CAPA TEST CERTIFICATION SCRIPT
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ QDescribe the Cincinnati prehospital neurologic screening tool that is used
to identify stroke..
Answer: Facial drooping, Arm Drift, Abnormal Speech.
◍ Define the steps for recognition and treatment of symptomatic bradycardia
with a pulse [Adult].
Answer: [Bradycardia defined as heart rate < 50 beats per minute]Identify
and treat underlying causeMaintain patient airway; assist breathing as
necessaryOxygen (if hypoxemic)Cardiac monitor to identify rhythm;
monitor blood pressure and oximetryIV access12- lead ECG if available;
don’t delay therapyIf persistent bradyarrhythmia causing: hypotension,
acute altered mental status, signs of shock, ischemic chest discomfort, acute
heart failure: initiate drug therapy:Atropine: IV: First dose: 1 mg bolus;
repeat every 3-5 minutes. Maximum: 3 mg.If atropine ineffective:
transcutaneous pacing or dopamine or epinephrine infusionDopamine IV
infusion: Usual infusion rate is 5-20 mcg/kg per minute; titrate to patient
response; taper slowlyEpinephrine IV infusion: 2-10 mcg per minute
infusion; titrate to patient response.Consider: expert consultation and
transvenous pacing
◍ 1). The recommended dose of Dantrolene for the initial management of a
Malignant Hyperthermia crisis is:.
Answer: 2.5 mg/kg is correct2.5mcg/kg3.5 mcg/kg2.0 mg/kg
◍ All of the following medications can be used to treat dysrhythmias in a
Malignant Hyperthermia (MH) crisis
except:LidoceAmiodoroneMetoprololDilitazem.
, Answer: Dilitazem
◍ Define the steps for adult tachycardia with a pulse.
Answer: A[Tachycardia is a heart rate typically ≥ 150/ minute]Identify and
treat underlying causeMaintain patient airway; assist breathing as
necessaryOxygen (if hypoxemic)Cardiac monitor to identify rhythm;
monitor blood pressure and oximetryIV Access and 12- lead ECG if
available; vagal maneuvers; adenosine (If regular) beta-blocker or calcium
channel blocker; consider expert consultationPersistent tachyarrhythmia
causing: hypotension, acutely altered mental status, signs of shock, ischemic
chest discomfort and acute heart failurePrepare for synchronized
cardioversion:consider sedation, if regular narrow complex, consider
adenosine:Initial recommended dose:Narrow regular: 50-100 J;Narrow
irregular: 120-200 J biphasic or 200 J monophasic;Wide regular: 100 J;Wide
irregular: defibrillation dose (not synchronized)** Drug Therapy:** *
Adenosine IV: First dose: 6 mg rapid IV push; follow with NS flush. Second
dose: 12 mg if required.* Wide QRS ≥0.12 second: Antiarrhythmic
infusions for stable wide-QRS tachycardia* Procainamide IV dose: 20-50
mg/min until arrhythmia suppressed, hypotension ensues, QRS duration
increases \>50%, or maximum dose 17 mg/kg is given. Maintenance
infusion: 1-4 mg/min. Avoid if prolonged QT or CHF. * Amiodarone IV
dose: First dose: 150 mg over 10 minutes. Repeat as needed if VT recurs.
Follow by maintenance infusion of 1 mg/min for first 6 hours. * Sotalol IV
dose: 100 mg (1.5 mg/kg) over 5 minutes. Avoid if prolonged QT.
◍ Ester type local anesthetics are primarily metabolized by:the liverthe
kidneysthe lungspseudocholinesterase.
Answer: pseudocholinesterase
◍ Which of the following early symptoms is not consistent with local
anesthetic toxicity?TinnitusMetallic taste in mouthTachycardiaHypotension.
Answer: Hypotension
◍ Define the treatment for adult suspected stroke.
