Respiratory System Anatomy and Physiology, Exams of Nursing

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FISDAP Airway Questions with Correct

Answers 2024/

1. Where does the stimulus to breathe originate? A. Spinal cord B. Diaphragm C. Heart D. Brainstem
2. What is the proper way to measure an oropharyngeal airway? A. The nose to the xyphoid process. B. From the center of the mouth to the angle of the jaw. C. From the tip of the nose to the lobe of the ear. D. By the size of the patients thumb.
3. During respiration, where does the process of the gas exchange occur? A. Trachea B. Aveoli C. Epiglottis D. Bronchioles
4. A conscious 32 year old complains of difficulty breathing. He is coughing while pointing to his throat. What should you do? A. Give four strong blows to the back. B. Place him supine and begin CPR. C. Encourage him to keep coughing. D. Administer abdominal thrusts.
5. A 34 year old female has fallen from a height of 10 feet. She is unresponsive with snoring respirations. What should you do? A. Use the jaw-thrust maneuver. B. Support her head and neck with a rolled towel. C. Attempt the chin-lift maneuver. D. Apply a cervical collar.
6. How much oxygen will a pocket mask on room air deliver? A. 92% B. 17% C. 10% D. 23%
7. An unresponsive 44 year old male has an oral airway and is being ventilated. He suddenly regains consciousness and starts to gag. What

should you do? A. Insert a nasal airway. B. Request ALS to sedate the patient. C. Remove the airway and apply high-flow oxygen. D. Suction the airway and leave the adjunct in place.

8. Which of the following is a musical, squeaking or whistling sound heard in inspiration and expiration while auscultating lung fields? A. Gurgling B. Snoring C. Stridor D. Wheezing
9. A 29 year old male crashed his motorcycle. He is unconscious and the lower portion of jaw is torn from his face. He has gurgling respirations with bleeding into throat. What should you do? A. Insert an oropharyngeal airway. B. Perform a head chin tilt and apply a non-rebreather mask. C. Apply a nasal cannula and suction as needed. D. Apply a c-collar and administer blow-by oxygen.
10. You find a patient in the tripod position. What should you suspect? A. A cardiac emergency B. Gastrointestinal distress C. Respiratory distress D. A transischemic attack Scenario:
11. A 54 year old female is unresponsive and laying supine on the floor. What should you do? A. Obtain a set of vital signs. B. Insert an oral airway. C. Start CPR. D. Check for a carotid pulse.
12. What is the leading cause of infant and child death? A. Congenital defects B. Vascular stenosis C. Allergic reactions D. Respiratory arrest
13. What is the normal rate of breathing for an adult? A. 28 to 36 breaths per minute. B. 6 to 10 breaths per minute. C. 22 to 26 breaths per minute. D. 12 to 20 breaths per minute.
14. What is the coarse sound of fluid movement heard on inspiration called? A. Rhonchi B. Snoring C. Crackles D. Gurgling

15. What is the area where the base of the tongue and the epiglottis meet called?

A. Vallecula B. Alveoli C. Carina D. Bronchi

16. A 57 year old female is found unresponsive in bed. How should you assess her breathing? A. Look for chest rise and fall. B. Apply oxygen via non-rebreather mask. C. Apply a pulse oximetry monitor. D. Look for changes in skin color.
17. Which tissues create the greatest surface area for gas exchange in the lungs? A. Trachea B. Bronchioles C. Alveoli D. Pleura
18. A 4 year old male is choking on a marble. He is coughing and drooling. What should you do? A. Perform 5 abdominal thrusts. B. Perform 5 back blows. C. Visualize and remove the marble. D. Coach him to cough.
19. Which of the following structures serves as a passageway for both the respiratory and digestive system? A. Trachea B. Esophagus C. Cricoid cartilage D. Pharynx
20. When providing mouth to mouth ventilations, what percentage of oxygen are you providing? A. 35 B. 100 C. 21 D. 16
21. The air that we exhale contains approximately how much oxygen? A. 6%

