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

Former premature infants with postconceptual age under 60 weeks are at high risk for post-anesthetic apnea and require overnight monitoring, making same-day discharge unsafe.

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

Ondansetron is the first-line antiemetic in pediatric patients, and non-pharmacologic measures like deep breathing can also reduce nausea in the ambulatory setting.

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

The Faces Pain Scale–Revised (FPS-R) is validated for children aged 4 and older and uses facial expressions that children can reliably self-report.

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

After hypospadias repair, ensuring catheter patency and adequate urine output is the priority as catheter obstruction can cause urinary retention and bladder distension.

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

Current guidelines recommend isotonic or near-isotonic fluids for pediatric perioperative maintenance due to the serious risk of hyponatremia-induced cerebral edema from hypotonic solutions.

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

CAPA Pediatric Perianesthesia Nursing 5