CAPA Certification Exam questions with verified
answers
Glycopyrrolate Ans✓✓-- Induction and intubation medication
- Can cause photosensitivity
Craniotomy Treatment (triple H's) Ans✓✓-- hemodilution
- hypertension
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
Transverse Colostomy Ans✓✓-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 Ans✓✓-- formed stool
ileosotomy Ans✓✓-- high up
- liquid pasty stool
Roux-en-Y gastric bypass Ans✓✓-Small pouch created from stomach
Part of small intestine (DUODENUM) bypassed
,Restriction and malabsorption
Post-op Stroke symptoms Ans✓✓-- double vision
- headache
- sudden dizziness
Metoclopramide (Reglan) Ans✓✓-- controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
Gastrectomy Interventions Ans✓✓-- encourage deep breaths
- and position shifts
clonic seizure Ans✓✓-repetitive jerking movements
petit mal seizure Ans✓✓-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 Ans✓✓-sustained muscle contraction
Emergence excitement safety interventions Ans✓✓-ok to use wrist restraints
Shivering first interventions♀️Ans✓✓-- anticipate order for demerol
(over warm blankets)
, Septic Shock/ Early Respiratory Distress Ans✓✓-- Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
Interscalene nerve block Ans✓✓-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 Ans✓✓-Hypotension (rapid vasodilation can
cause a drop in blood pressure)
Hetastarch (Hespan) Ans✓✓-- 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? Ans✓✓-- obligate sodium loss
- slow clearance of fluid
- inability to conserve fluid
Medication used to treat fluid overload/ ascites in patient with Cirrhosis Ans✓✓-
Spironolactone
answers
Glycopyrrolate Ans✓✓-- Induction and intubation medication
- Can cause photosensitivity
Craniotomy Treatment (triple H's) Ans✓✓-- hemodilution
- hypertension
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
Transverse Colostomy Ans✓✓-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 Ans✓✓-- formed stool
ileosotomy Ans✓✓-- high up
- liquid pasty stool
Roux-en-Y gastric bypass Ans✓✓-Small pouch created from stomach
Part of small intestine (DUODENUM) bypassed
,Restriction and malabsorption
Post-op Stroke symptoms Ans✓✓-- double vision
- headache
- sudden dizziness
Metoclopramide (Reglan) Ans✓✓-- controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
Gastrectomy Interventions Ans✓✓-- encourage deep breaths
- and position shifts
clonic seizure Ans✓✓-repetitive jerking movements
petit mal seizure Ans✓✓-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 Ans✓✓-sustained muscle contraction
Emergence excitement safety interventions Ans✓✓-ok to use wrist restraints
Shivering first interventions♀️Ans✓✓-- anticipate order for demerol
(over warm blankets)
, Septic Shock/ Early Respiratory Distress Ans✓✓-- Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
Interscalene nerve block Ans✓✓-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 Ans✓✓-Hypotension (rapid vasodilation can
cause a drop in blood pressure)
Hetastarch (Hespan) Ans✓✓-- 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? Ans✓✓-- obligate sodium loss
- slow clearance of fluid
- inability to conserve fluid
Medication used to treat fluid overload/ ascites in patient with Cirrhosis Ans✓✓-
Spironolactone
