wayground logo

Free Printable Worksheets

NEW

Font size

S
M
L
XL
Worksheets

EMS Caring for Respiratory Emergencies

Total questions: 67

Worksheet time: 37mins

Name
Class
Date
1.

Which are not considered adventitious breath sounds

a)

Clear bilaterally

b)

rhonchi

c)

wheezing

d)

crackles

2.

The nurse is assessing the client diagnosed with COPD which data is required for immediate intervention

a)

Large amounts of thick white sputum

b)

Oxygen flowmeter is set up on 8L

c)

Usse the acessory muscles during inspiration

d)

Presence of a barrel chest and dyspnea

3.
Trouble breathing, swelling of the face or tongue and fainting are signs of ...
a)
Heart attack
b)
Stroke
c)
Severe allergic reaction
d)
Nosebleed
4.

When arriving on scene of a person being stuck by lightning you find they are unresponsive, not breathing, and does not have a pulse. You should:

a)

assess them for skin burns

b)

immediately attach the AED

c)

begin one-rescuer CPR

5.

You are assessing a man who complains of dizziness, lightheadedness, and nausea after working many hours in the sun. The ambient temp is 100 F. You move him to a cooler spot and assess him.

a)

give him a bunch of cool water

b)

monitor his ABC's and arrange for transport to the hospital

c)

rapidly cool him down by applying ice packs to his groin region

d)

tell him to go home and rest

6.
3-­year-­old girl swallowed a piece of hard candy and it lodged in her throat.  She is having difficultly breathing.  You hear abnormal sounds when listening with your stethoscope. What sound might you expect to hear?
a)
Rales
b)
 Stridor
c)
Snoring
d)
Wheezes
7.
Your patient used a metered-­‐dose inhaler prior to your arrival.  It provided relief from his asthma symptoms.  This is because the medication inhaled came in contact with the:
a)
oral mucosa
b)
trachea and main bronchi
c)
bronchioles
d)
alveoli
8.
You are treating a patient who complains of respiratory distress. He is breathing rapidly but shallowly and can speak only one-­‐ to two-­‐word sentences. His skin color is poor and he appears tired.  His family states he has "bad" chronic bronchitis and congestive heart failure. You should:
a)
administer oxygen via nasal cannula 
b)
administer oxygen via venturi mask
c)
 administer oxygen via non-­rebreather mask 
d)
administer ventilations via bag-­valve mask
9.
A syncopal episode can best be described as
a)
The patient became dizzy as he sat up in the chair
b)
A transient lack of blood to the brain
c)
A postictal state
d)
Difficulty in breathing
10.
A patient suddenly has difficulty breathing and has audible inspirations that sound like wheezes.  She is suffering from:
a)
Chronic bronchitis
b)
Emphysema
c)
Asthma
d)
Left-sided heart failure
11.
Your patient has a pulse rate of 102, a respiratory rate of 24, and a blood pressure of 122/76.  Which of the following statements is true?
a)
All readings are within normal limits
b)
Pulse rate is high, resp rate is normal, blood pressure is high
c)
Pulse rate is normal, resp rate is high, blood pressure is normal
d)
Pulse rate is high, resp rate is high, blood pressure is normal
12.

An unrestrained passenger is thrown 20′ (6 m) from a car that hit an embankment. On admittance to the emergency department, the client is conscious; his vital signs are blood pressure, 90/60 mm Hg; pulse, 130 beats/minute with weak radial pulses; and respirations, 26 breaths/minute and shallow. Capillary refill is delayed. The lungs are clear bilaterally with diminished breath sounds on the right. Paradoxical chest movement is noted on the right side. Arterial blood gas analysis shows increased pH, decreased PaCO2, and diminished PaO2. A chest X-ray shows a right pneumothorax and multiple rib fractures on the right (4th to 7th). The client’s skin is pale and cool, and he’s confused and restless. What’s the most likely diagnosis for this client?

a)

Tension pneumothorax

b)

Flail chest

c)

Ruptured diaphragm

d)

Massive hemothorax

13.

When assessing for adequate breathing in a patient it is standard practice to look for

a)

pneumonia, agonal respirations, wheezing, retractions

b)

cyanosis, nausea, numbness, angina

c)

rate, rhythm, quality

d)

rate, auscultation, stridor, pneumothorax

14.

Asthma generally produces ______ sounds and are often auscultated in the ________.

a)

rhonchi, lower airway

b)

wheezing and Chyene Stokes, lower airway

c)

wheezing, lower airway

d)

wheezing, upper airway

15.

