CPAN MEGA SET 3 2025 EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS RATED A+, Exams of Nursing

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CPAN MEGA SET 3 2025 EXAM WITH

COMPLETE QUESTIONS AND CORRECT

ANSWERS RATED A+

A. latex allergy Correct Answer A 65 year old retired patient has been scheduled for a septoplasty. The patient states that after the preoperative blood draw, the patient noticed a rash and edema where the tourniquet was applied. The patient may be at risk for: A. latex allergy B. herpes zoster C. bleeding D. ecchymosis A. saturation of more than one sanitary pad per hour Correct Answer Following a dilation and curettage for missed abortion, the perianesthesia nurse instructs the patient to call the surgeon for: A. saturation of more than one sanitary pad per hour B. abdominal cramping C. any serosanguinous drainage on pad D. breast tenderness A. how to clear secretions or remove vomitus whole the patient is in intermaxillary fixation Correct Answer A patient is admitted to the hospital for maxillofacial surgery to correct congenital deformities. When implementing the teaching plan, the perianesthesia nurse should emphasize: A. how to clear secretions or remove vomitus whole the patient is in intermaxillary fixation

B. expectations of temporary physical disfigurement C. an explanation of the surgical procedure anticipated with details of the intermaxillary fixation D. Instructions on how to cough, deep breath, and move C. sneeze with mouth open Correct Answer Preoperative teaching for patients undergoing tympanoplasty should include instructions to perform which of the following in the immediate postoperative period? A. avoid slow motion of head B. blow nose forcefully to relieve ear pressure C. sneeze with mouth open D. irrigate ear canals frequently to remove drainage A. Horner's syndrome Correct Answer A patient has received a stellate ganglion block. The perianesthesia nurse evaluates for a successful block by assessing for the presence of: A. Horner's syndrome B. pallor C. diaphoresis D. vasoconstriction at the site of the block A. airway classification score Correct Answer A patient who weighs 137kg is admitted for a procedure requiring general anesthesia. The perianesthesia nurse should be aware of which of the following data? A. airway classification score B. abbreviated injury score C. hemoglobin S concentration level D. carboxyhemoglobin level

B. COPD Correct Answer A patient is admitted to the PACU following laparoscopic nissen fundoplication. Intraoperatively, the patient required chest tube placement for development of a tension pneumothorax. The perianesthesia nurse understands that which of the following in the patient's history could be problematic at this time? A. diabetes B. COPD C. osteoporosis D. angina D. ventilate with positive pressure Correct Answer A 4 year old patient arrives to the PACU with a croupy cough that quickly progresses to stridor, circumoral cyanosis, and substernal restractions, with diminished breath sounds. The perianesthesia nurse's next appropriate intervention is to: A. intubate B. administer neuromuscular blockade C. obtain arterial blood gases D. ventilate with positive pressure A. administration of humidified oxygen Correct Answer A patient has been admitted following a tonsillectomy and adenoidectomy. The patient has slight upper airway congestion and vital signs remain stable. The perianesthesia nurse should initiate which of the following first? A. administration of humidified oxygen B. administration of albuterol C. nasopharyngeal suctioning D. administration of racemic epinephrine

B. ondansetron Correct Answer The drug of choice for postoperative nausea and vomiting for post-surgical patients with history of Parkinson's disease is: A. droperidol B. ondansetron C. promethazine D. metoclopramide A. a pulmonary embolism Correct Answer A post lumbar diskectomy patient arrives in the PACU with stable vital signs. Thirty minutes after extubation, the patient then becomes anxious, dyspneic, tachypneic, and complains of substernal pain. The perianesthesia nurse suspects: A. a pulmonary embolism B. pulmonary hypertension C. gastric reflux D. aortic insufficiency B. epinephrine two types of latex allergy: type I immediate (airway compromise) type IV delayed (rash) Correct Answer A patient in the PACU is experiencing Type I IgE-mediated anaphylaxis from latex exposure. The perianesthesia nurse would first anticipate giving: A. methyprednisolone B. epinephrine C. dimenhydrinate D. diphenhydramine C. tension pneumothorax Correct Answer After arrival in the PACU following a radical neck dissection, the patient becomes

