne muscular dystrophy.
  • 2. pseudocholinestrase deficiency.
  • 3. intraabdominal sepsis.
  • 4. malignant hyperthermia.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: stability of the cardiovascular and peripheral vascular systems


Check back next week for the answer!

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Previous Questions & Answers

QUESTION OF THE WEEK | April 19, 2017

Postoperatively, a 70 kg patient suddenly develops signs and symptoms of malignant hyperthermia. The PACU nurse FIRST anticipates hyperventilating the patient with 100% O2 and IV administration of:

  • 1. sodium bicarbonate 100 mEq.
  • 2. adenosine 6 mg.
  • 3. dantrolene 175 mg.
  • 4. dantrolene 80 mg.

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:

Fleisher, L. and Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health Sciences, December, 2011. pg 232

QUESTION OF THE WEEK | April 12, 2017

The perianesthesia nurse is aware that the patient should take atenolol on the morning of surgery to:

  • 1. decrease the risk of a neurological ischemic event.
  • 2. increase systemic vascular resistance.
  • 3. decrease the fibrillation threshold.
  • 4. decrease risk of an acute myocardial infarction.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: stability of cardiovascular/ peripheral vascular systems

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. pg 230

QUESTION OF THE WEEK | April 05, 2017

When planning patient education, the most important factor to consider is the patient’s:

  • 1. readiness to learn.
  • 2. home environment.
  • 3. family/significant other presence.
  • 4. comfort.

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:

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 280.

QUESTION OF THE WEEK | March 29, 2017

Which of the following is a risk factor for PONV in children?

  • 1. Surgery is greater than 30 minutes.
  • 2. History of PONV  in a cousin
  • 3. One to 2 years of age
  • 4. Closed reduction of a limb fracture.

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 273

QUESTION OF THE WEEK | 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)

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. pg 275

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.

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.