Group Complete With Correct Answers
\Q\.When assessing the work of breathing in a pediatric patient, you should assess
A. chest expansion, skin color, and presence of wheezes or stridor
B. using inspection, palpation, percussion, and auscultation of chest
C. breath sounds bilaterally, ventilation rate, quality, and volume
D. airway sounds, positioning, and presence of any retractions or nasal flaring - ANSWERS✔-D.
airway sounds, positioning, and presence of any retractions or nasal flaring
\Q\.Your team is performing CPR on a 68 year old male. You are assigned the airway. When
ventilating him, you should:
A. ventilate him once when CPR stops after 30 compressions
B. Use a two person ventilation technique
C. Use a BVM that can refill in 3 seconds
D. Ventilate every 15 seconds with BVM - ANSWERS✔-B. Use a two person ventilation technique
\Q\.A 20 year old male was playing basketball and suddenly developed chest pain and
respiratory difficulty. He is alert and oriented. He complains of chest pain. His vitals are P=140,
R=24, Bp=160/90. He has diminished breath sounds on the left side. He is likely suffering from:
A. tension pneumothorax
B. simple pneumothorax
C. heat exhaustion
D. heat stroke - ANSWERS✔-B. simple pneumothorax
,\Q\.A tall, thin 21 year old male tells you he has increasing shortness of breath after playing
basketball. He tells you during the first part of practice he was tired and the longer he played
the more short of breath he became. You notice swelling around his neck and you hear crackles
when you palpate the skin. You should suspect:
A. pulmonary embolism
B. spontaneous pneumothorax
C. pernicious anemia
D. cardiomegaly - ANSWERS✔-B. spontaneous pneumothorax
\Q\.Which of the following patient presentations represent the most severe stage of hypoxia?
A. A restless and agitated 72 year old female with vitals: P=110, R=14, and BP= 148/92
B. A 68 year old male with skin that is cool and clammy. His vitals: P= 110, R= 18, and BP=
108/72
C. A sleepy and confused 69 year old male with discolored fingernail beds
D. A 73 year old female with shortness of breath, headache, and tachypenic - ANSWERS✔-C. A
sleepy and confused 69 year old male with discolored fingernail beds
\Q\.A 2 year old female who has had a cold for the past two days now has frequent barking
coughing. Her skin is warm to touch. She has inspiratory stridor, and her SpO2 is 98% on room
air. When transporting her, you should prepare for:
A. respiratory arrest
B. sepsis
C. emesis
D. airway obstruction - ANSWERS✔-D. airway obstruction
\Q\.A 67 year old male is unresponsive and snoring. As you insert a tongue depressor to insert
an oropharyngeal airway, he has a gag reflex. You should:
A. insert a nasopharyngeal airway
,B. turn him to the recovery position
C. suction his airway
D. maintain head-tilt chin-lift - ANSWERS✔-A. insert a nasopharyngeal airway
\Q\.A 6 year old male has a fever and difficulty breathing. He is anxious, sitting in a tripod
position, and complains of a sore throat. You should suspect:
A. rubeola
B. pertussis
C. epiglottitis
D. esophagitis - ANSWERS✔-C. epiglottitis
\Q\.The mother of a 3 month old male tells you that his apnea monitor alarmed and when she
checked on him he was not breathing. She stimulated him and called 9-1-1. He is now breathing
on his own. His vital signs are P 160, R 28, and SpO2 is 98% on room air. You should first:
A. administer blow-by oxygen at 6 L/minute
B. check the functions of the apnea monitor
C. determine what care she provided
D. instruct her how to ventilate him - ANSWERS✔-C. determine what care she provided
\Q\.A 71 year old female awoke suddenly complaining of shortness of breath. She tells you she
had a heart attack six months ago. Her vitals are P 96, R 16, BP 108/84, and SpO2 is 91% on
room air. You should first:
A. administer oxygen by NRB
B. ask if she takes nitroglycerin
C. lay her flat and elevate legs
D. listen to her lungs for wheezes - ANSWERS✔-A. administer oxygen by NRB
, \Q\.A 74 year old female who was holding her head collapsed suddenly. When you arrive she is
lying supine on the floor unresponsive. You hear gurgling sounds on inspiration. You should first:
A. ventilate her with a BVM
B. insert a NPA
C. suction her airway
D. log roll her to recovery position - ANSWERS✔-C. suction her airway
\Q\.Which of the following findings indicates a condition where air is trapped in the lower
airways? Common in asthma and COPD
A. rales
B. pleural rub
C. wheezes
D. rhonchi - ANSWERS✔-C. wheezes
\Q\.A 4 year old male has difficulty breathing. He has a sore throat, is leaning forward with
hands on his knees, and his skin is hot to touch. When he speaks his voice sounds hoarse. His
pulse oximeter reading is 94% on room air. You should:
A. inspect his upper airway, monitor tracheal breath sounds, and transport rapidly
B. lay him flat, monitor ABCs, and transport
C. administer oxygen, keep him calm, and transport rapidly
D. administer high-flow oxygen, insert oral airway, and transport - ANSWERS✔-C. administer
oxygen, keep him calm, and transport rapidly
\Q\.An 8 year old female who has a history of asthma self-administered her metered dose
inhaler prior to your arrival. Her vital signs are P 96, R 16, BP 108/78, and SpO2 is 94% on room
air. You auscultate her lung sounds over the lower lobes and should expect to hear:
A. bronchovesicular sounds
B. wheezes