NEWEST CAPA 2026/2027 FINAL STUDY
REVIEW
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)
Early s/s of acute noncardiogenic pulmonary edema - ANSWER-dyspnea, cough, and
tachypnea
Later s/s of acute noncardiogenic pulmonary edema - ANSWER-fatigue, pedal edema,
paroxysmal nocturnal dyspnea
Abdominal compartment syndrome - ANSWER-edema of the abdominal organs and
compression of the inferior vena cava
Pt who has been intubated c/o of sore throat post op. The PACU RN should -
ANSWER-Observe the oropharynx, and auscultate the chest
Raynaud's disease s/s - ANSWER-age 30-50
females
exposure to cold and stress
Platelets count <100,000 or decrease of 40-50% from baseline, the pt maybe
experiencing _________ use another coagulation - ANSWER-HIT (Heparin induced
thrombocytopenia)
Platelets count 50, 000 and pt diagnosed with immune thrombocytopenic purpura. The
initial treatment would include - ANSWER-Corticosteroids
The normal PLT count - ANSWER-200,000-450,000
Three initial responses to vascular injury includes - ANSWER-Vasoconstriction
(serotonin and histamine)
REVIEW
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)
Early s/s of acute noncardiogenic pulmonary edema - ANSWER-dyspnea, cough, and
tachypnea
Later s/s of acute noncardiogenic pulmonary edema - ANSWER-fatigue, pedal edema,
paroxysmal nocturnal dyspnea
Abdominal compartment syndrome - ANSWER-edema of the abdominal organs and
compression of the inferior vena cava
Pt who has been intubated c/o of sore throat post op. The PACU RN should -
ANSWER-Observe the oropharynx, and auscultate the chest
Raynaud's disease s/s - ANSWER-age 30-50
females
exposure to cold and stress
Platelets count <100,000 or decrease of 40-50% from baseline, the pt maybe
experiencing _________ use another coagulation - ANSWER-HIT (Heparin induced
thrombocytopenia)
Platelets count 50, 000 and pt diagnosed with immune thrombocytopenic purpura. The
initial treatment would include - ANSWER-Corticosteroids
The normal PLT count - ANSWER-200,000-450,000
Three initial responses to vascular injury includes - ANSWER-Vasoconstriction
(serotonin and histamine)
