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A list of 93 questions and answers related to airway management. The questions cover topics such as inserting airways, ventilating patients, and suctioning. The answers are 100% correct and have been tested and verified. useful for students studying emergency medical services or nursing.
Typology: Exams
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D. Increase the rate of ventilations to 20/min A. Decrease the rate of ventilations to 10/min
946 - A 60-year-old pt with stoma is apneic. You have been suctioning pink frothy sputum for 10 seconds and you continue to get more material. You should
A. continue suctioning and have a partner ventilate through the pt's mouth B. suction until airway is clear C. stop suctioning and give a breath D. use a saline solution to moisten secretions and continue suctioning C. stop suctioning and give a breath
D. Use an airway that measures one size too small and rotate A. Use a tongue depressor to keep tongue out of the way
C. Assist ventilations with BVM and 100% O D. Start oxygen at 15 LPM via NRB C. Assist ventilations with BVM and 100% O 1353 - What are two manual methods of opening a patient's airway? A. Head tilt-chin lift and NPA B. Head tilt chin lift and OPA C. Jaw thrust and finger sweep D. Head tilt and jaw thrust D. Head tilt and jaw thrust 1358 - What is the amount of air moved with one normal breath called? A. Dead air space B. Minute volume C. Alveolar air D. Tidal volume D. Tidal volume 1360 - What does pulse oximetry measure? A. Percent of carbon dioxide in the cells B. Percent of tissue that is saturated with oxygen C. The amount of plasma that is saturated D. The amount of hemoglobin that is saturated usually with oxygen. D. The amount of hemoglobin that is saturated usually with
oxygen. 1804 - When opening the airway of an unconscious pt found lying in bed you should A. Place one hand on the forehead with fingertips of the other hand pinching the nose B. Place one hand on the forehead with the other hand on the angle of the jaw C. Place the right hand on the base of the neck and left hand under the angle of the jaw and tip head backward D. Place both hands at base of neck and tip head backward to fully extend the neck. B. Place one hand on the forehead with the other hand on the angle of the jaw 1807 - Your pt is pale and seems anxious but is speaking in full sentences. You should administer O2 using a A. flow restricted O2 powered ventilation device B. NRB @ 15 LPM C. NC @ 4 LPM D. BVM @ 15 LPM B. NRB @ 15 LPM 1819 - Your 92 y/o pt is SOB, unable to speak, and cyanotic. You should first A. Assure the patient has an open airway B. Ventilate the pt with BVM C. Administer O2 via NRB D. Administer the prescribed bronchodilator A. Assure the patient has an open airway
1820 - Your 73 y/o pt is sitting in the tripod position. As you approach they motion for assistance in using their inhaler. You should immediately A. Administer their prescribed inhaler
B. Administer O2 via NRB C. Assess the pt's airway status D. Ventilate with a BVM C. Assess the pt's airway status 1934 - While ventilating a near drowning pt, you suddenly feel increased resistance in the airway. You should A. Perform abdominal thrust B. Place pt in lateral recovery position C. Attempt to reposition the head D. Apply firm pressure to the abdomen C. Attempt to reposition the head 8050 - For which of the following patients would an OPA be most appropriate? A. A 19 y/o with a mandible fracture who is only responsive to pain B. Unresponsive 25 y/o with a suspected spinal injury C. Unresponsive five-year-old with a suspected airway obstruction D. Semiconscious 76 y.o old who is gasping for air B. Unresponsive 25 y/o with a suspected spinal injury 16349 - A 24 y/o male with a history of asthma has stopped breathing. Which ventilation rate would be most appropriate? A. 30 breaths per minute B. 20 breaths per minute C. 10 breaths per minute D. 24 breaths per minute C. 10 breaths per
minute 16350 - A 75 y/o pt is complaining of SOB vital signs are 160/88, P 130, R 22 with crackles in the bases of the lungs. You should A. Administer O2 via mask B. Perform detailed chest assessment C. Assist the pt with prescribed inhaler D. Obtain a complete SAMPLE history A. Administer O2 via mask 16361 - A 62 y/o female pt is clutching her chest inside a local restaurant. She is unable to breathe. You should A. Begin cardiopulmonary resuscitation B. Perform a blind finger sweep C. Perform a series of abdominal thrust D. Apply O2 and assess her pulse C. Perform a series of abdominal thrust 16364 - When ventilating with a mouth to mask you notice the presence of increasing gastric distention. You should A. Manually reposition the airway B. Immediately suction oropharynx C. Increase the depth of ventilations D. Decompress the stomach manually
A. Manually reposition the airway
. An 80 year old male has returned to spontaneous circulation after AED use. Respirations are 8 and shallow. You should Assist ventilations with a bvm 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. Pneumonia Which of the following is a sign of lower respiratory tract problem? Expiratory wheezes and long expirator During an interfacility transport of a symptomatic COPD patient with mild shortness of breath, how much oxygen should you administer? Nasal cannula at 2 lpm 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? mucous secretions When ventilating a patient with a bag valve mask device you should? Use two rescuers whenever possible An unresponsive 50 year old male laying on the floor. You determine he is not breathing but has a faint pulse. You should? BVM A patient present with sudden onset shortness of breath, crackles, hypertension, and jugular vein destination you should suspect
