NREMT Final Exam: Airway, Respiration, juf juf juf juf juf
and Ventilation questions with correct an
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swers graded A+ juf juf
A 65-year-
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old male who has a history of congestive heart failure is slumped in a chair n
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ot responding to you. His wife tells you that his difficulty breathing started an
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uf hour ago and has been getting worse. He is tachypneic, and you auscultate r
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ales in all fields. You should first:
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A. assist his ventilation.
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B. administer oxygen by non-rebreather mask.
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C. apply CPAP.
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D. assess his vital signs. - A. assist his ventilation.
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Patients who have chronic bronchitis may have which of the following?
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A. Persistent productive cough, thickening of walls of bronchioles, excessive m
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ucus production juf
B. Increased sensitivity of lower airways to irritants, bronchospasm, edema
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C. Destruction of alveolar walls, distention of alveolar sacs, reduced area for g
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as exchange
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D. Acute infectious disease, lung inflammation, pus-filled alveoli -
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juf A. Persistent productive cough, thickening of walls of bronchioles, excessive
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mucus production juf
,A 70-year-
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old male has difficulty breathing. When assessing him, which of the following
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should influence your decision to assist his ventilation with a BVM?
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A. A decrease in his mental status
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B. An SpO2 below 90% on room air
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C. An increase in his respiratory rate
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D. A history of COPD - A. A decrease in his mental status
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You are assisting the ventilation of a 57-year-
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old female who is in respiratory failure. Her initial vital signs were P 102, R 3
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2, BP 142/84, and SpO2 was 88% on room air. After five minutes of assisted
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ventilation, her vital signs are P 96, R 18 assisted with slight chest rise, BP 10
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8/80, and SpO2 is 95% on oxygen 15 L/minute by BVM. You should:
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A. decrease the tidal volume of your ventilation.
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B. increase the tidal volume of your ventilation.
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C. increase the oxygen flow rate.
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D. decrease your ventilation rate. - D. decrease your ventilation rate.
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An 86-year-
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old female who has a history of emphysema complains of chest pain. Her initi
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al SpO2 was 92% on home oxygen by nasal cannula, 3 L/minute. You administ
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ered oxygen by non-
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rebreather, 12 L/minute. Her SpO2 is now 100%, and her chest pain is resolve
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d after aspirin and nitroglycerin administration. You should next:
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A. discontinue oxygen administration.
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B. switch to a simple face mask.
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C. decrease the flow rate to 6 L/minute.
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,D. transport her. - B. switch to a simple face mask.
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Which of the following prevents the over-
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inflation of the lungs during normal respiration?
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A. Cushing reflex
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B. Baroreceptor reflex
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C. Chemoreceptors
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D. Stretch receptors - D. Stretch receptors
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Which of the following sounds indicates an upper airway obstruction in a chil
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d who is in respiratory distress?
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A. Rales
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B. Wheezes
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C. Stridor
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D. Rhonchi - C. Stridor
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A 16-year-old female complains of a runny nose and a low-
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grade fever. She has a burst of rapid coughing with an inspiratory whooping s
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ound. While she is coughing her skin becomes cyanotic. After she stops cough
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ing her skin color
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returns to normal. You should suspect:
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A. pneumonia.
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B. pertussis.
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C. rubella.
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D. tuberculosis. - B. pertussis.
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What causes the prolonged expiratory phase of the respiratory cycle in a pati
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ent who is having an asthma attack?
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A. Bronchiole constriction
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, B. Pulmonary venous hypertension
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C. Thick, sticky mucus production
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D. Ruptured blebs - A. Bronchiole constriction
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A 64-year-
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old male is having an asthma attack. Which class of medication can help impr
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ove his alveolar ventilation?
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A. Beta2 agonist
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B. Beta1 antagonist
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C. Beta1 agonist
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D. Beta2 antagonist - A. Beta2 agonist
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A 47-year-
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old male complains of difficulty breathing, and he cannot stop coughing. His c
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onjunctivae are pale and moist. He has a 40 pack-
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year smoking history. You should first:
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A. administer oxygen.
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B. assess his vital signs.
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C. collect a sample of his phlegm.
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D. determine his past medical history. - A. administer oxygen.
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Which of the following respiratory conditions in children over 2 years old has
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similar lung sounds to an infant who has bronchiolitis?
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A. Asthma
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B. Pulmonary edema
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C. Pertussis
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D. Pneumonia - A. Asthma
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and Ventilation questions with correct an
juf juf juf juf juf
swers graded A+ juf juf
A 65-year-
juf
old male who has a history of congestive heart failure is slumped in a chair n
juf juf juf juf juf juf juf juf juf juf juf juf juf juf juf
ot responding to you. His wife tells you that his difficulty breathing started an
juf juf juf juf juf juf juf juf juf juf juf juf juf j
uf hour ago and has been getting worse. He is tachypneic, and you auscultate r
juf juf juf juf juf juf juf juf juf juf juf juf juf
ales in all fields. You should first:
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A. assist his ventilation.
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B. administer oxygen by non-rebreather mask.
