CAPA® 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 | December 13, 2017

In caring for an epileptic, postoperative patient, the PACU nurse assesses muscle rigidity and jerking body movements as a result of:

  • 1. reversal with Flumazenil.
  • 2. an excessive dose of Neostigmine.
  • 3. a combination of Neostigmine with glycopyrrolate.
  • 4. a side effect of Ondansetron.

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!

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Previous Questions & Answers

QUESTION OF THE WEEK | November 29, 2017

In answer to a preoperative patient’s question about why gum chewing is not allowed before surgery, the perianesthesia nurse explains that chewing can:

  • 1. increase intra-abdominal gas pressure.
  • 2. promote gastric emptying.
  • 3. increase upper airway irritation.
  • 4. increase gastric acid secretions.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health and Cognitive Needs

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

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders,
2013. Pg 653.

QUESTION OF THE WEEK | November 15, 2017

When caring for a hypothermic patient, the PACU nurse questions a high SpO2 value when the patient has:

  • 1. an elevated platelet count.
  • 2. a decreased serum sodium.
  • 3. a low hemoglobin level.
  • 4. a high glucose level.

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. p 512.

QUESTION OF THE WEEK | November 01, 2017

A perianesthesia nurse communicates with the postoperative patient for the first time. Culturally sensitive communication (listening) is demonstrated by:

  • 1. addressing the patient by the last name.
  • 2. asking about the surgical pain.
  • 3. addressing the patient by first name.
  • 4. asking the patient what name should be used.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health 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. P 128.

QUESTION OF THE WEEK | October 18, 2017

The perianesthesia nurse is aware that the type of pain rating scale that is most appropriate for the preschool child is the:

  • 1. descriptive scale.
  • 2. faces scale.
  • 3. chips scale.
  • 4. numeric scale.

CPAN/CAPA Test Blueprint

Domain: Behavioral Health 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:

Wong, D. Nursing Care of Infants and Children. 10th Ed. CV. Mosby, 2015. Pg 155-156t.

QUESTION OF THE WEEK | October 04, 2017

In caring for a patient with sickle cell anemia, the perianesthesia nurse applies measures to prevent a crisis by:

  • 1. limiting fluid intake.
  • 2. maintaining body temperature below 36 degrees.
  • 3. administering a vasodilator.
  • 4. maintaining body temperature between 36 to 37 degrees.

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. P 115-116.

QUESTION OF THE WEEK | September 20, 2017

While being discharged, a patient who has had carpal tunnel release under an axillary block reports that the extremity is still numb. The nursing priority is to:

  • 1. provide a sling or protection for the numb extremity.
  • 2. delay the discharge until sensation returns.
  • 3. remove the dressing and observe for compartment syndrome.
  • 4. alert the surgeon immediately due to neurovascular compromise.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: stability of musculoskeletal 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 711

QUESTION OF THE WEEK | September 06, 2017

A patient in Phase II recovery is complaining of nausea. Initially, the perianesthesia nurse instructs the patient to:

  • 1. inhale and exhale quickly.
  • 2. turn the head to the side.
  • 3. take deep breaths.
  • 4. utilize Reiki or imagery.

CPAN/CAPA Test Blueprint

Domain: Physiological Needs

Content Area: stability of the gastrointestinal system

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. pg. 404

QUESTION OF THE WEEK | August 23, 2017

During pre-op assessment, the patient reported having sips of black coffee with metoprolol medication at 4am. Surgery is scheduled at 7:30 am. The perianesthesia nurse should:

  • 1. complete the pre-op assessment and prepare the patient for surgery.
  • 2. inform the patient that surgery will be delayed by 4-6 hours.
  • 3. inform the patient that surgery will be canceled.
  • 4. prepare supplies needed for NGT insertion.

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:

Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. pg 145, pg 530.

QUESTION OF THE WEEK | August 09, 2017

A patient is admitted to the PACU complaining of increasing shortness of breath, ipsilateral chest pain, and increased work of breathing. The perianesthesia nurse suspects:

  • 1. atelectasis.
  • 2. Bronchospasm.
  • 3. aspiration.
  • 4. pneumothorax.

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. 397

QUESTION OF THE WEEK | July 26, 2017

During a follow-up phone call for a patient that has had a laparoscopic cholecystectomy the perianesthesia nurse finds that a patient is experiencing severe PONV with analgesics. The patient states she has severe abdominal pain and is afraid to take pain medication. The nurse should instruct the patient:

  • 1. that this is normal following laparoscopic procedures.
  • 2. to apply ice packs to abdomen.
  • 3. to notify the surgeon regarding this problem.
  • 4. lie in the prone position with heat to abdomen.

CPAN/CAPA Test Blueprint

Domain: Safety Needs

Content Area: Perform post-discharge assessment (follow-up contact)

Reference:

Odom-Forren, J. Drain’s PeriAnesthesia Nursing: A Critical Care Approach. 6th Ed. Elsevier Saunders, 2013. 404-409 & 671

QUESTION OF THE WEEK | July 12, 2017

A patient with type 2 diabetes mellitus is admitted to the preoperative area with a capillary blood glucose value of 340 and receives an IV injection of 4 units of regular insulin. Forty-five minutes later, the patient develops diaphoresis and restlessness. The perianesthesia nurse should:

  • 1. recheck the capillary blood glucose concentration.
  • 2. give the patient 8 oz of orange juice.
  • 3. place cool compresses on the patient’s forehead.
  • 4. notify the operating room of possible case cancellation.

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 801

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