Which patient would require the most aggressive airway interventions:

a)

A 6 month old infant who is breathing at 16 breaths per minute, has a pulse of 76, and is lethargic. While all these patients require supplemental oxygen only the infant falls outside the range of what is considered normal and would require assisted ventilations. Be sure to take into account a patient's age when assessing breathing. What falls within the normal range for an adult, is not considered normal for children and infants. Normal breathing ranges for an infant are 30

b)

A 7 year old girl who is breathing at 16 breaths per minute, has a pulse of 76, and is sleepy.

c)

A 75 year old man with COPD who is breathing at 18 breaths per minute, has a pulse of 76, has an audible wheeze and reports that his portable oxygen tank has just ran out.

d)

50 breath per minute. Normal pulse for an infant is 80

16.
The conducting passageways of the respiratory system include all of the following EXCEPT:
a)
alveoli
b)
trachea
c)
larynx
d)
nose
17.
The respiratory conducting passageways do all of the following EXCEPT:
a)
exchange gases
b)
purify incoming air
c)
humidify incoming air
d)
warm incoming air
18.
The cilia of the nasal mucosa do which of the following to contaminated mucus:
a)
move the mucus toward the pharynx for swallowing.
b)
move the mucus toward the nasal septum to be absorbed.
c)
move the mucus toward the mouth to be spit out.
d)
move the mucus toward the nares to be sneezed out.
19.
The nasal cavity is separated from the oral cavity by:
a)
the hard and soft palate.
b)
the hard palate.
c)
the soft palate.
d)
the tonsils.
20.
The adenoids are also called the:
a)
pharyngeal tonsils
b)
palatine tonsils
c)
lingual tonsils
d)
boccal tonsils
21.
Vibration that results in speech is the function of the:
a)
true vocal cords
b)
false vocal cords
c)
epiglottis
d)
glottis
22.
Cillia of the trachea propel contaminated mucus:
a)
toward the throat to be swallowed or spat out
b)
toward the nose to be sneezed out
c)
toward the lungs to be encapsulated
d)
toward the glottis which cause hiccups
23.
Which of the following is NOT true for the lungs?
a)
both lungs have two lobes
b)
the narrower portion is called the apex
c)
the left lung has two lobes
d)
the right lung has three lobes
24.
The walls of the alveoli are composed largely of:
a)
simple squamous epithelium
b)
stratified squamous epithelium
c)
simple cuboidal epithelium
d)
pseudostratified simple epithelium
25.
Gas exchange occurs by:
a)
simple diffusion
b)
osmosis
c)
active transport
d)
none of these
26.
An emotionally induced response that is similar to crying is:
a)
laughing
b)
sneezing
c)
coughing
d)
hiccupping
27.
Fresh air moving in and out of the lungs is:
a)
pulmonary ventilation
b)
external respiration
c)
internal respiration
d)
pulmonary expiration
28.
What is a deep inspiration that ventilates all alveoli?
a)
yawning
b)
coughing
c)
sneezing
d)
crying
29.
What is the total amount of exchangeable air?
a)
vital capacity
b)
tidal capacity
c)
inspiratory reserve volume
d)
expiratory reserve volume
30.
What is the air remaining in the lungs even after the most strenuous expiration?
a)
residual volume
b)
inspiratory reserve volume
c)
expiratory reserve volume
d)
tidal volume
31.
Internal respiration is:
a)
the gas exchange between the blood and tissue cells
b)
the gas exchange between the pulmonary blood and the alveoli
c)
the gas exchange between the tissue cells and alveoli
d)
the gas exchange between outside air and the lungs
32.
The bluish cast that results from inadequate oxygenation of the tissues is called:
a)
cyanosis
b)
cyanide
c)
cyanate
d)
cyanite
33.
Which of the following is NOT a factor influencing respiratory rate and depth:
a)
enzymatic factors
b)
emotional factors
c)
chemical factors
d)
nothing is a factor that influences respiratory rate and depth
34.
Hypoventilation is:
a)
extremely slow breathing
b)
extremely fast breathing
c)
extremely irregular breathing
d)
all of these
35.
Cessation of breathing is known as:
a)
apnea
b)
dyspnea
c)
eupnea
d)
hyperpnea
36.
Hyperventilation leads to all of the following EXCEPT:
a)
