CPAN Question of the Week Exam with Answers.
The dissociative state attributed to ketamine anesthesia can be modified by the
administration of a/an:
1. antiarrhythmic.
2. benzodiazepine.
3. antagonist.
4. anticonvulsant. - ANS 2. benzodiazepine
A patient complains of dyspnea and chest pain after the insertion of a central-line
catheter. The patient's breath sounds are diminished. After physician notification, the
priority nursing action is to:
1. prepare for the insertion of a chest tube.
2. obtain an order for analgesic.
3. apply a positive-pressure airway ventilator.
4. prepare for immediate removal of the central line. - ANS 1. prepare for the insertion of
a chest tube.
A potential negative side effect of positive end-expiratory pressure (PEEP) is:
1. alveolar collapse.
2. decreased intrapulmonary shunting.
3. increased cardiac output.
4. hypertension. - ANS 2. decreased intrapulmonary shunting.
A patient who speaks limited English is preparing for gallbladder surgery. The
perianesthesia nurse is aware that the appropriate interpreter to utilize for this patient is:
1. an interpreter who is married to the patient's sister.
2. an interpreter who has a contract with the facility.
3. the patient's English-speaking husband.
4. the patient's bilingual significant other. - ANS 2. an interpreter who has a contract with
the facility.
Surgery is scheduled for 0830. The patient reports drinking 6 ounces of water at 0600
with medications. Following American Society of Anesthesiologists (ASA) minimum
fasting guidelines for n.p.o., the perianesthesia nurse:
1. continues with the preoperative check-in process.
2. medicates the patient for nausea.
3. informs the patient that the case may be cancelled.
4. notifies the surgeon. - ANS 1. continues with the preoperative check-in process.
A patient in the PACU following hip arthroplasty complains of numbness to toes of
affected extremity. The patient has most likely sustained an injury to the:
1. peroneal nerve.
2. femoral artery.
3. Achilles tendon.
4. sciatic nerve. - ANS 1. peroneal nerve.
The dissociative state attributed to ketamine anesthesia can be modified by the
administration of a/an:
1. antiarrhythmic.
2. benzodiazepine.
3. antagonist.
4. anticonvulsant. - ANS 2. benzodiazepine
A patient complains of dyspnea and chest pain after the insertion of a central-line
catheter. The patient's breath sounds are diminished. After physician notification, the
priority nursing action is to:
1. prepare for the insertion of a chest tube.
2. obtain an order for analgesic.
3. apply a positive-pressure airway ventilator.
4. prepare for immediate removal of the central line. - ANS 1. prepare for the insertion of
a chest tube.
A potential negative side effect of positive end-expiratory pressure (PEEP) is:
1. alveolar collapse.
2. decreased intrapulmonary shunting.
3. increased cardiac output.
4. hypertension. - ANS 2. decreased intrapulmonary shunting.
A patient who speaks limited English is preparing for gallbladder surgery. The
perianesthesia nurse is aware that the appropriate interpreter to utilize for this patient is:
1. an interpreter who is married to the patient's sister.
2. an interpreter who has a contract with the facility.
3. the patient's English-speaking husband.
4. the patient's bilingual significant other. - ANS 2. an interpreter who has a contract with
the facility.
Surgery is scheduled for 0830. The patient reports drinking 6 ounces of water at 0600
with medications. Following American Society of Anesthesiologists (ASA) minimum
fasting guidelines for n.p.o., the perianesthesia nurse:
1. continues with the preoperative check-in process.
2. medicates the patient for nausea.
3. informs the patient that the case may be cancelled.
4. notifies the surgeon. - ANS 1. continues with the preoperative check-in process.
A patient in the PACU following hip arthroplasty complains of numbness to toes of
affected extremity. The patient has most likely sustained an injury to the:
1. peroneal nerve.
2. femoral artery.
3. Achilles tendon.
4. sciatic nerve. - ANS 1. peroneal nerve.
