Question 1

What is the most common cause of upper airway obstruction?

Accepted Answer

A)  Spasm of the larynx 
B)  Dried secretions occluding the airway 
C)  The tongue falling back against the posterior pharynx 
D)  Food or other foreign material obstructing the airway 
A)  Spasm of the larynx 
B)  Dried secretions occluding the airway 
C)  The tongue falling back against the posterior pharynx 
D)  Food or other foreign material obstructing the airway C

Question 2

An endotracheal tube is placed in a patient followed by the attachment of a capnograph.The reading reads zero.What could cause this problem and how could it be corrected?

Accepted Answer

Incorrect placement of the endotracheal tube would cause the capnograph reading to be zero.To assess the placement of a endotracheal tube the patient should be manually ventilated with a resuscitation bag while auscultating the breath sounds.The only absolute way to determine the correct placement of an endotracheal tube is through direct observation through a bronchoscope.The endotracheal tube may be in the correct place but the patient's cardiac output may be zero.In this case,cardiac compressions should be initiated.

Question 3

Which resuscitation bag would be the best to assess a patient's compliance of the lungs and thorax?

Accepted Answer

A)  Self-inflating resuscitator 
B)  Flow-inflating resuscitator 
C)  Gas-powered resuscitator 
D)  Manual resuscitator 
A)  Self-inflating resuscitator 
B)  Flow-inflating resuscitator 
C)  Gas-powered resuscitator 
D)  Manual resuscitator B

Question 4

A patient needs to placed on mechanical ventilation.For intubation,the practitioner selects a Macintosh laryngoscope blade.Where in the airway should the tip of the blade be placed?

Accepted Answer

A)  The tip directly lifts the epiglottis. 
B)  The distal tip is placed in the vallecula. 
C)  The tip is placed on the left side of the tongue and positioned until the trachea is visualized. 
D)  The tip is inserted posteriorly to the trachea to ensure tracheal intubation. 
A)  The tip directly lifts the epiglottis. 
B)  The distal tip is placed in the vallecula. 
C)  The tip is placed on the left side of the tongue and positioned until the trachea is visualized. 
D)  The tip is inserted posteriorly to the trachea to ensure tracheal intubation.

Question 5

What should be evaluated once an airway is established on a patient?

Accepted Answer

A)  Ventilation 
B)  Central nervous system function 
C)  Retractions 
D)  Stridor 
A)  Ventilation 
B)  Central nervous system function 
C)  Retractions 
D)  Stridor

Question 6

As a person loses consciousness,what happens to the reflexes that protect the airway?

Accepted Answer

A)  They remain intact 
B)  They are lost in ascending order 
C)  They are lost in descending order 
D)  The cough reflexes are lost but the others remain intact 
A)  They remain intact 
B)  They are lost in ascending order 
C)  They are lost in descending order 
D)  The cough reflexes are lost but the others remain intact

Question 7

If vomiting and aspiration is a concern with a patient who needs an airway in place,which of the following airways would best protect the patient's airway?

Accepted Answer

A)  Nosopharyngeal airway 
B)  Oropharyngeal airway 
C)  Laryngeal mask airway 
D)  a and b 
A)  Nosopharyngeal airway 
B)  Oropharyngeal airway 
C)  Laryngeal mask airway 
D)  a and b

Question 8

All of the following are conditions requiring management of the airway EXCEPT ____________

Accepted Answer

A)  secretions in the airway. 
B)  respiratory failure. 
C)  airway compromise. 
D)  the need to protect the airway. 
A)  secretions in the airway. 
B)  respiratory failure. 
C)  airway compromise. 
D)  the need to protect the airway.

Question 9

A 6'5",300-lb male patient is admitted to ICU for mechanical ventilation via an endotracheal tube.A 7.5 mm-ID tube is in place.What problems could be present with this patient and how could they be treated?

Accepted Answer

A size 7.5 mm-ID endotracheal tube is to

Question 10

A patient requires an airway to prevent the tongue from occluding the airway.The patient lapses in and out of conscious periodically.Which airway would be best to use for the patient?

