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 | 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)


Check back next week for the answer!

SHARE THIS:

Previous Questions & Answers

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

QUESTION OF THE WEEK | May 17, 2017

A patient is admitted to the PACU after a procedure under general anesthesia. The patient is anxious and makes unsuccessful attempts to lift the head using jerky movements. The perianesthesia nurse anticipates administering:

  • 1. glycopyrrolate and neostigmine.
  • 2. midazolam and morphine.
  • 3. flumazenil and naloxone.
  • 4. albuterol and ipratropium.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: stability of the respiratory system

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. pg 297-298

QUESTION OF THE WEEK | May 10, 2017

A patient in the PACU is diaphoretic and irritable  and has increased respirations. Arterial blood gas results are pH7.54, pCO2=20, PO2=98, HCO3- =26 and BE +1. The nurse interprets this to be:

  • 1. respiratory alkalosis
  • 2. respiratory acidosis
  • 3. metabolic acidosis
  • 4. metabolic alkalosis

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 170-171

QUESTION OF THE WEEK | May 03, 2017

A patient’s wound is positive for methicillin-resistant Staphylococcus aureus. The perianesthesia nurse is aware that the patient requires which type of isolation precautions?

  • 1. Respiratory
  • 2. Contact
  • 3. Droplet
  • 4. Standard

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Protect the patient from harm through the use of protective safety devices and equipment

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. pg 49

QUESTION OF THE WEEK | 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

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. pg 746-749.

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.