EMD 197 FINAL EXAM | QUESTIONS AND ANSWERS | VERIFIED AND
WELL DETAILED ANSWERS | EXAM ALREADY GRADED A+ | LATEST
EXAM UPDATE
A 65-year-old male who has a history of congestive heart failure is slumped in a
chair not responding to you. His wife tells
you that his difficulty breathing started an hour ago and has been getting worse. He
is tachypneic, and you auscultate rales
in all fields. You should first: - CORRECT ANSWER - Assist his ventilation.
Patients who have chronic bronchitis may have which of the following? -
CORRECT ANSWER - Persistent productive cough, thickening of walls of
bronchioles, excessive mucus production.
A 70-year-old male has difficulty breathing. When assessing him, which of the
following should influence your decision to
assist his ventilation with a BVM? - CORRECT ANSWER - A decrease in his
mental status.
You are assisting the ventilation of a 57-year-old female who is in respiratory
failure. Her initial vital signs were P 102, R32,
BP 142/84, and SpO2 was 88% on room air. After five minutes of assisted
ventilation, her vital signs are P 96, R 18 assisted
with slight chest rise, BP 108/80, and SpO2 is 95% on oxygen 15 L/minute by
BVM. You should: - CORRECT ANSWER - Decrease your ventilation rate.
,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: - CORRECT ANSWER - Switch to a simple face mask.
Which of the following prevents the over-inflation of the lungs during normal
respiration? - CORRECT ANSWER - Stretch receptors.
Which of the following sounds indicates an upper airway obstruction in a child
who is in respiratory distress? - CORRECT ANSWER - Stridor.
A 16-year-old female complains of a runny nose and a low-grade fever. She has a
burst of rapid coughing with an
inspiratory whooping sound. While she is coughing her skin becomes cyanotic.
After she stops coughing her skin color
returns to normal. You should suspect: - CORRECT ANSWER - Pertussis.
What causes the prolonged expiratory phase of the respiratory cycle in a patient
who is having an asthma attack? - CORRECT ANSWER - Bronchiole
constriction.
A 64-year-old male is having an asthma attack. Which class of medication can help
improve his alveolar ventilation? - CORRECT ANSWER - Beta2 Agonist.
Which of the following respiratory conditions in children over 2 years old has
similar lung sounds to an infant who has
,bronchiolitis? - CORRECT ANSWER - Asthma
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: - CORRECT ANSWER -
Administer oxygen.
A 77-year-old female complains of difficulty breathing. She tells you she has had a
productive cough for several years. You
auscultate coarse rhonchi in the bases of her lungs. You observe her mucous
membranes are cyanotic. Her vital signs are
P 96, R 26 and labored, BP 148/92, and SpO2 is 88% on home oxygen 3 L/minute
by nasal cannula. You should: - CORRECT ANSWER - Administer oxygen by
non-rebreather mask.
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: - CORRECT ANSWER - Pneumonia.
Why can pulmonary embolisms cause a V/Q mismatch? - CORRECT ANSWER
- They block pulmonary arterial blood flow.
Why would a 46-year-old male who inhaled steam from a malfunctioning boiler
have stridor in his upper airway and
, wheezes in his lower airway? - CORRECT ANSWER - Steam can burn both
upper and lower airways causing edema.
An unresponsive 88-year-old male was found by nursing home staff having
difficulty breathing. His skin is pale and febrile.
You auscultate diminished lung sounds throughout his chest and faint rhonchi in
his upper chest. His vital signs are P 104,
R 26 and shallow, BP 112/86, and SpO2 is 89 % on room air. You should: -
CORRECT ANSWER - Assist his ventilation.
A 70-year-old male who has a history of emphysema complains of difficulty
breathing. He has four-word dyspnea, and you
auscultate a slight wheeze in his lower lung fields. His vital signs are P 102, R 22,
and BP 152/88. His SpO2 is 92% on
home oxygen 2 L/minute by nasal cannula attached to 100 feet of extension tubing.
You should: - CORRECT ANSWER - Increase his home oxygen flow rate to 4
L/minute.
A 25-year-old female complains of difficulty breathing. She tells you she took her
inhaler without relief. Her mucous
membranes are pale. You auscultate decreased lung sounds in the bases and
wheezes in her upper lungs. Her vital signs
are P 86, R 24, BP 130/72, and SpO2 is 89% on room air. You should: -
CORRECT ANSWER - Administer oxygen by non-rebreather mask.
