ABPANC-CAPA : ABPANC Certified Ambulatory Perianesthesia Nurse Exam

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ABPANC-CAPA
ABPANC Certified Ambulatory Perianesthesia Nurse
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SAMPLE QUESTIONS
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Question: 817
toclopramide methazine dansetron xamethasone
er: C
nation: Ondansetron is considered a first-line therapy for preventing PONV due to its efficac ble side effect profile.
ion: 818
operative patient in the PACU has a history of chronic kidney disease and is receiving IV fl electrolyte imbalance should the nurse monitor for closely?
perkalemia pomagnesemia ponatremia percalcemia
er: A
nation: Patients with chronic kidney disease are at increased risk for hyperkalemia due to im unction, making it essential for the nurse to monitor potassium levels closely.
A patient is scheduled for surgery and has a history of postoperative nausea and vomiting. Which of the following antiemetics is considered a first-line therapy for prevention?
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Question: 819
In the context of SBAR, what is the most appropriate way to present the 'Situation' portion of the report?
1. "The patient is experiencing high blood pressure."
2. "The patient is a 70-year-old male with a history of COPD."
3. "The patient is currently in recovery."
4. "The patient needs to be monitored closely due to recent changes."
Answer: C
Explanation: The 'Situation' portion should clearly state the current status of the patient, providing immediate context for the team regarding the patient's condition.
Question: 820
A patient is being discharged home after surgery and has been prescribed opioid analgesics. What is the most important teaching point the nurse should provide to the patient regarding the use of these medications?
ke more medication than prescribed if pain increases.
nitor for side effects, such as constipation and respiratory depression, and manage them ingly.
oid using any other medications while on opioids.
taking the medication as soon as the pain feels manageable. er: B
nation: Monitoring for side effects, such as constipation and respiratory depression, and man ccordingly is the most important teaching point to ensure patient safety while using opioid sics.
ion: 821
ent with limited English proficiency is being prepared for surgery. Which of the following a important for the nurse to take to ensure informed consent is properly obtained?
a professional interpreter to communicate the information effectively. vide consent forms only in English and ask the patient to sign.
on a family member to explain the consent form to the patient. sume the patient understands basic surgical concepts.
er: A
nation: Using a professional interpreter ensures that the patient fully understands the consent
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information, which is essential for obtaining informed consent in a manner that respects their language needs.
Question: 822
During the post-anesthesia care of a patient who has received general anesthesia, the nurse notes that the patient’s temperature is rising sharply. What is the most appropriate nursing action?
1. Administer antipyretics to manage the fever.
2. Prepare to cool the patient with ice packs and monitor closely for signs of malignant hyperthermia.
3. Reassess the temperature in one hour.
4. Document the findings and inform the physician. Answer: B
Explanation: Preparing to cool the patient with ice packs and monitoring closely for signs of malignant hyperthermia is critical given the context of a sharp temperature rise after general anesthesia.
Question: 823
ate?
mL/hr mL/hr mL/hr
00 mL/hr er: A
nation: To calculate the hourly fluid intake rate, divide the total volume by the total time: 200 urs = 500 mL/hr.
ion: 824
nurse is educating a patient about postoperative activity restrictions following orthopedic surgery instruction is most important for the patient to understand to prevent complications?
patient can return to normal activity as soon as they feel capable.
patient should refrain from physical therapy until their follow-up appointment. patient can drive once they feel comfortable.
patient should avoid weight-bearing on the affected limb as directed by the physician. er: D
nation: Understanding and adhering to weight-bearing restrictions is crucial for preventing
A postoperative patient has received 2000 mL of IV fluids over 4 hours. What is the patient's hourly fluid intake r
1. 500
2. 250
3. 750
4. 10
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complications and ensuring proper healing after orthopedic surgery.
Question: 825
While documenting intraoperative events, the circulating nurse observes that the surgical field has become contaminated. What is the most appropriate action to take in this situation?
1. Ignore the contamination and continue the procedure
2. Inform the surgeon immediately and take corrective measures to re-establish sterility
3. Document the contamination in the patient's chart after the procedure
4. Wait for the surgical team to recognize the problem before taking action Answer: B
Explanation: Informing the surgeon immediately and taking corrective measures to re-establish sterility is essential to prevent potential infections and ensure patient safety.
Question: 826
patient's pain management plan patient's last voiding time patient's surgical procedure patient's allergies
er: A
nation: The pain management plan is critical information that ensures continuity of care and ate pain control for the patient postoperatively.
ion: 827
nurse is monitoring a patient postoperatively who received ondansetron for PONV. Which side e the nurse be vigilant for in this patient?
dation adache potension chycardia
er: B
nation: Headache is a common side effect of ondansetron and should be monitored for in pati ng this medication postoperatively.
During a PACU shift change, the nurse receives report on a patient who had abdominal surgery. Which of the following is the most critical piece of information to communicate?
