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CPAN FINAL EXAM 2025-2026|300QUESTIONS AND ANSWERS|UPDATED|ALREADY GRADED A+, Exams of Nursing

Rush UniversityNursing

CPAN FINAL EXAM 2025-2026|300QUESTIONS AND ANSWERS|UPDATED|ALREADY GRADED A+

Typology: Exams

2024/2025

Available from 06/16/2025

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CPAN FINAL EXAM 2025-2026|300QUESTIONS AND
ANSWERS|UPDATED|ALREADY GRADED A+
When educating the client on what to expect during the administration of spinal
anesthesia, the perianesthesia caregiver understands that the progression of
blockage occurs in the following order:
1. sensory, motor, autonomic
2. motor, sensory, autonomic
3. autonomic, sensory, motor
4. motor, autonomic, sensory >>>ANS:->>>3
After extubation of a client, which of the following would be considered most
serious?
1. Sore throat
2. Impaired swallowing ability
3. Inspiratory stridor
4. Hoarseness >>>ANS:->>>3
Which of the following interventions would be used first to maintain adequate
perfusion and oxygen supply to cardiac muscles following hepatic surgery in a
client with a history of coronary artery disease:
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Download CPAN FINAL EXAM 2025-2026|300QUESTIONS AND ANSWERS|UPDATED|ALREADY GRADED A+ and more Exams Nursing in PDF only on Docsity!

CPAN FINAL EXAM 2025 - 2026|300QUESTIONS AND

ANSWERS|UPDATED|ALREADY GRADED A+

When educating the client on what to expect during the administration of spinal anesthesia, the perianesthesia caregiver understands that the progression of blockage occurs in the following order:

  1. sensory, motor, autonomic
  2. motor, sensory, autonomic
  3. autonomic, sensory, motor
  4. motor, autonomic, sensory >>>ANS:->>> 3 After extubation of a client, which of the following would be considered most serious?
  5. Sore throat
  6. Impaired swallowing ability
  7. Inspiratory stridor
  8. Hoarseness >>>ANS:->>> 3 Which of the following interventions would be used first to maintain adequate perfusion and oxygen supply to cardiac muscles following hepatic surgery in a client with a history of coronary artery disease:
  1. Ensure a hemoglobin concentration ≥ 10 g.
  2. Treat tachydysrhythmias and hypotension.
  3. Monitor oxygen saturation via pulse oximetry.
  4. Administer appropriate medications. >>>ANS:->>> 1 The use of the pulse oximeter has become a routine part of PACU care. The post anesthesia caregiver may decide that oximetry monitoring is indicated when the client:
  5. has had minor surgery.
  6. has normal vital signs.
  7. has had regional anesthesia.
  8. is severely hypothermic. >>>ANS:->>> 4 The perianesthesia caregiver is aware that a dramatic decrease in the calcium may be cause by removal of the:
  9. pituitary gland.
  10. thyroid gland.
  11. parathyroid gland.
  12. adrenal glands. >>>ANS:->>> 3 Tidal volume is most precisely defined as the amount of:
  13. air exchange in one minute.
  1. chronic back pain.
  2. multiple sclerosis.
  3. sickle cell anemia. >>>ANS:->>> 1 In administering flumazenil, the perianesthesia caregiver is aware that it inhibits the central effects of benzodiazepines by:
  4. competing for the receptor sites.
  5. stimulating the cerebral cortex.
  6. occupying the mu receptor sites.
  7. metabolizing the medications. >>>ANS:->>> 1 A pathological process that can interfere with accurate measurements of SpO when using a pulse oximeter is:
  8. Cushing's disease.
  9. hypoparathyroidism.
  10. Raynaud's disease.
  11. hyperthyroidism. >>>ANS:->>> 3 In the event that a pharmacologically paralyzed client is inadvertently extubated, the first priority of the PACU caregiver is to:
  12. administer a muscarinic anticholinergic drug immediately.
  13. establish and maintain the airway and ventilation.
  1. administer an anticholinesterase drug immediately.
  2. assess for muscle recovery before reintubating. >>>ANS:->>> 2 A PACU caregiver identifies an increased number of postoperative infections and utilizes a quality improvement tool to collect more data. When deficiencies are noted in the Phase I area, the caregiver next considers:
  3. developing a poster board on commonly used antibiotics.
  4. presenting staff with an in-service on infection control.
  5. apprising the infectious disease service of the occurrences.
  6. notifying the OR clinical specialist. >>>ANS:->>> 2 A staff caregiver denied a merit increase expresses vigorous support for management and its policies instead of showing anger. The caregiver's behavior is characterized as:
  7. identification.
  8. reaction formation.
  9. sublimation.
  1. narcotic.
  2. anticonvulsant. >>>ANS:->>> 2 Following a hernia repair, a 3-month-old is admitted to the PACU positioned on his side with a pacifier in his mouth. The airway becomes obstructed by the tongue. The obstruction can be alleviated by:
  3. removing the pacifier.
  4. pinching the cheeks.
  5. turning him on his back.
  6. jaw thrust or chin lift >>>ANS:->>> 4 A post-op client awaiting transport to a surgical floor is awake and responds appropriately to commands. The perioperative caregiver instructs the client to flex and extend his/ her lower extremities; the purpose of this is to:
  1. ensure that the client follows commands.
  2. prevent the complication of venous stasis.
  3. accelerate emergence from anesthesia.
  4. assess if client is ready for discharge. >>>ANS:->>> 2 A geriatric client's advanced age puts them at an increased risk for post- operative:
  5. anorexia.
  6. hypothermia.
  7. nausea.
  8. pain. >>>ANS:->>> 2 During emergence from general anesthesia, a client exhibits rapidly increasing symptoms of asthma. Vital signs are: BP = 190/100, HR = 144, R = 36, and SaO2 = 86%. The perianesthesia caregiver anticipates giving which of the following medications initially?
  9. Dexamethasone
  10. Nebulized epinephrine
  11. Nebulized albuterol
  12. Isoproterenol >>>ANS:->>> 3 A client with streptococcal group A pharyngitis arrives in Phase I PACU. The

