Airway FISDAP Exam Review: Respiratory Emergencies and Ventilation Techniques, Exams of Nursing

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Airway FISDAP Exam Review 2023-

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1. A 13 year old female watching a horror movie states she can’t catch her breath and her fingers are numb. Respirations are 30 and deep with Sp02 of 100%. She is speaking in clear sentences, has clear and equal breath sounds. You should?
   1. Calmly reassure her, encouraging her to calmly slow her rate of breathing.
2. You have inserted an OPA for a 21 year old apneic male. How many times per minute should you ventilate him with a BVM?
   1. 10 to 12
3. Proper technique to suction patient’s airway includes?
   1. Oxygenating and ventilating before and after suctioning.
4. Which patient would be classified as “immediate” during an MCI?
5. 8 year old female with no respirations after 5 positive pressure ventilations.
6. When ventilating patient with BVM, what is the appropriate oxygen flow rate?
   1. 15 lpm
7. An obese man complains of severe difficulty breathing. His skin is cool and moist and breathing 22 times per minute. He indicates he never goes to the doctor and often feels dizzy after walking. You should?
   1. Apply a non rebreather mask at 10 lpm.
8. A 42 year old asthmatic patient complains of chest pain, shortness of breath and a violent cough that produces brownish sputum. What is the most likely cause?
   1. Pneumonia
9. An 89 year old patient complains of difficulty breathing and a productive cough that has gotten worse over the past 12 hours. You should suspect?
   1. Pneumonia
10. As the diaphragm and intercostal muscles relax, the chest cavity?
11. Decreases in size, causing exhalation 10.During initial assessment of an adult’s respiratory status, you should?
    1. Evaluate both the respiratory rate and the rise and fall of the chest 11.In which group of patients are you likely to encounter “see-saw” breathing?
12. Pediatrics 12.Which sequence correctly traces the path oxygen takes from the atmosphere to the lungs?

1. Mouth, Pharynx, trachea, bronchi, alveoli. 13.A 16 year old asthmatic female in a tripod position complains of increased shortness of breath. SpO2 is 79%. You should administer oxygen at?
2. 10 lpm via non rebreather mask 14.A 34 year old man is saying he is choking, You note stridor and hoarseness in his voice. What should you do?
3. Encourage him to cough. 15.An unresponsive trauma patient is gurgling. When you suction the oropharynx with a rigid catheter, the patient gags. You should?
4. Assess insertion depth of the catheter. 16.Thin 54 year old male with a nonproductive cough complains of difficulty breathing. Sitting upright with hands on his knees and you see retractions. Notice oxygen tubing around the house. You should suspect medical history of?
5. Chronic bronchitis 17.Semiconscious patient’s dentures completely loosened. You should?
6. Remove dentures. 18.Carbon dioxide and oxygen exchange at the alveolar level by which process?
7. Diffusion

19. 20 year old female unable to catch breath after a minor car crash, numbness and tingling to hands and face. Vitals are P 118, R 24. What should you do?
    1. High flow oxygen with a nonrebreather mask 20.Which of the following terms best describes respiratory difficulty?
    2. Dyspnea
20. 56 year old female struggling to breathe with wheezing. She is unable to hold her head up or follow commands. What should you do?
    1. Check airway for foreign body obstructions 22.What nerve primarily controls respiration?
    2. Phrenic 23.Unresponsive 16 year old male has snoring respirations after diving in a pond and nearly drowning. You should?
    3. Compressions 24.Which is an indication of an upper airway obstruction?
    4. Stridor 25.What is the sound of a lower airway obstruction?
21. Wheezing 26.An adult is breathing at a rate of 6 beats per minute. You should?
22. Ventilate the patient via bag-valve mask 27.Prescribed inhalers are helpful for patients with an obstructive pulmonary disease because they?
    1. Activate Beta 2 receptors 28.A 50 year old male is not breathing and has a faint pulse. You should?
    2. BVM 29.A patient has a history of COPD. Before assisting him in self-administering his inhaler you should?
    3. Shake vigorously 30.How often should you ventilate a patient who is apneic and has a pulse? 1. 5- 31.A 64 year old male complains of dyspnea and is coughing up blood-tinged

sputum. Upon auscultation you note crackles bilaterally. What should you suspect?

• Emphysema Exacerbation
• Pulmonary Embolism
• Pulmonary Edema
• Esophageal Varices 32)A 14 year old female Is short of breath. She has a history of cystic fibrosis. Lung sounds reveal coarse rhonchi. What is the most likely cause of her condition?
• Bronchoconstriction
• mucous secretions
• blebs on the lung tissues
• aspiration 33)A 64-year-old woman with a complete laryngectomy is in respiratory arrest you should?
• Begin bag valve mask ventilation
• initiate mouth to mask ventilation
• begin mask to stoma ventilations

• suction the stoma completely 34)When ventilating a patient with a bag valve mask device you should?
• ensure proper spinal immobilization
• use two rescuers whenever possible
• squeeze out as much air as possible
• Ensure that the patient is apneic 35)A 28-year-old patient is experiencing Dyspnea and wheezing which medication should you request from medical control?
• albuterol inhaler
• epinephrine auto injector
• high flow oxygen
• sublingual nitroglycerin 36)A 20 year old male complains of sudden onset shortness of breath. He is breathing at 24 times per minute and his pulse oximetry is 85% you should?
• ventilate the patient at a rate of 12 breaths per minutes
• coach him on slowing his rates of respiration
• apply oxygen via nasal cannula at 4 lpm
• Administer oxygen via non-rebreather mask 15 lpm 37)A 34-year-old male says he’s choking. You note Stridor and hoarseness in his voice what should you do?
• perform abdominal thrust
• encourage him to cough
• assist him in Self administering his inhaler
• suction the airway 38)Which condition could be considered an upper airway obstruction?
• emphysema
• Epiglottitis
• asthma.
• pneumothorax 39)An 18-year-old male complains of shortness of breath. He has a history of asthma and self administered two doses of his prescribed metered dose inhaler with no relief. Vital signs are P104 R 22 SP02 91% what should you do?