Answer: Nursing Measures: Assess ABCs; give oxygen if needed; perform
, stroke assessment; establish time of symptom onset (last normal), check
glucose level, 12-lead ECG, activate stroke team, consider direct transfer to
CT scanCT scan shows hemorrhage?If NO, probable acute ischemic
stroke–> consider fibrinolytic therapy: check for fibrinolytic exclusions;
repeat neurologic exam.If remains candidate for fibrinolytic therapy: review
risks/ benefits with patient and family.If YES, consult neurologist or
neurosurgeon; begin hemorrhage pathwayAdmit to stroke unit or ICUGive
rtPA; no anticoagulants or antiplatelet treatment for 24 hoursIf patient not a
candidate for fibrinolytic therapy: administer aspirin
◍ 5). The PACU nurse is preparing to restock the Malignant Hyperthermia
cart on the unit. What is the acceptable number of Dantrolene bottles that
should be stocked on the cart?18263638.
Answer: 36
◍ Define the 2 types of strokes (Ischemic and Hemorrhagic).
Answer: Ischemic stroke is usually caused by an occlusion of an artery to a
region of the brain and accounts for 87% of all strokes.Hemorrhagic stroke
occurs when a blood vessel in the brain suddenly ruptures into the
surrounding tissue and accounts for 13% of all strokes.
◍ Describe CPR Quality and Shock Energy for Defibrilation for Adult Cardiac
Arrest: Vfib/ Pulseless V
T. .
Answer: Determine UnresponsivenessCPR Quality: Push hard (At least 2
inches {5cm}) and fast (at least 100); allow complete chest recoil; minimize
interruptions in compressions; avoid excessive ventilation; if no advanced
airway 30:2 compression-ventilation ratio; quantitative waveform
capnography.Shock Energy for Defibrillation:Give 1 shock: Biphasic:
120-200 J; Second and subsequent doses should be equivalent;Monophasic
360 JDrug Therapy:Epinephrine IV/IO dose: 1 mg every 3-5
minutesAmiodarone IV/IO dose: first dose: 300 mg bolus. Second dose: 150
mg ORLidocaine IV/IO dose: first dose: 1-1.5mg/kg. Second dose: 0.5-0.75
mg/kgAdvanced Airway:Endotracheal intubation or supraglottic advanced
, airwayWaveform capnography or capnometry to confirm and monitor ET
tube placement.Once advanced airway in place, give 1 breath every 6
seconds (10 breaths per minute)Return of Spontaneous Circulation
(ROSC):pulse and blood pressure; abrupt sustained increase in PETCO2
(typically greater than or equal to 40 mm Hg); spontaneous arterial pressure
waves with intra-arterial monitoring.Reversible Causes: hypovolemia,
hypoxia, hydrogen ion (acidosis), hypo/ hyperkalemia, hypothermia, tension
pneumothorax, tamponade cardiac, toxins, thrombosis-pulmonary,
thrombosis- coronary
◍ Outline the recognition and treatment for adult cardiac arrest: Asystole,
Pulseless Electrical Activity (PEA).
Answer: Determine Unresponsiveness.CPR Quality: Push hard (At least 2
inches {5cm}) and fast (at least 100); allow complete chest recoil; minimize
interruptions in compressions; avoid excessive ventilation; if no advanced
airway 30:2 compression-ventilation ratio; quantitative waveform
capnography.Consider reversible causes: hypovolemia, hypoxia, hydrogen
ion (acidosis), hypo/ hyperkalemia, hypothermia, tension pneumothorax,
tamponade cardiac, toxins, thrombosis- pulmonary,
thrombosis-coronaryDrug therapy: Epinephrine: IV/IO dose: 1 mg every 3-5
minutes
◍ Which of the following inhalation agents should not be used for an
inhalation mask induction?HalothaneSevofluraneIsofluraneNitrous oxide.
Answer: Isoflurane
◍ What are the signs and symptoms of Local Anesthetic Systemic Toxicity
(LAST)?.
Answer: Agitation, blurred vision, numbness, tinnitus, metallic taste,
twitching, unconsciousness, seizures, cardiac and respiratory arrest.
◍ 7). A morbidly obese female with a negative medical history is transported
to the OR from the ER for an emergency exploratory laparotomy. What
ASA score would be appropriately assigned for this patient?11E22E.
