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NREMT Airway, Respiration, and Ventilation final exam study guide correct and verified 100%

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NREMT Airway, Respiration, and Ventilation final exam study guide correct and verified 100% NREMT Airway, Respiration, and Ventilation final exam study guide correct and verified 100% A 39-year-old female is lying in bed. When you assess her, which of the following findings indicate an inadequate airway? A. She has chest wall expansion with little abdominal wall movement. B. She has an open pill bottle next to her bed. C. She is lying on her side. D. She is unresponsive and snoring. - correct answers-She is unresponsive and snoring. Which of the following describes how albuterol helps a patient who is having an asthma attack? A. It decreases pulmonary capillary pressure. B. It increases airway pressure in the alveoli. C. It relaxes the smooth muscles of the bronchioles. D. It reduces inflammation in the bronchus. - correct answers-It relaxes the smooth muscles of the bronchioles. A 9-year-old male has partial-thickness burns around his mouth after inhaling steam. He has a history of asthma and has had a cold for three days. His mother tells you he has had chest congestion and she was trying to break up the phlegm. He is drooling and tells you he cannot swallow. You should first: A. administer his metered-dose inhaler. B. insert an oropharyngeal airway. C. begin transport. D. assess his vital signs. - correct answers-begin transport. A 66-year-old male complains of difficulty breathing. He tells you that his asthma attack began 20 minutes ago, and his inhaler isn't helping. You auscultate wheezes in all lung fields and good chest rise with accessory muscle use. His vital signs are P 96, R 24, BP 146/88, and SpO2 is 93% on room air. You should suspect his minute ventilation is: A. adequate and administer CPAP. B. adequate and administer oxygen. C. inadequate and assist his ventilation. D. inadequate and administer oxygen. - correct answers-adequate and administer oxygen. A 93-year-old female complains of a sudden onset of difficulty breathing. She tells you that she has a history of breast cancer. She tells you it is easier for her to breathe when she is sitting up. She has decreased lung sounds when you auscultate her left mid-axillary line, sixth intercostal space. Her vital signs are P 86, R 18, BP 144/92, and SpO2 is 95% on room air. You should: A. administer oxygen by nasal cannula. B. administer oxygen by non-rebreather mask. C. administer aspirin. D. assist with the administration of her nitroglycerin. - correct answers-administer oxygen by nasal cannula. A 47-year-old male complains of difficulty breathing, and he cannot stop coughing. His conjunctivae are pale and moist. He has a 40 pack-year smoking history. You should first: A. determine his past medical history. B. collect a sample of his phlegm. C. administer oxygen. D. assess his vital signs. - correct answers-administer oxygen. You are ventilating an unresponsive 47-year-old male who is in respiratory arrest. How should you determine that you are delivering adequate tidal volume? A. Look for slight chest rise. B. Assess his pulse oximetry. C. Auscultate for bronchial breath sounds. D. Fully deflate the BVM. - correct answers-Look for slight chest rise. An unresponsive 7-month-old female is lying limp in her father's arms. He tells you that she was having an asthma attack but is better now. Her conjunctivae are pale and moist. You are only able to auscultate faint wheezes in her upper chest. Her vital signs are P 76 and R 18. You should first: A. administer oxygen by non-rebreather mask. B. assist her ventilation with a BVM. C. assess her oxygen saturation level. D. assist with the administration of her nebulized albuterol. - correct answers-assist her ventilation with a BVM. A 49-year-old male complains of a sore throat and has a muffled voice. He tells you the sore throat started a week ago and has gotten worse. He looks sick, and his skin is hot to the touch. He has a history of asthma. You auscultate a slight high-pitched sound occasionally in his upper airway. His vital signs are P 102, R 16, BP 132/84, and SpO2 is 93% on room air. You should: A. inspect his airway. B. assist with the administration of his MDI. C. place him supine. D. administer oxygen. - correct answers-administer oxygen. An unresponsive 22-year-old male is lying on the ground outside a bar. You do not see any chest rise but palpate a carotid pulse. You should suspect: A. respiratory arrest. B. alcohol intoxication. C. hypoglycemia. D. head injury. - correct answers-respiratory arrest. An 11-year-old male who has a history of cystic fibrosis complains of difficulty breathing. He tells you he has been coughing up thick mucus. His vital signs are P 92, R 24, BP 118/76, and SpO2 is 91% on room air. You should: A. administer a bronchodilator. B. apply CPAP. C. administer humidified oxygen. D. assist his ventilation. - correct answers-administer humidified oxygen. An 86-year-old female who has a history of emphysema complains of chest pain. Her initial SpO2 was 92% on home oxygen by nasal cannula, 3 L/minute. You administered oxygen by non-rebreather, 12 L/minute. Her SpO2 is now 100%, and her chest pain is resolved after aspirin and nitroglycerin administration. You should next: A. decrease the flow rate to 6 L/minute. B. switch to a simple face mask. C. discontinue oxygen administration. D. transport her. - correct answers-switch to a simple face mask. Bystanders tell you that an unresponsive 22-year-old male fell 10 feet off a ladder and landed head first. You hear irregular, gasping respirations and palpate a carotid pulse. You should first: A. apply a cervical collar. B. perform a jaw-thrust maneuver. C. insert a nasopharyngeal airway. D. assess his vital signs. - correct answers-perform a jaw-thrust maneuver. Which of the following may be a direct impact of positive pressure ventilation on perfusion when ventilating an infant? A. Decreased cardiac output B. Increased systemic resistance C. Increased V/Q mismatch D. Decreased preload - correct answers-Decreased preload A 40-year-old female was exposed to fumes from a chemical at work when she opened a container that is now closed. She complains of difficulty breathing. After ensuring the scene is safe, you should: A. read the Material Safety Data Sheet. B. activate a Hazmat response. C. decontaminate her. D. flush her with water. - correct answers-read the Material Safety Data Sheet. An unresponsive 30-year-old female was the unrestrained driver involved in a car crash. Your partner stabilizes her head and tells you she is breathing and has a carotid pulse. As you examine her airway, you see blood, broken teeth, and hear gurgling sounds. You should first: A. insert an oropharyngeal airway. B. apply a cervical collar. C. suction her airway. D. assist her ventilation. - correct answers-suction her airway. A febrile 69-year-old male complains of body aches and decreased appetite. He tells you he has had the flu for a week. His skin is cyanotic and diaphoretic. You auscultate rhonchi and decreased lung sounds over his left lower lung. His vital signs are P 102, R 26, BP 116/90, and SpO2 is 91% on room air. You should suspect: A. septic shock. B. pneumonia. C. influenza. D. pleurisy. - correct answers-pneumonia. An 86-year-old female has difficulty breathing. She tells you she has lung cancer and she is receiving chemotherapy. Her skin is pale, and you auscultate clear lung sounds. Her vital signs are P 68, R 18, BP 126/86, and SpO2 is 92% on room air. Based on your findings, you should suspect: A. reduction in the size of her tumor. B. respiratory failure. C. remission of her cancer. D. respiratory distress. - correct answers-respiratory distress. Which of the following prevents the over-inflation of the lungs during normal respiration? A. Cushing reflex B. Baroreceptor reflex C. Stretch receptors D. Chemoreceptors - correct answers-Stretch receptors A 70

