PRACTICE QUESTIONS, CORRECT ANSWERS
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Updated 2026 Questions and Answers
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,Bronchiolitis Viral illness often caused by RSV Usually affects newborns and toddlers Bronchioles
become inflamed, swell, and fill with mucus. Provide oxygen therapy and frequently
reassess
Pneumonia Bacterial will come on quickly and result in high fever. Viral presents more gradually and
is less severe. Especially affects people who are chronically ill Assess temperature and
provide airway support and supplemental oxygen.
Pertussis Airborne bacterial infection that mostly affects children younger than 6 years Patients will
be feverish and exhibit a "whoop" sound on inspiration after a coughing attack. Watch for
dehydration and suction as needed.
Influenza Type A Became pandemic in 2009 Symptoms include fever, cough, sore throat, muscle aches,
headache, and fatigue. May lead to pneumonia or dehydration
COVID-19 (SARS-CoV-2) Similar to the virus that causes the common cold Preferentially affects the elderly, those
living in close quarters with one another, and those with weakened immune systems.
Transmitted by aerosol droplets and airborne particles Respiratory deterioration may
occur rapidly.
Tuberculosis (TB) Bacterial infection that most often affects the lungs Can remain inactive for years Patients
often complain of fever, coughing, fatigue, night sweats, and weight loss. Wear gloves,
eye protection, and an N-95 respirator (at a minimum).
Acute Pulmonary Edema Heart muscle cannot circulate blood properly. Fluid builds up within alveoli and in lung
tissue. Usually result of congestive heart failure Most patients have a long-standing
history of chronic congestive heart failure. In severe cases, a frothy pink sputum forms at
the nose and mouth.
Chronic Obstructive Pulmonary Disease (COPD) Slow process of dilation and disruption of airways and alveoli Caused by chronic
bronchial obstruction Tobacco smoke can create chronic bronchitis.
Emphysema is most common type of COPD. Loss of elastic material in the lungs Causes include
inflamed airways, smoking.
"wet" lung sounds. Patients with pulmonary edema will have ________ lung sounds.
"dry" lung sounds. Patients with COPD will have _______ lung sounds.
,Asthma Most prevalent in children 5-17 years
acute spasm of smaller air passages (bronchioles), associated with excessive mucus
production and swelling of the mucus membranes.
may be caused by allergic reaction to foods or allergens or severe emotional distress,
exercise, and respiratory infections.
Hay fever causes cold-like symptoms. Allergens include pollen, dust mites, pet dander.
Unlikely to need emergency treatment
Anaphylactic reaction an produce severe airway swelling. Total obstruction is possible. Treat with epinephrine,
oxygen, and antihistamines.
Spontaneous Pneumothorax accumulation of air in pleural space. Most often caused by trauma May be caused by
medical conditions
Breath sounds may be absent on affected side.
Occurs with lung infections or in weak lungs
Patient becomes dyspneic.
Pleural Effusion Collection of fluid outside the lung Compresses lung and causes dyspnea Can stem from
irritation, infection, congestive heart failure, or cancer Upright position eases pain.
Obstruction of the Airway mechanical
may be caused by aspiration of vomitus or tongue
if patient was eating just before dyspnea, always consider
Pulmonary Embolism A blood clot that circulates through the venous system Circulation cut off partially or
completely Significantly decreases blood flow If large enough, can cause sudden death
Signs and symptoms include: Dyspnea Tachycardia Tachypnea Varying degrees of
hypoxia Cyanosis Acute chest pain Hemoptysis
Hyperventilation Overbreathing to the point that arterial carbon dioxide falls below normal May be
indicator of life-threatening illness Body may be trying to compensate for acidosis.
Buildup of excess acid in blood or body tissues
Can result in alkalosis Buildup of excess base in body fluids Can cause symptoms of
panic attack: Anxiety Dizziness Numbness Tingling or painful spasms of the hands/feet
Carbon monoxide Odorless Highly poisonous Produced by fuel-burning appliances and smoke.
, signs of COPD Patient older than 50 years of age History of lung problems Active or former cigarette
smoker Tightness in chest Constant fatigue Barrel-like appearance to chest Use of
accessory muscles Abnormal breath sounds
Common side effects of inhalers: Common side effects of this medical device
Increased pulse rate Nervousness Muscle tremors
Treatment of Acute pulmonary edema Treatment of Specific Conditions
Provide 100% oxygen. Suction if necessary. Position comfortably. Provide CPAP if
indicated and allowed by protocol. Transport promptly.
Treatment of Chronic obstructive pulmonary disease Treatment of Specific Conditions
Assist with prescribed inhaler. Watch for side effects from overuse. Position comfortably.
Transport promptly.
Treatment of Asthma Treatment of Specific Conditions
Be prepared to suction. Assist patient with prescribed inhaler. Provide aggressive airway
management, oxygen, and prompt transport.
Treatment of Anaphylaxis Treatment of Specific Conditions
Remove the offending agent. Maintain the airway. Transport rapidly. Administer
epinephrine.
Treatment of Spontaneous pneumothorax Treatment of Specific Conditions
Provide supplemental oxygen. Transport promptly. Monitor carefully.
Treatment of Pleural effusion Treatment of Specific Conditions
Fluid removal must be done in hospital. Provide oxygen. Transport promptly.
Treatment of Obstruction of airway Treatment of Specific Conditions
Partial - Provide supplemental oxygen and transport.
Complete - Clear obstruction and administer oxygen. Transport rapidly to emergency
department.
Treatment of Pulmonary embolism Treatment of Specific Conditions
Supplemental oxygen is mandatory. Position comfortably. If hemoptysis is present, clear
airway immediately. Transport promptly.