tachypneic with tracheal deviation and oxygen desaturation. The perianesthesia nurse suspects: A. anterior cervical edema B. vocal cord paralysis C. tension pneumothorax D. cervical facet displacement A. conforms to the hypopharynx Correct Answer A patient is admitted to the pacu with a laryngeal mask airway LMA in place. The perianesthesia nurse understands that a properly placed LMA: A. conforms to the hypopharynx B. passes through the glottic opening C. prevents aspiration D. prevents laryngospam C. prolongation of the duration of the block Correct Answer A patient in the PACU has ABG lab values of pH=7.25, pCO2=50, pO2=99%, HCO3=12. The patient received pancuronium intra-op. The perianesthesia nurse observes for which possible neuromuscular blockade interaction? A. inhibition of the setup of the block B. reversal of the effect of the block C. prolongation of the duration of the block D. increase in the level of the block A. increasing the VT and the RR Correct Answer A patient arrives in the PACU following coronary artery bypass graft. The patient is on a ventilator with the following settings: VT = 650ml, FiO2=100%, AC mode set RR=10, and PEEP =5cm. Critical ABG results are: pH 7.24, pCO2= 56, pO2=80, HCO3 = 22, and SaO2=91%

The perianesthesia nurse anticipates which of the following inteventions? A. increasing the VT and the RR B. decreasing the PEEP and FiO C. increasing the VT and decreasing the RR D. increasing the PEEP and the RR C. respiratory acidosis remember!! respiratory opposites (pH down, CO2 up) vice versa metabolic equal (pH down, bicarb down) Correct Answer A patient arrives in the PACU following coronary artery bypass graft. The patient is on a ventilator with the following settings: VT = 650ml, FiO2=100%, AC mode set RR=10, and PEEP =5cm. Critical ABG results are: pH 7.24, pCO2= 56, pO2=80, HCO3 = 22, and SaO2=91% The perianesthesia nurse is aware that the ABG values indicates: A. metabolic acidosis B. metabolic and respiratory acidosis C. respiratory acidosis D. uncompensated respiratory alkalosis B. use of accessory muscles Correct Answer The perianesthesia nurse is aware that one of the first signs of laryngospasm in the pediatric patient is: A. decreased oxygen saturation B. use of accessory muscles C. increased sedation D. bradycardia

A. defibrillate at 360 joules (monophasic) biphasic is 120-200 joules Correct Answer A patient complains of not feeling well and becomes unresponsive. The patient is pulseless and has wide complex VTACH on the monitor. After initiation of CPR, the perianesthesia nurse should: A. defibrillate at 360 joules (monophasic) B. administer atropine 1 mg C. administer 300 mg amiodarone D. defibrillate at 200 joules (monophasic) A. O2, morphine, and heparin pt having PE Correct Answer A patient in the PACU becomes tachypneic and complains of dyspnea and chest pain when taking a deep breath. The patient is expectorating blood-tinged sputum. The perianesthesia nurse expects the immedicate medical management of this patient to include: A. O2, morphine, and heparin B. codeine, O2, and erythromycin C. fentanyl, thoracentesis, and albuterol D. meperidine, O2, and warfarin B. second degree type II heart block Correct Answer The perianesthesia nurse is aware that which of the following cardiac rhythm is more clinically ominous and may progress to a lethal dysrhythmia? A. atrial flutter 1:4 response B. second degree type II heart block C. atrial fibrillation D. first degree AV block

