CCI CFPNFree Certified Foundational Perioperative Nurse practice test

Correct answer: C. Inform the anesthesiologist of this finding.

Ongoing substance use raises the chance of trouble emerging from anesthesia and may rule a patient out for ambulatory surgery, so the anesthesia provider needs this information more urgently than the surgeon or the rest of the team. Simply recording it in the chart isn't enough on its own.

Correct answer: A. Aspiration into the lungs

Pulmonary aspiration happens when regurgitated stomach contents enter the airway, most commonly around the time of intubation or extubation. Recovery room staff protect the airway of a patient who is still groggy by reacting promptly to nausea, steering clear of conversation that could trigger vomiting, and limiting sudden movement or head elevation. Because excess body weight raises aspiration risk, these patients are often positioned on their side while recovering.

Correct answer: B. Walking her through every technical detail of the operation

Going through every technical detail of the surgery tends to heighten fear rather than calm it. More useful approaches involve giving clear, accurate information, clearing up misconceptions, letting the patient share her feelings, listening attentively, and reassuring her as needed.

Correct answer: C. Disturbed body image tied to the upcoming procedure

Patients facing breast surgery often worry intensely about a possible cancer diagnosis, losing part of their body, how a partner or family might react, and a changed sense of self. Given this patient's expressed fear about her appearance after surgery, disturbed body image related to anticipated loss of a body part is the most fitting diagnosis to guide her care plan.

Correct answer: D. Explain why the rehab program matters for getting a good outcome.

How well a knee replacement patient does afterward hinges on several things, including sticking with the postoperative rehab plan, proper patient selection, choosing an implant suited to the individual, and the surgeon's technique. When a patient voices reluctance, the most useful first step is explaining why the rehab work matters for her outcome.

Correct answer: A. Applying sequential compression sleeves

Mechanical VTE prophylaxis is standard practice when prepping a patient for surgery. Intermittent pneumatic compression devices and graduated compression stockings should be in place before any regional or general anesthetic is given. Given this patient's known clot history, she is at elevated risk for another thromboembolic event.

Correct answer: C. Rouse the child and coach deep breathing.

Many things shape how a patient comes out of anesthesia. Before extubation the anesthesia team typically suctions the oropharynx to lower aspiration and laryngospasm risk, reverses leftover neuromuscular blockade, and washes out residual gases with several minutes of 100% oxygen. Once awake, the child moves to the PACU to finish recovering, though some patients arrive there still intubated and are extubated once fully alert. Complications tied to general anesthesia can include low oxygenation, respiratory, cardiac, or kidney trouble, blood pressure swings, fluid or electrolyte shifts, lingering muscle weakness, dental injury, neurologic issues, low body temperature, and malignant hyperthermia. A child who seems groggy on arrival, as this one does given the vitals described, should first be roused and coached to take deep breaths — a common finding right after emergence. The remaining options would only be needed if the child fails to respond to voice and touch.

Correct answer: D. Distended neck veins

Chest trauma accounts for roughly a fifth to a quarter of trauma deaths, and blunt chest injury frequently follows high-speed collisions. A bruised myocardium typically involves the right ventricle and can show up as arrhythmias soon after arrival; a valve can even rupture depending on when the injury occurred in the cardiac cycle, sometimes requiring emergent repair, and rupture can also surface later as a delayed complication. Pericardiocentesis is performed when tamponade is suspected, marked by neck vein distention, muffled heart tones, and a narrowing pulse pressure, with the patient usually also hypotensive. Such a patient may later need a pericardial window, either urgently or once stabilized.

Correct answer: A. 3.5–5.0 mEq/L

Adult potassium reference ranges are roughly 3.5–5 mEq/L in serum and 3.5–4.5 mEq/L in plasma.

Correct answer: B. The patient is male.

Bariatric surgery patients usually carry serious comorbidities that raise their operative risk. Those over roughly 350 lbs need a specialized OR table, oversized blood pressure cuffs, and extra-long instruments. Padded restraints, pressure-relieving devices, and well-fitted compression devices matter for positioning, and anesthesia staff may need extra help with airway management. The strongest predictors of serious complications include a smoking history, lung disease, coronary artery disease, limited mobility, a prior clotting event, the type of procedure performed, and being male. Outcomes don't appear to differ meaningfully between open and laparoscopic techniques.