CAPA TEST ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ Nursing Process.
Answer: Assessment-gathering info/data; asking questions to gather this
info/dataDiagnosisIdentification of OutcomesPlanning-future tense; patient
is subject, achieve overall goalImplementation- nurse is subject, present
tense.Evaluation
◍ A. Cardiac dysrhythmias.
Answer: A patient with a history of drug abuse and nasal ulcers is received
in the PACU. The perianesthesia nurse monitors this patient closely for:A.
Cardiac dysrhythmiasB. ApneaC. Postural hypotensionD. Somnolence
◍ DNR vs AND.
Answer: DNR can WITHHOLD Palliative careAND includes it
◍ Ethical Principles.
Answer: Autonomy-freedom of action chosen by individualBeneficence-
doing goodNonmaleficence- do no harmJustice- duty to be fair to all
peopleVeracity- truthfullness or accuracyFidelity- loyal or faithful
◍ D. Delay instructions until a certified interpreter can be located.
Answer: A Spanish-speaking patient arrives for a pre-operative admission
interview accompanied by a bilingual companion. The patient understands
English but speaks only Spanish. What action should the perianesthesia
nurse take regarding the preoperative NPO instructions?A. Request that the
friend interpret the written instructionsB. Provide written instructions in
spanishC. Determine the friend's ability to understand instructionsD. Delay
instructions until a certified interpreter can be located
,◍ Biot's respirations.
Answer: rapid gasps followed by apneaUsually brain insults (ex.
traumas)=Increase ICP
◍ Cheyne-Stokes respiration.
Answer: gradual increase and then decrease in breathing followed by
apneaIncrease ICPusually Cardiac problems
◍ Kussmaul's breathing pattern.
Answer: tachypnea and hyperpnea ex. DKA, metabolic acidosis patients
◍ Statutory Law.
Answer: legislative acts declaring, commanding, or prohibiting
somethingwritten laws where you can go and reference itex. driving over the
speed limit
◍ A. Keeping the operative arm elevated for several days.
Answer: The perianesthesia nurse is aware that discharge instructions for a
patient with an arteriovenous shunt include:A. Keeping the operative arm
elevated for several daysB. Checking blood pressure in the operative armC.
Keeping the operative arm dependent for several daysD. Maintaining a
pressure dressing over the site
◍ Common Law.
Answer: patient bill of rightsderived from principles rather than rules and
regulations
◍ B. 35.9C (95.9).
Answer: The perianesthesia nurse is aware that which of the following is the
highest body temperature indicative of hypothermia?A. 34.5C (94.1F)B.
35.9C (95.9)C. 37.6 (99.6)D. 38.5 (101.3)
◍ C. Urinary catheter removal on postoperative day 1.
Answer: Which of the following measures has been shown to decrease
surgical complications?A. Shaving the surgical site 24 hours before
surgeryB. Prophylactic antibiotics continued for 48 hoursC. Urinary catheter
, removal on postoperative day 1D. Preoperative antiseptic showers with
chlorhexidine
◍ Civil Law.
Answer: Based on rules and regulationsCourt action lawsuits (most
common)Wrong doing
◍ Tort Law.
Answer: wrongful doinginvolves compensation to those wrongfully injured
assault/battery/negligence; alarm silencing
◍ A. Racemic epinephrine administration.
Answer: A patient extubated 10 minutes post PACU admission is exhibiting
croup cough and hoarseness. After 5 minutes of continued observation and
administration of O2 with 40% mist, the patient's respiratory status has not
changed. Which treatment can the nurse initially expect to implement?A.
Racemic epinephrine administrationB. Chest physiotherapyC. SuctioningD.
Administration of corticosteroid
◍ Criminal Law.
Answer: Harmful or offensive to society as a wholeex. practicing
nursing/medicine without a license; harming patients on purpose
◍ C. Pink urine.
Answer: The perianesthesia nurse is aware that discharge instructions for a
patient post-ureteral-stent insertion should include preparing the patient to
expect:A. Mucuos plugsB. Bladder distentionC. Pink urineD. Groin pain
◍ D. The patient actively participates.
