CAPA certification UPDATED 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
Stimulation of the sensory receptors below the level of the cord lesion
- Associated with injuries above level T6
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
Stimulation of the sensory receptors below the level of the cord lesion
- Associated with injuries above level T6
