EGAN’S CHAPTER 36- AIRWAY
MANAGEMENT EXAM WITH QUESTIONS AND
ANSWERS|| ALREADY GRADED A+|| LATEST
VERSION 2026
What size endotracheal tube would you select to intubate a 3-year-old child?
a. 3.0 to 4.0 mm
b. 4.5 to 5.0 mm
c. 5.5 to 6.0 mm
d. 6.0 to 7.0 mm - ANSWER-4.5 to 5.0 mm
What size endotracheal tube would you select to intubate a 1500-g newborn
infant?
a. 2.5 mm
b. 3.0 mm
c. 3.5 mm
d. 4.0 mm - ANSWER-3.0 mm
What size endotracheal tube would you select to intubate an adult female?
a.6 mm
b.7 mm
c.8 mm
d.9 mm - ANSWER-8 mm
,When checking for proper placement of an endotracheal tube in an adult patient
on chest radiograph, it is noted that the distal tip of the tube is 2 cm above the
carina. Which of the following actions would you recommend?
a.Withdraw the tube by 2 to 3 cm (using tube markings as a guide).
b.Withdraw the tube by 7 to 8 cm (using tube markings as a guide).
c.Advance the tube by 2 to 3 cm (using tube markings as a guide).
d.Advance the tube by 7 to 8 cm (using tube markings as a guide). - ANSWER-
Withdraw the tube by 2 to 3 cm (using tube markings as a guide).
An alert patient with a long-term need for a tracheostomy tube (because of
recurrent aspiration) is having difficulty communicating with the intensive care
unit staff. Which of the following would you recommend to help this patient
communicate better?
1. Use a letter, phrase, or picture board.
2. Consider switching to a fenestrated tracheostomy tube.
3. Consider a "talking" tracheostomy tube.
a.1 and 2 only
b.1 and 3 only
c.2 and 3 only
d.1, 2, and 3 - ANSWER-1 and 3 only
To ensure adequate humidification for a patient with an artificial airway,
inspired gas at the proximal airway should be 100% saturated with water vapor
and at which of the following temperatures?
a.32° to 35° C
b.37° to 40° C
c.30° to 32° C
d.40° to 42° C - ANSWER-32° to 35° C
,Tracheal airways increase the incidence of pulmonary infections for which of
the following reasons?
1. Lower levels of humidification
2. Increased aspiration of pharyngeal material
3. Contaminated equipment or solutions
4. Ineffective clearance through cough
a.1 and 3 only
b.1, 2, and 3 only
c.3 and 4 only
d.2, 3, and 4 only - ANSWER-2, 3, and 4 only
An adult patient receiving cool mist therapy after extubation begins to develop
stridor. Which of the following actions would you recommend?
a.Change from cool mist to heated aerosol.
b.Re-intubate the patient immediately.
c.Administer a racemic epinephrine treatment.
d.Draw and analyze an arterial blood gas. - ANSWER-Administer a racemic
epinephrine treatment.
What is a rare but serious complication associated with endotracheal tube
extubation?
a.Bradycardia
b.Aspiration
c.Infection
d.Laryngospasm - ANSWER-Laryngospasm
. Which of the following approaches may be used in "weaning" a patient from a
tracheostomy tube?
1. Using progressively smaller tubes
, 2. Using a fenestrated tube
3. Using a tracheostomy button
a.1 and 2 only
b.1 and 3 only
c.2 and 3 only
d.1, 2, and 3 - ANSWER-1, 2, and 3
A physician asks you to assess the upper airway function of a patient with a
fenestrated tracheostomy tube. How should this be accomplished?
a.Replace the inner cannula, plug the proximal opening, and inflate the cuff.
b.Remove the inner cannula, plug the proximal opening, and deflate the cuff.
c.Remove the inner cannula, plug the proximal opening, and inflate the cuff.
d.Replace the inner cannula, plug the proximal opening, and deflate the cuff. -
ANSWER-Remove the inner cannula, plug the proximal opening, and deflate
the cuff.
What is the most common problem with fenestrated tracheostomy tubes?
a.Relative frequency of accidental extubation
b.Increased likelihood of tracheomalacia
c.Poor positioning of the tube fenestration
d.Inability to provide mechanical ventilation - ANSWER-Poor positioning of
the tube fenestration
What is the purpose of an endotracheal tube stylet?
a.It helps ascertain proper tube position.
b.It adds rigidity and shape to ease insertion.
c.It minimizes mucosal trauma during insertion.