Answer: 2e
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ QDescribe the Cincinnati prehospital neurologic screening tool that is used
to identify stroke..
Answer: Facial drooping, Arm Drift, Abnormal Speech.
◍ Define the steps for recognition and treatment of symptomatic bradycardia
with a pulse [Adult].
Answer: [Bradycardia defined as heart rate < 50 beats per minute]Identify
and treat underlying causeMaintain patient airway; assist breathing as
necessaryOxygen (if hypoxemic)Cardiac monitor to identify rhythm;
monitor blood pressure and oximetryIV access12- lead ECG if available;
don’t delay therapyIf persistent bradyarrhythmia causing: hypotension,
acute altered mental status, signs of shock, ischemic chest discomfort, acute
heart failure: initiate drug therapy:Atropine: IV: First dose: 1 mg bolus;
repeat every 3-5 minutes. Maximum: 3 mg.If atropine ineffective:
transcutaneous pacing or dopamine or epinephrine infusionDopamine IV
infusion: Usual infusion rate is 5-20 mcg/kg per minute; titrate to patient
response; taper slowlyEpinephrine IV infusion: 2-10 mcg per minute
infusion; titrate to patient response.Consider: expert consultation and
transvenous pacing
◍ 1). The recommended dose of Dantrolene for the initial management of a
Malignant Hyperthermia crisis is:.
Answer: 2.5 mg/kg is correct2.5mcg/kg3.5 mcg/kg2.0 mg/kg
◍ All of the following medications can be used to treat dysrhythmias in a
Malignant Hyperthermia (MH) crisis
except:LidoceAmiodoroneMetoprololDilitazem.
, Answer: Dilitazem
◍ Define the steps for adult tachycardia with a pulse.
Answer: A[Tachycardia is a heart rate typically ≥ 150/ minute]Identify and
treat underlying causeMaintain patient airway; assist breathing as
necessaryOxygen (if hypoxemic)Cardiac monitor to identify rhythm;
monitor blood pressure and oximetryIV Access and 12- lead ECG if
available; vagal maneuvers; adenosine (If regular) beta-blocker or calcium
channel blocker; consider expert consultationPersistent tachyarrhythmia
causing: hypotension, acutely altered mental status, signs of shock, ischemic
chest discomfort and acute heart failurePrepare for synchronized
cardioversion:consider sedation, if regular narrow complex, consider
adenosine:Initial recommended dose:Narrow regular: 50-100 J;Narrow
irregular: 120-200 J biphasic or 200 J monophasic;Wide regular: 100 J;Wide
irregular: defibrillation dose (not synchronized)** Drug Therapy:** *
Adenosine IV: First dose: 6 mg rapid IV push; follow with NS flush. Second
dose: 12 mg if required.* Wide QRS ≥0.12 second: Antiarrhythmic
infusions for stable wide-QRS tachycardia* Procainamide IV dose: 20-50
mg/min until arrhythmia suppressed, hypotension ensues, QRS duration
increases \>50%, or maximum dose 17 mg/kg is given. Maintenance
infusion: 1-4 mg/min. Avoid if prolonged QT or CHF. * Amiodarone IV
dose: First dose: 150 mg over 10 minutes. Repeat as needed if VT recurs.
Follow by maintenance infusion of 1 mg/min for first 6 hours. * Sotalol IV
dose: 100 mg (1.5 mg/kg) over 5 minutes. Avoid if prolonged QT.
◍ Ester type local anesthetics are primarily metabolized by:the liverthe
kidneysthe lungspseudocholinesterase.
Answer: pseudocholinesterase
◍ Which of the following early symptoms is not consistent with local
anesthetic toxicity?TinnitusMetallic taste in mouthTachycardiaHypotension.
Answer: Hypotension
◍ Define the treatment for adult suspected stroke.
