WorksheetsAlways protect the tube
Total questions: 97
Worksheet time: 51mins
Look at the cartoon and the instruction: 'Always protect the tube.' What is the main message of this image?
Always protect the tube during emergency situations
Ignore the tube during emergencies
Only protect the patient, not the tube
The tube is not important
What is the preferred route for establishing an emergency tracheal airway?
Nasotracheal intubation
Orotracheal intubation
Tracheostomy
Cricothyrotomy
Orotracheal intubation is considered the _______ and _______ method for establishing an emergency tracheal airway.
quickest, easiest
slowest, most complicated
riskiest, least effective
most painful, least reliable
Who can intubate according to the information provided?
Only physicians
Only nurses
Physicians, RTs, nurses, anesthesia, paramedics
Only paramedics
Training for orotracheal intubation involves which of the following?
Manikin practice
Anesthetized patients
OR training
All of the above
Which of the following should be assembled and checked prior to use?
Flowmeter and tubing
Suction apparatus
Oropharyngeal airway
CO2 detector
Fill in the blank: The equipment required includes _______ and tubing.
Flowmeter
Thermometer
Stethoscope
Syringe
Which of the following is NOT a component of the flowmeter and tubing?
Manual resuscitation bag
Appropriate size mask
PEEP valve
Yankeur
Fill in the blank: The suction apparatus includes a _______ to set appropriate suction pressure.
Regulator
Compressor
Filter
Valve
Which of the following is used to set appropriate suction pressure in the suction apparatus?
(a)
Fill in the blank: The suction apparatus includes tubing, Yankeur, and _______.
Suction catheters
Oxygen mask
IV cannula
Blood pressure cuff
Which airway device is listed as required equipment?
Fill in the blank: A _______ detector is required as part of the equipment.
CO2
Smoke
Heat
Motion
Which of the following is a type of laryngoscope blade?
Miller – straight blade
Macintosh – curved blade
Both A and B
None of the above
The Miller blade is a ______ blade.
straight
curved
angled
flexible
The Macintosh blade is a ______ blade.
curved
straight
angled
flat
How many different sizes of endotracheal tubes are mentioned?
1
2
3
4
What is the purpose of a syringe in this context?
To inject medicine
To inflate the cuff
To measure blood pressure
To hold the ETT
What is the function of a stethoscope as mentioned in the list?
To check heart rate
To check bilateral breath sounds
To inflate the cuff
To hold the ETT
Which item is used to hold the endotracheal tube in place?
ETT holder
Laryngoscope
Suction catheter
Ambu bag
Which of the following is a local anesthetic spray?
Etomidate
Succinylcholine
Lorazapem (Ativan)
Midazolam (Versed)
Which medication listed is also known as Ativan?
Succinylcholine
Etomidate
Lorazapem
Midazolam
What is the alternative name for Midazolam?
Ativan
Versed
Etomidate
Succinylcholine
Name a substance used for lubrication in medical procedures as listed in the image.
Lubricating jelly
Hydrogen peroxide
Antiseptic cream
Sterile gauze
Which device assists with intubation, is quicker, and more accurate?
Magill Forceps
GlideScope
Towels
Lubricating jelly
Magill Forceps are used for ______ intubation.
Nasal
Oral
Tracheal
Esophageal
Towels are used for positioning, specifically the ______ position.
sniffing
prone
lateral
supine
What is the name of the medical device shown in the image?
Laryngoscope
Glide Scope
Otoscope
Endoscope
According to NBRC, what should all personnel have to ensure safety?
Protective barrier clothing
Only gloves
Only masks
No special clothing
Which of the following is NOT considered standard precaution protective barrier clothing?
Gloves
Gowns
Eyewear
Sandals
Fill in the blank: For TB, the recommended protective mask is the ______ mask.
N95
Surgical
Cloth
FFP1
Fill in the blank: In the SOAPME mnemonic for essential intubation items, S stands for _________.
suction equipment
stethoscope
scalpel
syringe
Fill in the blank: In the SOAPME mnemonic for essential intubation items, O stands for _________?
oxygen
oropharynx
oscilloscope
oral airway
Fill in the blank: In the SOAPME mnemonic for essential intubation items, A stands for _________?
airway equipment
anesthesia drugs
aspiration kit
antiseptic solution
Fill in the blank: In the SOAPME mnemonic for essential intubation items, P stands for _________.
position of the patient and pharmacy
preparation of the laryngoscope
pulse oximetry
pressure monitoring
Fill in the blank: In the SOAPME mnemonic for essential intubation items, M stands for _________?
monitors
mask
medication
mouthpiece
Fill in the blank: In the SOAPME mnemonic for essential intubation items, E stands for _________.
esophageal detector
endotracheal tube
epiglottis retractor
emergency bag
According to the 'Preparation' phase of Rapid Sequence Intubation, how long should preparation take?
