Question 1

What general condition requires airway management?
I.airway compromise
II.respiratory failure
III.need to protect the airway

Accepted Answer

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

Question 2

When performing blind nasotracheal intubation, successful tube passage through the larynx is indicated by which of the following?
I.louder breath sounds
II.harsh cough
III.vocal silence

Accepted Answer

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

Question 3

What is the normal range of negative pressure to use when suctioning an adult patient?

Accepted Answer

A) -100 to -120 mm Hg 
B) -80 to -100 mm Hg 
C) -60 to -80 mm Hg 
D) -20 to -30 mm Hg 
A) -100 to -120 mm Hg 
B) -80 to -100 mm Hg 
C) -60 to -80 mm Hg 
D) -20 to -30 mm Hg

Question 4

Equipment required for patient support and monitoring during a fiberoptic bronchoscopy procedure includes all of the following except:

Accepted Answer

A) pulse oximeter 
B) oxygen cannula 
C) electrocardiographic monitor 
D) capnometer 
A) pulse oximeter 
B) oxygen cannula 
C) electrocardiographic monitor 
D) capnometer

Question 5

Total application time for endotracheal suction in adults should not exceed which of the following?

Accepted Answer

A) 20 to 25 seconds 
B) 15 to 20 seconds 
C) 10 to 15 seconds 
D) 3 to 5 seconds 
A) 20 to 25 seconds 
B) 15 to 20 seconds 
C) 10 to 15 seconds 
D) 3 to 5 seconds

Question 6

Which of the following techniques or procedures should be used to help minimize infection of a tracheotomy stoma?
I.regular aseptic stoma cleaning
II.adherence to sterile techniques
III.regular change of tracheostomy dressings

Accepted Answer

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

Question 7

Tracheal airways increase the incidence of pulmonary infections for all of the following reasons except:

Accepted Answer

A) lower levels of humidification 
B) increased aspiration of pharyngeal material 
C) contaminated equipment or solutions 
D) ineffective clearance through cough 
A) lower levels of humidification 
B) increased aspiration of pharyngeal material 
C) contaminated equipment or solutions 
D) ineffective clearance through cough

Question 8

When using a bulb-type esophageal detection device (EDD) during an intubation attempt, how do you know that the endotracheal tube is in the esophagus?

Accepted Answer

A) The bulb fails to reexpand upon release. 
B) The bulb quickly reexpands upon release. 
C) The bulb cannot be completely squeezed closed. 
D) The bulb cannot be attached to the endotracheal tube. 
A) The bulb fails to reexpand upon release. 
B) The bulb quickly reexpands upon release. 
C) The bulb cannot be completely squeezed closed. 
D) The bulb cannot be attached to the endotracheal tube.

Question 9

While checking a Miller and a MacIntosh blade on an intubation tray during an emergency intubation, you find that the Miller blade "lights" but the MacIntosh blade does not. What should you do now?

Accepted Answer

A) Swap the defective MacIntosh for the good Miller blade. 
B) Check and replace the bulb in the MacIntosh blade. 
C) Replace the batteries in the laryngoscope handle. 
D) Check and clean the laryngoscope handle electrical contact. 
A) Swap the defective MacIntosh for the good Miller blade. 
B) Check and replace the bulb in the MacIntosh blade. 
C) Replace the batteries in the laryngoscope handle. 
D) Check and clean the laryngoscope handle electrical contact.

Question 10

Which of the following drugs can be used to prevent bleeding during fiberoptic bronchoscopy?
I.phenylephrine
II.dopamine HCl
III.cocaine HCl

Accepted Answer

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

Question 11

A physician asks you to assess the upper airway function of a patient with a fenestrated tracheostomy tube. How should this be accomplished?

Accepted Answer

A) Replace the inner cannula, plug the proximal opening, and inflate the cuff. 
B) Remove the inner cannula, plug the proximal opening, and deflate the cuff. 
C) Remove the inner cannula, plug the proximal opening, and inflate the cuff. 
D) Replace the inner cannula, plug the proximal opening, and deflate the cuff. 
A) Replace the inner cannula, plug the proximal opening, and inflate the cuff. 
B) Remove the inner cannula, plug the proximal opening, and deflate the cuff. 
C) Remove the inner cannula, plug the proximal opening, and inflate the cuff. 
D) Replace the inner cannula, plug the proximal opening, and deflate the cuff.

Question 12

What size endotracheal tube would you select to intubate a 3-year-old child?

Accepted Answer

A) 3.0 to 4.0 mm 
B) 4.5 to 5.0 mm 
C) 5.5 to 6.0 mm 
D) 6.0 to 7.0 mm 
A) 3.0 to 4.0 mm 
B) 4.5 to 5.0 mm 
C) 5.5 to 6.0 mm 
D) 6.0 to 7.0 mm

Question 13

What is the purpose of the additional side port (Murphy eye) on most modern endotracheal tubes?

