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CPAN FINAL EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWER, Exams of Nursing

Cheyney University of PennsylvaniaNursing

CPAN FINAL EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+

Typology: Exams

2024/2025

Available from 07/03/2025

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tizian-mwangi 🇺🇸

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CPAN FINAL EXAM NEWEST 2024 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
When educating the patient on what to expect during the
administration of spinal anesthesia, the perianesthesia nurse
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 - ANSWER>>3
After extubation of a patient, which of the following would be
considered most serious?
1. Sore throat
2. Impaired swallowing ability
3. Inspiratory stridor
4. Hoarseness - ANSWER>>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 patient 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. - ANSWER>>1
The use of the pulse oximeter has become a routine part of PACU care.
The post anesthesia nurse may decide that oximetry monitoring is
indicated when the patient:
1. has had minor surgery.
2. has normal vital signs.
3. has had regional anesthesia.
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Download CPAN FINAL EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWER and more Exams Nursing in PDF only on Docsity!

CPAN FINAL EXAM NEWEST 2024 ACTUAL EXAM

COMPLETE 200 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

ALREADY GRADED A+

When educating the patient on what to expect during the administration of spinal anesthesia, the perianesthesia nurse 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 - ANSWER>> After extubation of a patient, which of the following would be considered most serious?
  5. Sore throat
  6. Impaired swallowing ability
  7. Inspiratory stridor
  8. Hoarseness - ANSWER>> Which of the following interventions would be used first to maintain adequate perfusion and oxygen supply to cardiac muscles following hepatic surgery in a patient with a history of coronary artery disease:
  9. Ensure a hemoglobin concentration ≥ 10 g.
  10. Treat tachydysrhythmias and hypotension.
  11. Monitor oxygen saturation via pulse oximetry.
  12. Administer appropriate medications. - ANSWER>> The use of the pulse oximeter has become a routine part of PACU care. The post anesthesia nurse may decide that oximetry monitoring is indicated when the patient:
  13. has had minor surgery.
  14. has normal vital signs.
  15. has had regional anesthesia.
    1. is severely hypothermic. - ANSWER>>

In administering flumazenil, the perianesthesia nurse is aware that it inhibits the central effects of benzodiazepines by:

  1. competing for the receptor sites.
  2. stimulating the cerebral cortex.
  3. occupying the mu receptor sites.
  4. metabolizing the medications. - ANSWER>> A pathological process that can interfere with accurate measurements of SpO2 when using a pulse oximeter is:
  5. Cushing's disease.
  6. hypoparathyroidism.
  7. Raynaud's disease.
  8. hyperthyroidism. - ANSWER>> In the event that a pharmacologically paralyzed patient is inadvertently extubated, the first priority of the PACU nurse is to:
  9. administer a muscarinic anticholinergic drug immediately.
  10. establish and maintain the airway and ventilation.
  11. administer an anticholinesterase drug immediately.
  12. assess for muscle recovery before reintubating. - ANSWER>> A PACU nurse 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 nurse next considers:
  13. developing a poster board on commonly used antibiotics.
  14. presenting staff with an in-service on infection control.
  15. apprising the infectious disease service of the occurrences.
  16. notifying the OR clinical specialist. - ANSWER>> A staff nurse denied a merit increase expresses vigorous support for management and its policies instead of showing anger. The nurse's behavior is characterized as:
  17. identification.
  1. reaction formation.
  2. sublimation.

responds appropriately to commands. The perioperative nurse instructs the patient to flex and extend his/ her lower extremities; the purpose of this is to:

  1. ensure that the patient follows commands.
  2. prevent the complication of venous stasis.
  3. accelerate emergence from anesthesia.
  4. assess if patient is ready for discharge. - ANSWER>> A geriatric patient's advanced age puts them at an increased risk for post- operative:
  5. anorexia.
  6. hypothermia.
  7. nausea.
  8. pain. - ANSWER>> During emergence from general anesthesia, a patient exhibits rapidly increasing symptoms of asthma. Vital signs are: BP = 190/100, HR = 144, R = 36, and SaO2 = 86%. The perianesthesia nurse anticipates giving which of the following medications initially?
  9. Dexamethasone
  10. Nebulized epinephrine
  11. Nebulized albuterol
  12. Isoproterenol - ANSWER>> A patient with streptococcal group A pharyngitis arrives in Phase I PACU. The perianesthesia nurse plans that the nurse to patient ratio should be:
  13. two nurses to one patient.
  14. one nurse to two patients.
  15. one nurse to one patient.
  16. one nurse to three patients. - ANSWER>> A 35-year-old patient arrives in the Phase I PACU crying and repeatedly asks, "Can't my mother come in here with me?" The perianesthesia nurse:
  17. informs the patient that visitation is prohibited in the PACU.
  18. reassures the patient and administers an analgesic.