Less than 10 minutes
30-45 minutes
1 hour
Over 2 hours
Which of the following is NOT a step in the 'Preparation' phase of Rapid Sequence Intubation?
A) Gather and check equipment
B) Medication choice
C) Personnel
D) Administer antibiotics
In the 'Preparation' phase of Rapid Sequence Intubation, what should be gathered and checked?
Equipment
Patient's family history
Dietary supplements
Insurance documents
What is one of the choices that needs to be made during the 'Preparation' phase of Rapid Sequence Intubation?
Medication choice
Patient discharge planning
Wound dressing selection
Physical therapy scheduling
Who should be present during the 'Preparation' phase of Rapid Sequence Intubation?
Personnel
Equipment
Medications
Patient's Family
What type of equipment should be monitored during the 'Preparation' phase of Rapid Sequence Intubation?
Monitoring equipment
Surgical instruments
Laboratory reagents
Radiology machines
What should be considered in case the primary plan fails during the 'Preparation' phase of Rapid Sequence Intubation?
Alternatives should they be needed
Ignore the failure and proceed
Wait for spontaneous recovery
Increase the medication dose
What does 'LEMON' refer to in the context of Rapid Sequence Intubation preparation?
A mnemonic for evaluating the airway prior to intubation
A medication used to sedate patients before intubation
A type of laryngoscope blade
A protocol for post-intubation care
What does the 'L' in 'LEMON' stand for?
Listen
Look
Learn
Leave
According to the 'LEMON' assessment, what should you look at in the patient?
Patient's shoes
Patient, stature, etc.
Patient's family
Patient's medication
What is the 3:3:2 rule used for in the 'LEMON' assessment?
To evaluate the airway using finger measurements between incisors, mandible, and neck.
To assess the patient's blood pressure response to medication.
To determine the depth of chest compressions during CPR.
To evaluate the oxygen saturation levels in the blood.
How many fingers should fit between the incisors according to the 3:3:2 rule?
2
3
4
5
How many fingers length should be used for the mandible in the 3:3:2 rule?
1
2
3
4
How many fingers should fit between the hyoid bone and thyroid according to the 3:3:2 rule?
1
2
3
4
What is the Mallampati assessment used for in the 'LEMON' method?
It is used if the patient can cooperate to show what the airway looks like and to pick the correct laryngoscope.
It is used to determine the patient's blood pressure before intubation.
It is used to assess the patient's heart rate during airway management.
It is used to check the patient's oxygen saturation levels.
Which Mallampati class shows the most airway obstruction?
Class 1
Class 2
Class 3
Class 4
Increased airway tissue or obstruction makes it more difficult to intubate.
True
False
What does 'O' stand for in the context of airway management?
Oxygenation
Obstruction
Operation
Observation
Which of the following can block the airway?
Foreign objects
Tumors
Both A and B
None of the above
What does 'N' stand for in the context of airway management?
A) Nose
B) Neck
C) Nutrition
D) Nerves
When assessing the neck in airway management, what should you check for?
Injuries and complications
Blood pressure
Heart rate
Temperature
Fill in the blank: 100% oxygen should be given for no longer than ____ minutes during preoxygenation.
5
10
2
15
Too much oxygenation can cause nitrogen washout.
True
False
True or False: You should over preoxygenate if the patient was already oxygenating.
True
False
Premedication should be administered in less than how many minutes?
3 minutes
10 minutes
1 minute
5 minutes
What is the goal of premedication before intubation?
To increase the patient's physiologic response
To blunt the patient's physiologic response
To cause hypoxemia
To delay intubation
Which of the following is NOT a side effect minimized by premedication?
Bradycardia
Gag
Hypoxemia
Hypertension
Sedation is used for uncooperative patients during premedication.
True
False
Paralyzing agents are used in extreme circumstances such as serious trauma or brain injury.
