RCP 210 Midterm: | UPDATED Questions with 100% Verified Answers
Question:
A patient has been receiving positive-pressure ventilation
through a tracheostomy tube for 4 days. In the past 2 days,
there is evidence of both recurrent aspiration and abdominal
distention but minimal air leakage around the tube cuff. What
is most likely cause of the problem?
Answer:
tracheoesophageal fistula
Question:
A patient receiving mechanical ventilatory support
accidentally displaces the endotracheal tube out of the
trachea. What would be the most appropriate action at this
time?
Answer:
remove the tube and provide manual ventilation or oxygenation as necessary
Question:
After an intubation attempt, an expired capnogram indicates a
CO2 level near zero. What does this finding probably
indicate?
Answer:
placement of the endotracheal tube in the esophagus
Question:
After intubation of a cardiac arrest victim, you observe a slow
but steady rise in the expired CO2 levels as measured by a
bedside capnometer. Which of the following best explains this
observation?
Answer:
return of spontaneous circulation
, Question:
Before beginning an intubation procedure, the practitioner
should check and confirm the operation of which of the
following?
1. laryngoscope light source
2. endotracheal tube cuff
3. suction equipment
4. cardiac defibrillator
Answer:
1,2,3
Question:
Before the suctioning of a patient, auscultation reveals coarse
breath sounds during both inspiration and expiration. After
suctioning, the coarseness disappears, but expiratory
wheezing is heard over both lung fields. What is most likely
the problem?
Answer:
the patient has hyperactive airways and has developed bronchospasm.
Question:
Ideally, the distal tip of a properly positioned endotracheal
tube (in an adult man) should be positioned approximately
how far above the carina?
Answer:
3 to 6 cm
Question:
Serious complications of oral intubation include which of the
following?
1. Cardiac arrest
2. Acute hypoxemia
3. Bradycardia
4. Tongue lacerations
Question:
A patient has been receiving positive-pressure ventilation
through a tracheostomy tube for 4 days. In the past 2 days,
there is evidence of both recurrent aspiration and abdominal
distention but minimal air leakage around the tube cuff. What
is most likely cause of the problem?
Answer:
tracheoesophageal fistula
Question:
A patient receiving mechanical ventilatory support
accidentally displaces the endotracheal tube out of the
trachea. What would be the most appropriate action at this
time?
Answer:
remove the tube and provide manual ventilation or oxygenation as necessary
Question:
After an intubation attempt, an expired capnogram indicates a
CO2 level near zero. What does this finding probably
indicate?
Answer:
placement of the endotracheal tube in the esophagus
Question:
After intubation of a cardiac arrest victim, you observe a slow
but steady rise in the expired CO2 levels as measured by a
bedside capnometer. Which of the following best explains this
observation?
Answer:
return of spontaneous circulation
, Question:
Before beginning an intubation procedure, the practitioner
should check and confirm the operation of which of the
following?
1. laryngoscope light source
2. endotracheal tube cuff
3. suction equipment
4. cardiac defibrillator
Answer:
1,2,3
Question:
Before the suctioning of a patient, auscultation reveals coarse
breath sounds during both inspiration and expiration. After
suctioning, the coarseness disappears, but expiratory
wheezing is heard over both lung fields. What is most likely
the problem?
Answer:
the patient has hyperactive airways and has developed bronchospasm.
Question:
Ideally, the distal tip of a properly positioned endotracheal
tube (in an adult man) should be positioned approximately
how far above the carina?
Answer:
3 to 6 cm
Question:
Serious complications of oral intubation include which of the
following?
1. Cardiac arrest
2. Acute hypoxemia
3. Bradycardia
4. Tongue lacerations