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NREMT Airway, Respiration, and Ventilation
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September 25, 2024
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Written in
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NREMT Airway, Respiration, and Ventilati xs xs xs xs




on final exam study guide correct and ver
xs xs xs xs xs xs xs




ified 100% xs




A 39-year-old female is lying in bed. When you assess
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xs her, which of the following findings indicate an inadequate airway?
xs xs xs xs xs xs xs xs xs




A. She has chest wall expansion with little abdominal wall movement.
xs xs xs xs xs xs xs xs xs xs




B. She has an open pill bottle next to her bed.
xs xs xs xs xs xs xs xs xs xs




C. She is lying on her side.
xs xs xs xs xs xs




D. She is unresponsive and snoring. - correct answers-
xs xs xs xs xs xs xs xs




She is unresponsive and snoring.
xs xs xs xs




Which of the following describes how albuterol helps a patient who is having an
xs xs xs xs xs xs xs xs xs xs xs xs xs x




asthma attack?
s xs




A. It decreases pulmonary capillary pressure.
xs xs xs xs xs




B. It increases airway pressure in the alveoli.
xs xs xs xs xs xs xs




C. It relaxes the smooth muscles of the bronchioles.
xs xs xs xs xs xs xs xs




D. It reduces inflammation in the bronchus. - correct answers-
xs xs xs xs xs xs xs xs xs




It relaxes the smooth muscles of the bronchioles.
xs xs xs xs xs xs xs




A 9-year-old male has partial-
xs xs xs xs




thickness burns around his mouth after inhaling steam. He has a history of asth
xs xs xs xs xs xs xs xs xs xs xs xs xs




ma and has had a cold for three days. His mother tells you he has had chest con
xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs




gestion and she was trying to break up the phlegm. He is drooling and tells you
xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs




he cannot swallow. You should first:
xs xs xs xs xs




A. administer his metered-dose inhaler.
xs xs xs xs

,B. insert an oropharyngeal airway.
xs xs xs xs




C. begin transport.
xs xs




D. assess his vital signs. - correct answers-begin transport.
xs xs xs xs xs xs xs xs




A 66-year-
xs




old male complains of difficulty breathing. He tells you that his asthma attack be
xs xs xs xs xs xs xs xs xs xs xs xs xs




gan 20 minutes ago, and his inhaler
xs xs xs xs xs xs




isn't helping. You auscultate wheezes in all lung fields and good chest rise with
xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs




accessory muscle use. His vital signs are P 96, R 24, BP 146/88, and SpO2 is
xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs




93% on room air. You should suspect his minute ventilation is:
xs xs xs xs xs xs xs xs xs xs xs