Accepted Answer

A)  Oropharyngeal airway 
B)  Combitube airway 
C)  Nasopharyngeal airway 
D)  Laryngeal mask airway 
A)  Oropharyngeal airway 
B)  Combitube airway 
C)  Nasopharyngeal airway 
D)  Laryngeal mask airway

Question 11

What is described by the following: "A technique performed to inflate the endotracheal tube cuff under positive pressure.Cuff inflation is stopped when a small leak is heard at the mouth during inspiration."?

Accepted Answer

A)  Minimal occluding volume 
B)  Bivona cuff technique 
C)  Minimal leak technique 
D)  Mainstem intubation 
A)  Minimal occluding volume 
B)  Bivona cuff technique 
C)  Minimal leak technique 
D)  Mainstem intubation

Question 12

To lessen the damage caused to the tracheal wall by the endotracheal tube cuff,it is best to use what type of cuff?

Accepted Answer

A)  Pilot balloon 
B)  Low-volume, high-pressure cuff 
C)  High-volume, low-pressure cuff 
D)  PVC cuff 
A)  Pilot balloon 
B)  Low-volume, high-pressure cuff 
C)  High-volume, low-pressure cuff 
D)  PVC cuff

Question 13

Defibrillation is contraindicated when immediate danger to the rescuers is present due to: I.the environment.
II.the patient's condition.
III.the patient's location.

Accepted Answer

A)  II and III 
B)  I, II, III 
C)  III only 
D)  I and II 
A)  II and III 
B)  I, II, III 
C)  III only 
D)  I and II

Question 14

Which of the following is NOT an advantage of the nasal route of intubation?

Accepted Answer

A)  Oral care is much easier, allowing sufficient access to the mouth. 
B)  It is easier to stabilize the endotracheal tube. 
C)  It is the fastest and most direct route of intubation. 
D)  Conscious patients tolerate nasal intubation better. 
A)  Oral care is much easier, allowing sufficient access to the mouth. 
B)  It is easier to stabilize the endotracheal tube. 
C)  It is the fastest and most direct route of intubation. 
D)  Conscious patients tolerate nasal intubation better.

Question 15

Where is the Miller laryngoscope blade placed during endotracheal intubation?

Accepted Answer

A)  Under the epiglottis 
B)  In the vallecula 
C)  In the trachea 
D)  In the esophagus 
A)  Under the epiglottis 
B)  In the vallecula 
C)  In the trachea 
D)  In the esophagus

Question 16

A physician asks the practitioner for Magill forceps.What type of airway is the physician going to place in the patient's airway?

Accepted Answer

A)  Nasotracheal tube 
B)  Orotracheal tube 
C)  Laryngeal mask airway (LM
A)  
D)  Combitube airway 
A)  Nasotracheal tube 
B)  Orotracheal tube 
C)  Laryngeal mask airway (LM
A)  
D)  Combitube airway

Question 17

Which of the following is NOT a contraindication for resuscitation of a patient?

Accepted Answer

A)  Resuscitation has been determined to be futile because of the patient's underlying condition or disease 
B)  A patient that has had a diagnosis of lung cancer with metastasis to another part of the body 
C)  The patient's desire not to be resuscitated has been clearly expressed and documented in the patient's medical record 
D)  a and c 
A)  Resuscitation has been determined to be futile because of the patient's underlying condition or disease 
B)  A patient that has had a diagnosis of lung cancer with metastasis to another part of the body 
C)  The patient's desire not to be resuscitated has been clearly expressed and documented in the patient's medical record 
D)  a and c

Question 18

A patient is unconscious and has blood is his mouth upon being admitted to the emergency department.Breath sounds are diminished bilaterally.What would you recommend to maintain the patient's airway and why?