In a client status post thyroidectomy, the perianesthesia caregiver would anticipate postoperative signs of thyrotoxic crisis to include:

  1. hyponatremia.
  2. hypothermia.
  3. tachycardia.
  4. bradycardia. >>>ANS:->>> 3 Which of the following nursing interventions is most effective for a client with a history of postoperative nausea and vomiting?
  5. Providing ice chips
  6. Administering ranitidine
  7. Prevention
  8. Avoiding administration of analgesics >>>ANS:->>> 3 A perianesthesia caregiver is providing discharge instructions to a client who asks questions about the phenazopyridine prescription. The caregiver explains that it:
  9. needs to be taken on an empty stomach.
  10. provides relief from urgency and burning sensation.
  11. helps minimize bleeding and formation of blood clots.
  1. treats bacteria present in the urinary tract. >>>ANS:->>> 2 A client in the PACU following hip arthroplasty complains of numbness to toes of affected extremity. The client has most likely sustained an injury to the:
  2. peroneal nerve.
  3. femoral artery.
  4. Achilles tendon.
  5. sciatic nerve. >>>ANS:->>> 1 Surgery is scheduled for 0830. The client 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 caregiver:
  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 The dissociative state attributed to ketamine anesthesia can be modified by the administration of a/an:
  5. antiarrhythmic.
  6. benzodiazepine.
  7. antagonist.
  8. anticonvulsant. >>>ANS:->>> 2 Care for a client who receives a skin graft to the forearm includes:
  1. maintain dependent position of the extremity.
  2. changing the bandages if necessary.
  3. elevation of the affected extremity.
  4. ROM exercises for the affected extremity. >>>ANS:->>> 3 The perianesthesia caregiver learns that the client takes MAO inhibitor routinely. This information is documented because of the potential lethal interaction with:
  5. meperidine.
  6. midazolam.
  7. succinylcholine.
  8. morphine. >>>ANS:->>> 1 Use of meperidine with an MAOI can lead to hypertension, convulsions, and coma. Prochlorperazine acts to treat postoperative nausea by affecting the:
  9. process of gastric emptying.
  10. chemoreceptor trigger zone.
  11. production of gastric acid.
  12. vestibular pathways. >>>ANS:->>> 2 In a 3 - year-old client, postintubation croup is least likely to develop when the
  1. turning him on his back.
  2. hyperextending the jaw. >>>ANS:->>> 2 The perianesthesia caregiver should question the accuracy of the SpO measurement when caring for a client with which of the underlying condition?
  3. Cushing's disease.
  4. hypothyroidism.
  5. Raynaud's disease.
  6. hyperthyroidism. >>>ANS:->>> 3 Signs and symptoms of Raynaud's disease include: Cold fingers or toes. Color changes in your skin in response to cold or stress. Numb, prickly feeling or stinging pain upon warming or stress relief. A client 7 months pregnant is admitted for repair of a lacerated Achilles tendon. During assessment, contractions of her abdomen are noted. Which of the following positions should this client be placed?
  7. Right lateral tilt position
  8. Left lateral tilt position
  1. Supine
  2. Trendelenburg >>>ANS:->>> 2 Because your liver is on the right side of your abdomen, lying on your left side helps keep the uterus off that large organ. Sleeping on the left side also improves circulation to the heart and allows for the best blood flow to the fetus, uterus, and kidneys. When preparing a client for a brachial plexus nerve block for upper extremity surgery, the perianesthesia caregiver is aware that the safest and easiest approach is:
  3. subclavicular.
  4. supraclavicular.
  5. interscalene.
  6. axillary. >>>ANS:->>> 4

anesthesia since it is more pungent than sevoflurane and halothane and has a slower onset than sevoflurane. Sevoflurane - We prefer sevoflurane for inhalation induction since it has the most pronounced bronchodilatory properties of the available agents. Desflurane - We avoid desflurane during induction of anesthesia in clients with COPD. Because of its extreme pungency, desflurane may increase secretions and cause coughing, laryngospasm, and/or bronchospasm during induction, particularly in current smokers, and it may increase airway resistance. In a preoperative visit, information to be collected by the perianesthesia caregiver includes:

  1. type of surgery to be performed, previous surgical history and verification of payment source.
  2. cardiac status, vaccination status, respiratory status, and location of client's family postoperatively.
  3. surgical procedure, whether the client has signed the consent form, and type of anesthesia to be used.
  4. preexisting diseases, laboratory values, neurological status, current medications, and allergies. >>>ANS:->>> 4 A client calls the preoperative center asking whether to continue taking his daily dose of clonidine. The perianesthesia caregiver is aware that clonidine should be:
  5. taken only if the surgeon deems it necessary.
  6. stopped at least 3 days preoperatively.
  7. stopped at least 5 days preoperatively.
  8. taken daily as prescribed. >>>ANS:->>> 4 Six hours postoperatively, a client has not voided and his bladder is palpably distended. The client refuses catheterization. If the caregiver catheterizes the client against his wishes, this is considered:
  9. tort.
  10. assault.