B. 21%

C. 35%

D. 16%

22. A 20 year old male was involved in a motorcycle accident. He has bits of broken teeth and blood in his airway. After 10 seconds of suctioning his mouth there is still active bleeding. What should you do? A. Insert a roll of gauze to soak up the blood. B. Give two rescue breaths. C. Roll him onto his side. D. Remove the pieces of teeth with a finger sweep.
23. A 22 year old intoxicated male responds to voice by moaning. You note vomit in his airway, what should you do? A. Suction the mouth. B. Insert a nasal airway. C. Turn the patient on his side. D. Manually stabilize c-spine.
24. A 24 year old male is lying supine and is unresponsive. You have opened his airway with a head-tilt/chin-lift maneuver and determined that he is apneic with a bradycardic pulse. You attempt to ventilate, but are unsuccessful. What should you do? A. Check for a carotid pulse. B. Begin continuous chest compressions. C. Reposition the airway and give 2 ventilations. D. Attempt to give 2 more forceful ventilations.
25. What is the name of the tracheal ring that sits directly inferior to the larynx? A. Cuneiform cartilage B. Corniculate cartilage C. Thyroid cartilage D. Cricoid cartilage
26. Which structure contains the vocal cords? A. Larynx B. Trachea C. Pharynx D. Sternum
27. How much air is inspired in during a single inhalation? A. 200 mL B. 150 mL C. 500 mL D. 750 mL Scenario:
28. A 33 year old male has respirations of 22 per minute. How should

you administer oxygen to him? A. Non-rebreather mask at 15 lpm.

B. Simple rebreather mask at 4 lpm. C. Bag-valve mask at 8 lpm. D. Venturi mask at 8 lpm.

29. What is the normal tidal volume in an adult male? A. 1000 mL B. 350 mL C. 750 mL D. 500 mL
30. An unresponsive 64 year old male has a stoma. He is supine and apneic. What should you do? A. Assist his ventilations with an adult bag-valve mask and cover the stoma. B. Place a pediatric sized BVM over the stoma and ventilate. C. Obtain a set of vital signs and apply an AED. D. Apply a cervical collar and perform a jaw thrust maneuver.
31. What is the name of the smooth, moist epithelial layer that covers the lungs? A. Parietal peritoneum B. Visceral pleura C. Visceral peritoneum D. Parietal pleura Scenario:
32. Why is it important to avoid touching the back of the throat when suctioning? A. It causes the upper airway to spasm uncontrollably. B. It will cause contamination of the catheter. C. Tachycardia can occur due to vagus nerve stimulation. D. It can stimulate the gag reflex and cause vomiting.
33. Room air contains what percentage of oxygen? A. 21 B. 100 C. 36 D. 10
34. A 7 year old boy is found supine at the base of 15 foot high jungle gym. His teacher is unsure if he fell from the equipment. Vital signs are BP 100/90, R 0, P 42, SaO2 93%. What should you do? A. Open his airway with a jaw thrust maneuver. B. Start CPR. C. Insert an oropharyngeal airway. D. Open his airway with a head tilt-chin lift maneuver.
35. A 36 year old male complains of a sore throat with drooling. He is

having difficulty breathing with stridor. His skin is pink and hot to the touch. What should you suspect?

A. Pneumonia B. Bronchitis C. Epiglottitis D. Tonsillitis

36. What is oxygen deficiency in the body called? A. Hypoxemia B. Hyperoxia C. Hypoxia D. Hypercarbia
37. An 18 year old female with a suspected cervical spine injury has a significant amount of blood in her mouth. What should you do? A. Stabilize her head and suction her airway. B. Perform a jaw-thrust and finger sweep in order to remove blood from her mouth. C. Perform a jaw-thrust maneuver and attempt to ventilate her. D. Assess the her respiratory rate for no longer than 30 seconds.
38. Which of the following is the MOST common cause of airway obstruction? A. The tongue B. Trauma C. Laryngeal spasm D. Foreign bodies
39. A 4 year old male has snoring respirations. What should you do? A. Insert a nasopharyngeal airway. B. Perform a head-tilt maneuver. C. Insert an oropharyngeal airway. D. Gently shake to wake up the patient.
40. An 8 month old male is unresponsive to painful stimuli. Vital signs are P 50 and regular, R 8 and labored, and capillary refill is greater than 6 seconds. What should you do? A. Apply an AED. B. Administer oxygen. C. Assist ventilations. D. Start CPR.
41. A 21 year old male is having trouble catching his breath after exercising. He has a history of asthma. Vitals signs are BP 140/90, P 120, R 22. Lung sounds reveal inspiratory wheezes. What should you do?