Answer: Nursing Measures: Assess ABCs; give oxygen if needed; perform
, stroke assessment; establish time of symptom onset (last normal), check
glucose level, 12-lead ECG, activate stroke team, consider direct transfer to
CT scanCT scan shows hemorrhage?If NO, probable acute ischemic
stroke–> consider fibrinolytic therapy: check for fibrinolytic exclusions;
repeat neurologic exam.If remains candidate for fibrinolytic therapy: review
risks/ benefits with patient and family.If YES, consult neurologist or
neurosurgeon; begin hemorrhage pathwayAdmit to stroke unit or ICUGive
rtPA; no anticoagulants or antiplatelet treatment for 24 hoursIf patient not a
candidate for fibrinolytic therapy: administer aspirin
◍ 5). The PACU nurse is preparing to restock the Malignant Hyperthermia
cart on the unit. What is the acceptable number of Dantrolene bottles that
should be stocked on the cart?18263638.
Answer: 36
◍ Define the 2 types of strokes (Ischemic and Hemorrhagic).
Answer: Ischemic stroke is usually caused by an occlusion of an artery to a
region of the brain and accounts for 87% of all strokes.Hemorrhagic stroke
occurs when a blood vessel in the brain suddenly ruptures into the
surrounding tissue and accounts for 13% of all strokes.
◍ Describe CPR Quality and Shock Energy for Defibrilation for Adult Cardiac
Arrest: Vfib/ Pulseless V
T. .
Answer: Determine UnresponsivenessCPR Quality: Push hard (At least 2
inches {5cm}) and fast (at least 100); allow complete chest recoil; minimize
interruptions in compressions; avoid excessive ventilation; if no advanced
airway 30:2 compression-ventilation ratio; quantitative waveform
capnography.Shock Energy for Defibrillation:Give 1 shock: Biphasic:
120-200 J; Second and subsequent doses should be equivalent;Monophasic
360 JDrug Therapy:Epinephrine IV/IO dose: 1 mg every 3-5
minutesAmiodarone IV/IO dose: first dose: 300 mg bolus. Second dose: 150
mg ORLidocaine IV/IO dose: first dose: 1-1.5mg/kg. Second dose: 0.5-0.75
mg/kgAdvanced Airway:Endotracheal intubation or supraglottic advanced
, airwayWaveform capnography or capnometry to confirm and monitor ET
tube placement.Once advanced airway in place, give 1 breath every 6
seconds (10 breaths per minute)Return of Spontaneous Circulation
(ROSC):pulse and blood pressure; abrupt sustained increase in PETCO2
(typically greater than or equal to 40 mm Hg); spontaneous arterial pressure
waves with intra-arterial monitoring.Reversible Causes: hypovolemia,
hypoxia, hydrogen ion (acidosis), hypo/ hyperkalemia, hypothermia, tension
pneumothorax, tamponade cardiac, toxins, thrombosis-pulmonary,
thrombosis- coronary
◍ Outline the recognition and treatment for adult cardiac arrest: Asystole,
Pulseless Electrical Activity (PEA).
Answer: Determine Unresponsiveness.CPR Quality: Push hard (At least 2
inches {5cm}) and fast (at least 100); allow complete chest recoil; minimize
interruptions in compressions; avoid excessive ventilation; if no advanced
airway 30:2 compression-ventilation ratio; quantitative waveform
capnography.Consider reversible causes: hypovolemia, hypoxia, hydrogen
ion (acidosis), hypo/ hyperkalemia, hypothermia, tension pneumothorax,
tamponade cardiac, toxins, thrombosis- pulmonary,
thrombosis-coronaryDrug therapy: Epinephrine: IV/IO dose: 1 mg every 3-5
minutes
◍ Which of the following inhalation agents should not be used for an
inhalation mask induction?HalothaneSevofluraneIsofluraneNitrous oxide.
Answer: Isoflurane
◍ What are the signs and symptoms of Local Anesthetic Systemic Toxicity
(LAST)?.
Answer: Agitation, blurred vision, numbness, tinnitus, metallic taste,
twitching, unconsciousness, seizures, cardiac and respiratory arrest.
◍ 7). A morbidly obese female with a negative medical history is transported
to the OR from the ER for an emergency exploratory laparotomy. What
ASA score would be appropriately assigned for this patient?11E22E.
Answer: 2e