A. as a noninvasive way to determine O2 saturation Correct Answer The perianesthesia nurse explains to the patient that pulse oximetry is used: A. as a noninvasive way to determine O2 saturation B. because it is not affected by peripheral vascular disease C. as a replacement for the need for other indices of oxygenation D. because it is unaffected by hemoglobin and hematocrit levels C. are less able to concentrate urine Correct Answer A 2 month old patient is admitted to the PACU following a cardiac catheterization for atrial septal defect ASD closure. The perianesthesia nurse carefully monitors fluid and electrolyte balance in this patient because infants: A. are able to communicate thirst B. have a slower rate of peristalsis C. are less able to concentrate urine D. can easily compensate for acidosis D. fever, tachycardia, and cutaneous vasodilation Correct Answer Thyroid storm is characterized by: A. hypothermia, somnolence, and bradycardia B. fever, bradycardia, and vasoconstriction C. excitement, hypothermia, and bradycardia D. fever, tachycardia, and cutaneous vasodilation A. hypokalemia Correct Answer A patient who has been taking digoxin preoperatively is having frequent premature ventricular contractions PVCs. The perianesthesia nurse suspects: A. hypokalemia B. hyperkalemia

C. hypernatremia D. hyponatremia A. larynx is funnel shaped and easily compressed Correct Answer With regard to airway management of an infant in the immediate postoperative phase, it is critical for the perianesthesia nurse to recall that an infant's: A. larynx is funnel shaped and easily compressed B. epiglottis is long and floppy C. accessory muscles contribute to inspiration D. intercostal musculature are fully developed C. noncardiogenic pulmonary edema Correct Answer During right knee arthroscopy, a healthy 24 year old patient develops a post- extubation laryngospasm that is resolved in the operative room. Twenty minutes after admission to the PACU, the patient exhibits a moist cough, dyspnea, and expectoration of pink, frothy sputum. Assessment reveals moist crackles in all lung fields and SpO2 of 85%. The PACU nurse suspects that the patient has developed: A. a tracheal hemorrhage B. acute respiratory failure C. noncardiogenic pulmonary edema D. a pulmonary embolism C. sepsis Correct Answer A patient experiences a sudden rise in temperature post shock wave lithotripsy. The PACU nurse may suspect: A. ureteral obstruction B. malignant hyperthermia C. sepsis D. renal contusion

B. Alcohol Correct Answer A patient experiences a sudden rise in temperature after extracorporeal shock wave lithotripsy, under GETA (general endotrachael anesthesia) with nitrous oxide, O2, midazolam, fentanyl, and rocuronium. The PACU nurse may suspect: A. Kava Kava B. Alcohol C. Echinacea D. St. John's wort A. have the same amount of pain as an adult Correct Answer A 12 year old patient weighing 50kg in the phase I PACU following ORIF of the right femur. Intraoperatively, the patient received morphine 3mg, ketorolac 15mg, and fentanyl 50mcg. The patient is awake, crying, and gives a pain rating at 8/10. The perianesthesia nurse recalls that children: A. have the same amount of pain as an adult B. are not in pain if they can distracted C. can be more tolerant of pain with repeated experience of pain D. do not heal quickly from surgery so their pain is more severe that the adult A. activate the body's neuroendocrine stress response Correct Answer Postoperative pain is most likely to: A. activate the body's neuroendocrine stress response B. cause more stimulation of kappa receptors than mu1 receptors C. decrease the coagulability of blood D. increase the body's immune response A. decreased by 25-50% Correct Answer The recommended opiod starting dose for individuals 70 years of age and older is:

A. decreased by 25-50% B. decreased by 60-75% C. increased by 10-25% D. increased by 5% for each year over 70 D. reduces cardiovascular complications Correct Answer According to ASPAN standards, family presence in the postoperative phase: A. compromises patient privacy B. increased septic complications C. increased procedural pain D. reduces cardiovascular complications D. promote healing of fracture bones Correct Answer The patient states that he does not want to use crutches because they interfere with his job as a salesman. The nurse's best response is to emphasize that crutches: A. are optional for a partial weight bearing order B. strengthen the nonoperative extremity C. decrease postoperative motion-induced edema D. promote healing of fracture bones C. invasion of privacy Correct Answer A family reports overhearing hospital staff members discussing a combative patient who required restraint. The liability issue is concern is: A. personal accountability B. medical malpractice C. invasion of privacy D. defamation of character D. atrial fibrillation Correct Answer A 60 year old female is admitted to the PACU following a diagnostic dilation and

