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FISDAP Paramedic Airway and Breathing Exam V2 questions /answered, Exams of Nursing

Cheyney University of PennsylvaniaNursing

FISDAP Paramedic Airway and Breathing Exam V2 questions /answered

Typology: Exams

2024/2025

Available from 07/17/2025

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FISDAP Paramedic Airway and Breathing Exam V2
questions /answered
1. What relaxes bronchial smooth muscles?: beta agonists
2. A 47-year old male complains of chest discomfort and difficulty
breathing. He has had a fever, chills, and a productive cough for 3 days.
Crackles are present upon auscultation. What is the most likely cause?:
Bacterial Pneumonia
3. A 45 year old male was assaulted and you note a small, localized area
on the chest that is edematous. You hear crackling when the skin
palpated. What should you expect?: Subcutaneous Emphysema
4. While ventilating an intubated patient, you notice a shark fin waveform
on capnography. Ventilations become increasingly difficult. What should
you do?: Administer albuterol
5. A 28 year old female is complaining of gradual-onset dyspnea after
being released from the hospital. She was hospitalized for 1 day
following thoracic trauma and a lung contusion. Lung sounds present
with crackles in both bases. Vital signs are BP 130/80, P 110, R 32
shallow, SpO2:88%. You should-
: apply oxygen via non-rebreather and transport emergently
6. What is the volume of air that a patient inhales during each breath
referred to as?: Tidal Volume
7. When you hear wheezing, where is the obstruction located?: Lower
Airway
8. a 68 year old female complains of shortness of breath and is sitting in
a tripod position and has pink sputum in the corners of her mouth. Vital
signs are BP 165/110, P88, R22 with crackles, SpO2 82% on 3lpm. What
should you do?: Increase oxygen
9. A 71 year old mle with a tracheostomy tube is cyanotic. You hear
audible gurgling during inspiration and crackles in the base of the lungs.
Vital signs are BP 148/100, P 94, R 24, SpO2 88%. What should you do?:
Suction the lumen with a soft tip catheter
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FISDAP Paramedic Airway and Breathing Exam V

questions /answered

  1. What relaxes bronchial smooth muscles?: beta agonists
  2. A 47-year old male complains of chest discomfort and difficulty breathing. He has had a fever, chills, and a productive cough for 3 days. Crackles are present upon auscultation. What is the most likely cause?: Bacterial Pneumonia
  3. A 45 year old male was assaulted and you note a small, localized area on the chest that is edematous. You hear crackling when the skin palpated. What should you expect?: Subcutaneous Emphysema
  4. While ventilating an intubated patient, you notice a shark fin waveform on capnography. Ventilations become increasingly difficult. What should you do?: Administer albuterol
  5. A 28 year old female is complaining of gradual-onset dyspnea after being released from the hospital. She was hospitalized for 1 day following thoracic trauma and a lung contusion. Lung sounds present with crackles in both bases. Vital signs are BP 130/80, P 110, R 32 shallow, SpO2:88%. You should- : apply oxygen via non-rebreather and transport emergently
  6. What is the volume of air that a patient inhales during each breath referred to as?: Tidal Volume
  7. When you hear wheezing, where is the obstruction located?: Lower Airway
  8. a 68 year old female complains of shortness of breath and is sitting in a tripod position and has pink sputum in the corners of her mouth. Vital signs are BP 165/110, P88, R22 with crackles, SpO2 82% on 3lpm. What should you do?: Increase oxygen
  9. A 71 year old mle with a tracheostomy tube is cyanotic. You hear audible gurgling during inspiration and crackles in the base of the lungs. Vital signs are BP 148/100, P 94, R 24, SpO2 88%. What should you do?: Suction the lumen with a soft tip catheter
  1. A 19 year old male was extricated from a structure fire. He is actively coughing and complains of pain due to burns on his chest, arms and stomach. What is the priority?: Laryngeal swelling
  2. a 62 year old female complains of shortness of breath. She is sitting upright in bed with multiple pillows behind her back. She has history of COPD and diabetes. Skin is warm to the touch. BP 166/100, P 84 irregular, R 20 with crackles, SpO2 95%. What should you do?: Administer 2.5mg of Albuterol
  3. A 29 year old male inhaled an unknown chemical. His voice is now horse and its difficult to understand him. Vital signs P136, R28, SpO 78%. What should you do?: Place the patient on a nasal cannula and lie the patient supine
  4. A 56 year old female is sitting upright in bed on a home CPAP machine. She is unable to follow verbal commands and is lethargic. What should you do?: Assist ventilations with a bag mask device.
  5. How does emphysema affect the lungs and ventilations?: decreases sur- face area making gas exchange inefficient
  6. What disease has the greatest effect on alveolar oxygen diffusion?: Em- physema
  7. A 19 year old female overdosed on benzodiazepines. She has snoring respirations and with minimal response to painful stimuli. How should you manage her airway?: Oropharyngeal Adjunct
  8. You are taking over ventilations from your partner when you notice the en- dotracheal tube shows the 26 cm at the teeth. Whaat should you expect?: Right Mainstem intubation
  9. A lethargic 51 year old female has stridorous respirations. Her skin is flushed and warm to the touch. What should you do?: Inspect the oropharynx
  10. A 65 year old female is unresponsive with gurgling respirations. Vital signs are P 48, R 6. What should you do?: Suction the Airway
  11. An 81 year old male has breathing difficulties with a nonproductive cough. He has a history of smoking and barrel shaped chest. Nursing home staff states his dyspnea has increased over the last 8 hours. Vital signs are BP 136/82, P 122, R28, and SpO2 89%. What should you suspect?:
  1. Which of the following is an objective finding that confirms successful intubation?: End tidal carbon dioxide waveform
  2. A 72 year old female has shortness of breath. She is on 2 lpm nasal cannula and has had 2 nebulizer treatments for her emphysema. Her initial ETCO2 was 46 mmHg. During your reassessment, she is unable to follow simple commands and her ETCO2 is 60 mmHg. What should you do?: Assist her breathing with a bag-mask device
  3. An intubated 18 year old male is in respiratory arrest. At what range should you maintain his EtCO2?: 35-45 mmHg
  4. What is the normal tidal volume in an adult male?: 500mL
  5. After moving an intubated patient down a flight of stairs, you have diffi- culty assisting ventilations. The abdomen is distended and lung sounds are diminished bilaterally. What should you do?: Confirm Tube Placement
  6. What is a sign of respiratory failure in an adult?: Altered Mental Status
  7. A 55 year old male with emphysema is only able to talk in short broken sentences and struggles to breathe. As you move him to the stretcher he stops breathing. What should you do?: Begin positive pressure ventilations
  8. What is the function of chemoreceptors?: Determine pH of the blood
  9. Assessment of a patient with respiratory distress reveals that expiration is 4 times longer than inspiration. What should you suspect?: Bronchospasm
  10. A 30 year old female was choking. When you arrive, she asks for your help. What should you do?: Encourage her to cough
  11. An unresponsive 26 year old female is slumped over her steering wheel in a parking lot. There are used needles and empty beer bottles in the front seat. Vital signs are P 130, R 6 and snoring. What should you do?: Manually open the airway
  12. A ventilator dependent patient's SpO2 level decreases from 94% to 80%. You hear coarse, wet sounds coming from the ET tube. What should you do?: Perform deep tracheal suctioning
  13. Where does the stimulus to breathe come from?: Brainstem
  14. A 22 year old female is apneic. You have been attempting to place the

