CAPA Certification Exam Questions and Answers – Graded A+
Comprehensive Certification Study Guide
Glycopyrrolate - (ANSWER)- Induction and intubation medication
- Can cause photosensitivity
Craniotomy Treatment (triple H's) - (ANSWER)- hemodilution
- hypertension
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
Transverse Colostomy - (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 - (ANSWER)- formed stool
ileosotomy - (ANSWER)- high up
- liquid pasty stool
Roux-en-Y gastric bypass - (ANSWER)Small pouch created from stomach
Part of small intestine (DUODENUM) bypassed
Restriction and malabsorption
Post-op Stroke symptoms - (ANSWER)- double vision
- headache
,CAPA Certification Exam Questions and Answers – Graded A+
Comprehensive Certification Study Guide
- sudden dizziness
Metoclopramide (Reglan) - (ANSWER)- controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
Gastrectomy Interventions - (ANSWER)- encourage deep breaths
- and position shifts
clonic seizure - (ANSWER)repetitive jerking movements
petit mal seizure - (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 - (ANSWER)sustained muscle contraction
Emergence excitement safety interventions - (ANSWER)ok to use wrist restraints
Shivering first interventions - (ANSWER)- anticipate order for demerol
(over warm blankets)
Septic Shock/ Early Respiratory Distress - (ANSWER)- Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
Interscalene nerve block - (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
, CAPA Certification Exam Questions and Answers – Graded A+
Comprehensive Certification Study Guide
transeint ipsilateral diaphragmatic parylasis due to involvment of the phrenic nerve roots as tehy pass
through the interscalene sheath.
Complication of rapid warming - (ANSWER)Hypotension (rapid vasodilation can cause a drop in blood
pressure)
Hetastarch (Hespan) - (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? - (ANSWER)- obligate sodium loss
- slow clearance of fluid
- inability to conserve fluid
Medication used to treat fluid overload/ ascites in patient with Cirrhosis - (ANSWER)Spironolactone
Steal syndrome - (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 - (ANSWER)5ml/Kg/hr or at least 2-3ml/Kg/hr
Autonomic hyperreflexia (dysreflexia) - (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
Comprehensive Certification Study Guide
Glycopyrrolate - (ANSWER)- Induction and intubation medication
- Can cause photosensitivity
Craniotomy Treatment (triple H's) - (ANSWER)- hemodilution
- hypertension
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
Transverse Colostomy - (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 - (ANSWER)- formed stool
ileosotomy - (ANSWER)- high up
- liquid pasty stool
Roux-en-Y gastric bypass - (ANSWER)Small pouch created from stomach
Part of small intestine (DUODENUM) bypassed
Restriction and malabsorption
Post-op Stroke symptoms - (ANSWER)- double vision
- headache
,CAPA Certification Exam Questions and Answers – Graded A+
Comprehensive Certification Study Guide
- sudden dizziness
Metoclopramide (Reglan) - (ANSWER)- controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
Gastrectomy Interventions - (ANSWER)- encourage deep breaths
- and position shifts
clonic seizure - (ANSWER)repetitive jerking movements
petit mal seizure - (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 - (ANSWER)sustained muscle contraction
Emergence excitement safety interventions - (ANSWER)ok to use wrist restraints
Shivering first interventions - (ANSWER)- anticipate order for demerol
(over warm blankets)
Septic Shock/ Early Respiratory Distress - (ANSWER)- Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
Interscalene nerve block - (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
, CAPA Certification Exam Questions and Answers – Graded A+
Comprehensive Certification Study Guide
transeint ipsilateral diaphragmatic parylasis due to involvment of the phrenic nerve roots as tehy pass
through the interscalene sheath.
Complication of rapid warming - (ANSWER)Hypotension (rapid vasodilation can cause a drop in blood
pressure)
Hetastarch (Hespan) - (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? - (ANSWER)- obligate sodium loss
- slow clearance of fluid
- inability to conserve fluid
Medication used to treat fluid overload/ ascites in patient with Cirrhosis - (ANSWER)Spironolactone
Steal syndrome - (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 - (ANSWER)5ml/Kg/hr or at least 2-3ml/Kg/hr
Autonomic hyperreflexia (dysreflexia) - (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