curettage with general anesthesia. Chart review reveals normal postoperative EKG, hemoglobin, and hematocrit, and electrolyte values; past medical history is remarkable for rheumatic fever during childhood. Thirty minutes later, the patient develops the following EKG pattern (see picture). The perianesthesia nurse interprets the rhythm strip as indicating: A. occasional premature atrial contractions B. first degree heart block C. atrial flutter D. atrial fibrillation A. ventricular fibrillation Correct Answer A 60 year old female is admitted to the PACU following a diagnostic dilation and curettage with general anesthesia. Chart review reveals normal postoperative EKG, hemoglobin, and hematocrit, and electrolyte values; past medical history is remarkable for rheumatic fever during childhood. Thirty minutes later, the patient develops the following EKG pattern (see picture). If the defibrillator is not set on the synchronized mode during a cardioversion, which life-threatening arrhythmia could occur? A. ventricular fibrillation B. wenchebach's phenomenon C. premature ventrucular contractions D. ventricular tachycardia D. emboli Correct Answer A 60 year old female is admitted to the PACU following a diagnostic dilation and curettage with general anesthesia. Chart review reveals normal postoperative EKG, hemoglobin, and hematocrit, and electrolyte values; past medical history is remarkable for rheumatic fever during childhood. Thirty

minutes later, the patient develops the following EKG pattern (see picture). The patient is transferred to a surgical nursing unit following succesful cardioversion, because the ICU and monitored units are full. The PACU nurse should emphasize assessment for: A. atrioventricular dissociation B. thermal incident C. sinus bradycardia D. emboli A. "I will only have small amounts of water with the medications I take on the morning of surgery." Correct Answer The perianesthesia nurse has given the patient instructions regarding taking medications on the day of surgery. Which statement indicates that the patient understands the pre-op teaching? A. "I will only have small amounts of water with the medications I take on the morning of surgery." B. "Since I have atrial fibrillation, I need to take my warfarin on the morning of surgery." C. "I will take my vitamins and herbal supplements on the morning of surgery." D. "Since I am diabetic, I need to take my insulin and eat breakfast every day." D. peppermint Correct Answer A patient in phase II is complaining of nausea and refusing any medication. Which essential oil may be inhaled to treat-post-operative nausea and vomiting? A. rose B. sandalwood C. lemongrass

D. peppermint D. semi-fowler's position with turning to either side Correct Answer Which of the following positions would be indicated for a left lower lobectomy? A. flat bed rest B. turned to operative side only C. turned to nonoperative side only D. semi-fowler's position with turning to either side A. remove the magnet so the ICD is activated Correct Answer A patient with an implantable cardioverter defibrillator ICD arrives in PACU with a magnet over the generator. The perianesthesia nurse should: A. remove the magnet so the ICD is activated B. remove the magnet so the ICD is deactivated C. educate the patient on the care of the magnet D. adjust the placement of the magnet D. metabolic alkalosis Correct Answer A patient with a subarachnoid hemorrhage is lethargic but arousable. The patient is taken to surgery for aneurysm clipping. ABG shows pH=7.50, pCO2=45mmHg, and HCO3 = 30 mEg/L. The perianesthesia nurse interprets this as: A. respiratory alkalosis B. respiratory acidosis C. metabolic acidosis D. metabolic alkalosis D. surgeon of lack of motor ability Correct Answer While caring for a patient after lumber posterior nerve root rhizotomy, the perianesthesia nurse notes the patient has no movement or

