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EMR: Chapter 9 Airway Management

Total questions: 40

Worksheet time: 40mins

Name
Class
Date
1.

The most common cause of an airway obstruction is:

a)

facial trauma

b)

infections

c)

tissue damage

d)

the tongue

2.

A patient who has a partial airway obstruction would have all the following signs EXCEPT:

a)

noisy breathing

b)

stridor

c)

snoring

d)

being unable to cough or make a sound

3.

The airway adjunct that is used for an unresponsive patient who HAS a GAG REFLEX is the:

a)

jaw-thrust maneuver

b)

rescue mask

c)

nasopharyngeal airway

d)

oropharyngeal airway

4.

The airway adjunct that is used for an unresponsive patient who does NOT have a gag reflex is:

a)

head-tilt chin lift

b)

nasopharyngeal airway

c)

oropharyngeal airway

d)

jaw-thrust maneuver

5.

When opening an infant's airway, it is helpful if the EMR:

a)

places a towel under the infant's head

b)

over flexes the infant's neck

c)

only performs a jaw-thrust

d)

places a towel under the infant's shoulders

6.

How do you open the airway of a person who does NOT have a suspected spinal injury?

a)

tongue-jaw lift

b)

head-tilt lift

c)

jaw-thrust

d)

head-tilt, chin-lift

7.

In order to properly check an victim for breathing, you should do ALL of the following EXCEPT

a)

feel for air movement out of the mouth or nose

b)

re-position the head of the victim until the chest rises

c)

look for the chest to rise as they breathe

d)

listen for air movement out of the mouth or nose

8.

The correct way to place an OPA in a child victim would be:

a)

upside down towards the palate and rotated 180 degrees

b)

from the right corner of the mouth sideways and rotated 90 degrees

c)

right side up, with the tongue held down with a tongue depressor until it rests in the correct position

d)

sideways from the corner of the left side of the mouth and rotated 90 degrees

9.

All of the following are special considerations in the airway management of elderly patients EXCEPT:

a)

sunken cheeks and lost teeth can affect airway placement and mask seals

b)

lower blood volume in the body requires higher concentrations of oxygen through the mask

c)

jaw-thrust maneuver may need to be used more often because of higher spinal injury risk

d)

the neck and jaw may not move as easily because of arthritis

10.

The process of breathing in and out is most appropriately called:

a)

ventilation

b)

minute volume

c)

aspiration

d)

respiration

11.

By using a pocket face mask with a one-way barrier device in mouth-to-mouth ventilation, you can do all of the following EXCEPT:

a)

add protection against transmissible diseases

b)

maintain the patient's head posistion

c)

cut the rate of ventilation by at least half

d)

use both hands to make a seal

12.

You should treat a partial airway obstruction like a complete airway obstruction ONLY in cases where the patient is:

a)

crying

b)

speaking

c)

unable to cough forcefully

d)

able to cough forcefully

13.

You know the difference between a complete airway obstruction and a partial airway obstruction by:

a)

the type of noise made by the victim

b)

the fact that there is no noise made at all

c)

the amount of coughing present

14.

The appropriate medical care for an adult or child that is choking and has become unresponsive includes all of the following EXCEPT:

a)

manually opening the airway

b)

performing chest compressions

c)

blind finger sweep

d)

attempting to give breaths

15.

A patient breathing 20 times a minute with LABORED respirations is most likely experiencing:

a)

respiratory arrest

b)

apnea

c)

respiratory distress

d)

respiratory failure

16.

How long can cells go without oxygen before irreversible cell death occurs?

a)

2-3 minutes

b)

6-10 minutes

c)

12-16 minutes

d)

16-20 minutes

17.

When a patient inhales, the air moves:

a)

into the esophagus and stomach

b)

out of the patient's lungs and trachea

c)

from an area of low pressure to an area of high pressure

d)

from an area of high pressure to an area of low pressure

18.

for patients with a suspected spinal injury, you should use the

a)

head-tilt only

b)

chin-lift only

c)

head-tilt, chin-lift

d)

jaw-thrust

19.

When providing rescue-breaths for an adult, EMR's should ventilate at a rate of:

a)

one breath every 7-9 seconds

b)

one breath every 5-6 seconds

c)

one breath every 11-13 seconds

d)

one breath every 13-15 seconds

20.

