Chapter 9 Quiz - Airway Management

When suctioning the airway, suction should never be applied for longer than ________ seconds. a. 10 b. 60 c. 30 d. 45

a. 10

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. 90 c. 270 d. 45

a. 180

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

a. It may be tolerated by many patients with a gag reflex.

Which of the following is a sign of an inadequate airway? a. Nasal flaring b. Equal expansion of both sides of the chest when the patient inhales c. Typical skin coloration d. Regular chest movements

a. Nasal flaring

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

a. The bevel should be turned toward the nasal septum.

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. ease the head forward a little b. finger sweep the airway. c. perform chest thrusts. d. tilt the head back further.

a. ease the head forward a little

Perhaps the simplest way to determine if a patient has a patent airway is to: a. say "hello." b. auscultate for breath sounds. c. check for adequate chest rise. d. determine a respiratory rate.

a. say "hello."

Which of the following patients should NOT have their airway opened using a head-tilt, chin-lift maneuver? a. 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. b. A homeless person of undetermined age found lying unresponsive in an alley with no bystanders. c. A 25-year-old man who is still unresponsive after a grand mal seizure. d. 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.

b. A homeless person of undetermined age found lying unresponsive in an alley with no bystanders.

Which of the following is the correct method of suctioning? a. Suction intermittently, 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. Suction continuously, both while inserting and withdrawing the suction tip or catheter. d. Begin suctioning as you insert the suction tip or catheter into the mouth.

b. Insert the catheter or tip to the desired depth prior to applying suction.

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. remove the dentures. b. leave the dentures in place. c. use an infant mask over the nose. d. tape the dentures in place.

b. leave the dentures in place.

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. prohibited d. required

b. recommended

All of the following can result in airway obstructions, except: a. facial trauma. b. the tongue. c. burns. d. infections.

b. the tongue.

To be effective, a suction unit must be able to generate airflow of ________ liters per minute and create a vacuum of ________ mmHg. a. 300; 30 b. 300; 330 c. 30; 300 d. 30; 30

c. 30; 300

Which of the following structures is found in the lower airway? a. Tonsils b. Pharynx c. Bronchi d. Uvula

c. Bronchi

What is the danger that an altered mental status can pose to a patient's breathing? a. Depressed alveolar function b. Bronchospasms c. Loss of muscle tone and airway collapse d. Hyperoxia

c. Loss of muscle tone and airway collapse

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

c. The trachea is easily obstructed by swelling.

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 a 14 French suction catheter b. Using a rigid pharyngeal suction tip c. Using large-bore suction tubing without a tip or catheter attached d. Irrigating the mouth with sterile water to dilute the material before suctioning

c. Using large-bore suction tubing without a tip or catheter attached

The high-pitched sound caused by an upper airway obstruction is known as: a. rales. b. rhonchi. c. stridor. d. gurgling.

c. stridor

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. Motor vehicle collision b. Seizure c. Cardiac arrest d. All of the above

d. All of the above

What is the sound of the soft tissue of the upper airway creating impedance or partial obstruction to the flow of air? a. Hoarseness b. Gurgling c. Stridor d. Snoring

d. Snoring

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

d. They cannot be used in a patient with a gag reflex.

The trachea branches off at the ________ and forms two mainstem bronchi. a. pleura b. bronchioles c. alveoli d. carina

d. carina

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. move the patient to the ambulance and suction. b. perform chest thrusts to clear the lungs. c. insert an oropharyngeal airway and ventilate. d. roll him over onto his side to clear the airway.

d. roll him over onto his side to clear the airway.