sensation to the lower extremities. The priority nursing action is to notify: A. anesthesiologist of muscle paralysis B. operating room of the complications C. surgeon of the absense of sensation D. surgeon of lack of motor ability C. successful therapeutic block Correct Answer While assisting an anesthesiologist performing a block for reflex sympathetic dystrophy, the perianesthesia nurse observes that the affected arm becomes warm to the touch and flushed. The patient reports a sensation of heaviness in the arm. This indicates which of the following? A. ineffective regional block B. severe allergic reaction C. successful therapeutic block D. extravasation of the medication B. hypocalcemia Correct Answer The perianesthesia nurse receives a patient post total thyroidectomy. The patient is awake and oriented with a patent airway but complains of tingling around the mouth, slight hoarseness, and is mildly apprehensive. The perianesthesia nurse suspects: A. vocal cord irritation B. hypocalcemia C. hypercalcemia D. compromised airway C. call surgeon and anticipate an order for calcium level Correct Answer The perianesthesia nurse receives a patient post total thyroidectomy. The patient is awake and oriented with a patent

airway but complains of tingling around the mouth, slight hoarseness, and is mildly apprehensive. The perianesthesia nurse's next action is to: A. instruct the patient to remain silent to rest the vocal cords B. have the patient say "e" to check for nerve damage C. call surgeon and anticipate an order for calcium level D. administer pain medication and look for signs of hemorrhage A. Cardiac dysrhythmias Correct Answer A patient with a history of drug abuse and nasal ulcers is received in the PACU. The perianesthesia nurse monitors this patient closely for: A. Cardiac dysrhythmias B. Apnea C. Postural hypotension D. Somnolence D. Delay instructions until a certified interpreter can be located Correct Answer A Spanish-speaking patient arrives for a pre- operative admission interview accompanied by a bilingual companion. The patient understands English but speaks only Spanish. What action should the perianesthesia nurse take regarding the preoperative NPO instructions? A. Request that the friend interpret the written instructions B. Provide written instructions in spanish C. Determine the friend's ability to understand instructions D. Delay instructions until a certified interpreter can be located A. Keeping the operative arm elevated for several days Correct Answer The perianesthesia nurse is aware that discharge instructions for a patient with an arteriovenous shunt include:

A. Keeping the operative arm elevated for several days B. Checking blood pressure in the operative arm C. Keeping the operative arm dependent for several days D. Maintaining a pressure dressing over the site B. 35.9C (95.9) Correct Answer The perianesthesia nurse is aware that which of the following is the highest body temperature indicative of hypothermia? A. 34.5C (94.1F) B. 35.9C (95.9) C. 37.6 (99.6) D. 38.5 (101.3) C. Urinary catheter removal on postoperative day 1 Correct Answer Which of the following measures has been shown to decrease surgical complications? A. Shaving the surgical site 24 hours before surgery B. Prophylactic antibiotics continued for 48 hours C. Urinary catheter removal on postoperative day 1 D. Preoperative antiseptic showers with chlorhexidine A. Racemic epinephrine administration Correct Answer A patient extubated 10 minutes post PACU admission is exhibiting croup cough and hoarseness. After 5 minutes of continued observation and administration of O2 with 40% mist, the patient's respiratory status has not changed. Which treatment can the nurse initially expect to implement? A. Racemic epinephrine administration B. Chest physiotherapy C. Suctioning D. Administration of corticosteroid

C. Pink urine Correct Answer The perianesthesia nurse is aware that discharge instructions for a patient post-ureteral-stent insertion should include preparing the patient to expect: A. Mucuos plugs B. Bladder distention C. Pink urine D. Groin pain D. The patient actively participates Correct Answer The perianesthesia nurse is aware that the use of mental images for stress and pain reduction is most effective when: A. A family member is present B. The nurse describes scenarios C. The patient has a history of chronic pain D. The patient actively participates C. A 30 year old undergoing an emergency surgery for a compound fracture Correct Answer Which of the following patients is most likely to experience awareness under anesthesia? A. A 5 year old undergoing a tonsillectomy B. A 15 year old undergoing a scheduled arthroscopic knee procedure C. A 30 year old undergoing an emergency surgery for a compound fracture D. A 70 year old undergoing a colectomy for colon cancer A. Amiodarone Correct Answer During administration of bupivicaine locally, some of the medication is accidentally administered IV. When the patient develops ventricular arrhythmias, the perianesthesia nurse anticipates the administration of:

