CPAN Questions With Accurate
Answers
correct answer When assessing a bariatric patient preoperatively, the
pre-op nurse knows that
1
A state of malnourishment increases the potential for increased
perioperative morbidity and compromised postoperative recovery and
wound healing. correct answer The ability of a surgical wound to heal is
directly related to:
1. Nutritional state
2. Presence of pulmonary disease
3. Osteoarthritis
4. Perinatal status
1
Adult renal transplant patients often receive mannitol and diuretics
during the surgical procedure. Polyuria (more than 500ml of urine
output) is common in the early postoperative period. FLuids should be
replaced and a careful record of output maintained. A common
protocol posttransplant is to restrict fluid replacement to a maximum of
,500ml/hr. This is done to stimulate the kidney to begin concentrating
the urine. correct answer During the early postoperative period,
patients who have received a kidney transplant from living donors
commonly experience:
1. Polyuria
2. Anuria
3. Gross hematuria
4. Agitation
1
Anemia can be seen in patient in early chronic kidney disease, but as
the disease progresses, it becomes more pronounced. It is thought that
cytokines production in the damaged kidneys leads to decreased
erythropoietin production, which affects the bone marrow. correct
answer The perianesthesia nurse is aware that anemia in a patient with
chronic kidney disease:
1. May be present in all stages of kidney disease but becomes more
prevalent as the disease progresses
2. Is a sign that end-stage kidney disease has occurred
3. Is a rare occurrence that indicates other comorbidities
4. Is only seen in older adults with kidney disease
,1
autonomic hyperreflexia is an abnormal overreaction of the nervous
system to stimulation and is a common finding in patients with spinal
cord injuries above the level of T6. The most common symptoms of the
reaction include high blood pressure, skin color changes (flushing),
profuse sweating, muscle spasms, and piloerection occurring above the
level of the injury. Prompt treatment includes raising the head of the
bed and relieving the cause of the overstimulation. correct answer The
trauma team has just stabilized the spine, level T5, of a young victim of
a diving accident. The patient presents to the phase I PACU complaining
of severe pain, with a BP 180/110, profuse diaphoresis, and generalized
vasodilation evidenced by ruddy, flushed skin. The nurse recognizes
that these are symptoms of:
1. autonomic hyperreflexia
2. horner's syndrome
3. sympathetic dysreflexia
4. anaphylactic reaction
1
Burns can cause dehydration due to the loss of fluids from the injury
correct answer The nurse is caring for a patient with extensive burns
who has now been diagnosed with acute renal failure. The nurse
recognizes the renal failure is probably prerenal and a result of:
, 1. volume depletion
2. volume shifts
3. volume expansion
4. vascular anomalies
1
frequent and repeated use of hand hygiene products, a particularly
soaps and other detergents, is a primary cause of chronic irritant
contact dermatitis. To minimize this condition, personnel should use
hospital-approved hand lotion frequently and regularly on their hands
correct answer The primary cause of chronic contract dermatitis among
healthcare workers is:
1. Repeated use of hand hygiene products
2. Wrong sized gloves
3. Unsterile keyboard sharing
4. Hospital laundered scrubs
1
Hypocalcemia does not have an effect on the flap site. Hypothermia,
hypotension, and hypovolemia could result in vasoconstriction and
Answers
correct answer When assessing a bariatric patient preoperatively, the
pre-op nurse knows that
1
A state of malnourishment increases the potential for increased
perioperative morbidity and compromised postoperative recovery and
wound healing. correct answer The ability of a surgical wound to heal is
directly related to:
1. Nutritional state
2. Presence of pulmonary disease
3. Osteoarthritis
4. Perinatal status
1
Adult renal transplant patients often receive mannitol and diuretics
during the surgical procedure. Polyuria (more than 500ml of urine
output) is common in the early postoperative period. FLuids should be
replaced and a careful record of output maintained. A common
protocol posttransplant is to restrict fluid replacement to a maximum of
,500ml/hr. This is done to stimulate the kidney to begin concentrating
the urine. correct answer During the early postoperative period,
patients who have received a kidney transplant from living donors
commonly experience:
1. Polyuria
2. Anuria
3. Gross hematuria
4. Agitation
1
Anemia can be seen in patient in early chronic kidney disease, but as
the disease progresses, it becomes more pronounced. It is thought that
cytokines production in the damaged kidneys leads to decreased
erythropoietin production, which affects the bone marrow. correct
answer The perianesthesia nurse is aware that anemia in a patient with
chronic kidney disease:
1. May be present in all stages of kidney disease but becomes more
prevalent as the disease progresses
2. Is a sign that end-stage kidney disease has occurred
3. Is a rare occurrence that indicates other comorbidities
4. Is only seen in older adults with kidney disease
,1
autonomic hyperreflexia is an abnormal overreaction of the nervous
system to stimulation and is a common finding in patients with spinal
cord injuries above the level of T6. The most common symptoms of the
reaction include high blood pressure, skin color changes (flushing),
profuse sweating, muscle spasms, and piloerection occurring above the
level of the injury. Prompt treatment includes raising the head of the
bed and relieving the cause of the overstimulation. correct answer The
trauma team has just stabilized the spine, level T5, of a young victim of
a diving accident. The patient presents to the phase I PACU complaining
of severe pain, with a BP 180/110, profuse diaphoresis, and generalized
vasodilation evidenced by ruddy, flushed skin. The nurse recognizes
that these are symptoms of:
1. autonomic hyperreflexia
2. horner's syndrome
3. sympathetic dysreflexia
4. anaphylactic reaction
1
Burns can cause dehydration due to the loss of fluids from the injury
correct answer The nurse is caring for a patient with extensive burns
who has now been diagnosed with acute renal failure. The nurse
recognizes the renal failure is probably prerenal and a result of:
, 1. volume depletion
2. volume shifts
3. volume expansion
4. vascular anomalies
1
frequent and repeated use of hand hygiene products, a particularly
soaps and other detergents, is a primary cause of chronic irritant
contact dermatitis. To minimize this condition, personnel should use
hospital-approved hand lotion frequently and regularly on their hands
correct answer The primary cause of chronic contract dermatitis among
healthcare workers is:
1. Repeated use of hand hygiene products
2. Wrong sized gloves
3. Unsterile keyboard sharing
4. Hospital laundered scrubs
1
Hypocalcemia does not have an effect on the flap site. Hypothermia,
hypotension, and hypovolemia could result in vasoconstriction and