build up of carbon dioxide in the blood
b)
brief periods of apnea
c)
cyanosis
d)
dizziness
37.
Which is NOT a feature of COPD?
a)
most patients have a genetic predisposition for the disorder
b)
dyspnea becomes progressively more severe
c)
frequent pulmonary infections
d)
most patients have a history of smoking
38.
All of the following are indications of emphysema EXCEPT:
a)
moon face
b)
enlarged alveoli
c)
lung fibrosis
d)
barrel chest
39.
What is IRDS?
a)
infant respiratory distress syndrome
b)
infant respiratory disease state
c)
intermittent respiratory distress state
d)
intermittent respiratory disease syndrome
40.
Which is NOT true for cystic fibrosis?
a)
it has a cure
b)
it is a genetic disease
c)
it causes the oversecretion of thick mucus which clogs respiratory passages
d)
none of these are true for cystic fibrosis
41.
The condition that leads to the death of full-term, newborn infants and still not completely understood is:
a)
SIDS
b)
CF
c)
COPD
d)
IRDS
42.
When pneumonia is caused by the inhalation of food or other foreign substances, it is known as:
a)
aspiration pneumonia
b)
pleurisy
c)
mycoplasma pneumonia
d)
pneumococcal pneumonia
43.
Which of the following is NOT true of lung cancer?
a)
lung cancers never metastasize
b)
lung cancers metastasize quickly and widely
c)
rarely lung cancers metastasize
d)
all of these are true
44.
According to the law of diffusion, movement of gases:
a)
move toward lower concentration
b)
move toward higher concentration
c)
move toward areas of lesser blood flow
d)
gases do not move
45.
Inflammation of the pleura is called:
a)
pleurisy
b)
pleurosis
c)
pneumonia
d)
ammonia
46.
When was Bronchitis first diagnose ?
a)
1802
b)
1806
c)
1808
d)
1804
47.
How many people are affected in America each year by bronchitis ? 
a)
1
b)
3 million
c)
2 million
d)
7 billion
48.
Is Bronchitis contagious ?
a)
Yes 
b)
No 
49.
Does Acute Bronchitis go away with treatment ? 
a)
Yes
b)
No
50.
Does Chronic Bronchitis go away ?
a)
No
b)
Yes
51.
Who was the first to diagnose bronchitis ?
a)
Barnard
b)
Spock
c)
Einstein
d)
Charles
52.
Is bronchitis a bacteria or virus ? 
a)
Bacteria 
b)
Virus
53.
Can smoking cause bronchitis ?
a)
No
b)
Yes
54.
Can Bronchitis happen at any age ? 
a)
No 
b)
Yes
c)
Only ages 25 and above 
d)
Only ages 15 and below 
55.
What parts of the body do NOT get affected because of bronchitis? 
a)
Chest 
b)
Foot 
c)
Head
d)
Throat 
56.
When you breathe, your lungs take in ___ and remove ___. 
a)
air/oxygen
b)
oxygen/carbon dioxide 
c)
carbon dioxide/waste 
d)
waste/air 
57.
A disorder of the lungs called ____ causes the bronchi to become restricted (get smaller) so air can't get to the lungs.
a)
asthma 
b)
cold
c)
influenza 
d)
bronchitis 
58.
The air sacs that are covered with capillaries where gas exchange takes place
a)
bronchi
b)
lungs
c)
oxygen
d)
alveoli
59.
Within the lungs, the exchange of oxygen and carbon dioxide occurs between the ___ and the capillaries. 
a)
trachea 
b)
bronchi 
c)
alveoli
d)
diaphragm
60.

Emphysema

a)

specific area that is drained by a stream

b)

negatively charged electrons

c)

Lung disease in which the avioli lose elasticity

d)

chemical reaction in which heat energy is absorbed

61.
A respiratory disorder caused by a sensitivity to an allergen is ____. 
a)
asthma
b)
chronic obstructive pulmonary disease
c)
bronchitis
d)
emphysema
62.
A noninfectious, chronic respiratory condition that occurs when the walls of their elasticity is _____. 
a)
asthma
b)
chronic obstructive pulmonary disease
c)
emphysema
d)
pleurisy
63.
Which of the following statements is not true about lung cancer?
a)
It is the leading cause of cancer death in both men and women. 
b)
It cannot be prevented
c)
There are no symptoms in the early stages
d)
Prognosis is poor
64.
A wheezing sound caused by bronchospasms
a)
emphysema
b)
bronchitis
c)
asthma
65.
The wall of the alveoli deteriorate and lose their elasticity
a)
emphysema
b)
tuberculosis
c)
asthma
66.
Wheezing,coughing,tightness of the chest are symptoms of
a)
asthma
b)
epistaxis
c)
rhinitis
67.
Sensitivity caused by an allergen
a)
bronchitis
b)
asthma
c)
emphysema