NREMT - AIRWAY,
VENTILATION, &
RESPIRATION
MAIN TEST WITH
ALL ANSWERS
PROVIDED
Which of the following sounds indicates an upper airway obstruction in a child who is in
respiratory distress?
A. Wheezes
B. Rales
C. Rhonchi
D. Stridor - correct answer-D. Stridor
,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 with the administration of her nebulized albuterol.
C. assess her oxygen saturation level.
D. assist her ventilation with a BVM. - correct answer-D. assist her ventilation with a
BVM.
A 12-year-old male has difficulty breathing. He tells you he has had a cold all week. You
auscultate rhonchi in his left lower
chest. His vital signs are P 104, R 28, BP 104/74, and SpO2 is 89% on room air. You
should suspect:
A. septic shock.
B. respiratory failure.
C. respiratory distress.
D. chronic asthma. - correct answer-C. respiratory distress.
An 8-year-old female has had trouble breathing for two days. Her father called because
she continues to have trouble
breathing and he cannot wake her up. You do not hear any sounds when you
auscultate her lower lungs and hear faint
wheezes in her upper lungs. Her vital signs are P 60, R 26, BP 94/68, and SpO2 is 88%
on room air. You should suspect:
A. respiratory arrest.
B. respiratory distress.
C. eupneic respirations.
D. respiratory failure. - correct answer-D. respiratory failure.
An unresponsive 6-year-old male is taking shallow, irregular respirations once every 15
seconds. He has a weak carotid
pulse. His mother tells you that he was playing alone in his room and was fine 30
minutes ago. You should suspect:
A. Biot's respirations.
B. respiratory arrest.
C. Kussmaul's respirations.
D. respiratory failure. - correct answer-B. respiratory arrest.
A 10-year-old female complains of difficulty breathing after mixing bleach with another
cleaner. Her skin and clothing are
dry. You smell a strong odor, and your eyes begin to water. What route of exposure
should you suspect is causing her
dyspnea?
A. Ingestion
B. Injection
C. Absorption
D. Inhalation - correct answer-D. Inhalation
, 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 humidified oxygen.
B. administer a bronchodilator.
C. assist his ventilation.
D. apply CPAP. - correct answer-A. administer humidified oxygen.
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. assess his vital signs.
B. begin transport.
C. administer his metered-dose inhaler.
D. insert an oropharyngeal airway. - correct answer-B. begin transport.
You are preparing to ventilate an 11-month-old female with a BVM. Which of the
following ensures that her airway is
properly positioned?
A. Padding behind her shoulders
B. Using cricoid pressure while ventilating her
C. Inserting a nasopharyngeal airway
D. Placing her in the sniffing position - correct answer-D. Placing her in the sniffing
position
A 6-month-old female does not respond to you when you stimulate her. Her father tells
you that she stopped breathing and
turned blue. You observe supraclavicular and sternal retractions at a rate of 38. You
should first:
A. assist her ventilation.
B. administer oxygen by non-rebreather mask.
C. assess her vital signs.
D. assess her blood glucose level. - correct answer-A. assist her ventilation.
A 13-year-old male tells you that he has had a cough for two weeks. He has an episode
of coughing, and you hear an
inspiratory whoop after each cough. You auscultate rhonchi in his left lower lung. His
vital signs are P 100, R 22, BP
118/76, and SpO2 is 93% on room air. You should:
A. assist with the administration of his beta1 antagonist.
B. assist his ventilation.
C. assist with the administration of his beta2 agonist.
D. administer oxygen by nasal cannula. - correct answer-D. administer oxygen by nasal
cannula.
VENTILATION, &
RESPIRATION
MAIN TEST WITH
ALL ANSWERS
PROVIDED
Which of the following sounds indicates an upper airway obstruction in a child who is in
respiratory distress?
A. Wheezes
B. Rales
C. Rhonchi
D. Stridor - correct answer-D. Stridor
,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 with the administration of her nebulized albuterol.
C. assess her oxygen saturation level.
D. assist her ventilation with a BVM. - correct answer-D. assist her ventilation with a
BVM.
A 12-year-old male has difficulty breathing. He tells you he has had a cold all week. You
auscultate rhonchi in his left lower
chest. His vital signs are P 104, R 28, BP 104/74, and SpO2 is 89% on room air. You
should suspect:
A. septic shock.
B. respiratory failure.
C. respiratory distress.
D. chronic asthma. - correct answer-C. respiratory distress.
An 8-year-old female has had trouble breathing for two days. Her father called because
she continues to have trouble
breathing and he cannot wake her up. You do not hear any sounds when you
auscultate her lower lungs and hear faint
wheezes in her upper lungs. Her vital signs are P 60, R 26, BP 94/68, and SpO2 is 88%
on room air. You should suspect:
A. respiratory arrest.
B. respiratory distress.
C. eupneic respirations.
D. respiratory failure. - correct answer-D. respiratory failure.
An unresponsive 6-year-old male is taking shallow, irregular respirations once every 15
seconds. He has a weak carotid
pulse. His mother tells you that he was playing alone in his room and was fine 30
minutes ago. You should suspect:
A. Biot's respirations.
B. respiratory arrest.
C. Kussmaul's respirations.
D. respiratory failure. - correct answer-B. respiratory arrest.
A 10-year-old female complains of difficulty breathing after mixing bleach with another
cleaner. Her skin and clothing are
dry. You smell a strong odor, and your eyes begin to water. What route of exposure
should you suspect is causing her
dyspnea?
A. Ingestion
B. Injection
C. Absorption
D. Inhalation - correct answer-D. Inhalation
, 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 humidified oxygen.
B. administer a bronchodilator.
C. assist his ventilation.
D. apply CPAP. - correct answer-A. administer humidified oxygen.
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. assess his vital signs.
B. begin transport.
C. administer his metered-dose inhaler.
D. insert an oropharyngeal airway. - correct answer-B. begin transport.
You are preparing to ventilate an 11-month-old female with a BVM. Which of the
following ensures that her airway is
properly positioned?
A. Padding behind her shoulders
B. Using cricoid pressure while ventilating her
C. Inserting a nasopharyngeal airway
D. Placing her in the sniffing position - correct answer-D. Placing her in the sniffing
position
A 6-month-old female does not respond to you when you stimulate her. Her father tells
you that she stopped breathing and
turned blue. You observe supraclavicular and sternal retractions at a rate of 38. You
should first:
A. assist her ventilation.
B. administer oxygen by non-rebreather mask.
C. assess her vital signs.
D. assess her blood glucose level. - correct answer-A. assist her ventilation.
A 13-year-old male tells you that he has had a cough for two weeks. He has an episode
of coughing, and you hear an
inspiratory whoop after each cough. You auscultate rhonchi in his left lower lung. His
vital signs are P 100, R 22, BP
118/76, and SpO2 is 93% on room air. You should:
A. assist with the administration of his beta1 antagonist.
B. assist his ventilation.
C. assist with the administration of his beta2 agonist.
D. administer oxygen by nasal cannula. - correct answer-D. administer oxygen by nasal
cannula.
