Quiz about CPAN®

Question 1

A 9-year-old patient is in the PACU after an adenoidectomy. The perianesthesia nurse observes the child is quietly sitting up in bed with a slightly furrowed brow and refuses to talk or make eye contact. Which of the following is the nurse's most appropriate action to assess the child's pain level effectively?

Accepted Answer

Unknown Answer

Answer

Use the Numerical Rating Scale (NRS) to ask the child to rate their pain from 0 to 10.

Answer

Apply the Wong-Baker FACES Pain Rating Scale to allow the child to point to the face that best describes their pain.

Answer

Ask the child to verbally describe the location and intensity of their pain.

Answer

Conduct a visual inspection for physical signs of pain such as crying or grimacing.

Question 2

A 68-year-old patient with a history of liver cirrhosis is scheduled for a knee arthroscopy. The anesthesiologist discusses the potential use of regional anesthesia. Which of the following considerations should be prioritized by the perianesthesia nurse in the context of multidisciplinary collaboration?

Accepted Answer

Unknown Answer

Answer

The patient may have altered coagulation profiles, requiring a thorough review by the multidisciplinary team.

Answer

The patient is likely to experience increased pain sensitivity, and additional analgesics will be required.

Answer

The patient's liver function may alter the metabolism of local anesthetics, necessitating a dosage adjustment.

Answer

The patient's history of cirrhosis increases the risk of fluid overload, necessitating close monitoring of fluid intake.

Question 3

A 47-year-old male presents to the emergency department with signs of septic shock. Upon examination, his blood pressure is 85/55 mmHg, heart rate is 110 beats/min, and lactate level is elevated. The perianesthesia nurse prepares to initiate fluid resuscitation. Which of the following strategies should be prioritized to optimize his hemodynamic status?

Accepted Answer

Administer a rapid bolus of normal saline 30 mL/kg.

Answer

Start a low-dose vasopressor infusion immediately.

Answer

Administer a colloid solution before crystalloids.

Answer

Initiate total parenteral nutrition to support metabolic needs.

Question 4

A 28-year-old female who underwent a tonsillectomy is in the PACU. During the nursing assessment, the patient states she experiences significant pain when swallowing. In discussing discharge instructions, which of the following cultural considerations is most important for the nurse to address?

Accepted Answer

Unknown Answer

Answer

Providing information on dietary modifications that align with the patient's cultural preferences

Answer

Ensuring the patient has access to pain medications commonly used in her country of origin

Answer

Discussing the potential need for a family member to assist with post-discharge care

Answer

Providing instructions on using herbal remedies that are commonly practiced in the patient's culture

Question 5

A 52-year-old patient with a history of severe allergies is undergoing surgery for hernia repair under general anesthesia. During the preoperative assessment, the perianesthesia nurse notes that the patient has a documented history of anaphylaxis to certain anesthetic agents. Which of the following actions is the most appropriate in ensuring patient safety?

Accepted Answer

Unknown Answer

Answer

Administer a small test dose of the suspected agent to observe any reaction.

Answer

Consult with the anesthesia team to review the patient's allergy history and select alternative agents.

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Pre-medicate the patient with antihistamines and steroids to prevent an allergic reaction.

Answer

Proceed with the surgery without changes as the patient is already prepped and in the operating room.

Question 6

A 60-year-old male with a history of epilepsy has just transitioned from Phase I to Phase II PACU after undergoing a laparoscopic hernia repair. The nurse notes the patient has not yet voided since surgery and appears restless. Vital signs are stable, and the patient denies pain but seems increasingly disoriented. Which of the following interventions should the perianesthesia nurse prioritize to address the patient's condition?

Accepted Answer

Unknown Answer

Answer

Administer an antiepileptic medication immediately to prevent seizures

Answer

Encourage the patient to void by providing privacy and increasing oral fluids

Answer

Re-evaluate the patient's neurological status and report findings to the surgeon

Answer

Monitor the patient closely and offer verbal reassurance

Question 7

A 52-year-old female with a history of Cushing's syndrome is undergoing a laparoscopic hysterectomy under general anesthesia. Upon emergence from anesthesia, the patient exhibits confusion, hypertension, and hyperglycemia. Which of the following is the most appropriate initial intervention to manage these symptoms in this patient?

Accepted Answer

Unknown Answer

Answer

Administer an antihypertensive medication

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Provide supplemental oxygen

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Administer a corticosteroid

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Initiate insulin therapy

Question 8

A 36-year-old female with no significant past medical history is recovering from a gynecological procedure under general anesthesia. In the PACU, the patient begins complaining of dizziness and is found to have a heart rate of 130 bpm and a blood pressure of 85/50 mmHg. The perianesthesia nurse suspects the patient may be experiencing hypovolemia. Which of the following interventions should be prioritized to stabilize the patient's hemodynamic status?

Accepted Answer

Administer a rapid intravenous bolus of normal saline

Answer

Provide supplemental oxygen via nasal cannula

Answer

Initiate telemetry monitoring for cardiac arrhythmias

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Position the patient in Trendelenburg position

Question 9

A 65-year-old male with a history of peptic ulcer disease is in the PACU following a laparoscopic gastrectomy. He starts complaining of severe abdominal pain and his abdomen appears rigid. As a perianesthesia nurse, what is the most appropriate initial action to address this situation?

Accepted Answer

Unknown Answer

Answer

Administer a high-dose opioid analgesic for pain relief

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Notify the surgeon immediately of potential peritonitis

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Increase the patient's IV fluid rate to manage volume status

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Apply a warm compress to the abdomen to relieve pain

Question 10

A 50-year-old female with a history of systemic lupus erythematosus (SLE) is undergoing a laparoscopic ovarian cystectomy. In the PACU, she reports significant joint pain and stiffness. Considering her condition, which of the following interventions should the perianesthesia nurse prioritize to manage her symptoms?

Accepted Answer

Administer a glucocorticoid as prescribed

Answer

Apply a warm compress to affected joints

Answer

Increase the oxygen flow rate

Answer

Provide a high-uric acid diet

Free CPAN® Practice Test Questions

A PACU patient develops muscle rigidity, hypercapnia, tachycardia, and rapidly rising temperature. Which medication must be administered immediately?

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