CPAN Pharmacology Practice Exam With Answers (159 Solved Questions)
- Pharmacology
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CPAN EXAM QUESTIONS WITH CORRECT ANSWERS crutch training instruction after arthroscopic right knee surgery should include - leading with the unaffected leg when conducting a discharge phone call on a patient following a partial thyroidectomy, which of the following complaints prompts for an immediate follow up - tetany a 6 yo child and parents are experiencing anxiety prior to surgery. In this situation, the nurse would most appropriately - allow the parents to remain with the patient up until surgery The PACU nurse is concerned with renal blood flow in a patient recovering from repair of an abdominal aortic aneurysm. The expected urine output is - 0.5 ml/kg/hr the dissociative state attributed to ketamine anesthesia can be modified by the administration of - benzodiazepine 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 - prepare for an insertion of a chest tube a potential negative side effect of positive end-expiratory pressure (PEEP) is - decreased intrapulmonary shunting a patient post op hip arthroplasty complains of numbness to toes. This patient has most likely sustained an injury to the - peroneal nerve surgery is scheduled for 0830. the patient reports drinking 6 oz of water at 0600 with meds. following the ASA, minimum fasting guidelines for NPO, the nurse - continues with the pre op check in process
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the most common type of reaction to latex-containing product is - irritating nonallergic reaction a periop nurse is providing discharge instructions to a patient who asks questions about the phenazopyridine prescription. the nurse explains that is - provides relief from urgency and burning senstation in a patient status post thyroidectomy, the nurse would anticipate post op signs of thyrotoxic crisis to include - tachycardia During the administration of bupivacine, some of the medication is accidentally administered IV and patient develops ventricular arrhythmias. The nurse anticipates administration of - amiodarone A patient post appendectomy goes into SVT. BP = 125/75, HR = 168, R = 16. The nurse anticipates giving - adenosine Following the treatment of malignant hyperthermia, dysrhythmias persist despite the correction 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 hypothermic When caring for a young child, an uncuffed endotracheal tube is preferred because - the larynx is funnel shaped Parents visiting the PACU find that their 4-year old child refuses to allow them to console or give care. The nurse explains that this behavior - is a normal response to the separation anxiety that the child is feeling a patient has received pancuronium bromide IV as part of the anesthesia regimen. The nurse anticipates which of the following for reversal? - sugammadex
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an ambulatory surgery patient who is post direct laryngoscopy with GA exhibits stridor. The nurse anticipates orders for - administration of nebulized racemic epinephrine after extubation of a patient, which of the following would be most serious? - inspiratory stridor after arrival in the PACU following a radical neck dissection, the patient becomes tachypneic with tracheal deviation and oxygen desaturation. The nurse suspects - tension pneumothorax the universal symptom of compartment syndrome is - excessive pain which of the following drugs is contraindicated in patients who are sensitive to soybean oil, egg lecithin, or glycerol? - propofol postop discharge teaching for a patient who received an interscalene block with ropivacaine should include instructions for the patient to - protect the elbow to avoid damage to ulnar nerve until block resolves 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: A. removing the pacifier. B. pinching the cheeks. C. turning him on his back. D. jaw thrust or chin lift - jaw thrust or chin lift in administering flumazenil, the nurse is aware that it inhibits the central effects of benzos by - competing for the receptor sites tidal volume is defined as the amount of - gas passing into or out of the lungs in each respiratory cycle
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which of the following interventions would be used first to maintain adequate perfusion and oxygen supply to cardiac muscles following hepatic surgery with a history of CAD - ensure a hemoglobin concentration >10g in 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 anticipates the need for - nebulized racemic epinephrine the nurse is caring for a patient following an electroconvulsive therapy procedure. the patient is observed closely for bradycardia and - hypotension a nurse assesses the cranial nerve VII in a patient post mastoidectomy by asking the patient to - wrinkle the forehead a patient experiencing a myxedema coma should initially receive - levothyroxine IV The nurse instructs a patient who received a brachial plexus nerve block to: A. immediately report numbness and burning sensation B. be aware all blocks last only for 8 hours C. not apply a brace on the affected arm D. be proactive with pain medication to avoid uncontrollable discomfort - be proactive with pain meds to avoid uncontrollable discomfort the patient states "I do not think i will be able to empty this drain by myself. the nurse should start with - what do you know about the drain? a patient was treated for laryngospasm with positive pressure and administration of succinylcholine. the nurse's plan for this patient is to - continue ventilation until complete respiratory functioning has returned a patient who has severe cardiovascular disease and limited activity, but is not incapacitated, is considered - ASA III
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one of the earliest physical assessment findings in tension pneumothorax is - a decrease in breath sounds the most effective educational strategy for demonstrating the periop experience to a group of preschool aged children is a - puppet show and a short slide presentation of a child travelling through surgery the nurse administers flumazenil to reverse the - sedation effects of benzodiazepine flumazenil is contraindicated in patients known to be taking - benzos a patient is wondering about taking clonidine pre op - take it daily as prescribeed preop ABX should be administered - within 60 minutes of incision time a 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 surgery the aspan established guidelines for an ambulatory surgery patient receiving moderate sedation requires - an RN providing continuous monitoring a 68 year old diabetic patient needs a block the nurse knows that regional blocks may be considered for diabetic patients because they cause fewer - metabolic disturbances the postop assessment of a patient who has undergone endoscopic sinus surgery includes: A. speech pattern B. visual acuity C. balance D. hearing - visual acuity a side effect of an anticholinerase drug is - bradycardia during pregnancy, the cardio output increases by - 30%-50%
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