A. Amiodarone B. Diphenhydramine C. Adenosine D. Lidocaine A. The emergence excitement phase after anesthesia Correct Answer Anxious parents are at the bedside of a toddler who is crying, kicking, and thrashing following bilateral myringotomy with insertion of tympanostomy. The perianesthesia nurse informs the parents that this behavior is: A. The emergence excitement phase after anesthesia B. A temper tantrum often seen in toddlers C. Associated with the surgical procedure D. Uncommon in children of this age D. Plasma cholinesterase deficiency Correct Answer A patient with a history of alcoholism and tuberculosis is on ventilator support after 2 hours. The patient received incubating doses of succinylcholine, fentanyl, and midazolam, and proposal infusion intraoperatively. The perianesthesia nurse suspects: A. Noncardiogenic pulmonary edema B. Hypokalemia C. Hypoglycemia D. Plasma cholinesterase deficiency A. Audiovisual material that explains what to expect Correct Answer The perianesthesia nurse is aware that for a 9 year old patient, the most appropriate preoperative teaching approach focuses on: A. Audiovisual material that explains what to expect B. Avoiding unnecessary separation from the parent

C. Verbal explanations of what will happen D. Instructions relayed to the parents D. Adenosine Correct Answer A post-appendectomy patient suddenly goes into supraventricular tachycardia. Vital signs are BP= 125/75, HR 168, and RR= 16. The nurse anticipates administering: A. Lidocaine B. Propanolol C. Esmolol D. Adenosine A. Cocaine Helps minimize post-op pain and intraop bleeding for sinus surgeries Correct Answer A patient arrives in the PACU following an ethmoidectomy with a BP of 180/110. The nurse suspects that the hypertension is due to intraoperative administration of: A. Cocaine B. Droperidol C. Ondansetron D. Desflurane B. During the preoperative assessment Correct Answer The perianesthesia nurse recognizes that the effective pain management of any patient with pain should begin: A. Initially in the PACU B. During the preoperative assessment C. With pain intensity scales for verbal patients only D. 30minutes prior to discharge from the hospital

B. Decrease anxiety to facilitate understanding of information Correct Answer The perianesthesia nurse is aware that the primary goals of patient education are to: A. Get all paperwork completed B. Decrease anxiety to facilitate understanding of information C. Make sure all discharge instructions are distributed D. Ensure proper understanding of facility and fee incurred B. Encouraging the patient to sleep in semi-Fowler's position Correct Answer The discharge plan for a morbidly obese patient who has had a ventral hernia repair includes: A. Having an oversized commode delivered 2 days postoperatively B. Encouraging the patient to sleep in semi-Fowler's position C. Telling the patient to avoid showers for 10 days D. Telling the patient not to use a binder if it is uncomfortable D. The size of the needle used for the puncture Correct Answer A patient is complaining of a postural puncture headache, postoperatively. The perianesthesia nurse is aware that this occurence is most frequently attributed to: A. Elevating the head of the bed too soon B. A previous post Dural puncture headache C. Being NPO for a long period preoperatively D. The size of the needle used for the puncture A. Hypokalemia Correct Answer The perianesthesia nurse is aware that a patient routinely taking a thiazides diuretic is at increased risk for: A. Hypokalemia B. Hyperkalemia