A. Apply a non-rebreather mask. B. Assist his ventilations with a bag-valve mask. C. Assist in administration of his metered dose inhaler.

D. Apply a nasal cannula and obtain a pulse oximetry reading.

42. A 44 year old male involved in a car accident is in respiratory distress. What is the best way to assess his breathing? A. Count his respiratory rate for 10 seconds and multiply by six. B. Expose the his chest and palpate while counting breaths. C. Reposition his head and look, listen, and feel, near his face. D. Observe the rate as fast or slow and move on to secondary exam.
43. A conscious 18 year old male is bleeding profusely from his mouth. How should you position him? A. Sitting up and leaning forward. B. Leaning back with a nasopharyngeal airway. C. Lateral recumbent position with pressure dressing. D. Supine with knees flexed.
44. What is the name of the leaf shaped valve that prevents food from entering the trachea? A. Pharynx B. Bronchi C. Epiglottis D. Larynx Scenario:
45. A 36 year old female begins vomiting en route to hospital. You have rolled her on her side, but she continues to have secretions in her airway. How long should you suction her? A. Until clear. B. 10 seconds. C. 15 seconds. D. 60 seconds.
46. A 54 year old female is in respiratory arrest and has inadequate chest rise during ventilations. What should you do? A. Check for a FBAO B. Asses end tidal CO C. Reposition the jaw D. Determine her SpO
47. Which is a sign of respiratory failure for an adult? A. Mouth breathing

B. Skin is pink and dry. C. Breathing 16 times per minute. D. Nasal flaring

48. If you are suctioning emesis out of a mouth that has chunks that are to large to fit into a yankauer, it is okay to just use the suction tubing to suction the airway. A. False B. True
49. An 18 year old male complains of bilateral chest pain. Lung sounds reveal coarse ronchi throughout all fields. His skin color is pale and he is warm to the touch. Vital signs are BP 124/90, P 88, R 16, SpO2 96%. What should you suspect? A. Pneumonia B. Emphysema C. Chronic bronchitis D. Pulmonary edema
50. A lethargic 22 month old male presents with hoarseness and coughing. He has sternal retractions and his belly and chest move in opposite directions with each breath. He is breathing at a rate of 64. What should you suspect? A. Cardiopulmonary failure. B. Cardiopulmonary arrest. C. Respiratory distress. D. Respiratory failure.
51. Which of the following is a sign or symptom of Severe Acute Respiratory Syndrome? A. Rash and sore throat B. High fever and diarrhea C. Dark urine and jaundice D. Persistent low grade fever
52. A 56 year old male is sitting at the kitchen table in the tripod position. What should you do? A. Apply oxygen by non-rebreather mask at 10-15 lpm. B. Give oxygen via nasal cannula at 4-6 lpm. C. Not intervene as long as the patient is speaking. D. Perform an orotracheal intubation. Scenario:
53. A 33 year old male is unconscious after attempting to hang himself.

First responders have placed him supine on the ground. Vital signs are BP 70/30, P 46, R 4 and shallow. What should you do? A. Start CPR. B. Apply a cervical collar. C. Assist his ventilations. D. Insert an oral airway.

54. What is the expected breathing rate for a child under the age of eight? A. 5-10 breaths per min. B. 40-60 breaths per min. C. 10-20 breaths per min. D. 20-40 breaths per min.
55. A 60 year-old female is conscious but in acute respiratory distress. Respirations rapid with clear, equal breath sounds. What should you do? A. Use a nasal cannula at 2 L/min B. Assist her respirations with a BVM C. Insert an oral airway D. Provide oxygen by NRB mask
56. A 56 year old male has intercostal retractions and is in the tripod position. Vital signs are BP 116/78, P 90, R 32. What should you do? A. Apply a non-rebreather mask at 15 lpm. B. Administer albuterol. C. Administer oxygen by nasal cannula. D. Assist his ventilations.
57. What is a hazardous, odorless gas resulting from incomplete combustion? A. Carbon monoxide B. Carbon dioxide C. Nitrogen D. Sarin
58. What is the average volume that you should give while ventilating a patient using a BVM? A. 400ml B. 550ml C. 500ml D. 450ml
59. A 97 year old small and emaciated female complains of shortness of breath. She is in the tripod position using a nasal cannula at 3 lpm. Lung sounds are distant but clear. What should you suspect? A. Emphysema B. Asthma C. Chronic bronchitis D. Allergic reaction