A. adequate and administer CPAP.
xs xs xs xs




B. adequate and administer oxygen.
xs xs xs xs




C. inadequate and assist his ventilation.
xs xs xs xs xs




D. inadequate and administer oxygen. - correct answers-
xs xs xs xs xs xs xs




adequate and administer oxygen. xs xs xs




A 93-year-
xs




old female complains of a sudden onset of difficulty breathing. She tells you that
xs xs xs xs xs xs xs xs xs xs xs xs xs




she has a history of breast cancer. She tells you it is easier for her to breathe w
xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs




hen she is sitting up. She has decreased lung sounds when you auscultate her le
xs xs xs xs xs xs xs xs xs xs xs xs xs xs




ft mid-axillary line, sixth intercostal space. Her vital signs are P 86, R 18, BP
xs xs xs xs xs xs xs xs xs xs xs xs xs xs




144/92, and SpO2 is 95% on room air. You should:
xs xs xs xs xs xs xs xs xs xs




A. administer oxygen by nasal cannula.
xs xs xs xs xs




B. administer oxygen by non-rebreather mask.
xs xs xs xs xs




C. administer aspirin.
xs xs




D. assist with the administration of her nitroglycerin. - correct answers-
xs xs xs xs xs xs xs xs xs xs




administer oxygen by nasal cannula. xs xs xs xs

,A 47-year-old male complains of difficulty
xs xs xs xs xs




breathing, and he cannot stop coughing. His conjunctivae are pale and moist. H
xs xs xs xs xs xs xs xs xs xs xs xs xs




e has a 40 pack-year smoking history. You should first:
xs xs xs xs xs xs xs xs xs




A. determine his past medical history.
xs xs xs xs xs




B. collect a sample of his phlegm.
xs xs xs xs xs xs




C. administer oxygen.
xs xs




D. assess his vital signs. - correct answers-administer oxygen.
xs xs xs xs xs xs xs xs




You are ventilating an unresponsive 47-year-
xs xs xs xs xs




old male who is in respiratory arrest. How should you determine that you are de
xs xs xs xs xs xs xs xs xs xs xs xs xs xs




livering adequate tidal volume?xs xs xs




A. Look for slight chest rise.
xs xs xs xs xs




B. Assess his pulse oximetry.
xs xs xs xs




C. Auscultate for bronchial breath sounds.
xs xs xs xs xs




D. Fully deflate the BVM. - correct answers-Look for slight chest rise.
xs xs xs xs xs xs xs xs xs xs xs




An unresponsive 7-month-old female is lying limp in her
xs xs xs xs xs xs xs xs




father's arms. He tells you that she was having an asthma attack but is better n
xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs




ow. Her conjunctivae are pale and moist. You are only able to auscultate faint w
xs xs xs xs xs xs xs xs xs xs xs xs xs xs




heezes in her upper chest. Her vital signs are P 76 and R 18. You should first:
xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs




A. administer oxygen by non-rebreather mask.
xs xs xs xs xs




B. assist her ventilation with a BVM.
xs xs xs xs xs xs




C. assess her oxygen saturation level.
xs xs xs xs xs




D. assist with the administration of her nebulized albuterol. - correct answers-
xs xs xs xs xs xs xs xs xs xs xs




assist her ventilation with a BVM.
xs xs xs xs xs




A 49-year-
xs




old male complains of a sore throat and has a muffled voice. He tells you the so
xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs

, re throat started a week ago and has gotten worse. He looks
xs xs xs xs xs xs xs xs xs xs xs




sick, and his skin is hot to the touch. He has a history of asthma. You auscultate
xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs




a slight high-pitched sound occasionally in his upper airway. His vital signs are P
xs xs xs xs xs xs xs xs xs xs xs xs xs xs




102, R 16, BP 132/84, and SpO2 is 93% on room air. You should:
xs xs xs xs xs xs xs xs xs xs xs xs xs xs




A. inspect his airway.
xs xs xs




B. assist with the administration of his MDI.
xs xs xs xs xs xs xs




C. place him supine.
xs xs xs




D. administer oxygen. - correct answers-administer oxygen.
xs xs xs xs xs xs




An unresponsive 22-year-
xs xs




old male is lying on the ground outside a bar. You do not see any chest rise but
xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs




palpate a carotid pulse. You should suspect:
xs xs xs xs xs xs




A. respiratory arrest.
xs xs




B. alcohol intoxication.
xs xs




C. hypoglycemia.
xs




D. head injury. - correct answers-respiratory arrest.
xs xs xs xs xs xs




An 11-year-
xs




old male who has a history of cystic fibrosis complains of difficulty breathing. He
xs xs xs xs xs xs xs xs xs xs xs xs xs




tells you he has been coughing up thick mucus. His vital signs are P 92, R
xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs xs




24, BP 118/76, and SpO2 is 91% on room air. You should:
xs xs xs xs xs xs xs xs xs xs xs xs




A. administer a bronchodilator.
xs xs xs




B. apply CPAP.
xs xs




C. administer humidified oxygen.
xs xs xs




D. assist his ventilation. - correct answers-administer humidified oxygen.
xs xs xs xs xs xs xs xs




An 86-year-
xs




old female who has a history of emphysema complains of chest pain. Her initial
xs xs xs xs xs xs xs xs xs xs xs xs xs xs

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