Module 3 Quiz 1 SOE MEDIC
Questions and Answers
A 21-year-old woman experienced an acute onset of pleuritic chest pain and dyspnea while
playing softball. She is noticeably dyspneic, has an oxygen saturation of 93% on room air, and
has diminished breath sounds to the upper right lobe. Appropriate treatment for this patient
involves: - <CORRECT ANSWER >>administering high-flow supplemental oxygen and
transporting at once.
A 36-year-old man with a history of asthma presents with severe respiratory distress. You
attempt to administer a nebulized beta-2 agonist, but his poor respiratory effort is inhibiting
effective drug delivery via the nebulizer and his mental status is deteriorating. You should: -
<CORRECT ANSWER >>assist his ventilations and establish vascular access.
A 66-year-old man with chronic bronchitis presents with severe respiratory distress. The
patient's wife tells you that he takes medications for high blood pressure and bronchitis, is on
home oxygen therapy, and has recently been taking an over-the-counter antitussive. She
further tells you that he has not been compliant with his oxygen therapy. Auscultation of his
lungs reveals diffuse rhonchi. What is the likely cause of this patient's respiratory distress? -
<CORRECT ANSWER >>recent antitussive use
A 76-year-old woman lying in bed presents with respiratory distress that has worsened
progressively over the past 2 days. She is breathing through pursed lips and has a prolonged
expiratory phase and an oxygen saturation of 76%. She has emphysema and is on home oxygen
at 2 L/min. Your initial action should be to: - <CORRECT ANSWER >>place her in a position that
facilitates breathing.
Abnormal breath sounds associated with pneumonia and congestive heart failure are most
often heard in the: - <CORRECT ANSWER >>bases of the lungs
A hyperventilating patient: - <CORRECT ANSWER >>may be acidotic and is trying to decrease his
or her pH level.
, A known heroin abuser is found unconscious on a park bench. Your assessment reveals that his
respirations are slow and shallow, and his pulse is slow and weak. You should: - <CORRECT
ANSWER >>assist ventilations with a bag-mask device, administer naloxone, and reassess his
ventilatory status.
An elderly woman with COPD presents with peripheral edema. The patient is conscious but
agitated. She is breathing with slight difficulty but has adequate tidal volume. During your
assessment, you note that her jugular veins engorge when you apply pressure to her right
upper abdominal quadrant. She tells you that she takes a "water pill" and Vasotec for high
blood pressure. You should: - <CORRECT ANSWER >>suspect acute right-sided heart failure and
administer oxygen.
A patent airway: - <CORRECT ANSWER >>does not equate to adequate ventilation.
A patient who is coughing up purulent sputum is likely experiencing: - <CORRECT ANSWER >>an
infection.
A patient with a history of asthma is at greatest risk for respiratory arrest if they: - <CORRECT
ANSWER >>were previously intubated for their condition.
A patient with quiet tachypnea suggests: - <CORRECT ANSWER >>shock
A patient with respiratory distress who is willing to lie flat: - <CORRECT ANSWER >>may be
acutely deteriorating.
A patient with status asthmaticus commonly presents with: - <CORRECT ANSWER >>physical
exhaustion and inaudible breath sounds.
A pulse oximetry reading would be least accurate in a patient: - <CORRECT ANSWER >>with
poor peripheral perfusion.
Questions and Answers
A 21-year-old woman experienced an acute onset of pleuritic chest pain and dyspnea while
playing softball. She is noticeably dyspneic, has an oxygen saturation of 93% on room air, and
has diminished breath sounds to the upper right lobe. Appropriate treatment for this patient
involves: - <CORRECT ANSWER >>administering high-flow supplemental oxygen and
transporting at once.
A 36-year-old man with a history of asthma presents with severe respiratory distress. You
attempt to administer a nebulized beta-2 agonist, but his poor respiratory effort is inhibiting
effective drug delivery via the nebulizer and his mental status is deteriorating. You should: -
<CORRECT ANSWER >>assist his ventilations and establish vascular access.
A 66-year-old man with chronic bronchitis presents with severe respiratory distress. The
patient's wife tells you that he takes medications for high blood pressure and bronchitis, is on
home oxygen therapy, and has recently been taking an over-the-counter antitussive. She
further tells you that he has not been compliant with his oxygen therapy. Auscultation of his
lungs reveals diffuse rhonchi. What is the likely cause of this patient's respiratory distress? -
<CORRECT ANSWER >>recent antitussive use
A 76-year-old woman lying in bed presents with respiratory distress that has worsened
progressively over the past 2 days. She is breathing through pursed lips and has a prolonged
expiratory phase and an oxygen saturation of 76%. She has emphysema and is on home oxygen
at 2 L/min. Your initial action should be to: - <CORRECT ANSWER >>place her in a position that
facilitates breathing.
Abnormal breath sounds associated with pneumonia and congestive heart failure are most
often heard in the: - <CORRECT ANSWER >>bases of the lungs
A hyperventilating patient: - <CORRECT ANSWER >>may be acidotic and is trying to decrease his
or her pH level.
, A known heroin abuser is found unconscious on a park bench. Your assessment reveals that his
respirations are slow and shallow, and his pulse is slow and weak. You should: - <CORRECT
ANSWER >>assist ventilations with a bag-mask device, administer naloxone, and reassess his
ventilatory status.
An elderly woman with COPD presents with peripheral edema. The patient is conscious but
agitated. She is breathing with slight difficulty but has adequate tidal volume. During your
assessment, you note that her jugular veins engorge when you apply pressure to her right
upper abdominal quadrant. She tells you that she takes a "water pill" and Vasotec for high
blood pressure. You should: - <CORRECT ANSWER >>suspect acute right-sided heart failure and
administer oxygen.
A patent airway: - <CORRECT ANSWER >>does not equate to adequate ventilation.
A patient who is coughing up purulent sputum is likely experiencing: - <CORRECT ANSWER >>an
infection.
A patient with a history of asthma is at greatest risk for respiratory arrest if they: - <CORRECT
ANSWER >>were previously intubated for their condition.
A patient with quiet tachypnea suggests: - <CORRECT ANSWER >>shock
A patient with respiratory distress who is willing to lie flat: - <CORRECT ANSWER >>may be
acutely deteriorating.
A patient with status asthmaticus commonly presents with: - <CORRECT ANSWER >>physical
exhaustion and inaudible breath sounds.
A pulse oximetry reading would be least accurate in a patient: - <CORRECT ANSWER >>with
poor peripheral perfusion.
