CPAN & CAPA Certification Exam Questions and Correct Answers
DIC heparin therapy - Answer-Heparin prevents further micro clots and prevents platelets
aggregation
The firmness at the puncture site could be the indication of a - Answer-hematoma
(hematoma compromising circulation)
Excessive chest tube drainage output (150 cc/hr) administer a - Answer-clotting factors
( fresh frozen plasma, fibrinogen, and platelets) protamine or desmopressin
Acceptable extubating parameters - Answer-Negative inspiratory force (NIF) of < 20 cm of
water, T - 36.8 C, Alert and follow commands RR <30 BPM, Tidal Volume > 50%, PEEP <5%,,
SpO2 > 91%, FiO2 <40%, pH 7.33-7.46,, PaCO2 > 33-49. and PaO2 >65
Hetastarch - Answer-Has a minimal effect on coagulation
Troponin ordered for s/s - Answer-jaw pain, diaphoretic, anxiety increased, chest pain
Banked blood high in _____________ EKG changes _______________ and other ______ -
Answer-Potassium (r/t hemolysis) _______________Tall -peaked T waves and wide QRS
complex ________hypocalcemia, hypothermia, and decreased tissue O2
4 major action to achieve hemostasis - Answer-1) Local vasoconstrictions to reduce blood
flow
2)Formation of fibrin mesh
3) Platelet aggregation
4)Dissolution of clot after tissue repair is complete
Afterload - Answer-is the resistance to ejection of blood from ventricle
, Nutrition deficiency anemia (B12 deficiency) r/t to malabsorption evidenced by - Answer-
Numbness and tingling of extremities
S/s of OSP (obstructive sleep apnea) - Answer-Impotence
Nocturia
Loud snoring
Esophageal reflex
HTN, depression, excessive sleepiness
DNR status at the time of surgery - Answer-Support clarification of the patient and family
wishes about resuscitation
Contraindications for nerve block - Answer-DM-2 not controlled by meds,
PVD
Fluid accumulation within the pericardial space has the classic finding of - Answer-Beck's
triad = increase CVP, muffled heart tones, and pulsus paradoxus (Systolic BP falls greater
than 10 mm during inspiratory phase)
The lack of bruit or thrill - Answer-possible occlusion
S/S of bronchospasm - Answer--cough
-expiratory wheezing
-dyspnea
- use of accessory muscles
- tachypnea
What is the drug of choice for HIT (heparin-induced thrombocytopenia) - Answer-Protamine
(5 min within administration)
DIC heparin therapy - Answer-Heparin prevents further micro clots and prevents platelets
aggregation
The firmness at the puncture site could be the indication of a - Answer-hematoma
(hematoma compromising circulation)
Excessive chest tube drainage output (150 cc/hr) administer a - Answer-clotting factors
( fresh frozen plasma, fibrinogen, and platelets) protamine or desmopressin
Acceptable extubating parameters - Answer-Negative inspiratory force (NIF) of < 20 cm of
water, T - 36.8 C, Alert and follow commands RR <30 BPM, Tidal Volume > 50%, PEEP <5%,,
SpO2 > 91%, FiO2 <40%, pH 7.33-7.46,, PaCO2 > 33-49. and PaO2 >65
Hetastarch - Answer-Has a minimal effect on coagulation
Troponin ordered for s/s - Answer-jaw pain, diaphoretic, anxiety increased, chest pain
Banked blood high in _____________ EKG changes _______________ and other ______ -
Answer-Potassium (r/t hemolysis) _______________Tall -peaked T waves and wide QRS
complex ________hypocalcemia, hypothermia, and decreased tissue O2
4 major action to achieve hemostasis - Answer-1) Local vasoconstrictions to reduce blood
flow
2)Formation of fibrin mesh
3) Platelet aggregation
4)Dissolution of clot after tissue repair is complete
Afterload - Answer-is the resistance to ejection of blood from ventricle
, Nutrition deficiency anemia (B12 deficiency) r/t to malabsorption evidenced by - Answer-
Numbness and tingling of extremities
S/s of OSP (obstructive sleep apnea) - Answer-Impotence
Nocturia
Loud snoring
Esophageal reflex
HTN, depression, excessive sleepiness
DNR status at the time of surgery - Answer-Support clarification of the patient and family
wishes about resuscitation
Contraindications for nerve block - Answer-DM-2 not controlled by meds,
PVD
Fluid accumulation within the pericardial space has the classic finding of - Answer-Beck's
triad = increase CVP, muffled heart tones, and pulsus paradoxus (Systolic BP falls greater
than 10 mm during inspiratory phase)
The lack of bruit or thrill - Answer-possible occlusion
S/S of bronchospasm - Answer--cough
-expiratory wheezing
-dyspnea
- use of accessory muscles
- tachypnea
What is the drug of choice for HIT (heparin-induced thrombocytopenia) - Answer-Protamine
(5 min within administration)
