Airway Management
Egan's Chapter 36 Exam
Questions & Answers
1. What is the primary indication for tracheal suctioning?
a.
Presence of pneumonia
b.
Presence of atelectasis
c.
Ineffective coughing
d.
Retention of secretions - ANSWERSRetention of secretions
2. What is the most common complication of suctioning?
a.
Hypoxemia
b.
Hypotension
c.
Arrhythmias
d.
Infection - ANSWERSHypoxemia
3. Complications of tracheal suctioning include which of the following?
,1. Bronchospasm
2. Hyperinflation
3. Mucosal trauma
4. Elevated intracranial pressure
a.
1 and 3 only
b.
1, 2, and 3 only
c.
3 and 4 only
d.
1, 3, and 4 only - ANSWERS1, 3, and 4 only
4. How often should patients be suctioned?
a.
At least once every 2 to 3 hr
b.
Whenever they are moved or ambulated
c.
When physical findings support the need
d.
Whenever the charge nurse requests it - ANSWERSWhen physical findings support the need
5. What is the normal range of negative pressure to use when suctioning an adult patient?
a.
-100 to -120 mm Hg
,b.
-80 to -100 mm Hg
c.
-60 to -80 mm Hg
d.
-20 to -30 mm Hg - ANSWERS-100 to -120 mm Hg
6. What is the normal range of negative pressure to use when suctioning children?
a.
-60 to -80 mm Hg
b.
-80 to -100 mm Hg
c.
-100 to -120 mm Hg
d.
-120 to -150 mm Hg - ANSWERS-100 to -120 mm Hg
7. You are about to suction a 10-year-old patient who has a 6-mm (internal diameter)
endotracheal tube in place. What is the maximum size of catheter that you would use in this
case?
a.
6 Fr
b.
8 Fr
c.
10 Fr
d.
, 14 Fr - ANSWERS10 Fr
8. You are about to suction a female patient who has an 8-mm (internal diameter) endotracheal
tube in place. What is the maximum size of catheter you would use in this case?
a.
8 Fr
b.
10 Fr
c.
12 Fr
d.
14 Fr - ANSWERS14 Fr
9. To prevent hypoxemia when suctioning a patient, the respiratory care practitioner should
initially do which of the following?
a.
Manually ventilate the patient with a resuscitator.
b.
Preoxygenate the patient with 100% oxygen.
c.
Give the patient a bronchodilator treatment.
d.
Have the patient hyperventilate for 2 min. - ANSWERSPreoxygenate the patient with 100%
oxygen.
10. To maintain positive end expiratory pressure (PEEP) and high FiO2 when suctioning a
mechanically ventilated patient, what would you recommend?
Egan's Chapter 36 Exam
Questions & Answers
1. What is the primary indication for tracheal suctioning?
a.
Presence of pneumonia
b.
Presence of atelectasis
c.
Ineffective coughing
d.
Retention of secretions - ANSWERSRetention of secretions
2. What is the most common complication of suctioning?
a.
Hypoxemia
b.
Hypotension
c.
Arrhythmias
d.
Infection - ANSWERSHypoxemia
3. Complications of tracheal suctioning include which of the following?
,1. Bronchospasm
2. Hyperinflation
3. Mucosal trauma
4. Elevated intracranial pressure
a.
1 and 3 only
b.
1, 2, and 3 only
c.
3 and 4 only
d.
1, 3, and 4 only - ANSWERS1, 3, and 4 only
4. How often should patients be suctioned?
a.
At least once every 2 to 3 hr
b.
Whenever they are moved or ambulated
c.
When physical findings support the need
d.
Whenever the charge nurse requests it - ANSWERSWhen physical findings support the need
5. What is the normal range of negative pressure to use when suctioning an adult patient?
a.
-100 to -120 mm Hg
,b.
-80 to -100 mm Hg
c.
-60 to -80 mm Hg
d.
-20 to -30 mm Hg - ANSWERS-100 to -120 mm Hg
6. What is the normal range of negative pressure to use when suctioning children?
a.
-60 to -80 mm Hg
b.
-80 to -100 mm Hg
c.
-100 to -120 mm Hg
d.
-120 to -150 mm Hg - ANSWERS-100 to -120 mm Hg
7. You are about to suction a 10-year-old patient who has a 6-mm (internal diameter)
endotracheal tube in place. What is the maximum size of catheter that you would use in this
case?
a.
6 Fr
b.
8 Fr
c.
10 Fr
d.
, 14 Fr - ANSWERS10 Fr
8. You are about to suction a female patient who has an 8-mm (internal diameter) endotracheal
tube in place. What is the maximum size of catheter you would use in this case?
a.
8 Fr
b.
10 Fr
c.
12 Fr
d.
14 Fr - ANSWERS14 Fr
9. To prevent hypoxemia when suctioning a patient, the respiratory care practitioner should
initially do which of the following?
a.
Manually ventilate the patient with a resuscitator.
b.
Preoxygenate the patient with 100% oxygen.
c.
Give the patient a bronchodilator treatment.
d.
Have the patient hyperventilate for 2 min. - ANSWERSPreoxygenate the patient with 100%
oxygen.
10. To maintain positive end expiratory pressure (PEEP) and high FiO2 when suctioning a
mechanically ventilated patient, what would you recommend?
