CAPA CERTIFICATION EXAM QUESTIONS AND ANSWERS
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A patient arrives in the PACU post stapedectomy complaining of vertigo. The RN
notes that the patient has packing retained within the ear. The nurse:
does not disturb the packing
When giving preoperative instructions for an adult, the RN instructs that clear
liquids can be consumed up to 2 hours before induction of anesthesia because
this will
decrease residual gastric volume
Patient outcomes have improved with the use of gases that have shortened which
phase of anesthesia?
stage 2- delirium
Delayed discharge of a child with resolved laryngeal edema is related to
possible rebound effect of racemic epinephrine
The occurrence of postdural puncture headache is most frequently attributed to
leaking of cerebrospinal fluid
Early sign of bupivicaine toxicity
muscle twitching
When educating a patient with an AV shunt placement, the RN instructs the nurse
to
palpate the arm for a thrill
Elderly patients have an increased risk of aspiration during general anesthesia
because of
a decrease in esophageal motility
A patient with a history of cocaine abuse is received in PACU. The RN monitors
this patient closely for
cardiac dysrhythmias
When preparing an adolescent patient for surgery, the RN understands it is best
to interview the patient
without parents present
Patients are instructed to discontinue the use of gingko biloba because it
interferes with blood clotting
A patient with an LMA in place is attempting to speak upon arrival in the PACU.
The RN
performs the standard respiratory assessment
An RN is caring for a patient with DM I who takes metformin and has an insulin
pump. The RN instructs the patient preoperatively to
consult the endocrinologist for insulin instructions
CO2 gas migration post laparoscopic surgery can result in
shoulder pain
Pre-op assessment for a 32 year old patient who is scheduled for a tonsillectomy
reveals a history of easy bruising. The RN
alerts the physician for possible further diagnostic testing
,A patient post anorectal surgery is experiencing urinary retention. The RN
recognizes that the most significant contributing factor of the urinary retention is
intraoperative administration of
bupivacaine
Which of the following patients is the most likely to develop PONV?
female nonsmoker who will receive opioids
In caring for a patient following an AV fistula placement, the RN's first action is to
auscultate the bruit
During a pre-op evaluation, the patient indicates a fear of surgery because a
parent remained "asleep" and not able to breathe on their own for 2 days after
surgery. The RN suspects this patient may be at risk for what inherited condition?
atypical pseudocholinesterase
In caring for a post-op patient with an LMA in place, the LMA
does not protect against aspiration
When a patient with TB is transported to the PACU, the RN is aware that
a surgical mask should be placed on the patient
To teach self-care information to a patient, the RN's first action is to
assess the patient's learning needs
When discharging a patient following a laparoscopic procedure, the RN advises
the patient that the presence of shoulder pain
can be a normal occurrence
Infants under 46 weeks of conceptual age are not candidates for ambulatory
surgery because of the risk of
apnea
Using CHG wipes or solution prior to a total knee replacement will
decrease the skin's microbial colony counts
Which of the following is the best explanation to provide a patient for how a
demand pacemaker work?
it senses the heart rate and starts a beat as needed
The anesthesia provider reports to the RN that a patient received sugammadex.
The RN informs the patient to take which action for 1 week postoperatively?
Use an alternative method to oral contraceptives
During a colonoscopy under nurse-administered moderate sedation, the
endoscopy technician has left the room. The gastroenterologist asks the
monitoring RN to assist with a polypectomy. The RN
requests that the physician wait for additional staff
Preoperatively, an RN educates a 5 year old patient and caregiver about self-
reporting pain rating after surgery with use of an assessment tool. Which scale is
most appropriate for the patient self-reporting pain?