Which process allows gas exchange between the alveoli and capillaries? -
CORRECT ANSWER - Simple diffusion
WELL DETAILED ANSWERS | EXAM ALREADY GRADED A+ | LATEST
EXAM UPDATE
A 65-year-old male who has a history of congestive heart failure is slumped in a
chair not responding to you. His wife tells
you that his difficulty breathing started an hour ago and has been getting worse. He
is tachypneic, and you auscultate rales
in all fields. You should first: - CORRECT ANSWER - Assist his ventilation.
Patients who have chronic bronchitis may have which of the following? -
CORRECT ANSWER - Persistent productive cough, thickening of walls of
bronchioles, excessive mucus production.
A 70-year-old male has difficulty breathing. When assessing him, which of the
following should influence your decision to
assist his ventilation with a BVM? - CORRECT ANSWER - A decrease in his
mental status.
You are assisting the ventilation of a 57-year-old female who is in respiratory
failure. Her initial vital signs were P 102, R32,
BP 142/84, and SpO2 was 88% on room air. After five minutes of assisted
ventilation, her vital signs are P 96, R 18 assisted
with slight chest rise, BP 108/80, and SpO2 is 95% on oxygen 15 L/minute by
BVM. You should: - CORRECT ANSWER - Decrease your ventilation rate.
,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: - CORRECT ANSWER - Switch to a simple face mask.
Which of the following prevents the over-inflation of the lungs during normal
respiration? - CORRECT ANSWER - Stretch receptors.
Which of the following sounds indicates an upper airway obstruction in a child
who is in respiratory distress? - CORRECT ANSWER - Stridor.
A 16-year-old female complains of a runny nose and a low-grade fever. She has a
burst of rapid coughing with an
inspiratory whooping sound. While she is coughing her skin becomes cyanotic.
After she stops coughing her skin color
returns to normal. You should suspect: - CORRECT ANSWER - Pertussis.
What causes the prolonged expiratory phase of the respiratory cycle in a patient
who is having an asthma attack? - CORRECT ANSWER - Bronchiole
constriction.
A 64-year-old male is having an asthma attack. Which class of medication can help
improve his alveolar ventilation? - CORRECT ANSWER - Beta2 Agonist.
Which of the following respiratory conditions in children over 2 years old has
similar lung sounds to an infant who has
,bronchiolitis? - CORRECT ANSWER - Asthma
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: - CORRECT ANSWER -
Administer oxygen.
A 77-year-old female complains of difficulty breathing. She tells you she has had a
productive cough for several years. You
auscultate coarse rhonchi in the bases of her lungs. You observe her mucous
membranes are cyanotic. Her vital signs are
P 96, R 26 and labored, BP 148/92, and SpO2 is 88% on home oxygen 3 L/minute
by nasal cannula. You should: - CORRECT ANSWER - Administer oxygen by
non-rebreather mask.
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: - CORRECT ANSWER - Pneumonia.
Why can pulmonary embolisms cause a V/Q mismatch? - CORRECT ANSWER
- They block pulmonary arterial blood flow.
Why would a 46-year-old male who inhaled steam from a malfunctioning boiler
have stridor in his upper airway and
, wheezes in his lower airway? - CORRECT ANSWER - Steam can burn both
upper and lower airways causing edema.
An unresponsive 88-year-old male was found by nursing home staff having
difficulty breathing. His skin is pale and febrile.
You auscultate diminished lung sounds throughout his chest and faint rhonchi in
his upper chest. His vital signs are P 104,
R 26 and shallow, BP 112/86, and SpO2 is 89 % on room air. You should: -
CORRECT ANSWER - Assist his ventilation.
A 70-year-old male who has a history of emphysema complains of difficulty
breathing. He has four-word dyspnea, and you
auscultate a slight wheeze in his lower lung fields. His vital signs are P 102, R 22,
and BP 152/88. His SpO2 is 92% on
home oxygen 2 L/minute by nasal cannula attached to 100 feet of extension tubing.
You should: - CORRECT ANSWER - Increase his home oxygen flow rate to 4
L/minute.
A 25-year-old female complains of difficulty breathing. She tells you she took her
inhaler without relief. Her mucous
membranes are pale. You auscultate decreased lung sounds in the bases and
wheezes in her upper lungs. Her vital signs
are P 86, R 24, BP 130/72, and SpO2 is 89% on room air. You should: -
CORRECT ANSWER - Administer oxygen by non-rebreather mask.
Which process allows gas exchange between the alveoli and capillaries? -
CORRECT ANSWER - Simple diffusion
