Kettering airway Care Questions With Complete Solutions

Kettering airway Care Questions
With Complete Solutions
Course
Kettering airway Care

Question 1
A patient is unresponsive and has gurgling respirations. What should the respiratory therapist do
first?
 A. Insert an oropharyngeal airway
 B. Begin bag-mask ventilation
 C. Suction the airway
 D. Apply a non-rebreather mask
Correct Answer: C. Suction the airway
High Priority
Rationale
Gurgling respirations indicate secretions or fluid in the airway. The priority is to clear the airway
with suction before inserting adjuncts or providing positive-pressure ventilation.
Key Point
Airway obstruction from secretions must be relieved before effective ventilation can occur.
Question 2
A conscious patient with severe COPD has an SpO₂ of 84%. Which oxygen device is most
appropriate initially?
 A. Nasal cannula at 1 L/min
 B. Venturi mask at controlled FiO₂
 C. Non-rebreather mask at 15 L/min
 D. No oxygen because of COPD
Correct Answer: B. Venturi mask at controlled FiO₂
Exam Favorite
Rationale

,A Venturi mask provides precise oxygen concentrations, which is useful for COPD patients who
require careful oxygen titration.
Why the others are wrong
 A may not provide enough oxygen.
 C may deliver excessive FiO₂ initially.
 D is incorrect; hypoxemia must be treated.
Question 3
A patient suddenly develops stridor after extubation. What does stridor indicate?
 A. Lower airway obstruction
 B. Pulmonary edema
 C. Upper airway obstruction
 D. Bronchospasm
Correct Answer: C. Upper airway obstruction
Critical
Rationale
Stridor is a high-pitched inspiratory sound caused by obstruction of the larynx or upper airway.
Clinical Concern
Post-extubation stridor may indicate laryngeal edema and can progress to complete airway
obstruction.
Question 4
What is the primary purpose of preoxygenation before intubation?
 A. Increase CO₂ elimination
 B. Prevent aspiration
 C. Increase oxygen reserve during apnea
 D. Reduce airway edema
Correct Answer: C. Increase oxygen reserve during apnea
Core Concept
Rationale

, Preoxygenation replaces nitrogen in the lungs with oxygen, creating a larger oxygen reservoir
and delaying desaturation during intubation attempts.
Question 5
A bag-mask ventilated patient shows poor chest rise. What should be checked first?
 A. Arterial blood gas
 B. Endotracheal tube cuff pressure
 C. Mask seal and airway position
 D. Ventilator settings
Correct Answer: C. Mask seal and airway position
First Check
Rationale
The most common causes of inadequate chest rise during bag-mask ventilation are:
 Poor mask seal
 Improper head position
 Airway obstruction
Immediate Action
Reposition the airway and improve the mask seal.
Question 6
During suctioning of an intubated patient, the heart rate drops from 90 to 48 bpm. What is the
most likely cause?
 A. Hypokalemia
 B. Vagal stimulation
 C. Hypercapnia
 D. Pulmonary embolism
Correct Answer: B. Vagal stimulation
Common Complication
Rationale
Deep or prolonged suctioning can stimulate the vagus nerve, causing bradycardia.