Wong-Baker FACES pain rating scale
A 64 year old patient has a history of CAD, HTN, DMII, and a BMI of 42. The RN
understands the patient is classified as ASA
ASA III
Which anesthetic should be avoided in a patient who experiences hives and SOB
when eating any product with egg yolks?
propofol
, When preparing a patient with preeclampsia for an emergency C section, the RN
is aware of which diagnostic result?
magnesium level
Following the administration of naloxone in phase 1, the RN in phase 2 knows the
duration of action is
2 hours
An incoming patient experienced a laryngospasm post extubation in the OR. On
PACU arrivival, the patient develops moist cough, dyspnea, and expectorates
pink, frothy sputum. The RN suspects the patient has developed
noncardiogenic pulmonary edema
A patient receiving a brachial plexus block was given bupivacaine 225 mg by the
provider. The RN is most concerned about
circumoral numbness
Which medication should be readily available for a patient with a history of
postanesthesia induced laryngospasm?
succinylcholine
A patient just had an AV fistula revision. When providing discharge teaching, it is
important to emphasize that the patient should
avoid wearing constrictive clothing at the operative site
A patient who is scheduled for an outpatient procedure with moderate sedation
has been on oral cimetidine for 2 weeks. Administering a routine dose of
midazolam to this patient may result in
increased duration of sedation
To assess patient and caregiver understanding post teaching, the RN asks them
to repeat the information, but due to anxiety, they are unable to respond
appropriately. The nurse's best action is to
alter the teaching plan
Discharge planning for the ambulatory surgical patient should be carried out by
the staff in conjunction with the
patient and adult caregiver
A pre-op patient requests that a friend make health care decisions on their behalf.
The RN recommends that the patient complete a
DPOA for healthcare
A 25 year old patient with a fractured femur suddenly complains of chest pain and
difficulty breathing. The patient has HR = 128 and RR= 30 with bilateral breath
sounds. The RN suspects
pulmonary embolus
Pre-printed discharge instructions should be written at which grade level?
5th
A 55 year old patient who has a BMI of 38 received general anesthesia for a
lengthy back surgery and has been in the PACU for 75 minutes. The RN receives
the patient in the extended recovery area and understands the patient's ongoing
recovery is based on
the time required for anesthesia gas clearance
Which of the following underlying conditions contraindicates the use of an LMA
for general anesthesia?
LATEST UPDATE.Buy Quality Materials!
A patient arrives in the PACU post stapedectomy complaining of vertigo. The RN
notes that the patient has packing retained within the ear. The nurse:
does not disturb the packing
When giving preoperative instructions for an adult, the RN instructs that clear
liquids can be consumed up to 2 hours before induction of anesthesia because
this will
decrease residual gastric volume
Patient outcomes have improved with the use of gases that have shortened which
phase of anesthesia?
stage 2- delirium
Delayed discharge of a child with resolved laryngeal edema is related to
possible rebound effect of racemic epinephrine
The occurrence of postdural puncture headache is most frequently attributed to
leaking of cerebrospinal fluid
Early sign of bupivicaine toxicity
muscle twitching
When educating a patient with an AV shunt placement, the RN instructs the nurse
to
palpate the arm for a thrill
Elderly patients have an increased risk of aspiration during general anesthesia
because of
a decrease in esophageal motility
A patient with a history of cocaine abuse is received in PACU. The RN monitors
this patient closely for
cardiac dysrhythmias
When preparing an adolescent patient for surgery, the RN understands it is best
to interview the patient
without parents present
Patients are instructed to discontinue the use of gingko biloba because it
interferes with blood clotting
A patient with an LMA in place is attempting to speak upon arrival in the PACU.
The RN
performs the standard respiratory assessment
An RN is caring for a patient with DM I who takes metformin and has an insulin
pump. The RN instructs the patient preoperatively to
consult the endocrinologist for insulin instructions
CO2 gas migration post laparoscopic surgery can result in
shoulder pain
Pre-op assessment for a 32 year old patient who is scheduled for a tonsillectomy
reveals a history of easy bruising. The RN
alerts the physician for possible further diagnostic testing
,A patient post anorectal surgery is experiencing urinary retention. The RN
recognizes that the most significant contributing factor of the urinary retention is
intraoperative administration of
bupivacaine
Which of the following patients is the most likely to develop PONV?