Answer: The perianesthesia nurse is aware that the use of mental images for
stress and pain reduction is most effective when:A. A family member is
presentB. The nurse describes scenariosC. The patient has a history of
chronic painD. The patient actively participates
◍ Informed consent**.
Answer: Consent obtained after the patient has been fully informed by the
physician about the risks and benefits of the treatment, alternatives, and
, consequences of no treatment *can be withdrawn at any time; even at the
last second*If signing after narcotic/benzo given-must wait at least 1/2 the
half-life of the drug*Is the patient knowledgeable, willing, competent
◍ C. A 30 year old undergoing an emergency surgery for a compound fracture.
Answer: Which of the following patients is most likely to experience
awareness under anesthesia?A. A 5 year old undergoing a tonsillectomyB. A
15 year old undergoing a scheduled arthroscopic knee procedureC. A 30
year old undergoing an emergency surgery for a compound fractureD. A 70
year old undergoing a colectomy for colon cancer
◍ Informed Consent (cont)**.
Answer: Competent to Sign: legal adult, minors with parent/guardian,
emancipated minor (married or in armed forces).Exceptions: pt is unable to
give consent and is a threat to life/emergent (IMPLIED CONSENT)**Must
have documentation of emergency in staff notes
◍ **Malpractice.
Answer: Elements needed to claim medical malpractice:Duty owed
patientBreach of duty owed patientCausation - most difficult to
proveInjury/Damages
◍ A. Amiodarone.
Answer: During administration of bupivicaine locally, some of the
medication is accidentally administered IV. When the patient develops
ventricular arrhythmias, the perianesthesia nurse anticipates the
administration of:A. AmiodaroneB. Diphenhydramine C. AdenosineD.
Lidocaine
◍ Intentional Torts.
Answer: Violating patient rights; No actual harm necessary.3 most common:
Assault-place person in fear of being touchedBattery-Touch without
permissionFalse imprisonment-unjustified detention
◍ Intentional Quasi Torts.
Answer: No intent to injure or cause distress to another person. Ex: Patient
QUESTIONS WITH ANSWERS GRADED
A+
◍ Nursing Process.
Answer: Assessment-gathering info/data; asking questions to gather this
info/dataDiagnosisIdentification of OutcomesPlanning-future tense; patient
is subject, achieve overall goalImplementation- nurse is subject, present
tense.Evaluation
◍ A. Cardiac dysrhythmias.
Answer: A patient with a history of drug abuse and nasal ulcers is received
in the PACU. The perianesthesia nurse monitors this patient closely for:A.
Cardiac dysrhythmiasB. ApneaC. Postural hypotensionD. Somnolence
◍ DNR vs AND.
Answer: DNR can WITHHOLD Palliative careAND includes it
◍ Ethical Principles.
Answer: Autonomy-freedom of action chosen by individualBeneficence-
doing goodNonmaleficence- do no harmJustice- duty to be fair to all
peopleVeracity- truthfullness or accuracyFidelity- loyal or faithful
◍ D. Delay instructions until a certified interpreter can be located.
Answer: A Spanish-speaking patient arrives for a pre-operative admission
interview accompanied by a bilingual companion. The patient understands
English but speaks only Spanish. What action should the perianesthesia
nurse take regarding the preoperative NPO instructions?A. Request that the
friend interpret the written instructionsB. Provide written instructions in
spanishC. Determine the friend's ability to understand instructionsD. Delay
instructions until a certified interpreter can be located
,◍ Biot's respirations.
Answer: rapid gasps followed by apneaUsually brain insults (ex.
traumas)=Increase ICP
◍ Cheyne-Stokes respiration.
Answer: gradual increase and then decrease in breathing followed by
apneaIncrease ICPusually Cardiac problems
◍ Kussmaul's breathing pattern.
Answer: tachypnea and hyperpnea ex. DKA, metabolic acidosis patients
◍ Statutory Law.
Answer: legislative acts declaring, commanding, or prohibiting
somethingwritten laws where you can go and reference itex. driving over the
speed limit
◍ A. Keeping the operative arm elevated for several days.
