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CPAN Exam questions with precise detailed solutions
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A patient who underwent a craniotomy for tumor removal is admitted to the PACU awake
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and alert. Thirty minutes later, the patient's level of consciousness decreases, heart rate
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decreases to less than 60, and hypertension occurs. The PACU nurse notifies the
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neurosurgeon and anticipates the need for: || || || || ||
A. phenytoin and mannitol
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B. atropine and furosemide
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C. analgesics and midazolam
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D. nitroprusside and labetalol - ✔✔A. phenytoin and mannitol
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to decrease ICP
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While drawing-up versed into a syringe to use during a bedside procedure, the
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perianesthesia nurse must make certain the label identifies the: || || || || || || || ||
A. patient's full name, the drug name, and the expiration date
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B. patient's full name, the hospital identifiers, and expiration date
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C. medication name, the solution strength, and the hospital identifier
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D. medication name, the quantity, and the solution strength of the medication - ✔✔D.
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medication name, the quantity, and the solution strength of the medication
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When conducting a discharge phone call on a patient following a partial thyroidectomy,
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which of the following complaints should prompt the nurses to recommend immediate
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medical follow-up? ||
,2
A. tetany
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B. nausea
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C. headache
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D. tinnitus - ✔✔A. tetany
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indicates hypocalcemia ||
According to the Safe Medical Device Act, the perianesthesia nurse must report any serious
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event that involves:
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A. oral medications
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B. restraint application
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C. computer programs
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D. family interactions - ✔✔B. restraint application
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A perianesthesia nurse in Phase I PACU may care for which of the following patients?
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A. one unconscious adult, stable with artificial airway, and one conscious adult, stable, free
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of complictions
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B. one unconscious patient, hemodynamically stable with a stable airway, over the age of 8,
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and one conscious patient, stable, free of complications
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C. two unconscious, stable patients, 5 and 8 years of age
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D. one patient on mechanical life support, and one stable patient - ✔✔B. one unconscious
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patient, hemodynamically stable with a stable airway, over the age of 8, and one conscious
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patient, stable, free of complications
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The ASPAN recommended staffing ratio for a patient in isolation upon arrival to PACU is:
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A. one RN to one patient
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B. two RNs to one patient
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C. one RN to two patients
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D. one RN to three patients - ✔✔A. one RN to one patient
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According to the ASPAN 2017-2018 Perianesthesia Nursing Standards, Practice
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Recommendations, and Interpretive Statements, the perianesthesia nurse administering || || || || || || || ||
moderate sedation to patient makes sure that an emergency cart with a defibrillator is:
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A. immediately available during the administration
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B. available on the next floor, near the elevator
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C. unnecessary for a patient whose ASA score is 2 or less
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D. unnecessary for moderate sedation - ✔✔A. immediately available during the
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administration
According to the American Society of Perianesthesia Nursing guidelines, staffing of Phase I
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and Phase II PACUs is based on which of the following?
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A. a ratio of one registered nurse to two patients
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B. Vacation schedules and bed availability
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C. Patient acuity and physical facility
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D. The number of staff with ACLS and PALS - ✔✔C. Patient acuity and physical facility
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The most common allegation for medical malpractice claims occurring in the PACU is
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failure to: ||
CPAN Exam questions with precise detailed solutions
|| || || || || ||
A patient who underwent a craniotomy for tumor removal is admitted to the PACU awake
|| || || || || || || || || || || || || || ||
and alert. Thirty minutes later, the patient's level of consciousness decreases, heart rate
|| || || || || || || || || || || || ||
decreases to less than 60, and hypertension occurs. The PACU nurse notifies the
|| || || || || || || || || || || || ||
neurosurgeon and anticipates the need for: || || || || ||
A. phenytoin and mannitol
|| || ||
B. atropine and furosemide
|| || ||
C. analgesics and midazolam
|| || ||
D. nitroprusside and labetalol - ✔✔A. phenytoin and mannitol
|| || || || || || || ||
to decrease ICP
|| ||
While drawing-up versed into a syringe to use during a bedside procedure, the
|| || || || || || || || || || || || ||
perianesthesia nurse must make certain the label identifies the: || || || || || || || ||