female nonsmoker who will receive opioids
In caring for a patient following an AV fistula placement, the RN's first action is to
auscultate the bruit
During a pre-op evaluation, the patient indicates a fear of surgery because a
parent remained "asleep" and not able to breathe on their own for 2 days after
surgery. The RN suspects this patient may be at risk for what inherited condition?
atypical pseudocholinesterase
In caring for a post-op patient with an LMA in place, the LMA
does not protect against aspiration
When a patient with TB is transported to the PACU, the RN is aware that
a surgical mask should be placed on the patient
To teach self-care information to a patient, the RN's first action is to
assess the patient's learning needs
When discharging a patient following a laparoscopic procedure, the RN advises
the patient that the presence of shoulder pain
can be a normal occurrence
Infants under 46 weeks of conceptual age are not candidates for ambulatory
surgery because of the risk of
apnea
Using CHG wipes or solution prior to a total knee replacement will
decrease the skin's microbial colony counts
Which of the following is the best explanation to provide a patient for how a
demand pacemaker work?
it senses the heart rate and starts a beat as needed
The anesthesia provider reports to the RN that a patient received sugammadex.
The RN informs the patient to take which action for 1 week postoperatively?
Use an alternative method to oral contraceptives
During a colonoscopy under nurse-administered moderate sedation, the
endoscopy technician has left the room. The gastroenterologist asks the
monitoring RN to assist with a polypectomy. The RN
requests that the physician wait for additional staff
Preoperatively, an RN educates a 5 year old patient and caregiver about self-
reporting pain rating after surgery with use of an assessment tool. Which scale is
most appropriate for the patient self-reporting pain?
Wong-Baker FACES pain rating scale
A 64 year old patient has a history of CAD, HTN, DMII, and a BMI of 42. The RN
understands the patient is classified as ASA
ASA III
Which anesthetic should be avoided in a patient who experiences hives and SOB
when eating any product with egg yolks?
propofol
, When preparing a patient with preeclampsia for an emergency C section, the RN
is aware of which diagnostic result?
magnesium level
Following the administration of naloxone in phase 1, the RN in phase 2 knows the
duration of action is
2 hours
An incoming patient experienced a laryngospasm post extubation in the OR. On
PACU arrivival, the patient develops moist cough, dyspnea, and expectorates
pink, frothy sputum. The RN suspects the patient has developed
noncardiogenic pulmonary edema
A patient receiving a brachial plexus block was given bupivacaine 225 mg by the
provider. The RN is most concerned about
circumoral numbness
Which medication should be readily available for a patient with a history of
postanesthesia induced laryngospasm?
succinylcholine
A patient just had an AV fistula revision. When providing discharge teaching, it is
important to emphasize that the patient should
avoid wearing constrictive clothing at the operative site
A patient who is scheduled for an outpatient procedure with moderate sedation
has been on oral cimetidine for 2 weeks. Administering a routine dose of
midazolam to this patient may result in
increased duration of sedation
To assess patient and caregiver understanding post teaching, the RN asks them
to repeat the information, but due to anxiety, they are unable to respond
appropriately. The nurse's best action is to
alter the teaching plan
Discharge planning for the ambulatory surgical patient should be carried out by
the staff in conjunction with the
patient and adult caregiver
A pre-op patient requests that a friend make health care decisions on their behalf.
The RN recommends that the patient complete a
DPOA for healthcare
A 25 year old patient with a fractured femur suddenly complains of chest pain and
difficulty breathing. The patient has HR = 128 and RR= 30 with bilateral breath
sounds. The RN suspects
pulmonary embolus
Pre-printed discharge instructions should be written at which grade level?
5th
A 55 year old patient who has a BMI of 38 received general anesthesia for a
lengthy back surgery and has been in the PACU for 75 minutes. The RN receives
the patient in the extended recovery area and understands the patient's ongoing
recovery is based on
the time required for anesthesia gas clearance
Which of the following underlying conditions contraindicates the use of an LMA
for general anesthesia?
