CAPA Certification Exam UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Glycopyrrolate - CORRECT ANSWER - - Induction and intubation medication
- Can cause photosensitivity
Craniotomy Treatment (triple H's) - CORRECT ANSWER - - hemodilution
- hypertension
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
Transverse Colostomy - CORRECT ANSWER - soft stool
typical stool odor
stool damages the skin
empties several times per day
may or may not be at risk for fluid/electrolytes imbalances
may irrigate
sigmoid colostomy - CORRECT ANSWER - - formed stool
ileosotomy - CORRECT ANSWER - - high up
- liquid pasty stool
Roux-en-Y gastric bypass - CORRECT ANSWER - Small pouch created from stomach
Part of small intestine (DUODENUM) bypassed
Restriction and malabsorption
,Post-op Stroke symptoms - CORRECT ANSWER - - double vision
- headache
- sudden dizziness
Metoclopramide (Reglan) - CORRECT ANSWER - - controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
Gastrectomy Interventions - CORRECT ANSWER - - encourage deep breaths
- and position shifts
clonic seizure - CORRECT ANSWER - repetitive jerking movements
petit mal seizure - CORRECT ANSWER - Also called absence attack. A seizure that is
characterized by a spike-and-wave EEG and often involves a loss of awareness and inability to
recall events surrounding the seizure.
Tonic seizure - CORRECT ANSWER - sustained muscle contraction
Emergence excitement safety interventions - CORRECT ANSWER - ok to use wrist
restraints
Shivering first interventions - CORRECT ANSWER - - anticipate order for demerol
(over warm blankets)
Septic Shock/ Early Respiratory Distress - CORRECT ANSWER - - Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
, Interscalene nerve block - CORRECT ANSWER - anesthetizes the brachial plexus as it
passes through the scalene triangle. It is used to provide anethesia for the shoulder and upper
arm. Nearly all patients will devleop transeint ipsilateral diaphragmatic parylasis due to
involvment of the phrenic nerve roots as tehy pass through the interscalene sheath.
Complication of rapid warming - CORRECT ANSWER - Hypotension (rapid vasodilation
can cause a drop in blood pressure)
Hetastarch (Hespan) - CORRECT ANSWER - - Volume expander, colloid
- less expensive than blood
- minimal co-ag effects
- less likely to cause allergic reaction
- metabolizes slowly
Why are neonates not tolerant of fluid overload? - CORRECT ANSWER - - obligate
sodium loss
- slow clearance of fluid
- inability to conserve fluid
Medication used to treat fluid overload/ ascites in patient with Cirrhosis - CORRECT
ANSWER - Spironolactone
Steal syndrome - CORRECT ANSWER - - Too much blood going to the fistula, leaving
the hand ischemic. Tx is with surgery or banding to decrease outflow (if high flow)
Infant should void - CORRECT ANSWER - 5ml/Kg/hr or at least 2-3ml/Kg/hr
Autonomic hyperreflexia (dysreflexia) - CORRECT ANSWER - - Massive,
uncompensated cardiovascular response to stimulation of the sympathetic nervous system
ACTUAL Exam Questions and CORRECT
Answers
Glycopyrrolate - CORRECT ANSWER - - Induction and intubation medication
- Can cause photosensitivity
Craniotomy Treatment (triple H's) - CORRECT ANSWER - - hemodilution
- hypertension
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
Transverse Colostomy - CORRECT ANSWER - soft stool
typical stool odor
stool damages the skin
empties several times per day
may or may not be at risk for fluid/electrolytes imbalances
may irrigate
sigmoid colostomy - CORRECT ANSWER - - formed stool
ileosotomy - CORRECT ANSWER - - high up
- liquid pasty stool
Roux-en-Y gastric bypass - CORRECT ANSWER - Small pouch created from stomach
Part of small intestine (DUODENUM) bypassed
Restriction and malabsorption
,Post-op Stroke symptoms - CORRECT ANSWER - - double vision
- headache
- sudden dizziness
Metoclopramide (Reglan) - CORRECT ANSWER - - controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
Gastrectomy Interventions - CORRECT ANSWER - - encourage deep breaths
- and position shifts
clonic seizure - CORRECT ANSWER - repetitive jerking movements
petit mal seizure - CORRECT ANSWER - Also called absence attack. A seizure that is
characterized by a spike-and-wave EEG and often involves a loss of awareness and inability to
recall events surrounding the seizure.
Tonic seizure - CORRECT ANSWER - sustained muscle contraction
Emergence excitement safety interventions - CORRECT ANSWER - ok to use wrist
restraints
Shivering first interventions - CORRECT ANSWER - - anticipate order for demerol
(over warm blankets)
Septic Shock/ Early Respiratory Distress - CORRECT ANSWER - - Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
, Interscalene nerve block - CORRECT ANSWER - anesthetizes the brachial plexus as it
passes through the scalene triangle. It is used to provide anethesia for the shoulder and upper
arm. Nearly all patients will devleop transeint ipsilateral diaphragmatic parylasis due to
involvment of the phrenic nerve roots as tehy pass through the interscalene sheath.
Complication of rapid warming - CORRECT ANSWER - Hypotension (rapid vasodilation
can cause a drop in blood pressure)
Hetastarch (Hespan) - CORRECT ANSWER - - Volume expander, colloid
- less expensive than blood
- minimal co-ag effects
- less likely to cause allergic reaction
- metabolizes slowly
Why are neonates not tolerant of fluid overload? - CORRECT ANSWER - - obligate
sodium loss
- slow clearance of fluid
- inability to conserve fluid
Medication used to treat fluid overload/ ascites in patient with Cirrhosis - CORRECT
ANSWER - Spironolactone
Steal syndrome - CORRECT ANSWER - - Too much blood going to the fistula, leaving
the hand ischemic. Tx is with surgery or banding to decrease outflow (if high flow)
Infant should void - CORRECT ANSWER - 5ml/Kg/hr or at least 2-3ml/Kg/hr
Autonomic hyperreflexia (dysreflexia) - CORRECT ANSWER - - Massive,
uncompensated cardiovascular response to stimulation of the sympathetic nervous system
