CEN Respiratory Emergencies Review: Emergency Nursing Guide to Airway Management,
Asthma, COPD & Respiratory Failure
According to American Heart Association ACLS guidelines, cricoid pressure during intubation:
a. Should be done in all cases.
b. Is no longer recommended.
c. Should only be done on children.
d. None of the above. - ANS ✔✔B. According to the most current AHA guidelines, cricoid
pressure may delay or prevent placement of an advanced airway so is no longer recommended.
According to American Heart Association ACLS guidelines, when available, the best way to
confirm and maintain tracheal tube position is by:
a. Clinical examination only.
b. Quantitative waveform capnography.
c. Clinical examination and Pulse oximetry.
d. Clinical examination and quantitative waveform capnography. - ANS ✔✔D. The AHA
recommends continuous waveform capnography and clinical examination to confirm and
maintain ET tube position.
An intubated patient suddenly deteriorates while awaiting transport to the Intensive Care Unit.
The possible causes of sudden deterioration of an intubated patient can be remembered using
the acronym DOPE. DOPE includes the following possible causes of deterioration:
a. Displacement of the tube, Obstruction of the tube, Pneumothorax, Equipment Failure
b. Displacement of the IV catheter, Obstruction of the tube, Pneumothorax, Equipment Failure
c. Displacement of the tube, Obstruction of the tube, Pneumothorax, Extubation
d. Displacement of the IV catheter, Obstruction of the tube, Pneumothorax, Extubation - ANS
✔✔A. Any of the four complications can cause an intubated patient to quickly deteriorate after
being initially stabilized.
, The nasopharyngeal airway:
a. Is an advanced airway adjunct.
b. Should not be used in a conscious patient.
c. Is indicated when the use of an OPA is difficult or dangerous.
d. Is an example of a cuffed tube. - ANS ✔✔C. The NPA is a basic uncuffed airway adjunct that
can be used in the conscious patient when a patient has wired jaws, mouth trauma or a very
sensitive gag reflex.
The laryngeal airway:
a. Is more complicated to insert than an esophageal-tracheal tube.
b. Is not an alternative to bag-mask ventilation.
c. Can safely be used by any provider.
d. Can be used for airway management in cardiac arrest. - ANS ✔✔D. The advantages of the
laryngeal tube are similar to the ET tube, but the laryngeal tube is less complicated to insert.
However, this advanced airway should only be inserted by a provider experienced in its
insertion.
For a patient with a pulse rate of 72 and no respirations, the rescuer should do all of the
following EXCEPT:
a. Gives 1 rescue breath every 5-6 seconds.
b. Initiate chest compressions.
c. Insert an oropharyngeal or nasopharyngeal airway.
d. Administer oxygen. - ANS ✔✔B. Do not initiate compressions on a patient with a palpable
pulse. Give one rescue breath every 5-6 seconds and insert an OPA or NPA with BVM connected
to oxygen.
You are caring for a 65-year-old woman who was brought to the emergency department by an
EMS crew performing CPR. Return of Spontaneous Circulation (ROSC) is distinguished by:
a. Non-palpable central pulses
Asthma, COPD & Respiratory Failure
According to American Heart Association ACLS guidelines, cricoid pressure during intubation:
a. Should be done in all cases.
b. Is no longer recommended.
c. Should only be done on children.
d. None of the above. - ANS ✔✔B. According to the most current AHA guidelines, cricoid
pressure may delay or prevent placement of an advanced airway so is no longer recommended.
According to American Heart Association ACLS guidelines, when available, the best way to
confirm and maintain tracheal tube position is by:
a. Clinical examination only.
b. Quantitative waveform capnography.
c. Clinical examination and Pulse oximetry.
d. Clinical examination and quantitative waveform capnography. - ANS ✔✔D. The AHA
recommends continuous waveform capnography and clinical examination to confirm and
maintain ET tube position.
An intubated patient suddenly deteriorates while awaiting transport to the Intensive Care Unit.
The possible causes of sudden deterioration of an intubated patient can be remembered using
the acronym DOPE. DOPE includes the following possible causes of deterioration:
a. Displacement of the tube, Obstruction of the tube, Pneumothorax, Equipment Failure
b. Displacement of the IV catheter, Obstruction of the tube, Pneumothorax, Equipment Failure
c. Displacement of the tube, Obstruction of the tube, Pneumothorax, Extubation
d. Displacement of the IV catheter, Obstruction of the tube, Pneumothorax, Extubation - ANS
✔✔A. Any of the four complications can cause an intubated patient to quickly deteriorate after
being initially stabilized.
, The nasopharyngeal airway:
a. Is an advanced airway adjunct.
b. Should not be used in a conscious patient.
c. Is indicated when the use of an OPA is difficult or dangerous.
d. Is an example of a cuffed tube. - ANS ✔✔C. The NPA is a basic uncuffed airway adjunct that
can be used in the conscious patient when a patient has wired jaws, mouth trauma or a very
sensitive gag reflex.
The laryngeal airway:
a. Is more complicated to insert than an esophageal-tracheal tube.
b. Is not an alternative to bag-mask ventilation.
c. Can safely be used by any provider.
d. Can be used for airway management in cardiac arrest. - ANS ✔✔D. The advantages of the
laryngeal tube are similar to the ET tube, but the laryngeal tube is less complicated to insert.
However, this advanced airway should only be inserted by a provider experienced in its
insertion.
For a patient with a pulse rate of 72 and no respirations, the rescuer should do all of the
following EXCEPT:
a. Gives 1 rescue breath every 5-6 seconds.
b. Initiate chest compressions.
c. Insert an oropharyngeal or nasopharyngeal airway.
d. Administer oxygen. - ANS ✔✔B. Do not initiate compressions on a patient with a palpable
pulse. Give one rescue breath every 5-6 seconds and insert an OPA or NPA with BVM connected
to oxygen.
You are caring for a 65-year-old woman who was brought to the emergency department by an
EMS crew performing CPR. Return of Spontaneous Circulation (ROSC) is distinguished by:
a. Non-palpable central pulses