Accepted Answer

A) protect the airway against aspiration 
B) help ascertain proper tube position 
C) minimize mucosal trauma during insertion 
D) ensure gas flow if the main port is blocked 
A) protect the airway against aspiration 
B) help ascertain proper tube position 
C) minimize mucosal trauma during insertion 
D) ensure gas flow if the main port is blocked

Question 14

Key points to consider in planning fiberoptic bronchoscopy include which of the following?
I.equipment preparation
II.premedication
III.airway preparation
IV.monitoring

Accepted Answer

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

Question 15

Which of the following are goals of airway preparation before conducting fiberoptic bronchoscopy?
I.to decrease cough and gagging
II.to decrease pain
III.to prevent bleeding

Accepted Answer

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

Question 16

During oral intubation of an adult, the endotracheal tube should be advanced into the trachea about how far?

Accepted Answer

A) until its cuff has passed the cords 
B) just far enough so that the tube cuff is no longer visible 
C) until its cuff has passed the cords by 2 to 3 inches 
D) until its tip has passed the cords by 2 to 3 cm 
A) until its cuff has passed the cords 
B) just far enough so that the tube cuff is no longer visible 
C) until its cuff has passed the cords by 2 to 3 inches 
D) until its tip has passed the cords by 2 to 3 cm

Question 17

Compared with the nasal route, the advantages of oral intubation include all of the following except:

Accepted Answer

A) reduced risk of kinking 
B) less retching and gagging 
C) easier suctioning 
D) less traumatic insertion 
A) reduced risk of kinking 
B) less retching and gagging 
C) easier suctioning 
D) less traumatic insertion

Question 18

To minimize the problems associated with pharyngeal aspiration in intubated patients, which of the following could you recommend?
I.	Position patients in semirecumbent position.
II.	Insert the feeding tube into the duodenum.
III.	Suction above the tracheal tube cuff.
IV.	Provide continuous aspiration of subglottic secretions.

Accepted Answer

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

Question 19

For which of the following reasons is atropine often used during fiberoptic bronchoscopy?
I.to dry the patient's airway
II.to decrease vagal responses
III.to provide topical anesthesia

Accepted Answer

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

Question 20

You are about to suction a 10-year-old patient who has a 6-mm (internal diameter) endotracheal tube in place. What is the maximum size of catheter that you would use in this case?

Accepted Answer

A) 6 Fr 
B) 8 Fr 
C) 10 Fr 
D) 14 Fr 
A) 6 Fr 
B) 8 Fr 
C) 10 Fr 
D) 14 Fr

Exam 33: Airway Management

What general condition requires airway management? I.airway compromise II.respiratory failure III.need to protect the airway

When performing blind nasotracheal intubation, successful tube passage through the larynx is indicated by which of the following? I.louder breath sounds II.harsh cough III.vocal silence

What is the normal range of negative pressure to use when suctioning an adult patient?

Equipment required for patient support and monitoring during a fiberoptic bronchoscopy procedure includes all of the following except:

Total application time for endotracheal suction in adults should not exceed which of the following?

Which of the following techniques or procedures should be used to help minimize infection of a tracheotomy stoma? I.regular aseptic stoma cleaning II.adherence to sterile techniques III.regular change of tracheostomy dressings

Tracheal airways increase the incidence of pulmonary infections for all of the following reasons except:

When using a bulb-type esophageal detection device (EDD) during an intubation attempt, how do you know that the endotracheal tube is in the esophagus?

While checking a Miller and a MacIntosh blade on an intubation tray during an emergency intubation, you find that the Miller blade "lights" but the MacIntosh blade does not. What should you do now?

Which of the following drugs can be used to prevent bleeding during fiberoptic bronchoscopy? I.phenylephrine II.dopamine HCl III.cocaine HCl

A physician asks you to assess the upper airway function of a patient with a fenestrated tracheostomy tube. How should this be accomplished?

What size endotracheal tube would you select to intubate a 3-year-old child?

What is the purpose of the additional side port (Murphy eye) on most modern endotracheal tubes?

Key points to consider in planning fiberoptic bronchoscopy include which of the following? I.equipment preparation II.premedication III.airway preparation IV.monitoring

Which of the following are goals of airway preparation before conducting fiberoptic bronchoscopy? I.to decrease cough and gagging II.to decrease pain III.to prevent bleeding

During oral intubation of an adult, the endotracheal tube should be advanced into the trachea about how far?

Compared with the nasal route, the advantages of oral intubation include all of the following except:

For which of the following reasons is atropine often used during fiberoptic bronchoscopy? I.to dry the patient's airway II.to decrease vagal responses III.to provide topical anesthesia

You are about to suction a 10-year-old patient who has a 6-mm (internal diameter) endotracheal tube in place. What is the maximum size of catheter that you would use in this case?

History of Respiratory Care

Quality and Evidence-Based Respiratory Care

Patient Safety, Communication, and Record Keeping

Principles of Infection Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

Computer Applications in Respiratory Care

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpretation of Clinical Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

A Review of Thoracic Imaging

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Lung Injury, Pulmonary Edema, and Multiple System Organ

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Bronchial Hygiene Therapy

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Initiating and Adjusting Ventilatory Support

Noninvasive Positive Pressure Ventilation

Monitoring and Management of the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

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