• contact medical control to administer additional medications
• assist ventilations with bag valve mask
• obtain a baseline set of vital signs
• Administer oxygen by non-rebreather mask 40)Which of the following conditions is most likely to cause decreased compliance while ventilating via bag valve mask?
• pulmonary contusion
• tension pneumothorax
• spontaneous pneumothorax
• Flail chest 41)A febrile 2 year old male in respiratory distress with crackles in the lower left lung field. You should suspect? a. Pneumonia 42)Which of the following shows a sign of lower respiratory tract problem?

a. Expiratory wheezes and long expiration 44)Which statement indicates that the patient is suffering from a CHF rather than Pneumonia? a. “feels like I’m drowning when I sleep” 45)When suctioning blood, fluid, and mucous from the oropharynx, the most appropriate device is? a. A rigid tip suction catheter 46)The reason for assessing the radial and the carotid pulse simultaneously is to? a. Confirm Cardiac Rhythm Problem 47)A patient presents with a sudden onset of shortness of breath crackles, hypertension, and jugular distension. You Should suspect? a. Acute Pulmonary Edema 48)A 73 year old male is dyspneic. You note jugular vein distension and dependent edema. Vital signs are BP 158/93, P 130 R 36. What should you suspect? a. Congestive Heart Failure 49)A 19-year-old female began choking after eating a hot dog. When you first arrived on scene, she was coughing and drooling.Now, she is drowsy, slow to respond, and unable to cough. You should? a. Perform abdominal thrusts 50)A 65 year old male is having trouble breathing. He is moderately overweight and has been coughing up yellowish phlegm. He smokes two packs of cigarettes a day and reports having episodes like this for many years a. Chronic bronchitis

51. Which of the following can be present with a sudden onset of difficult breathing and diminished breath sounds a. pneumothorax 52)A semi-conscious 34 year old male begins to gag after insertion of an OPA a. Insert an NPA 53)An 18 year old febrile patient complains of malaise for several days. He is taking an oral antibiotic for an upper respiratory infection. Vital signs are bp 128/72, P118 and weak, R22 with rhonchi a. Bronchiolitis 54)Which of the following assessment findings should cause you to suspect a history of COPD?

a. Barrel shaped chest 55)A thin 75 year old male complains of difficulty breathing. He states he has smoked “3 packs of cigarettes a day for 30 years.” He has bilateral wheezes a. Emphysema 56)A 16 asthmatic female is in tripod position complains of increased shortness of breath. SPO2 is 79%. You should administer oxygen at a. 10 lmp via nonrebreather 57)During a long transport you are administering oxygen. a. Consider using a humidified oxygen 58)A 45 year old female is complaining of breathing difficult. Her lung sounds are clear but she is becoming cyanotic on the lips a. Deliver oxygen via nonrebreather at 15 lmp NEW Questions!!! 59)Choking on pureed food; conscious; thick food.

1. Suction 60)Swelling in lower region, pale, diaphoretic:
2. Emphysema
3. CHF
4. Respiratory (something)
5. Asthma 61)Red swollen calves, recent surgery:
6. Systemic Infection
7. Pulmonary Embolism
8. Anaphylactic shock
9. Myocardial infarction 62)An unresponsive patient has snoring respirations caused by
10. Allergic food reaction
11. Pulmonary embolism
12. Excessive nasal secretion
13. Tongue block 63)Unconscious patient buried to mid chest in a muddy ditch, when ventilating; suspect;
14. Compliance
15. Tidal volume
16. Resistance
17. Minute volume 64)Interfacility transport how much oxygen?
18. Non rebreathing 15 LMP
19. Nasal at 2 LMP
20. Nasal at 6 LMP
21. BVM 65)What is a symptom?
22. Shortness of breath 66)The best method for determining the adequacy of artificial ventilations.

1. Increase in PR
2. Gag reflex return
3. Diminished cyanosis
4. Chest rise 67)properly sized oropharyngeal
5. Mouth to the tip of the earlobe 68)An adult has an airway obstruction. Most likely?
6. Tongue
7. Food
8. Foreign body
9. Vomitus

69. 26 yr old bride, tripod, drooling, diminished lung sounds, obvious strider.

1. Upper airway obstruction
2. Spontaneous pneumothorax
3. Serious anxiety attack
4. Acute onset asthma attack

70)After assisting with beta 2, you may expect side effects:

1. Tachycardia
2. Faint or dizzy
3. Respiratory depression Hypertension 71)A patient on couch unable to awaken him
4. Head Tilt chin lift
5. Nasopharyngeal airway
6. Crossed finger
7. Tongue Jaw lift 72)Appropriate respiratory is 1.Labored

73. 80 yr old male spontaneous circulation after AED he has a shallow pulse you should

1. Assist with BVM

74. 15 year old male in a minor car crash

1. Coach with slowing down breathing (favored)
2. Assist with inhaler