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C. apply CPAP.
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D. assess his vital signs. - A. assist his ventilation.
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Patients who have chronic bronchitis may have which of the following?
juf juf juf juf juf juf juf juf juf juf
A. Persistent productive cough, thickening of walls of bronchioles, excessive m
juf juf juf juf juf juf juf juf juf juf
ucus production juf
B. Increased sensitivity of lower airways to irritants, bronchospasm, edema
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C. Destruction of alveolar walls, distention of alveolar sacs, reduced area for g
juf juf juf juf juf juf juf juf juf juf juf juf
as exchange
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D. Acute infectious disease, lung inflammation, pus-filled alveoli -
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juf A. Persistent productive cough, thickening of walls of bronchioles, excessive
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mucus production juf
,A 70-year-
juf
old male has difficulty breathing. When assessing him, which of the following
juf juf juf juf juf juf juf juf juf juf juf juf
should influence your decision to assist his ventilation with a BVM?
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A. A decrease in his mental status
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B. An SpO2 below 90% on room air
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C. An increase in his respiratory rate
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D. A history of COPD - A. A decrease in his mental status
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You are assisting the ventilation of a 57-year-
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old female who is in respiratory failure. Her initial vital signs were P 102, R 3
juf juf juf juf juf juf juf juf juf juf juf juf juf juf juf
2, BP 142/84, and SpO2 was 88% on room air. After five minutes of assisted
juf juf juf juf juf juf juf juf juf juf juf juf juf juf juf
ventilation, her vital signs are P 96, R 18 assisted with slight chest rise, BP 10
juf juf juf juf juf juf juf juf juf juf juf juf juf juf juf
8/80, and SpO2 is 95% on oxygen 15 L/minute by BVM. You should:
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A. decrease the tidal volume of your ventilation.
juf juf juf juf juf juf juf
B. increase the tidal volume of your ventilation.
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C. increase the oxygen flow rate.
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D. decrease your ventilation rate. - D. decrease your ventilation rate.
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An 86-year-
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old female who has a history of emphysema complains of chest pain. Her initi
juf juf juf juf juf juf juf juf juf juf juf juf juf
al SpO2 was 92% on home oxygen by nasal cannula, 3 L/minute. You administ
juf juf juf juf juf juf juf juf juf juf juf juf juf
ered oxygen by non-
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rebreather, 12 L/minute. Her SpO2 is now 100%, and her chest pain is resolve
juf juf juf juf juf juf juf juf juf juf juf juf juf
d after aspirin and nitroglycerin administration. You should next:
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A. discontinue oxygen administration.
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B. switch to a simple face mask.
juf juf juf juf juf juf
C. decrease the flow rate to 6 L/minute.
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,D. transport her. - B. switch to a simple face mask.
juf juf juf juf juf juf juf juf juf juf
Which of the following prevents the over-
juf juf juf juf juf juf
inflation of the lungs during normal respiration?
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A. Cushing reflex
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B. Baroreceptor reflex
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C. Chemoreceptors
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D. Stretch receptors - D. Stretch receptors
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Which of the following sounds indicates an upper airway obstruction in a chil
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d who is in respiratory distress?
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A. Rales
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B. Wheezes
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C. Stridor
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D. Rhonchi - C. Stridor
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A 16-year-old female complains of a runny nose and a low-
juf juf juf juf juf juf juf juf juf juf
grade fever. She has a burst of rapid coughing with an inspiratory whooping s
juf juf juf juf juf juf juf juf juf juf juf juf juf
ound. While she is coughing her skin becomes cyanotic. After she stops cough
juf juf juf juf juf juf juf juf juf juf juf juf
ing her skin color
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returns to normal. You should suspect:
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A. pneumonia.
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B. pertussis.
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C. rubella.
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D. tuberculosis. - B. pertussis.
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What causes the prolonged expiratory phase of the respiratory cycle in a pati
juf juf juf juf juf juf juf juf juf juf juf juf
ent who is having an asthma attack?
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A. Bronchiole constriction
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, B. Pulmonary venous hypertension
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C. Thick, sticky mucus production
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D. Ruptured blebs - A. Bronchiole constriction
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A 64-year-
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old male is having an asthma attack. Which class of medication can help impr
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ove his alveolar ventilation?
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A. Beta2 agonist
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B. Beta1 antagonist
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C. Beta1 agonist
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D. Beta2 antagonist - A. Beta2 agonist
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A 47-year-
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old male complains of difficulty breathing, and he cannot stop coughing. His c
juf juf juf juf juf juf juf juf juf juf juf juf
onjunctivae are pale and moist. He has a 40 pack-
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year smoking history. You should first:
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A. administer oxygen.
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B. assess his vital signs.
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C. collect a sample of his phlegm.
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D. determine his past medical history. - A. administer oxygen.
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Which of the following respiratory conditions in children over 2 years old has
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similar lung sounds to an infant who has bronchiolitis?
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A. Asthma
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B. Pulmonary edema
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C. Pertussis
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D. Pneumonia - A. Asthma
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