CPAN (Certified Post Anesthesia Nurse)
Practice Exam: 100 Multiple-Choice
Questions
A patient arrives in the PACU AAO, but with difficulty breathing. They received single
dose succinylcholine in the OR.Recovery would be expected in how many minutes?
A. 15
B. 20
C. 35.
D. 40 - <<<<answer>>>>
Which is correct regarding post operative shivering?
A. Increased O2 consumption, increased ventilatory requirements
B. Decreased O2 consumption, increased ventilatory requirements
C. Minor mechanism of heat production, prolonged PACU Phase 1 time
D. Need for close monitoring for hypotension and diffuse muscle aches -
<<<<answer>>>>A. Increased O2 consumption, increased ventilatory requirements
The perianesthesia nurse is aware that a main focus for pre admission assessment is
to:
A. Evaluate fitness for anesthesia and surgery
B. Reduce the mortality and morbidity rate
C. Establish the necessity of the procedure
D. Order laboratory and other diagnostic tests - <<<<answer>>>>B. Reduce the
mortality and morbidity rate
To lessen vertigo, n/v immediately following tympanoplasty the perianesthesia nurse
would place the patient in which optimal position?
A. Semi fowlers @ 45 degrees
B. Lateral on the operated side
C. Position of comfort
D. Lateral on the unoperated side - <<<<answer>>>>D. Lateral on the unoperated side
When caring for a diabetic patient, the major objective of the perianesthesia nurse is to
prevent:
A. Fluid volume excess
B. fluid volume deficit
C. Hyperglycemia
, D. Hypoglycemia - <<<<answer>>>>D. Hypoglycemia
A pt. is admitted to the PACU after receiving anesthesia. The pt. is tachypneic, has
muscle rigidity, tachycardia and dysrhythmia. The perianesthesia nurse suspects:
A. neuroleptic malignant syndrome
B. post operative hemorrhage
C. hypoxic brain damage
D. malignant hyperthermia - <<<<answer>>>>D. malignant hyperthermia
The pt. arrives in the PACU post stapedectomy, complaining vertigo. The
perianesthesia nurse notes that the pt.has packing retained within the ear. The
perianesthesia nurse:
A. does not disturb the packing
B. adviseds the pt to cough
C. advises the pt to blow nose
D. removes the packing - <<<<answer>>>>A. does not disturb the packing
A 70 year old pt is admitted following moderate IV sedation with morphine and
midazolam. The pits unresponsive and the skin is cool and diaphoretic.VS are 95/60,
50, RR 8 and SpO2 88%on RA. Following O2 administration, no improvement is noted.
The nurse anticipates administering:
A. atropine 0.5mg to 1.0mg
B. naloxone 0.1mg to 0.2mg
C. naloxone 0.6mg to 2.0mg
D. atropine 1.5mg to 2.0mg - <<<<answer>>>>B. naloxone 0.1mg to 0.2mg
Following a rhytidectomy, one of the earliest indications of complications is:
A. severe unilateral pain
B. ptosis with periorbital edema
C. a positive Chvostek's sign
D. discoloration of facial tissue - <<<<answer>>>>A. severe unilateral pain
What risk factors woulda let the perianesthesia nurse of a patients decreased chance of
PONV?
A. Use of opioids, length of procedure
B. Female, non smoker, use of opioids
C. Male smoker, history of motion sickness
D. Female hypertension, history of PONV - <<<<answer>>>>B. Female, non smoker,
use of opioids
When developing a plan of care for an autistic patient in the preoperative setting, the
best way for the nurse to communicate would be to :
A. avoid consistent eye contact
B. communicate only to the caregiver
C. communicate directly with detail
Practice Exam: 100 Multiple-Choice
Questions
A patient arrives in the PACU AAO, but with difficulty breathing. They received single
dose succinylcholine in the OR.Recovery would be expected in how many minutes?
A. 15
B. 20
C. 35.
D. 40 - <<<<answer>>>>
Which is correct regarding post operative shivering?
A. Increased O2 consumption, increased ventilatory requirements
B. Decreased O2 consumption, increased ventilatory requirements
C. Minor mechanism of heat production, prolonged PACU Phase 1 time
D. Need for close monitoring for hypotension and diffuse muscle aches -
<<<<answer>>>>A. Increased O2 consumption, increased ventilatory requirements
The perianesthesia nurse is aware that a main focus for pre admission assessment is
to:
A. Evaluate fitness for anesthesia and surgery
B. Reduce the mortality and morbidity rate
C. Establish the necessity of the procedure
D. Order laboratory and other diagnostic tests - <<<<answer>>>>B. Reduce the
mortality and morbidity rate
To lessen vertigo, n/v immediately following tympanoplasty the perianesthesia nurse
would place the patient in which optimal position?
A. Semi fowlers @ 45 degrees
B. Lateral on the operated side
C. Position of comfort
D. Lateral on the unoperated side - <<<<answer>>>>D. Lateral on the unoperated side
When caring for a diabetic patient, the major objective of the perianesthesia nurse is to
prevent:
A. Fluid volume excess
B. fluid volume deficit
C. Hyperglycemia
, D. Hypoglycemia - <<<<answer>>>>D. Hypoglycemia
A pt. is admitted to the PACU after receiving anesthesia. The pt. is tachypneic, has
muscle rigidity, tachycardia and dysrhythmia. The perianesthesia nurse suspects:
A. neuroleptic malignant syndrome
B. post operative hemorrhage
C. hypoxic brain damage
D. malignant hyperthermia - <<<<answer>>>>D. malignant hyperthermia
The pt. arrives in the PACU post stapedectomy, complaining vertigo. The
perianesthesia nurse notes that the pt.has packing retained within the ear. The
perianesthesia nurse:
A. does not disturb the packing
B. adviseds the pt to cough
C. advises the pt to blow nose
D. removes the packing - <<<<answer>>>>A. does not disturb the packing
A 70 year old pt is admitted following moderate IV sedation with morphine and
midazolam. The pits unresponsive and the skin is cool and diaphoretic.VS are 95/60,
50, RR 8 and SpO2 88%on RA. Following O2 administration, no improvement is noted.
The nurse anticipates administering:
A. atropine 0.5mg to 1.0mg
B. naloxone 0.1mg to 0.2mg
C. naloxone 0.6mg to 2.0mg
D. atropine 1.5mg to 2.0mg - <<<<answer>>>>B. naloxone 0.1mg to 0.2mg
Following a rhytidectomy, one of the earliest indications of complications is:
A. severe unilateral pain
B. ptosis with periorbital edema
C. a positive Chvostek's sign
D. discoloration of facial tissue - <<<<answer>>>>A. severe unilateral pain
What risk factors woulda let the perianesthesia nurse of a patients decreased chance of
PONV?
A. Use of opioids, length of procedure
B. Female, non smoker, use of opioids
C. Male smoker, history of motion sickness
D. Female hypertension, history of PONV - <<<<answer>>>>B. Female, non smoker,
use of opioids
When developing a plan of care for an autistic patient in the preoperative setting, the
best way for the nurse to communicate would be to :
A. avoid consistent eye contact
B. communicate only to the caregiver
C. communicate directly with detail
