Domain: Behavioral Health and Cognitive Needs

Question of the Week

September 16, 2020

When educating the patient on what to expect during the administration of spinal anesthesia, the perianesthesia nurse understands that the progression of blockage occurs in the following order:

  1. sensory, motor, autonomic
  2. motor, sensory, autonomic
  3. autonomic, sensory, motor
  4. motor, autonomic, sensory

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

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

Reference:

Question of the Week

June 3, 2020

In providing preoperative teaching to a patient requesting spinal anesthesia, the perianesthesia nurse is aware that an absolute contraindication for spinal anesthesia is:

  1. patient refusal.
  2. chronic back pain.
  3. multiple sclerosis.
  4. sickle cell anemia.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

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

Reference:

Question of the Week

April 1, 2020

In a preoperative visit, information to be collected by the perianesthesia nurse includes:

  1. type of surgery to be performed, previous surgical history and verification of payment source.
  2. cardiac status, vaccination status, respiratory status, and location of patient's family postoperatively.
  3. surgical procedure, whether the patient has signed the consent form, and type of anesthesia to be used.
  4. preexisting diseases, laboratory values, neurological status, current medications, and allergies.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

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

Reference:

Question of the Week

March 25, 2020

A staff nurse denied a merit increase expresses vigorous support for management and its policies instead of showing anger. The nurse’s behavior is characterized as:

  1. identification.
  2. reaction formation.
  3. sublimation.
  4. rationalization.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide and maintain patient privacy and confidentiality.

Reference:

Question of the Week

March 18, 2020

A patient calls the preoperative center asking whether to continue taking his daily dose of clonidine. The perianesthesia nurse is aware that clonidine should be:

  1. taken only if the surgeon deems it necessary.
  2. stopped at least 3 days preoperatively.
  3. stopped at least 5 days preoperatively.
  4. taken daily as prescribed.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

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

Reference:

Question of the Week

March 11, 2020

A standard of practice for post anesthesia nursing is established by which acceptable levels of nursing action?

  1. Promoting independent nursing judgment
  2. Specifying the nursing goal while defining appropriate nursing measures
  3. Identifying the nursing actions that meet JCAHO criteria
  4. Prescribing the nursing intervention relative to standing orders

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Recognize and respect patient/family/significant other diversity.

Reference:

Question of the Week

January 15, 2020

A post-op patient awaiting transport to a surgical floor is awake and responds appropriately to commands. The perioperative nurse instructs the patient to flex and extend his/ her lower extremities; the purpose of this is to:

  1. ensure that the patient follows commands.
  2. prevent the complication of venous stasis.
  3. accelerate emergence from anesthesia.
  4. assess if patient is ready for discharge.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

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

Reference: Urden, L., et al. Thelan’s Critical Care Nursing, Diagnosis and Management, 7th Ed. Elsevier, 2014. Pg 354.

Question of the Week

November 20, 2019

A 35-year-old patient arrives in the Phase I PACU crying and repeatedly asks, “Can’t my mother come in here with me?” The perianesthesia nurse:

  1. informs the patient that visitation is prohibited in the PACU.
  2. reassures the patient and administers an analgesic.
  3. allows a brief visit at a time appropriate for patient, visitors, and staff.
  4. sedates the patient secondary to postanesthetic confusion.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide psychosocial support to patient/family/significant other

Reference: ASPAN. (2018). 2019-2020 PeriAnesthesia Nursing Standards, Practice Recommendations and Interpretive Statements. ASPAN.

Question of the Week

November 13, 2019

The perianesthesia nurse receives a call inquiring about a patient who is in surgery. The perianesthesia nurse's initial action is to:

  1. transfer the call to the O.R. desk.
  2. advise to call back later.
  3. provide the information.
  4. inform the family of the call.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide and maintain patient privacy and confidentiality

Reference: Schick, L., & Windle, P. (2015). ASPAN Perianesthesia Nursing Core Curriculum: Preprocedure, phase I and phase II, PACU nursing (3rd ed.). Elsevier.

Question of the Week

October 02, 2019

Patient information about what to expect following a spinal anesthetic includes:

  1. remaining flat for 12 hours afterwards.
  2. anticipating a headache as a common complication.
  3. a loss of sensation of temperature in the legs.
  4. pain control for 12 hours.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide patient/family/significant other education

Reference: Schick, L., & Windle, P. (2015). ASPAN Perianesthesia Nursing Core Curriculum: Preprocedure, phase I and phase II, PACU nursing (3rd ed.). Elsevier.

Question of the Week

September 25, 2019

A perianesthesia nurse is providing discharge instructions to a patient who asks questions about the phenazopyridine prescription. The nurse explains that it:

  1. needs to be taken on an empty stomach.
  2. provides relief from urgency and burning sensation.
  3. helps minimize bleeding and formation of blood clots.
  4. treats bacteria present in the urinary tract.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide patient/family/significant other education

Reference: Hodgson, K. and Kizior, R. (2019). Saunders Nursing Drug Handbook 2019. Elsevier.

Question of the Week

August 14, 2019

A patient who speaks limited English is preparing for gallbladder surgery. The perianesthesia nurse is aware that the appropriate interpreter to utilize for this patient is:

  1. an interpreter who is married to the patient's sister.
  2. an interpreter who has a contract with the facility.
  3. the patient's English-speaking husband.
  4. the patient's bilingual significant other.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Recognize and respect patient/family/significant other diversity

Reference: Schick, L., & Windle, P. (2015). ASPAN Perianesthesia Nursing Core Curriculum: Preprocedure, phase I and phase II, PACU nursing (3rd ed.). Elsevier.

Question of the Week

August 07, 2019

Anxious parents are at the bedside of a toddler who is crying, kicking, and thrashing following bilateral myringotomy with insertion of tympanostomy. The perianesthesia nurse informs the parents that this behavior is:

  1. the emergence excitement phase after anesthesia.
  2. a temper tantrum often seen in toddlers.
  3. associated with the surgical procedure.
  4. uncommon in children of this age.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

Content Area: Provide psychosocial support to patient/family/significant other

Reference: Drain, C. and Odom-Forren, J. (2018). Drain’s PeriAnesthesia Nursing: A critical care approach (7th ed.). Elsevier.

The CPAN® and CAPA® Practice Exams and Question of the Week Program are study tools only. ABPANC’s practice examinations should be regarded as a tool to assess strengths and weaknesses. They are not intended to serve as a study guide nor should they be used as a substitute for studying. While content may be representative of the type of knowledge and skills tested on the CPAN® and CAPA® certification examinations, these materials are not identical to the content of the examinations. A passing score on a practice examination does not in any way guarantee a passing score on any ABPANC certification examination. Use of a practice examination or Question of the Week is not a requirement for eligibility or for success in passing any ABPANC certification examination.

The Practice Exams and Questions of the Week are copyrighted materials owned by ABPANC. Requests to reproduce or otherwise use these materials should be directed to: abpanc@cpancapa.org
© 2019 American Board of Perianesthesia Nursing Certification, Inc. All rights reserved.