MANAGEMENT CERTIFICATION PAPER
2026 QUESTIONS AND ANSWERS GRADED
A+
●● 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
- 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 . A
nswer: - anticipate order for demerol
(over warm blankets)
●● Septic Shock/ Early Respiratory Distress.
Answer: - Hyperventilation
- Respiratory Alkalosis