60. Which of the following is a sign of pneumonia? A. Jugular vein distension B. Productive cough

C. Distant lung sounds D. Crackles

61. What condition results when the alveoli collapse? A. Pneumonia B. Pneumothorax C. Effusion D. Atelectasis
62. A 19 year old underweight female complains of difficulty breathing. She has been coughing up clear sputum and has bilateral ronchi. She has a light coating of small crystalline granules on her arms and legs. Her father states "This shortness of breath is different from normal." What should you suspect? A. Cystic Fibrosis B. Pneumonia C. Asthma attack D. COPD exacerbation
63. What is the most appropriate method for opening the airway of a patient with a suspected cervical spine injury? A. Jaw-thrust B. Neck lift C. Head-tilt, chin-lift D. Head-tilt, jaw-thrust
64. What is the most frequent cause of upper airway obstruction in an adult? A. Sputum B. Tongue C. Vomitus D. Foreign body
65. A 56 year old male complains of pinpoint pain to the left side of his chest along with difficulty breathing. He states that he recently went off his blood thinners before a hernia surgery. What should you suspect? A. Acute myocardial infarction B. Pulmonary embolism C. Pulmonary edema D. Tension pneumothorax

Scenario:

66. A 23 year old female is immobilized on a backboard when she starts vomiting. What should you do? A. Tilt the backboard to the side. B. Insert a nasopharyngeal airway. C. Suction using a soft tipped catheter. D. Provide her with an emesis bag.
67. A 43 year old unresponsive female is slumped over in a chair. Vital signs are P 43, R 0. What should you do? A. Check for a medical bracelet. B. Obtain a pulse oximetry reading. C. Apply high-flow oxygen by non-rebreather mask. D. Assist her ventilations.
68. What is the location of bifurcation in the trachea? A. Valleculi B. Alveoli C. Carina D. Bronchi

1. ANSWER: D

2. ANSWER: B

3. ANSWER: B

4. ANSWER: C

5. ANSWER: A

6. ANSWER: B

7. ANSWER: C

8. ANSWER: D

9. ANSWER: C

Feedback: An oropharyngeal airway is used to lift the tongue and requires the supporting structures of the jaw, therefore an OPA would be ineffective for this patient. Oxygen should be administered, however, and the nasal cannula will provide a greater concentration than any of the other methods listed.

10. ANSWER: C
11. ANSWER: D
12. ANSWER: D
13. ANSWER: D
14. ANSWER: A
15. ANSWER: A

16. ANSWER: A

17. ANSWER: C

18. ANSWER: D

19. ANSWER: D

20. ANSWER: D

21. ANSWER: D

22. ANSWER: C

Feedback: A patient should not be ventilated for longer than 10 seconds. If you have been ventilating for longer than 10 seconds, you should pause and administer two rescue breaths before resuming suction.

23. ANSWE R:

A

24. ANSWE

R:

C

25. ANSWE

R:

D

26. ANSWE

R:

A

27. ANSWE

R:

C

28. ANSWE

R:

A

29. ANSWE

R:

D

30. ANSWE

R:

B

Feedback: Stoma is an artificial opening used as an airway. They can create a unique challenge when ventilating a patient. You should place a smaller size mask over the opening and attempt to ventilate. These airways often become clogged with mucus. Prepare to suction as needed.

31. ANSWE R:

B

32. ANSWE

R:

D

33. ANSWE

R:

A

34. ANSWE

R:

A

Feedback: The patient is not breathing, so you first need to ensure that he has an open airway. The jaw thrust would be most appropriate way to re- position his airway because you cannot be sure that the patient did not fall