An obese patient is choking. You try to reach your arms around his abdomen but you cannot. You should perform:

a)

blind finger sweep

b)

chest thrusts

c)

abdominal thrusts

d)

heimlich maneuver

21.

An infant is choking. You should perform:

a)

blind finger sweep

b)

a series of 5 chest thrusts and 5 back blows

c)

jaw-thrust maneuver

d)

abdominal thrusts

22.

Your patient is unresponsive, but you find out he has a gag reflex. You should use this airway adjunct:

a)

nasopharyngeal airway

b)

oropharyngeal airway

c)

laryngeal airway

d)

bag-valve mask

23.

What percentage of oxygen can be delivered using a Bag Valve Mask connected to an oxygen tank?

a)

21%

b)

60%

c)

75%

d)

100%

24.

A 13 year old girl is conscious, but not making any noises. Her eyes are wide open, she is grasping her throat and her skin is turning cyanotic. You suspect she is experiencing:

a)

congestive heart failure

b)

respiratory arrest

c)

a complete airway obstruction

d)

a seizure

25.

You are providing rescue breaths to an adult victim. You check for chest rise and fall during each breath and you cannot see it. The first step you should take is to:

a)

re-position the victim's head to reopen the airway

b)

perform a blind finger sweep

c)

begin CPR

d)

start performing back slaps

26.

When providing rescue breaths for an infant, you should deliver one breath every _____ to _____ seconds.

a)

1, 2

b)

2, 4

c)

3, 5

d)

5, 6

27.

Which position would be the most appropriate when trying to maintain the open airway of an infant or toddler while giving rescue breaths?

a)

place the child on a pillow

b)

place a rolled-up towel under the child's shoulders

c)

hyperextend the child's neck

d)

place a rag under the child's head

28.

Your patient is NOT breathing adequately. All of the following options would be an acceptable measure of providing ventilations for the patient EXCEPT:

a)

nasal cannula

b)

BVM (bag-valve mask)

c)

pocket mask

d)

face shield

29.

You need to place an airway adjunct into a patient who is unresponsive. While you are suctioning you realize the patient has a gag reflext. Which of the following would be the best choice for an airway adjunct?

a)

OPA

b)

NPA

c)

soft airway

d)

BVM

30.

You are going to place an NPA, nasopharyngeal airway, in a young female patient. To determine which size NPA to use, you measure the patient from ____ to _____.

a)

corner of mouth, jaw

b)

tip of forehead, tip of nose

c)

tip of nose, ear lobe

d)

corner of jaw, ear lobe

31.

When you suction an adult patient, you should not exceed ____ seconds

a)

5

b)

10

c)

15

d)

20

32.

Which of the following anatomical structures is NOT considered part of the UPPER AIRWAY

a)

mouth

b)

nose

c)

throat

d)

right and left main bronchi

33.

Which of the following breathing rate is OUTSIDE the normal range for an adult

a)

8

b)

10

c)

16

d)

22

34.

What is the muscle that separates the chest cavity from the abdominal cavity that has the majority of the responsibility of breathing:

a)

tongue

b)

diaphragm

c)

sternocleidomastoid

d)

intercostal muscles

35.

Before suctioning any patient, an EMR should:

a)

check a carotid pulse

b)

put on Body Substance Isolation equipment (like gloves, mask, eye protection)

c)

count the number of respirations

d)

check the patient's skin color, temperature, and condition

36.

All of the following are signs of inadequate breathing EXCEPT:

a)

poor chest rise

b)

pale or bluish color

c)

use of accessory muscles

d)

good chest rise and fall

37.

An airway stoma (or surgical opening) is found on the:

a)

chest

b)

arm

c)

neck

d)

cheek

38.

Clinical death occurs when the patient's

a)

brain cells begin to die

b)

breathing has stopped for 4 minutes

c)

pulse has been absent for 5 minutes

d)

heart and breathing have stopped

39.

The ____ prevents food and other material from entering the trachea.

a)

tongue

b)

alveoli

c)

pharynx

d)

epiglottis

40.

Which of the following statements are NOT true regarding gastric distention in a patient?

a)

Be prepared for vomiting

b)

You might see slight bulging of the abdomen

c)

Its best to push on the stomach to relieve the air to decrease the pressure in the abdomen

d)

it could restrict the ability of the lungs to expand normally