(Verified Answers)
833 - Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the patient
gags, You should
A. Insert a nasal airway
B. Suction the oropharynx
C. Reattempt using a smaller oral adjunct
D. Insert a dual lumen airway - A. Insert a nasal airway
903 - After air passes through the vocal cords during inhalation, which structure
does it reach next?
A. Trachea
B. Epiglottis
C. Alveolus
D. Bronchus - A. Trachea
906 - You are ventilating an apneic asthmatic pt with a BVM. The patient has
inadequate chest rise. You should
A. Decrease the rate of ventilations to 10/min
B. Use an O2 powered ventilation device
C. Increase the forcefulness of ventilations
D. Increase the rate of ventilations to 20/min - A. Decrease the rate of ventilations
to 10/min
*909 - A 72 y/o female pt is unresponsive following an ejection from a MVC, she
has an open jaw fracture and a dialated right pupil. What is the best way to open
this pt's airway
A. Insert an OPA
B. Perform a modified head-tilt chin lift
C. Insert a NPA
D. Perform jaw thrust - C. Insert a NPA
*910 - A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube.
The opening is partially obstructed with skin. You should
,A. Use a soft tip catheter and suction until clear
B. Insert a nasal airway into stoma
C. Wipe the area clean and perform mouth to stoma ventilation
D. Cut the skin away from the stoma - A. Use a soft tip catheter and suction until
clear
908 - You are using a BVM and an OPA on an apneic pt. Suddenly it becomes
difficult to ventilate. You should first suspect that
A. The patients diaphragm has contracted
B. The pt has an airway obstruction
C. The Pt is becoming more responsive
D. The pt's lungs have collapsed - B. The pt has an airway obstruction
946 - A 60-year-old pt with stoma is apneic. You have been suctioning pink frothy
sputum for 10 seconds and you continue to get more material. You should
A. continue suctioning and have a partner ventilate through the pt's mouth
B. suction until airway is clear
C. stop suctioning and give a breath
D. use a saline solution to moisten secretions and continue suctioning - C. stop
suctioning and give a breath
947 - victim of smoke inhalation has developed difficulty breathing. He does not
like the smell of the mask you are using to deliver O2. You should
A. Switch to a NC set to deliver O2 @ 6 LPM
B. Restrain the pt and continue administering O2 via NRB
C. Explain that the mask is very important and continue its use
D. Administer blow-by O2 via Simple mask - C. Explain that the mask is very
important and continue its use
948 - An unresponsive 82 y/o pt is lying supine. Their airway is most likely to be
obstructed by
A. loose dentures
B. Secretions
C. The tongue
D. Swelling of the epiglottis - C. The tongue
, 949 - You are inserting an OPA into a 4 y/o pt you should
A. Use a tongue depressor to keep tongue out of the way
B. Use a head tilt chin lift
C. Insert the tip pointing toward the roof of the mouth
D. Use an airway that measures one size too small and rotate - A. Use a tongue
depressor to keep tongue out of the way
951 - Initial assessment reveals an alert adult pt who is SOB. He is seated in a
tripod position using accessory muscles to breathe. Vital signs are BP 140/80 P
110, R 22 with crackles, SpO2 95%. You should
A. Administer O2 via NRB
B. Ventilate the pt with a BVM to slow respirations
C. Administer O2 via NC
D. Monitor pulse oximetry - A. Administer O2 via NRB
952 When suctioning a patient, you should
A. Suction on the way in for no more than 5 seconds
B. Suction on the way out for no more than 15 seconds
C. Suction on the way in for no more than 15 seconds
D. Suction on the way out for no more than 5 seconds - B. Suction on the way out
for no more than 15 seconds
1139 - Which of the following is the most appropriate way to measure for an OPA?
A. From the patient's earlobe to angle of the jaw
B. From the center of pt's mouth to earlobe
C. From the corner of the pt's mouth to the earlobe
D. From the tip of pt's nose to earlobe - C. From the corner of the pt's mouth to the
earlobe
1141 - How should you ventilate an apneic adult pt?
A. Perform mouth to mask ventilation 12 breath per minute
B. Ventilate with a flow restricted PPV at 12-20 breaths per minute
C. Ventilate once every 5-6 seconds with a bag valve mask