Chapter 9 Assessment EMT

Perhaps the simplest way to determine if a patient has a patent airway is​ to: A. check for adequate chest rise. B. say​ "hello." C. auscultate for breath sounds. D. determine a respiratory rate.

B

When inserting an oropharyngeal​ airway, how many degrees do you need to rotate the airway so the tip is pointing down into the​ patient's pharynx? A. 180 B. 45 C. 90 D. 270

A

Which of the following is a disadvantage of oropharyngeal airways​ (OPAs)? A. They cannot be used in a patient with a gag reflex. B. They require the use of a​ water-soluble lubricant. C. They cannot be used in patients with a suspected skull fracture. D. They do not come in pediatric sizes.

A

Which of the following patients should NOT have their airway opened using a​ head-tilt, chin-lift​ maneuver? A. A homeless person of undetermined age found lying unresponsive in an alley with no bystanders. B. A​ 50-year-old woman who choked on a piece of food while dining in a restaurant and was lowered to the floor by a waiter. C. A​ 35-year-old diabetic woman who is in the​ driver's seat of the car in her​ driveway, who becomes unresponsive while speaking to her husband. D. A​ 25-year-old man who is still unresponsive after a grand mal seizure.

A

Which of the following structures is found in the lower​ airway? A. Bronchi B. Tonsils C. Pharynx D. Uvula

A

You are ventilating a cardiac arrest patient when he begins to vomit copious amounts of large pieces of undigested food. Which of the following would be most effective in clearing the​ airway? A. Using large bore suction tubing without a tip or catheter attached B. Irrigating the mouth with sterile water to dilute the material before suctioning C. Using a rigid pharyngeal suction tip D. Using a 14 French suction catheter

A

You have performed a head​ tilt-chin lift maneuver on a​ 17-month-old boy and are attempting to ventilate him with a​ bag-valve mask. You are experiencing a lot of resistance with each breath and the chest is barely rising. Prior to attempting ventilations​ again, you​ should: A. perform chest thrusts. B. ease the head forward a little. C. tilt the head back further. D. finger sweep the airway.

A

The​ jaw-thrust maneuver is the only​ _______ airway procedure for an unconscious patient with possible​ head, neck, or spine injury or unknown mechanism of injury. A. forbidden B. recommended C. required D. prohibited

B

To be​ effective, a suction unit must be able to generate air flow of​ ________ liters per minute and create a vacuum of​ ________ mmHg. A. ​30; 30 B. ​30; 300 C. ​300; 30 D. ​300; 330

B

What is the danger that an altered mental status can pose to a​ patient's breathing? A. Depressed alveolar function B. Loss of muscle tone and airway collapse C. Bronchospasms D. Hyperoxia

B

Which of the following is the correct method of​ suctioning? A. Suction​ continuously, both while inserting and withdrawing the suction tip or catheter. B. Insert the catheter or tip to the desired depth prior to applying suction. C. Begin suctioning as you insert the suction tip or catheter into the mouth. D. Suction​ intermittently, both while inserting and withdrawing the suction tip or catheter.

B

Which of the following is true concerning the procedure for inserting a nasopharyngeal airway​ (NPA)? A. The length of the device is not as important as it is with oropharyngeal airways. B. The bevel should be turned toward the nasal septum. C. If a​ water-soluble lubricant is not​ available, a silicon spray can be substituted. D. It can only be placed in the right nostril.

B

Which of the following should be kept in mind when assessing and managing the airway of a pediatric​ patient? A. Due to their short​ necks, pediatric patients require a greater degree of hyperextension to open the airway than do adults. B. The trachea is easily obstructed by swelling. C. The tongue is not as likely to obstruct the airway as in an adult. D. Gastric distention is unlikely.

B

Your patient is breathing 4 shallow breaths per minute due to overdosing on his pain medication but he has a palpable radial pulse. He vomited prior to your arrival and is choking. You​ should: A. insert an oropharyngeal airway and ventilate. B. roll him over onto his side to clear the airway. C. move the patient to the ambulance and suction. D. perform chest thrusts to clear the lungs.

B

All of the following can result in upper airway​ obstructions, except​: A. infections. B. burns. C. severe bronchoconstriction. D. facial trauma.

C

When suctioning the​ airway, suction should never be applied for longer than​ ________ seconds. A. 45 B. 60 C. 10 D. 30

C

Which of the following is an advantage of using a nasopharyngeal airway​ (NPA)? A. It is ideal for patients with a suspected skull fracture. B. It eliminates the need for manual positioning of the​ patient's head to keep the airway open. C. It may be tolerated by many patients with a gag reflex. D. All of the above

C

You are ventilating an​ 85-year-old male without difficulty. A nurse tells you that the patient has dentures. To ensure a good mask​ seal, you​ should: A. use an infant mask over the nose. B. remove the dentures. C. leave the dentures in place. D. tape the dentures in place.

C

On which of the following types of calls should you bring your portable suction unit to the​ patient's side upon arrival on the​ scene? A. Cardiac arrest B. Seizure C. Motor vehicle collision D. All of the above

D

The trachea branches off at the​ ________ and forms two mainstem bronchi. A. pleura B. alveoli C. bronchioles D. carina

D

The​ high-pitched sound caused by an upper airway obstruction is known​ as: A. rales. B. rhonchi. C. gurgling. D. stridor.

D

What is the sound of the soft tissue of the upper airway creating impedance or partial obstruction to the flow of​ air? A. Stridor B. Gurgling C. Hoarseness D. Snoring

D

Which of the following is a sign of an inadequate​ airway? A. Regular chest movements B. Equal expansion of both sides of the chest when patient inhales C. Typical skin coloration D. Nasal flaring

D