Accepted Answer

Intubation should be the airway of choic

Question 19

Which of the following objective criteria indicates that a patient is ready for ventilator discontinuance and extubation?
I.PaO₂/FIO₂ of 350
II.Minute volume of 18 LPM
III.NIF of -35 cmH₂O
IV.f/Vt of 60

Accepted Answer

A)  II and III 
B)  I, III, IV 
C)  I and IV 
D)  I, II, III, IV 
A)  II and III 
B)  I, III, IV 
C)  I and IV 
D)  I, II, III, IV

Question 20

The physician is attempting a difficult intubation.Which medication should be recommended to paralyze the patient to facilitate the intubation and minimize trauma?

Accepted Answer

A)  Succinylcholine 
B)  Midazolam 
C)  Lorazepam 
D)  Etomidate 
A)  Succinylcholine 
B)  Midazolam 
C)  Lorazepam 
D)  Etomidate

Exam 20: Emergency Airway Management

What is the most common cause of upper airway obstruction?

An endotracheal tube is placed in a patient followed by the attachment of a capnograph.The reading reads zero.What could cause this problem and how could it be corrected?

Which resuscitation bag would be the best to assess a patient's compliance of the lungs and thorax?

A patient needs to placed on mechanical ventilation.For intubation,the practitioner selects a Macintosh laryngoscope blade.Where in the airway should the tip of the blade be placed?

What should be evaluated once an airway is established on a patient?

As a person loses consciousness,what happens to the reflexes that protect the airway?

If vomiting and aspiration is a concern with a patient who needs an airway in place,which of the following airways would best protect the patient's airway?

All of the following are conditions requiring management of the airway EXCEPT ____________

A 6'5",300-lb male patient is admitted to ICU for mechanical ventilation via an endotracheal tube.A 7.5 mm-ID tube is in place.What problems could be present with this patient and how could they be treated?

A patient requires an airway to prevent the tongue from occluding the airway.The patient lapses in and out of conscious periodically.Which airway would be best to use for the patient?

What is described by the following: "A technique performed to inflate the endotracheal tube cuff under positive pressure.Cuff inflation is stopped when a small leak is heard at the mouth during inspiration."?

To lessen the damage caused to the tracheal wall by the endotracheal tube cuff,it is best to use what type of cuff?

Defibrillation is contraindicated when immediate danger to the rescuers is present due to: I.the environment. II.the patient's condition. III.the patient's location.

Which of the following is NOT an advantage of the nasal route of intubation?

Where is the Miller laryngoscope blade placed during endotracheal intubation?

A physician asks the practitioner for Magill forceps.What type of airway is the physician going to place in the patient's airway?

Which of the following is NOT a contraindication for resuscitation of a patient?

A patient is unconscious and has blood is his mouth upon being admitted to the emergency department.Breath sounds are diminished bilaterally.What would you recommend to maintain the patient's airway and why?

Which of the following objective criteria indicates that a patient is ready for ventilator discontinuance and extubation? I.PaO₂/FIO₂ of 350 II.Minute volume of 18 LPM III.NIF of -35 cmH₂O IV.f/Vt of 60

The physician is attempting a difficult intubation.Which medication should be recommended to paralyze the patient to facilitate the intubation and minimize trauma?

Basics of Asepsis

Basic Patient Assessment: Vital Signs and Breath Sounds

Advanced Patient Assessment: Inspection, Palpation, and Percussion

Radiologic Assessment

Pulmonary Function Testing

Electrocardiography

Phlebotomy

Arterial Blood Gas Sampling

Hemodynamic Monitoring

Noninvasive Monitoring

Documentation and Goals Assessment

Oxygen Supply Systems

Oxygen Administration

Introduction to Respiratory Care Pharmacology

Humidity and Aerosol Therapy

Bronchial Hygiene Therapy

Hyperinflation Therapy

Bronchoscopy Assisting

Equipment Processing and Surveillance

Artificial Airway Care

Chest Tubes

Insertion and Maintenance of Intravenous Lines

Noninvasive Positive-Pressure Ventilation

Continuous Mechanical Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

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