CAPA Pediatric Perianesthesia Nursing 5

Question 1

Which condition is a contraindication to same-day discharge after ambulatory surgery in a former premature infant?

Accepted Answer

Postconceptual age less than 60 weeks

Answer

Weight less than 10 kg at the time of surgery

Answer

History of neonatal jaundice

Answer

Presence of a parent or caregiver at home

Question 2

A 7-year-old child is in Phase II recovery and reports nausea. The nurse notes no vomiting has occurred. What is the most appropriate initial intervention?

Accepted Answer

Administer ondansetron IV and encourage slow deep breathing

Answer

Hold all oral intake and reassess in 1 hour

Answer

Discharge the child immediately before vomiting occurs

Answer

Administer metoclopramide IM as first-line antiemetic

Question 3

When performing a pain assessment in a 5-year-old, which scale is most age-appropriate?

Accepted Answer

Faces Pain Scale–Revised (FPS-R)

Answer

Numeric Rating Scale 0–10

Answer

CPOT (Critical-Care Pain Observation Tool)

Answer

Visual Analog Scale (VAS)

Question 4

A child is brought to the PACU after hypospadias repair. Which assessment finding should the perianesthesia nurse prioritize?

Accepted Answer

Urine output and catheter patency

Answer

Blood glucose level

Answer

Temperature greater than 38°C

Answer

Level of parental anxiety

Question 5

Which statement about pediatric IV fluid tonicity in the perianesthesia period is correct?

Accepted Answer

Hypotonic fluids are avoided due to risk of hyponatremia and cerebral edema

Answer

Normal saline (0.9% NaCl) is contraindicated in children under 2 years

Answer

Hypotonic fluids such as 0.2% NaCl/D5W are the preferred maintenance solution

Answer

Dextrose-containing fluids should always be used in all pediatric cases

Question 6

A 12-year-old girl is scheduled for laparoscopic appendectomy under general anesthesia. Which PONV risk factor is specific to her demographic?

Accepted Answer

Female sex after puberty substantially increases PONV risk

Answer

Age under 13 years is protective against PONV

Answer

Laparoscopic procedures have lower PONV risk than open surgery

Answer

Her weight is the primary determinant of PONV risk

Question 7

A 4-year-old in the PACU has a temperature of 38.9°C after adenotonsillectomy. The nurse should first:

Accepted Answer

Assess for signs of malignant hyperthermia including muscle rigidity and rising CO2

Answer

Administer acetaminophen PR and apply cool cloths

Answer

Notify the surgeon of a likely wound infection

Answer

Obtain a blood culture and initiate antibiotic therapy

CAPA Pediatric Perianesthesia Nursing 5

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