True
False
Placement of ETT should take less than how many seconds?
30 seconds
10 seconds
60 seconds
90 seconds
What is another name for the Sellick Maneuver?
Jaw thrust
Cricoid pressure
Chin lift
Bag-valve mask
The American Medical Association (AMA) is getting away from using which maneuver during ETT placement?
Sellick Maneuver (cricoid pressure)
Jaw-thrust maneuver
Head-tilt/chin-lift maneuver
BURP maneuver (backward, upward, rightward pressure)
Which of the following is a step in post intubation care?
Secure ETT
Ignore patient monitoring
Skip CXR
Avoid ABG
How long should you monitor the patient for toleration or complications after intubation?
5 minutes
2 minutes
10 minutes
30 seconds
What is the purpose of a CXR after intubation?
Confirm placement
Check for infection
Measure blood pressure
Assess heart rate
Post intubation ABG should be performed.
True
False
Why might long term sedation be needed after intubation?
Patient may be agitated, scared, etc.
To increase heart rate
To reduce oxygen levels
To avoid CXR
What should you always plan for during intubation procedures?
Something to go wrong
Everything to go perfectly
No need for planning
Only one plan
Fill in the blank: Always have extra ______ and alternative equipment on hand during intubation procedures.
equipment
medication
oxygen
gloves
Notifying alternative personnel may be needed during intubation procedures.
True
False
What is the first step in the Intubation Procedure?
Assemble bag-mask
Administer medication
Insert ETT
Remove patient secretions
Why is suction equipment assembled during the intubation procedure?
To check flow and function
To set appropriate pressure and remove secretions if the patient vomits
To inflate the cuff
To secure the laryngoscope blade
What should you do if the laryngoscope blade light does not come on during the intubation procedure?
Replace the bulb. If it still doesn’t work, replace batteries in handle.
Continue the procedure without the light.
Use a flashlight to illuminate the area.
Ignore the issue and try intubating anyway.
ETT is sized by their internal diameter in ________.
millimeters (mm)
centimeters (cm)
inches (in)
meters (m)
You should always deflate the cuff before use when checking for leaks in the ETT during intubation.
True
False
What should you check when assembling the bag-mask for intubation?
Light source
Flow and function
Cuff leaks
ETT size
Why should you have additional ETT sizes available during intubation?
To ensure the proper size is available for the patient.
To increase the risk of infection.
To make the procedure more complicated.
To reduce the effectiveness of ventilation.
What is the purpose of inserting a stylet during intubation?
Adds flexibility and reduces shape
Adds rigidity and maintains shape during intubation
Prevents tube blockage
Increases tube length
The tip of the stylet must NEVER extend beyond the endotracheal tube.
True
False
Fill in the blank: Lubricate ______ if required during intubation.
ETT
laryngoscope handle
oxygen cylinder
defibrillator
What position should the patient be placed in to align the mouth, pharynx, and larynx during intubation?
Supine position
Sniffing position
Prone position
Sitting position
If the patient has false teeth, what should be done before intubation?
Remove the false teeth first.
Leave the false teeth in place.
Ask the patient to bite down on the false teeth.
Cover the false teeth with gauze.
Refer to the diagram labeled 'Intubation Sniffing Position.' Which position shows the aligned airway for proper intubation?
Top image
Bottom image
Refer to the diagram labeled 'Intubation Sniffing Position.' The bottom image demonstrates _________.
improper positioning
proper positioning
neutral neck position
hyperextension of the neck
Why is preoxygenation important for a patient in need of intubation?
It helps reduce pain
It provides ventilation and oxygenation for patients in respiratory distress
It lowers blood pressure
It increases heart rate
When using BMV, what percentage of O2 should be used to oxygenate the patient until SpO2 is stable?
21%
50%
100%
75%
What is the recommended minimum SpO2 level when oxygenating a patient before intubation?
>95%
<90%
80-85%
90-92%
Attempts at intubation should not last longer than ______ seconds.
30
10
60
45
After 30 seconds of an intubation attempt, what should be done before the next attempt?
Give medication
Bag the patient again
Increase oxygen flow
Start CPR
Step 5: As you advance the laryngoscope, you will begin to visualize the arytenoid cartilage and glottis. The arytenoid cartilage surrounds what?
glottis
epiglottis
trachea
vocal cords