C. Hypocalcemia D. Hypercalcemia B. Be provided a separate negative-pressure isolation room in PACU Correct Answer Post surgical patients with active tuberculosis should: A. Remain in the OR under the care of the circulating nurse B. Be provided a separate negative-pressure isolation room in PACU C. Be provided an appropriately sized particulate mask D. Be recovered in an isolation room in the nursing unit B. Moral dilemma Correct Answer A patient arrives in am ambulatory surgery facility for elective abortion. The perianesthesia nurse not supporting this practice is faced with a/an: A. Ethical dilemma B. Moral dilemma C. Moral obligation D. Ethical reflection D. Is a normal response to the separation anxiety that the child is feeling Correct Answer Parents visiting the PACU find that their child refuses to allow them to console or give care. The perianesthesia nurse explains that this behavior: A. Results from the pain that the child is experiencing and will subside with medication B. Indicates that the child wants them to leave and return later C. Indicates that the parents need to be more firm with the child D. Is a normal response to the separation anxiety that the child is feeling

D. Reduction of platelets and the effect on clotting mechanisms Correct Answer The perianesthesia nurse instructs a patient who is routinely takes Ginkgo biloba to discontinue this preoperatively because it could cause: A. Intensification of the sedation effects of narcotics and anesthesia agents B. Decreased heart rate and blood pressure C. Exacerbation of immune system function D. Reduction of platelets and the effect on clotting mechanisms A. Fifth Correct Answer All written discharge instructions to patients should be composed for reading at which grade level? A. Fifth B. Seventh C. Tenth D. Twelfth C. Can open the mouth on command Correct Answer The perianesthesia nurse plans to removed the laryngeal mask airway LMA when the patient: A. Has been suctions B. Can open eyes on command C. Can open the mouth on command D. Can swallow B. Verapamil All other drugs used during ACLS Correct Answer Following treatment of malignant hyperthermia crisis, dysrhythmias persist despite the correction of hyperkalemia and acidosis. The perianesthesia nurse would question an order for:

A. Amiodarone B. Verapamil C. Procainamide D. Lidocaine D. Reposition to facilitate venous return Correct Answer A patient arrives in the PACU after a dilation and curettage. Initial assessment of the patient reveals BP 90/60, HR 62, RR 16, and SaO2 93%. Five minutes later after receiving a bonus of 500ml of Lactated ringer's solution, the patient's BP 80/40, HR 52, RR 16, SaO2 92%. The PACU nurse's next most appropriate action is to: A. Prepare to intubate B. Recheck blood pressure in 2 minutes C. Prepare to transfuse blood products D. Reposition to facilitate venous return A. Supported with education for patients and family Correct Answer According to the ASPAN's most current Perianesthesia Nursing Standards, Practice Recommendations and Interpretive Statements, visitation in the phase I level of care is: A. Supported with education for patients and family B. Discouraged due to privacy and emergency concerns C. Considered a standard of care in current practice D. Prohibited except for pediatric, intensive care, and overnight patients A. Consensual pupillary reflex, and is a normal response Correct Answer The perianesthesia nurse is aware that the constriction of the pupil in response to a light and the simultaneous constriction of the opposite pupil is a: A. Consensual pupillary reflex, and is a normal response B. Direct pupillary reflex, and is an abnormal response

C. Direct pupillary reflex, and is a normal response D. Consensual pupillary reflex, and is an abnormal response B. Retain the operating room nurse Correct Answer One perianesthesia nurse is present in the phase I PACU when a pediatric patient arrives earlier than planned. The perianesthesia nurse's next appropriate course of action is to: A. Ask the operating room aide to assist B. Retain the operating room nurse C. Ask the patient's family to come to the bedside D. Call in the anesthesia technician for assistance B. A low Hgb level Correct Answer Despite an SpO2 reading of 100%, a patient has a low arterial O2 content level. The perianesthesia nurse suspects: A. Hypovolemia B. A low Hgb level C. Hyperthermia D. An elevated HCT C. Altered hepatic function tests HELLP syndrome with pre-eclampsia hemolysis of red blood cells elevated liver enzymes low platelets Correct Answer A patient arrives prior to a cesarean section. Vital signs are: BP 138/96, HR 96, and RR 20. The perianesthesia nurse knows that which additional parameters would indicate pre-eclampsia? A. Increased urinary output with ketonuria B. Altered thyroid function tests C. Altered hepatic function tests