Acute Pulmonary Edema Proper technique to suction your patients airway includes Oxygenating and ventilating before and after suctioning. A 64 year old with complete laryngectomy is in respiratory arrest you should Suction the stoma completely Which of the following conditions is most likely to cause decrease compliance while ventilating via bag valve mask tension pneumothorax
. A 73 y/o male is choking on pureed food, he is gurgling and has thick food material in his mouth. You should Suction Which of the following can present with a sudden onset of difficulty breathing and diminished breath sounds Pneumothorax Which patient would be classified as immediate during MCI 8 year old female with no respirations after 5 positive pressure ventilations Prescribed inhales are helpful for patient with an obstructive pulmonary disease because they Activate Beta 2 receptors A 56 year old female is struggling to breathe and has audible wheezes she is unable to hold up her head or follow commands Check airway for foreign body obstructions When ventilating with a bag valve mask what is the appropriate oxygen flow rate
15 liter/min The patient is unconscious and buried to the mid chest in a muddy ditch when attempting to ventilation you should suspect increased Resistance A 15 year old is short of breath after a minor car collision he has a history of asthma. Vital signs are respiration 26, clear and equal bilaterally. Assist with inhaler 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 Pneumonia 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? Pneumonia Which of the following is a symptom? Shortness of breath Which of the following is an indication of an upper airway obstruction? Wheezing During a long transport you are administering oxygen. You should Consider using humidified oxygen An 18 year old female patient complaining 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. You should suspect
Sepsis a 52-year-old male patient on home ventilations becomes cyanotic and has a sudden drop in oxygen saturation. What should you do? Reset medical Machine Reset medical Machine In seconds what is the time for suctioning an adult's airway. 10- An unresponsive patient has snoring respirations, these are most likely caused by: The Tongue The reason for assessing the radial and the carotid pulses simultaneously is to. Confirm cardiac rhythm problem A 32 year female in respiratory distress presents sudden onset chest pain, dyspnea and cyanosis. She has red swollen calves and a history of recent surgery. Pulmonary Embolism A semi conscious 34 year old male begins to gag after insertion of an oropharyngeal airway (OPA) Insert an NPA
. 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? Apply a nonrebreather mask at 10 liters/min As the diaphragm and intercostal muscles relax, the chest cavity?
Decreases in size causing exhalation In which group of patents do you encounter "see-saw" breathing? Pediatrics A 16 year old female in a tripod position complains of increased shortness of breath. Spo2 is 79%. You should administer oxygen at? 10 lmp via non rebreather mask An unresponsive patient is gurgling. When you suction the oropharynx with a rigid catheter, the patient gags. You should? Assess insertion depth of the catheter 20 year old female unable to catch breath after minor car crash, numbness and tingling to hands and face. Vitals are P118, R24. What should you do? High flow oxygen with a nonrebreather mask The use of accessory muscles and nasal flaring are signs of what type of breathing? Labored What nerve primarily controls respirations? Phrenic How often should you ventilate a patient who is apneic and has a pulse? 6 seconds Carbon dioxide and oxygen exchange at the alveolar level by which process? Diffusion A semiconscious patient's dentures have completely loosened. You should: Remove dentures 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. You should suspect: Congestive heart failure
A thin 54 year old male with a nonproductive cough complains of difficulty breathing. He is sitting upright with his hands on his knees, and you see retractions. You notice oxygen tubing throughout the house. You should suspect a medical history of: Chronic Bronchitis Which of the following words is considered most appropriate when describing a patient's respiratory status? Labored 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. Which condition should you suspect? Chronic Bronchitis A 45 year old female is complaining of breathing difficulty. Her lung sounds are clear but she is becoming cyanotic around lips. You should: Deliver oxygen via nonrebreather at 15 lmp What is the maximum flow rate for a nasal cannula? 6 lpm In order to provide oxygen therapy at 100% what should the flow rate be? 12-15 lpm
What airway opening maneuver should be used on a man that has fallen off a ladder and is suffering from respiratory distress? Jaw thrust A device that delivers a specific amount of medicine to the lungs in the form of a short burst of aerosolized medicine that is inhaled by the patient is known as the Metered dose inhaler The anatomy of the airway consist of the upper and lower airways mouth and nose and ends at the Cricoid cartridge The tongue often is a source of airway obstruction's and falls back and occludes the Pharynx The lower airway ends at the alveolar where gas exchange occurs oxygen moves to the hemoglobin by passing through a semi permeable membrane. where does this occur? Capillary bed To create negative pressure in the thorax (chest cavity) The diaphragm contracts and moves Downward When the diaphragm relaxes it regains its dome shape this action causes an increase in thoracic pressure which forces air out of the lungs to have air force out of the lungs the pressure in the thorax must rise above pressure Atmospheric Which of the following ventilatory techniques is likely to yield the lowest title volumes? One person bag valve mask In order to assist intubation a paramedic may utilize sellick's maneuver. In this procedure which Cartlidge are you compressing?
