CPAN Pharmacology Practice Exam With Answers (159 Solved Questions)

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CPAN EXAM QUESTIONS WITH CORRECT ANSWERScrutch training instruction after arthroscopic right knee surgery should include - leadingwith the unaffected legwhen conducting a discharge phone call on a patient following a partial thyroidectomy, whichof the following complaints prompts for an immediate follow up - tetanya 6 yo child and parents are experiencing anxiety prior to surgery. In this situation, thenurse would most appropriately - allow the parents to remain with the patient up untilsurgeryThe PACU nurse is concerned with renal blood flow in a patient recovering from repair of anabdominal aortic aneurysm. The expected urine output is - 0.5 ml/kg/hrthe dissociative state attributed to ketamine anesthesia can be modified by theadministration of - benzodiazepinea 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 nursingaction is to - prepare for an insertion of a chest tubea potential negative side effect of positive end-expiratory pressure (PEEP) is - decreasedintrapulmonary shuntinga patient post op hip arthroplasty complains of numbness to toes. This patient has mostlikely sustained an injury to the - peroneal nervesurgery is scheduled for 0830. the patient reports drinking 6 oz of water at 0600 withmeds. following the ASA, minimum fasting guidelines for NPO, the nurse - continues with thepre op check in process

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the most common type of reaction to latex-containing product is - irritating nonallergicreactiona periop nurse is providing discharge instructions to a patient who asks questions about thephenazopyridine prescription. the nurse explains that is - provides relief from urgency andburning senstationin a patient status post thyroidectomy, the nurse would anticipate post op signs ofthyrotoxic crisis to include - tachycardiaDuring the administration of bupivacine, some of the medication is accidentally administeredIV and patient develops ventricular arrhythmias. The nurse anticipates administration of -amiodaroneA patient post appendectomy goes into SVT. BP = 125/75, HR = 168, R = 16. The nurseanticipates giving - adenosineFollowing the treatment of malignant hyperthermia, dysrhythmias persist despite thecorrection of hyperkalemia and acidosis. The nurse questions an order for - Verapamil(increases calcium)The post op nurse may decide that pulse ox monitoring is contraindicated when the patient -is severely hypothermicWhen caring for a young child, an uncuffed endotracheal tube is preferred because - thelarynx is funnel shapedParents visiting the PACU find that their 4-year old child refuses to allow them to console orgive care. The nurse explains that this behavior - is a normal response to the separationanxiety that the child is feelinga patient has received pancuronium bromide IV as part of the anesthesia regimen. The nurseanticipates which of the following for reversal? - sugammadex

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an ambulatory surgery patient who is post direct laryngoscopy with GA exhibits stridor. Thenurse anticipates orders for - administration of nebulized racemic epinephrineafter extubation of a patient, which of the following would be most serious? - inspiratorystridorafter arrival in the PACU following a radical neck dissection, the patient becomes tachypneicwith tracheal deviation and oxygen desaturation. The nurse suspects - tensionpneumothoraxthe universal symptom of compartment syndrome is - excessive painwhich of the following drugs is contraindicated in patients who are sensitive to soybean oil,egg lecithin, or glycerol? - propofolpostop discharge teaching for a patient who received an interscalene block with ropivacaineshould include instructions for the patient to - protect the elbow to avoid damage to ulnarnerve until block resolvesFollowing a hernia repair, a 3-month-old is admitted to the PACU positioned on his side witha pacifier in his mouth. The airway becomes obstructed by the tongue. The obstruction canbe alleviated by:A. removing the pacifier.B. pinching the cheeks.C. turning him on his back.D. jaw thrust or chin lift - jaw thrust or chin liftin administering flumazenil, the nurse is aware that it inhibits the central effects of benzosby - competing for the receptor sitestidal volume is defined as the amount of - gas passing into or out of the lungs in eachrespiratory cycle

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which of the following interventions would be used first to maintain adequate perfusion andoxygen supply to cardiac muscles following hepatic surgery with a history of CAD - ensure ahemoglobin concentration >10gin phase 1 recovery a child presents with crowing respirations and a bark-like cough.administration of 40% cool humidified O2 does not relieve symptoms. The nurse anticipatesthe need for - nebulized racemic epinephrinethe nurse is caring for a patient following an electroconvulsive therapy procedure. thepatient is observed closely for bradycardia and - hypotensiona nurse assesses the cranial nerve VII in a patient post mastoidectomy by asking the patientto - wrinkle the foreheada patient experiencing a myxedema coma should initially receive - levothyroxine IVThe nurse instructs a patient who received a brachial plexus nerve block to:A. immediately report numbness and burning sensationB. be aware all blocks last only for 8 hoursC. not apply a brace on the affected armD. be proactive with pain medication to avoid uncontrollable discomfort - be proactive withpain meds to avoid uncontrollable discomfortthe patient states "I do not think i will be able to empty this drain by myself. the nurse shouldstart with - what do you know about the drain?a patient was treated for laryngospasm with positive pressure and administration ofsuccinylcholine. the nurse's plan for this patient is to - continue ventilation until completerespiratory functioning has returneda patient who has severe cardiovascular disease and limited activity, but is notincapacitated, is considered - ASA III

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one of the earliest physical assessment findings in tension pneumothorax is - a decrease inbreath soundsthe most effective educational strategy for demonstrating the periop experience to a groupof preschool aged children is a - puppet show and a short slide presentation of a childtravelling through surgerythe nurse administers flumazenil to reverse the - sedation effects of benzodiazepineflumazenil is contraindicated in patients known to be taking - benzosa patient is wondering about taking clonidine pre op - take it daily as prescribeedpreop ABX should be administered - within 60 minutes of incision timea healthy patient inquires about NPO guidelines prior to surgery. based on ASA guidelines,the nurse will reply - no solids for 6 hours and allow clear liquids 2 hours before surgerythe aspan established guidelines for an ambulatory surgery patient receiving moderatesedation requires - an RN providing continuous monitoringa 68 year old diabetic patient needs a block the nurse knows that regional blocks may beconsidered for diabetic patients because they cause fewer - metabolic disturbancesthe postop assessment of a patient who has undergone endoscopic sinus surgery includes:A. speech patternB. visual acuityC. balanceD. hearing - visual acuitya side effect of an anticholinerase drug is - bradycardiaduring pregnancy, the cardio output increases by - 30%-50%

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