CAPA Pediatric Perianesthesia Nursing 4

Question 1

A 4-year-old weighing 16 kg is to receive ketamine for procedural sedation. What is the appropriate IV sedation dose?

Accepted Answer

1–2 mg/kg (16–32 mg)

Answer

IV ketamine for procedural sedation in children is dosed at 1–2 mg/kg; the dissociative state provides analgesia and sedation while maintaining airway reflexes.

Question 2

Which discharge criterion specifically addresses readiness for home after ambulatory anesthesia in a pediatric patient?

Accepted Answer

Modified Aldrete score ≥9 or PADSS ≥18 with stable vital signs

Answer

Most ambulatory centers use a Modified Aldrete score ≥9 or PADSS ≥18 as objective discharge criteria, combined with clinical assessment of the child.

Question 3

A 3-year-old in the PACU develops total laryngospasm. After calling for help, what is the immediate nursing priority?

Accepted Answer

Apply firm jaw thrust and positive pressure ventilation with 100% O2

Answer

Immediate management of laryngospasm begins with jaw thrust and gentle positive pressure ventilation with 100% O2 to break the spasm before escalating to succinylcholine.

Question 4

Which preoperative fasting guideline (NPO) applies to a healthy 5-year-old scheduled for elective ambulatory surgery?

Accepted Answer

Clear liquids up to 2 hours, breast milk up to 4 hours, solids up to 6 hours before surgery

Answer

ASA fasting guidelines: clear liquids 2h, breast milk 4h, formula/non-human milk/solids 6h, and fatty meals 8h before elective anesthesia.

Question 5

A toddler's caregiver reports the child has a loose tooth. What is the priority perianesthesia concern?

Accepted Answer

Risk of aspiration of a dislodged tooth during intubation or emergence

Answer

A loose tooth creates a significant aspiration risk during airway management; the anesthesia team must be notified immediately for risk-benefit assessment and airway planning.

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

CAPA Pediatric Perianesthesia Nursing 4