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, 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 | October 11, 2017

During colonoscopy under nurse administered moderate sedation, the tech has left the room. The gastroenterologist asks the monitoring RN to assist with a polypectomy. According to ASPAN Standards, the nurse should:

  • 1. request for an additional monitoring RN.
  • 2. ask the physician to monitor the patient.
  • 3. assist MD with the polypectomy.
  • 4. position the monitor to view vital signs of the colonoscopy patient.

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 | September 27, 2017

A patient is unable to void post laparoscopic hysterectomy. She has received 2 liters of lactated ringers and 1 liter of oral fluids. Upon bladder scan the perianesthesia nurse finds 240 ml in the bladder. The nurse understands that the urge to urinate commonly occurs at:

  • 1. 100-200ml
  • 2. 200-300ml
  • 3. 300-400 ml
  • 4. 400-500 ml

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: stability of the genito-urological and reproductive 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 843

QUESTION OF THE WEEK | September 13, 2017

To decrease the chance of a postoperative complication related to a patient’s sickle cell anemia, the perianesthesia nurse instructs the patient on

  • 1. effective coughing and deep breathing.
  • 2. use of suprofen postoperatively.
  • 3. application of ice to operative site.
  • 4. pain scale use postoperatively.

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:

Fleisher, L. and Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health Sciences, December, 2011. pg 337

QUESTION OF THE WEEK | August 30, 2017

A trauma patient is admitted to the PACU unresponsive and on a ventilator.  A dopamine drip is infusing at 5 mcg/kg/min.  Vital signs are BP = 78/44, HR = 40, T = 92.9°F (33.8°C) with weak peripheral pulses.  The patient is unresponsive to atropine and transcutaneous pacing.  The perianesthesia nurse’s priority intervention is to:

  • 1. initiate an epinephrine drip.
  • 2. institute warming measures.
  • 3. initiate CPR.
  • 4. increase the dopamine drip.

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 1111.

QUESTION OF THE WEEK | August 16, 2017

A PACU patient with muscle weakness and an inability to lift head off the bed is scheduled to receive neostigmine as ordered by the anesthesiologist. The perianesthesia nurse also anticipates administering:

  • 1. pyridostigmine.
  • 2. succinylcholine.
  • 3. physostigmine.
  • 4. glycopyrrolate.

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:

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 397-398.

QUESTION OF THE WEEK | August 02, 2017

In caring for a preschool-aged child, the perianesthesia nurse is aware that the child’s PRIMARY cause of anxiety prior to surgery is:

  • 1. separation from parents.
  • 2. fear of mutilation.
  • 3. striving for approval.
  • 4. loss of privacy.

CPAN/CAPA Test Blueprint

Domain: Behavioral and Cognitive Needs

Content Area: Recognize and respect patient/family/significant other diversity (including, but not limited to, age, sex, race, religion, national origin, ethnicity, disability, marital status, sexual orientation, and gender identity)

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 202-203.

QUESTION OF THE WEEK | July 19, 2017

A patient arrives to PACU having received Succinylcholine and remains apneic. The perianesthesia nurse prepares to:

  • 1. connect the patient to a T-piece with 100% oxygen.
  • 2. administer glycopyrrolate and neostigmine.
  • 3. connect the patient to a ventilator until awake.
  • 4. administer edrophonium chloride.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: stability of the 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 1236-1238

QUESTION OF THE WEEK | July 05, 2017

The perianesthesia nurse caring for a 3-year-old s/p ventriculoperitoneal shunt revision recognizes that the greatest hazard during the postoperative period for this patient is:

  • 1. cerebral spinal fluid infection.
  • 2. hydrocephalus.
  • 3. headache and blurred vision.
  • 4. postoperative ileus.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Develop and implement effective multidisciplinary perianesthesia plan of care that addresses prevention of infection

Reference:

Hockenberry, M., Wilson, D. Wong’s Nursing Care of Infants and Children. 10th Ed. CV. Mosby, 2015. pg 1488-1489.

QUESTION OF THE WEEK | June 21, 2017

Which epidural medication would the perianesthesia nurse question?

  • 1. Sufentanil
  • 2. Remifentanil
  • 3. Morphine
  • 4. Fentanyl

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 286-287.

QUESTION OF THE WEEK | June 07, 2017

Midazolam can be safely used in post-op patients with:

  • 1. chronic obstructive pulmonary disease.
  • 2. profound hypovolemia.
  • 3. myocardial ischemia.
  • 4. complex spine surgery.

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 268-269

QUESTION OF THE WEEK | May 31, 2017

When caring for a patient with a sickle cell trait, it is important for the perianesthesia nurse to:

  • 1. give vitamin k postoperatively.
  • 2. restrict the patient's fluid intake.
  • 3. maintain normothermia.
  • 4. limit sequential compression device use.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: stability of the hematologic and immune 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 115

QUESTION OF THE WEEK | May 24, 2017

Treatment priority for a hypotensive, tachycardic patient with a high neuraxial block includes:

  • 1. Reverse Trendelenburg position.
  • 2. Valsalva maneuver.
  • 3. Vigorous stir-up regimen.
  • 4. Elevation of the legs.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Protect the patient from harm and take preventive measures related to immobility and/or positioning

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. pg 330

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