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

  1. hyponatremia.
  2. hypothermia.
  3. tachycardia.
  4. bradycardia. - ANSWER>> Which of the following nursing interventions is most effective for a patient with a history of postoperative nausea and vomiting?
  5. Providing ice chips
  6. Administering ranitidine
  7. Prevention
  8. Avoiding administration of analgesics - ANSWER>> A perianesthesia nurse is providing discharge instructions to a patient who asks questions about the phenazopyridine prescription. The nurse 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.
  12. treats bacteria present in the urinary tract. - ANSWER>> 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:
  13. peroneal nerve.
  14. femoral artery.
  15. Achilles tendon.
  16. sciatic nerve. - ANSWER>> 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. - ANSWER>> 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:
  5. an interpreter who is married to the patient's sister.
  6. an interpreter who has a contract with the facility.
  7. the patient's English-speaking husband.
  8. the patient's bilingual significant other. - ANSWER>> A potential negative side effect of positive end-expiratory pressure (PEEP) is:
  9. alveolar collapse.
  10. decreased intrapulmonary shunting.
  11. increased cardiac output.
  12. hypertension. - ANSWER>> 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:
  13. prepare for the insertion of a chest tube.
  14. obtain an order for analgesic.
  15. apply a positive-pressure airway ventilator.
  16. prepare for immediate removal of the central line. - ANSWER>> The dissociative state attributed to ketamine anesthesia can be modified by the administration of a/an:
  17. antiarrhythmic.
  18. benzodiazepine.
  19. antagonist.
  20. anticonvulsant. - ANSWER>>
  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. - ANSWER>> The perianesthesia nurse learns that the patient takes MAO inhibitor routinely. This information is documented because of the potential lethal interaction with:
  5. meperidine.
  6. midazolam.
  7. succinylcholine.
  8. morphine. - ANSWER>> 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. - ANSWER>> In a 3-year-old patient, postintubation croup is least likely to develop when the patient has:
  13. remained in a supine position for a 1-hour procedure.
  14. been in a supine position for 15 minutes, then in a lateral position for 45 minutes.
  15. coughed actively and strained prior to extubation.
  16. required two attempts prior to successful intubation. - ANSWER>> 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:
  1. removing the pacifier.
  2. pinching the cheeks.

The axillary approach to the brachial plexus is considered the safest of the four approaches because of reduced risk to surrounding structures such as the risk of phrenic nerve blockade and/or pneumothorax, but the general risks of accidental intravascular and intraneural injection still exists. To decrease nausea, the perianesthesia nurse instructs the patient to:

  1. take deep breaths.
  2. take several quick breaths.
  3. turn their head to the side.
  4. utilize Reiki or imagery. - ANSWER>> The perianesthesia nurse would expect a patient with COPD to have received which of the following anesthetic agents?
  5. Isoflurane
  6. Nitrous oxide
  7. Enflurane
  8. Halothane - ANSWER>>4. Halothane also has excellent bronchodilatory properties and remains an acceptable alternative for induction Isoflurane - Isoflurane is a good bronchodilator, but it is not ideal for induction of 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 patients 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 nurse includes:

The perianesthesia nurse is aware that a dramatic decrease in the serum calcium level may be caused by removal of the:

  1. parathyroid glands.
  2. pineal gland.
  3. adrenal glands.
  4. pituitary gland. - ANSWER>> The perianesthesia nurse recognizes that upon a patient's arrival to the PACU, a side effect of ketamine anesthesia is:
  5. decreased muscle tone.
  6. hypotension.
  7. marked salivation.
  8. nausea and vomiting. - ANSWER>> increased salivation due to stimulation of muscarinic receptors (can be contolled using an antimuscarinic) Other Side Effects: catatonia amnesia deficits in working and episodic memory (associated with frequent use) analgesia elevated heart rate, cardiac output & blood pressure post-op disorientation sensory & perceptual illusions vivid dreams ulcerative cystitis (associated with chronic drug use) Contraindications: By asking a tympanoplasty patient to wrinkle the forehead, pucker lips, smile, and squeeze eyelids together, the PACU nurse is assessing the function of cranial nerve:
  9. V.
  10. VII.
  11. IX.
  12. XII. - ANSWER>> The Faces Pain Rating Scale measurement tool is most appropriate for: