CAPA Evidence-Based Practice in PACU 3

Question 1

Evidence-based practice for preventing emergence delirium in pediatric PACU patients most strongly supports which intervention?

Accepted Answer

Parental presence during emergence from anesthesia

Answer

Research supports parental presence during emergence as an effective, low-risk strategy to reduce emergence delirium in children.

Question 2

A PACU nurse is conducting a literature review on oxygen supplementation after ambulatory surgery. Which evidence-based finding most accurately reflects current guidelines?

Accepted Answer

Supplemental oxygen should be titrated to maintain SpO2 ≥92–95% per patient risk

Answer

Evidence supports individualized, titrated oxygen therapy targeting SpO2 goals rather than routine prophylactic high-flow oxygen.

Question 3

Which EBP framework is most commonly referenced in ASPAN standards for structuring clinical inquiry in perianesthesia nursing?

Accepted Answer

Iowa Model of Evidence-Based Practice

Answer

The Iowa Model is a widely adopted EBP framework that guides nurses through problem identification, evidence appraisal, and practice implementation.

Question 4

Evidence-based guidelines for postoperative fluid management in ambulatory patients recommend which approach to IV fluid therapy?

Accepted Answer

Goal-directed fluid therapy guided by hemodynamic response

Answer

Goal-directed fluid therapy, guided by patient response and hemodynamic parameters, is supported by evidence to optimize outcomes.

Question 5

When implementing an evidence-based fall prevention program in Phase II recovery, which intervention has the strongest research support?

Accepted Answer

Individualized risk assessment combined with targeted interventions

Answer

Individualized fall risk assessment using validated tools, paired with targeted interventions, is the most evidence-supported fall prevention strategy.

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

CAPA Evidence-Based Practice in PACU 3