Cricoid Cartilage Which of the following is the most effective method for administering ventilations to a apneic patient? Two person bag valve mask A blue or grayish coloration of the skin caused by lack of oxygen in the blood is called Cyanosis You're performing rescue breaths using an ambu bag Attached to you 100% oxygen after several breath's you notice the patients O2 saturation has dropped significantly what should we do next Reposition the patient's head What is the proper amount of air that should be injected to the cuff of an endotracheal tube 10 cc The space between the base of the tongue in the epiglottis is called Vallecula What condition is characterized by gas being labored breathing and strange vocalizations Agonal breaths What is the maximum amount of time that may pass while attempting a intubation 30 seconds What condition is characterized by a high-pitched sound resulting from turbulent airflow in the upper airway
Strider The inability to move enough air required for adequate perfusion is known as what Respiratory failure What is not a correct technique for confirming correct ET tube placement Visualization rise and fall of the chest Two large tubes that bring air to and from the lungs are known as Bronchi What term refers to the expansion of the stomach caused by excessive ventilations which causes excessive air to enter the stomach instead of the Lungs Gastric distention Which of the following is not a sign of adequate breathing Breathing limited to abdominal muscles Cyanosis can be checked by observing the patients Nails beds And oral and nasal airway should be Used to keep the tongue from blocking the airway Which medication they were open and bronchioles and increase effectiveness of breathing is typically used to treat a patient with shortness of breath Bronchodilators You arrive at the scene of an elderly woman has fallen and injured her ribs she is breathing very rapidly at a rate of 40 and shallow how is this a serious life threat Her minute volume may be diminished A device design to facilitate the blind intubation of a patient. it
consist of a cuffed double lumen tube with one blind end. inflation of the cuff allows the device to function as an Intel tracheal tube and causes off the esophagus allowing ventilation and preventing reflux of gastric contents. Dual lumen airway. The patient has very shallow, rapid respirations With minimal chest wall motion with slight wheezing in the upper lung fields. Given the situation hold you expect the arterial carbon dioxide levels to be Elevated A intervention for someone who is apneic would be Intubation Oropharyngeal airway BVM mask Which statement about an adequate breathing is correct A breathing rate that is either too fast or too slow may indicate an adequate breathing. The endotracheal tube is primarily intended to Be inserted into the trachea The Sellick's Maneuver is designed to Reduce the risk of vomiting After placing an endotracheal tube and performing in ask elation you notice Long sounds on the right are present but lung sounds on the left or absent or just finish what you do Deflate the calf and back the endotracheal tube out 3 to 4 cm
Medical control has ordered you to assist a patient with a metered dose inhaler. Before assisting this patient you must in sure what It is there a medication it is with in the expiration date A spontaneous pneumothorax is A sudden accumulation of air in the plural space Paradoxical motion of the chest during exhalation is often caused by what type of injury flail chest Cardiac arrest in children is most often caused by Respiratory compromise The first step in artificial ventilation with a BVM unit in patients with no suspected trauma is to Place the patient's head and I hyperextended sniffing position Hey 70-year-old is complaining of shortness of breath. She has a history of emphysema. You should Administer oxygen because in most cases the hypoxic drive will not be a problem Danger of using a rigid suction catheter with infants and young children is that stimulating the back of the throat can Cause changes in heart rhythm Your patient is a 35-year-old trauma victim and he was not breathing you are unable to open the airway by means of a job for us and suctioning you should Use the head tilt/chin lift technique What is the structure that prevents food and liquid from entering the trachea during swallowing Epiglottis What are the adult ventilation rates and adequate volumes? 12-20 breaths per minute, 120/80 BP, O2 Stat
of greater than 95% What are the complications of hyperventilation? Leads to carbon dioxide blow off, which causes vasoconstriction, and limits blood flow to the brain What is dyspnea? difficulty breathing What is nocturnal dyspnea? Difficulty breathing after sleep or while asleep Lung sounds usually heard usually during asthma, COPD, emphysema, and Chronic Bronchitis / high pitched Wheezes Lung sounds caused by fluid in the alveoli / sounds like bubbles Crackles Lung sound due to a obstruction / high pitched on inspiration Stridor Lung sounds due to secretions in larger airways / Lower pitched Rhonchi Condition of excessive fluid buildup in the lungs and/or other organs because of inadequate pumping of the heart Congestive heart failure Emphysema, chronic bronchitis, black lung, and respiratory illnesses are classified as
COPD / Chronic obstructive pulmonary disease Air from the chest cavity is prevented from escaping, usually during closed chest injuries and caused by rub on internal surfaces Tension pneumothorax Tachycardia is? High heart rate Bradycard ia is? Low heart rate What is hyperventilation? Increased depth and rate of breathing What is hypoxic drive? It is a backup system to control respirations when oxygen levels fall. Secondary drive What are the complications from tracheostomy tubes? A buildup of mucus in the tube, dislodge-meant of tube, or infection around stoma What is the pathophysiology of the upper and lower airways? Nasal cavity, pharynx, larynx, trachea, bronchial tubes, lungs Where are beta 2 receptors located? Lungs What do beta 2 receptors do? Stimulate