Quiz 9B

When you inspect a patient's pupils with a penlight, the pupils should normally react to the light by: Select one: a. constricting. b. fluttering. c. dilating. d. enlarging.

a. constricting.

A patient who does not respond to your questions, but moves or cries out when his or her trapezius muscle is pinched, is said to be: Select one: a. responsive to painful stimuli. b. completely unresponsive. c. conscious and alert. d. responsive to verbal stimuli.

a. responsive to painful stimuli.

A patient with spontaneous respirations is breathing: Select one: a. without assistance. b. without difficulty. c. at a normal rate. d. with shallow depth.

a. without assistance.

Normal respiratory rates should not exceed ________________ breaths per minute in toddlers and ________________ breaths per minute in infants. Select one: a. 18,28 b. 40,60 c. 20,30 d. 30,40

b. 40,60

Which of the following statements regarding stridor is correct? Select one: a. It is a whistling sound heard in the lower airway. b. It is a high-pitched, crowing upper airway sound. c. It is caused by incorrect airway positioning. d. It suggests the presence of fluid in the lungs.

b. It is a high-pitched, crowing upper airway sound.

Which of the following signs of respiratory distress is seen MOST commonly in pediatric patients? Select one: a. Accessory muscle use b. Seesaw breathing c. Pursed-lip breathing d. Rapid respirations

b. Seesaw breathing

Upon arriving at a potentially unsafe scene, you should: Select one: a. request another ambulance. b. ensure that you are safe. c. move the patient to safety. d. remove all bystanders.

b. ensure that you are safe.

If a patient develops difficulty breathing after your primary assessment, you should immediately: Select one: a. determine his or her respiratory rate. b. reevaluate his or her airway status. c. begin assisting his or her breathing. d. auscultate his or her breath sounds.

b. reevaluate his or her airway status.

After performing a head tilt-chin lift maneuver to open the airway of an unresponsive patient who has a pulse, you should: Select one: a. assess respiratory rate, depth, and regularity. b. suction as needed and insert an airway adjunct. c. provide positive-pressure ventilatory assistance. d. place him or her in the recovery position.

b. suction as needed and insert an airway adjunct.

Which of the following is the MOST effective method of assessing the quality of air movement in the lungs? Select one: a. Looking for the presence of accessory muscle use b. Evaluating the patient's chest for cyanosis c. Applying a pulse oximeter and monitoring the Sp02 d. Auscultating breath sounds with a stethoscope

d. Auscultating breath sounds with a stethoscope

Which of the following abnormal breath sounds indicates obstruction of the upper airway? Select one: a. Crackles b. Rales c. Rhonchi d. Stridor

d. Stridor

An adult patient who is NOT experiencing difficulty breathing will: Select one: a. have a respiratory rate that is between 20 and 24 breaths/min. b. assume a position that will facilitate effective and easy breathing. c. exhibit an indentation above the clavicles and in between the ribs. d. be able to speak in complete sentences without unusual pauses.

d. be able to speak in complete sentences without unusual pauses.

A 40-year-old male crashed his motorcycle into a tree. He is semiconscious, has snoring respirations, and has a laceration to the forearm with minimal bleeding. You should: Select one: a. apply a pressure dressing to the patient's arm. b. tilt the patient's head back and lift up on his chin. c. apply a cervical collar and suction his airway. d. open his airway with the jaw-thrust maneuver.

d. open his airway with the jaw-thrust maneuver.

You are dispatched to the county jail for an inmate who is "sick." When you arrive, you find the patient, a 33-year-old male, unresponsive. His airway is patent and his respirations are rapid and shallow. Your initial action should be to: Select one: a. apply a pulse oximeter. b. request a paramedic unit. c. assess his blood pressure. d. provide assisted ventilation.

d. provide assisted ventilation.

When a patient's respirations are shallow: Select one: a. carbon dioxide elimination is increased. b. oxygenation occurs more efficiently. c. chest rise will be easily noticeable. d. tidal volume is markedly reduced.

d. tidal volume is markedly reduced.