Answer: The perianesthesia nurse is aware that discharge instructions for a
patient with an arteriovenous shunt include:A. Keeping the operative arm
elevated for several daysB. Checking blood pressure in the operative armC.
Keeping the operative arm dependent for several daysD. Maintaining a
pressure dressing over the site
◍ Common Law.
Answer: patient bill of rightsderived from principles rather than rules and
regulations
◍ B. 35.9C (95.9).
Answer: The perianesthesia nurse is aware that which of the following is the
highest body temperature indicative of hypothermia?A. 34.5C (94.1F)B.
35.9C (95.9)C. 37.6 (99.6)D. 38.5 (101.3)
◍ C. Urinary catheter removal on postoperative day 1.
Answer: Which of the following measures has been shown to decrease
surgical complications?A. Shaving the surgical site 24 hours before
surgeryB. Prophylactic antibiotics continued for 48 hoursC. Urinary catheter
, removal on postoperative day 1D. Preoperative antiseptic showers with
chlorhexidine
◍ Civil Law.
Answer: Based on rules and regulationsCourt action lawsuits (most
common)Wrong doing
◍ Tort Law.
Answer: wrongful doinginvolves compensation to those wrongfully injured
assault/battery/negligence; alarm silencing
◍ A. Racemic epinephrine administration.
Answer: A patient extubated 10 minutes post PACU admission is exhibiting
croup cough and hoarseness. After 5 minutes of continued observation and
administration of O2 with 40% mist, the patient's respiratory status has not
changed. Which treatment can the nurse initially expect to implement?A.
Racemic epinephrine administrationB. Chest physiotherapyC. SuctioningD.
Administration of corticosteroid
◍ Criminal Law.
Answer: Harmful or offensive to society as a wholeex. practicing
nursing/medicine without a license; harming patients on purpose
◍ C. Pink urine.
Answer: The perianesthesia nurse is aware that discharge instructions for a
patient post-ureteral-stent insertion should include preparing the patient to
expect:A. Mucuos plugsB. Bladder distentionC. Pink urineD. Groin pain
◍ D. The patient actively participates.
Answer: The perianesthesia nurse is aware that the use of mental images for
stress and pain reduction is most effective when:A. A family member is
presentB. The nurse describes scenariosC. The patient has a history of
chronic painD. The patient actively participates
◍ Informed consent**.
Answer: Consent obtained after the patient has been fully informed by the
physician about the risks and benefits of the treatment, alternatives, and
, consequences of no treatment *can be withdrawn at any time; even at the
last second*If signing after narcotic/benzo given-must wait at least 1/2 the
half-life of the drug*Is the patient knowledgeable, willing, competent
◍ C. A 30 year old undergoing an emergency surgery for a compound fracture.
Answer: Which of the following patients is most likely to experience
awareness under anesthesia?A. A 5 year old undergoing a tonsillectomyB. A
15 year old undergoing a scheduled arthroscopic knee procedureC. A 30
year old undergoing an emergency surgery for a compound fractureD. A 70
year old undergoing a colectomy for colon cancer
◍ Informed Consent (cont)**.
Answer: Competent to Sign: legal adult, minors with parent/guardian,
emancipated minor (married or in armed forces).Exceptions: pt is unable to
give consent and is a threat to life/emergent (IMPLIED CONSENT)**Must
have documentation of emergency in staff notes
◍ **Malpractice.
Answer: Elements needed to claim medical malpractice:Duty owed
patientBreach of duty owed patientCausation - most difficult to
proveInjury/Damages
◍ A. Amiodarone.
Answer: During administration of bupivicaine locally, some of the
medication is accidentally administered IV. When the patient develops
ventricular arrhythmias, the perianesthesia nurse anticipates the
administration of:A. AmiodaroneB. Diphenhydramine C. AdenosineD.
Lidocaine
◍ Intentional Torts.
Answer: Violating patient rights; No actual harm necessary.3 most common:
Assault-place person in fear of being touchedBattery-Touch without
permissionFalse imprisonment-unjustified detention
◍ Intentional Quasi Torts.
Answer: No intent to injure or cause distress to another person. Ex: Patient