A. patient's full name, the drug name, and the expiration date
|| || || || || || || || || ||
B. patient's full name, the hospital identifiers, and expiration date
|| || || || || || || || ||
C. medication name, the solution strength, and the hospital identifier
|| || || || || || || || ||
D. medication name, the quantity, and the solution strength of the medication - ✔✔D.
|| || || || || || || || || || || || || ||
medication name, the quantity, and the solution strength of the medication
|| || || || || || || || || ||
When conducting a discharge phone call on a patient following a partial thyroidectomy,
|| || || || || || || || || || || || ||
which of the following complaints should prompt the nurses to recommend immediate
|| || || || || || || || || || || ||
medical follow-up? ||
,2
A. tetany
||
B. nausea
||
C. headache
||
D. tinnitus - ✔✔A. tetany
|| || || ||
indicates hypocalcemia ||
According to the Safe Medical Device Act, the perianesthesia nurse must report any serious
|| || || || || || || || || || || || || ||
event that involves:
|| ||
A. oral medications
|| ||
B. restraint application
|| ||
C. computer programs
|| ||
D. family interactions - ✔✔B. restraint application
|| || || || || ||
A perianesthesia nurse in Phase I PACU may care for which of the following patients?
|| || || || || || || || || || || || || ||
A. one unconscious adult, stable with artificial airway, and one conscious adult, stable, free
|| || || || || || || || || || || || || ||
of complictions
||
B. one unconscious patient, hemodynamically stable with a stable airway, over the age of 8,
|| || || || || || || || || || || || || || ||
and one conscious patient, stable, free of complications
|| || || || || || ||
C. two unconscious, stable patients, 5 and 8 years of age
|| || || || || || || || || ||
D. one patient on mechanical life support, and one stable patient - ✔✔B. one unconscious
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patient, hemodynamically stable with a stable airway, over the age of 8, and one conscious
|| || || || || || || || || || || || || || ||
patient, stable, free of complications
|| || || ||
The ASPAN recommended staffing ratio for a patient in isolation upon arrival to PACU is:
|| || || || || || || || || || || || || ||
, 2
A. one RN to one patient
|| || || || ||
B. two RNs to one patient
|| || || || ||
C. one RN to two patients
|| || || || ||
D. one RN to three patients - ✔✔A. one RN to one patient
|| || || || || || || || || || || ||
According to the ASPAN 2017-2018 Perianesthesia Nursing Standards, Practice
|| || || || || || || || ||
Recommendations, and Interpretive Statements, the perianesthesia nurse administering || || || || || || || ||
moderate sedation to patient makes sure that an emergency cart with a defibrillator is:
|| || || || || || || || || || || || ||
A. immediately available during the administration
|| || || || ||
B. available on the next floor, near the elevator
|| || || || || || || ||
C. unnecessary for a patient whose ASA score is 2 or less
|| || || || || || || || || || ||
D. unnecessary for moderate sedation - ✔✔A. immediately available during the
|| || || || || || || || || || ||
administration
According to the American Society of Perianesthesia Nursing guidelines, staffing of Phase I
|| || || || || || || || || || || || ||
and Phase II PACUs is based on which of the following?
|| || || || || || || || || ||
A. a ratio of one registered nurse to two patients
|| || || || || || || || ||
B. Vacation schedules and bed availability
|| || || || ||
C. Patient acuity and physical facility
|| || || || ||
D. The number of staff with ACLS and PALS - ✔✔C. Patient acuity and physical facility
|| || || || || || || || || || || || || || ||
The most common allegation for medical malpractice claims occurring in the PACU is
|| || || || || || || || || || || || ||
failure to: ||