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Question: 828
During a handoff report using SBAR, which of the following statements best represents the 'Assessment' component?
1. "The patient’s blood pressure is stable."
2. "The patient has a heart rate of 120 bpm and is showing signs of distress."
3. "The patient is recovering well from anesthesia."
4. "The patient will need to be monitored closely postoperatively."
Answer: B
Explanation: The 'Assessment' component should provide a clinical evaluation, indicating the patient’s current condition and any concerns, such as an elevated heart rate and signs of distress.
Question: 829
A patient presents for surgery with a known allergy to sulfa drugs. Which of the following medication classes should the nurse be most cautious about administering?
ioids ibiotics
n-steroidal anti-inflammatory drugs (NSAIDs) esthetics
er: B
nation: Patients with a sulfa allergy may also react to certain antibiotic classes, particularly amides, thus necessitating careful review of all medications in this category.
ion: 830
nurse is discussing the importance of cultural competence in perianesthesia nursing with colleag of the following statements best reflects the significance of this competency?
tural competence is optional and not essential for nursing practice. patients have the same healthcare needs, regardless of their background. tural competence only applies to patients from different countries.
turally competent care improves patient satisfaction and health outcomes. er: D
nation: Culturally competent care is essential for improving patient satisfaction and health mes, as it ensures that care is respectful and responsive to the diverse needs of patients.
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Question: 831
A nurse is involved in a case where a patient experiences a severe adverse reaction to anesthesia. What is the most ethical action the nurse should take to support the patient and improve future care?
1. Document the incident and move on without further action.
2. Report the incident to the hospital’s quality improvement committee for further analysis.
3. Discuss the incident with colleagues informally to gather opinions.
4. Blame the anesthesia provider for the adverse reaction.
Explanation: Reporting the incident to the quality improvement committee ensures that the situation is formally evaluated, contributing to patient safety and improvements in care protocols.
Question: 832
A patient with a history of substance abuse is scheduled for surgery. During the preoperative assessment, what key point should the anesthesia provider focus on to ensure safe anesthesia management?
type of surgery
patient's current substance use status patient's age
er: C
nation: Understanding the patient's current substance use status is critical for managing poten awal symptoms and tailoring anesthesia to minimize risks.
ion: 833
ent in the PACU expresses discomfort regarding their care, citing cultural practices that were ered. How should the nurse respond to provide culturally competent care?
follow standard protocols for all patients; please understand." ou should have mentioned your preferences earlier."
ultural practices aren’t usually part of postoperative care."
"I’m sorry to hear that. Let's discuss your cultural practices and how we can accommodate the er: D
nation: Apologizing and discussing the patient's cultural practices demonstrates respect and a gness to accommodate their needs, enhancing culturally competent care.
ion: 834
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A patient is discharged home after a surgical procedure. The nurse must ensure that follow-up appointments are coordinated. Which action is most critical for effective communication with the primary care provider?
1. Sending a detailed discharge summary via email.
2. Calling the primary care provider to discuss the patient’s postoperative care plan directly.
3. Providing the patient with a copy of their discharge instructions.
4. Telling the patient to schedule the follow-up appointment on their own.
Explanation: Direct communication with the primary care provider ensures that all relevant details about the patient's care are conveyed, enhancing continuity of care and addressing any immediate concerns.
Question: 835
A patient scheduled for surgery requires a neuromuscular blocker. Which of the following agents is known for its rapid onset and short duration of action?
curonium cinylcholine ncuronium
er: C
nation: Succinylcholine is known for its rapid onset and short duration of action, making it id ons requiring quick intubation.
ion: 836
ent in the PACU expresses anxiety about their recovery. What is the most effective way for o address the patient's concerns while incorporating patient-centered care principles?
miss the patient’s fears as common and encourage them to focus on recovery.
vide detailed information about the recovery process and address specific concerns. ggest that the patient wait until they are fully awake to discuss their fears.
assure the patient that everything will be alright without further explanation. er: B
nation: Providing detailed information and addressing specific concerns demonstrates a com ent-centered care and helps alleviate anxiety through understanding.
ion: 837
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An elderly patient on multiple medications is about to undergo a routine procedure. Which of the following medication classes poses the highest risk of interaction during anesthesia?
1. Antidepressants
2. Anticoagulants
3. Antihypertensives
4. NSAIDs
Answer: B
Explanation: Anticoagulants pose significant risks during anesthesia due to potential bleeding complications, making their management critical in the perioperative setting.
Question: 838
In a patient who received a regional block, which of the following signs would indicate the potential for local anesthetic systemic toxicity (LAST)?
1. Nausea
dycardia potension
er: B
nation: Tinnitus is a classic early sign of LAST, which can lead to more severe neurological vascular complications if not addressed promptly.
Tinnitus
2. Bra
3. Hy
Answ
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cardio

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