CPAN FINAL EXAM ACTUAL EXAM
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When educating the client on what to expect during the administration of
spinal anesthesia, the perianesthesia nurse understands that the
progression of blockage occurs in the following order:
After extubation of a client, which of the following would be consideredmost
serious?
1. Sore throat
2. Impaired swallowing ability
3. Inspiratory stridor
4. Hoarseness - CORRECT>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. - CORRECT>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 client:
1. has had minor surgery.
2. has normal vital signs.
3. has had regional anesthesia.
4. is severely hypothermic. - CORRECT>4
,The perianesthesia nurse is aware that a dramatic decrease in the calcium
may be cause by removal of the:
Tidal volume is most precisely defined as the amount of:
1. air exchange in one minute.
2. gas passing into or out of the lungs in each respiratory cycle.
3. gas remaining within the chest after maximal expiration.
4. air exchange with full inspiration and expiration. - CORRECT>2
In caring for a preschool-aged child, the perianesthesia nurse is aware that
the child's primary cause of anxiety prior to surgery is:
1. fear of the medical equipment.
2. striving for approval.
3. loss of privacy.
4. separation from parents. - CORRECT>4
One of the most frequent side effects of ketamine anesthesia is:
In providing preoperative teaching to a client requesting spinalanesthesia,
the perianesthesia nurse is aware that an absolute contraindication for
spinal anesthesia is:
,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. - CORRECT>1
A pathological process that can interfere with accurate measurements of
SpO2 when using a pulse oximeter is:
In the event that a pharmacologically paralyzed client is inadvertently
extubated, the first priority of the PACU nurse is to:
1. administer a muscarinic anticholinergic drug immediately.
2. establish and maintain the airway and ventilation.
3. administer an anticholinesterase drug immediately.
4. assess for muscle recovery before reintubating. - CORRECT>2
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:
1. developing a poster board on commonly used antibiotics.
2. presenting staff with an in-service on infection control.
3. apprising the infectious disease service of the occurrences.
4. notifying the OR clinical specialist. - CORRECT>2
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:
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.
3. turning him on his back.
4. jaw thrust or chin lift - CORRECT>4
A post-op client awaiting transport to a surgical floor is awake and
responds appropriately to commands. The perioperative nurse instructs the
client to flex and extend his/ her lower extremities; the purpose of this is to:
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