CAPA Preoperative Evaluation 4

Question 1

A patient undergoing preoperative evaluation is found to have a hemoglobin of 7.8 g/dL. Which action is MOST appropriate for elective ambulatory surgery?

Accepted Answer

Postpone surgery and refer for anemia workup and treatment

Answer

Significant anemia in an elective ambulatory patient warrants postponement to identify the cause and optimize hemoglobin before surgery.

Question 2

A patient taking metformin is scheduled for a procedure requiring IV contrast dye. What is the standard preoperative instruction?

Accepted Answer

Hold metformin 48 hours before and after contrast administration

Answer

Metformin should be held 48 hours before and after IV contrast to prevent contrast-induced nephropathy and lactic acidosis.

Question 3

Which element of the STOP-BANG questionnaire specifically addresses the BANG component for OSA screening?

Accepted Answer

Gender (male)

Answer

The BANG acronym includes BMI >35, Age >50, Neck circumference >40 cm, and Gender (male), which are key risk factors for OSA.

Question 4

A pediatric patient is scheduled for tonsillectomy. Parents report the child had a runny nose and cough that resolved 10 days ago. What is the BEST course of action?

Accepted Answer

Proceed with surgery; the URI has resolved

Answer

A URI that has fully resolved for more than one to two weeks generally does not increase anesthetic risk and the procedure can proceed.

Question 5

During preoperative assessment, a patient with a known pacemaker is identified. Which information is MOST important to gather?

Accepted Answer

Pacemaker manufacturer, model, and current programming including pacing dependency

Answer

Knowing the pacemaker's manufacturer, model, and programming—especially pacing dependency—is essential for safe perioperative electrocautery planning.

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

CAPA Preoperative Evaluation 4