Free NBCRNA CPCA Questions and Answers

Question 1

Esmolol (Brevibloc) is metabolized by which mechanism?

Accepted Answer

Plasma hydrolysis

Answer

First-pass hepatic elimination

Answer

Protein binding

Answer

Renal excretion

Question 2

Which medication produces dissociative anesthesia?

Accepted Answer

Ketamine (Ketalar)

Answer

Fentanyl (Sublimaze)

Answer

Lidocaine (Xylocaine)

Answer

Propofol (Diprivan)

Question 3

Which medication should be administered to a patient who is unresponsive and hypoxic after receiving midazolam (Versed) for a 20-minute gastrointestinal procedure?

Accepted Answer

Flumazenil (Romazicon)

Answer

Atropine

Answer

Naloxone (Narcan)

Answer

Neostigmine (Prostigmin)

Question 4

The P wave on an ECG tracing corresponds with:

Accepted Answer

atrial depolarization.

Answer

atrial repolarization.

Answer

ventricular repolarization.

Answer

ventricular depolarization.

Question 5

Which drug would carry the HIGHEST risk of an adverse drug reaction with IV contrast dye during a lower limb angiography?

Accepted Answer

Metformin (Glucophage)

Answer

Citalopram (Celexa)

Answer

Metoprolol (Toprol)

Answer

Omeprazole (Prilosec)

Question 6

Which drug is metabolized by plasma cholinesterase?

Accepted Answer

Tetracaine

Answer

Bupivacaine (Marcaine)

Answer

Lidocaine (Xylocaine)

Answer

Ropivacaine (Naropin)

Question 7

Which device is operational to prevent the simultaneous use of more than one anesthetic vaporizer?

Accepted Answer

Interlock

Answer

Agent-limiting

Answer

Quick connect

Answer

Variable bypass

Question 8

Which muscle relaxant is MOST appropriate in patients with advanced liver disease?

Accepted Answer

Cisatracurium (Nimbex)

Answer

Pancuronium (Pavulon)

Answer

Rocuronium (Zemuron)

Answer

Vecuronium (Norcuron)

Question 9

Which drug is MOST appropriate to treat refractory hypotension in a patient who took lisinopril (Prinivil, Zestril) on the day of surgery?

Accepted Answer

Vasopressin

Answer

Atropine

Answer

Glucagon

Answer

Isoproterenol (Isuprel)

Question 10

During the administration of anesthesia to a patient with sickle cell disease, which action minimizes sickling?

Accepted Answer

Administration of 100% oxygen

Answer

Avoidance of hyperthermia

Answer

Continued hypoventilation

Answer

Restriction of fluids