MANAGEMENT EXAM WITH QUESTIONS AND
ANSWERS|| ALREADY GRADED A+|| LATEST
VERSION 2026
What size endotracheal tube would you select to intubate a 3-year-old child?
a. 3.0 to 4.0 mm
b. 4.5 to 5.0 mm
c. 5.5 to 6.0 mm
d. 6.0 to 7.0 mm - ANSWER-4.5 to 5.0 mm
What size endotracheal tube would you select to intubate a 1500-g newborn
infant?
a. 2.5 mm
b. 3.0 mm
c. 3.5 mm
d. 4.0 mm - ANSWER-3.0 mm
What size endotracheal tube would you select to intubate an adult female?
a.6 mm
b.7 mm
c.8 mm
d.9 mm - ANSWER-8 mm
,When checking for proper placement of an endotracheal tube in an adult patient
on chest radiograph, it is noted that the distal tip of the tube is 2 cm above the
carina. Which of the following actions would you recommend?
a.Withdraw the tube by 2 to 3 cm (using tube markings as a guide).
b.Withdraw the tube by 7 to 8 cm (using tube markings as a guide).
c.Advance the tube by 2 to 3 cm (using tube markings as a guide).
d.Advance the tube by 7 to 8 cm (using tube markings as a guide). - ANSWER-
Withdraw the tube by 2 to 3 cm (using tube markings as a guide).
An alert patient with a long-term need for a tracheostomy tube (because of
recurrent aspiration) is having difficulty communicating with the intensive care
unit staff. Which of the following would you recommend to help this patient
communicate better?
1. Use a letter, phrase, or picture board.
2. Consider switching to a fenestrated tracheostomy tube.
3. Consider a "talking" tracheostomy tube.
a.1 and 2 only
b.1 and 3 only
c.2 and 3 only
d.1, 2, and 3 - ANSWER-1 and 3 only
To ensure adequate humidification for a patient with an artificial airway,
inspired gas at the proximal airway should be 100% saturated with water vapor
and at which of the following temperatures?
a.32° to 35° C
b.37° to 40° C
c.30° to 32° C
d.40° to 42° C - ANSWER-32° to 35° C
,Tracheal airways increase the incidence of pulmonary infections for which of
the following reasons?
1. Lower levels of humidification
2. Increased aspiration of pharyngeal material
3. Contaminated equipment or solutions
4. Ineffective clearance through cough
a.1 and 3 only
b.1, 2, and 3 only
c.3 and 4 only
d.2, 3, and 4 only - ANSWER-2, 3, and 4 only
An adult patient receiving cool mist therapy after extubation begins to develop
stridor. Which of the following actions would you recommend?
a.Change from cool mist to heated aerosol.
b.Re-intubate the patient immediately.
c.Administer a racemic epinephrine treatment.
d.Draw and analyze an arterial blood gas. - ANSWER-Administer a racemic
epinephrine treatment.
What is a rare but serious complication associated with endotracheal tube
extubation?
a.Bradycardia
b.Aspiration
c.Infection
d.Laryngospasm - ANSWER-Laryngospasm
. Which of the following approaches may be used in "weaning" a patient from a
tracheostomy tube?
1. Using progressively smaller tubes
, 2. Using a fenestrated tube
3. Using a tracheostomy button
a.1 and 2 only
b.1 and 3 only
c.2 and 3 only
d.1, 2, and 3 - ANSWER-1, 2, and 3
A physician asks you to assess the upper airway function of a patient with a
fenestrated tracheostomy tube. How should this be accomplished?
a.Replace the inner cannula, plug the proximal opening, and inflate the cuff.
b.Remove the inner cannula, plug the proximal opening, and deflate the cuff.
c.Remove the inner cannula, plug the proximal opening, and inflate the cuff.
d.Replace the inner cannula, plug the proximal opening, and deflate the cuff. -
ANSWER-Remove the inner cannula, plug the proximal opening, and deflate
the cuff.
What is the most common problem with fenestrated tracheostomy tubes?
a.Relative frequency of accidental extubation
b.Increased likelihood of tracheomalacia
c.Poor positioning of the tube fenestration
d.Inability to provide mechanical ventilation - ANSWER-Poor positioning of
the tube fenestration
What is the purpose of an endotracheal tube stylet?
a.It helps ascertain proper tube position.
b.It adds rigidity and shape to ease insertion.
c.It minimizes mucosal trauma during insertion.
