CAPA Preoperative Evaluation 2

Question 1

A patient scheduled for ambulatory surgery reports taking warfarin for atrial fibrillation. Which INR value would most likely require postponement of an elective procedure?

Accepted Answer

3.6

Answer

An INR above 3.5 generally indicates excessive anticoagulation and warrants postponement of elective surgery to reduce bleeding risk.

Question 2

During preoperative screening, a 68-year-old patient mentions he takes sildenafil for pulmonary hypertension. Which medication class is CONTRAINDICATED when combined with sildenafil perioperatively?

Accepted Answer

Nitrates

Answer

Combining sildenafil with nitrates causes severe, potentially fatal hypotension due to synergistic vasodilation.

Question 3

A patient has a documented latex allergy. Which preoperative intervention is MOST important in the ambulatory surgical setting?

Accepted Answer

Avoid all rubber-containing products and alert the OR team

Answer

Removing all latex-containing products and notifying the entire perioperative team is the primary intervention to prevent latex anaphylaxis.

Question 4

Which ASA physical status classification would be assigned to a well-controlled insulin-dependent diabetic patient with no end-organ damage scheduled for ambulatory surgery?

Accepted Answer

ASA II

Answer

A well-controlled chronic systemic disease without end-organ involvement is classified as ASA II.

Question 5

A patient undergoing preoperative evaluation reports a prior adverse reaction to anesthesia described as 'waking up during surgery.' Which documentation is MOST critical to obtain?

Accepted Answer

Prior anesthesia records detailing agents used and dosing

Answer

Prior anesthesia records are essential to identify agents used and determine if the reaction was awareness under anesthesia, guiding the anesthesia plan.

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

CAPA Preoperative Evaluation 2