ET tube for the past 30 seconds without success. Vital signs are P 46, SpO2 67%. What should you do?: Stop and assist ventilations with a BVM

  1. A 72 year old male complains of sudden onset of pain in his upper right chest. He states he recently had hernia surgery. Vital signs are BP 140/80, P 102, R 26. What is the most likely cause?: Pulmonary Embolism
  2. A 68 year old female is supine in bed and responds only to painful stimuli. Vital signs are BP 108/64, P 52, R 6 and shallow, SpO2 78%. What should you do?: Assist ventilations with aa bag-valve mask
  3. What is the name of the smooth, moist epithelial layer that covers the lungs?: Visceral pleura
  4. After attempting ventilations of both ports of a dual lumen airway device, you are unable to see chest rise and fall. What should you do?: Remove the device and re-oxygenate
  5. The air that we exhale contains approximately how much oxygen?: 16%
  6. An unresponsive patient has a tracheostomy tube. How should you assist ventilations?: Use an adult BVM with a pediatric mask and ventilate through the stoma
  7. An adult patient was short of breath with a productive cough with yel- lowish-green secretions. He is now apneic and lung compliance is poor after endotracheal intubation. What should you do?: Perform tracheal suctioning
  8. What is the correct dosage of ipratropium bromide during an asthma attack?: 0.5 mg, by nebulizer
  9. What is alveolar collapse known as?: Atelectasis
  10. A 45 year old female awoke in the middle of the night. She complains of breathing difficulties. Her medications are HCTZ, digoxin and Coumadin. Vitals are BP 180/104, P 102 and irregular, R 28 with bilateral crackles. What is the most likely cause?: Pulmonary Edema
  11. You administered a short acting paralytic and are unable to successfully intubate the patient after two attempts. Vital signs are P 50, SpO2 86%. What should you do?: Insert an oral airway and ventilate with a BVM
  12. A 49 year old female is clutching her throat and whispers "I can't breathe". What should you do?: Encourage her to cough

dry. What should you suspect?: Emphysema

  1. What results from hyperventilating a patient?: Inhibited preload and hypoten- sion
  2. A very large man in restaurant is clutching his throat and unable to speak. You are unable to reach your arms around his abdomen. What should you do?: Encourage him to cough
  3. A patient is in status asthmaticus. Initial treatments and medications are ineffective.You note use of accessory muscles to breathe. Vital signs are SpO2 70%, ETCO2 55 mmHg. What should you do?: Prepare for intubation
  4. What is the semi-stiff, cartilage-containing flap of tissue covering the opening of the trachea?: Epiglottis
  5. You are transporting a chemically sedated male who is ventilator depen- dent and he becomes cyanotic. ETCO2 decreases from 33 mmHg to 10 mmHg. Vital signs are BP 88/40, P 56, R assisted. What should you suspect?: Dislodge endotracheal tube
  6. An anxious 55 year old female complains of shortness of breath and swelling in her right leg. She is diaphoretic. Vital signs are P 124 and weak, R 22, SpO2 91%. What should you suspect?: Pulmonary Embolism