Pass Your Respiratory Care Procedures Final Exam
Proven Practice Questions & Detailed Answers
Which of the following is NOT an accepted indication for placement of an airway
device into a patient? -ANS>To enhance the chances of pulmonary aspiration.
The most common cause of upper airway obstruction in the clinical setting is -
ANS>Patients losing consciousness and muscular control over their tongues.
If a patient is experiencing a partial LOWER AIRWAY obstruction to airflow, what
characteristic sound might you hear on chest auscultation? -ANS>Wheezing
Which of the following artificial airways would offer the best protection to prevent
aspiration of material into the lower airways for an adult patient? -ANS>Size 8
Cuffed endotracheal tube
An adult patient has suffered an episode of unresponsiveness, where they
slumped over in bed. There is no suspected neck or head trauma. The best way to
initially open this patient's airway would be: -ANS>Perform a head tilt/chin lift
maneuver and assess for breathing.
You are called to the ER to assist with a 65 year old male patient presenting after a
motor vehicle accident (MVA). Which assessment finding below would support the
need for an immediate artificial airway being placed? -ANS>The patient appears
unresponsive and has no apparent gag reflex.
,Which choice below describes the proper method to size an oropharyngeal
Berman airway on a patient? -ANS>Place the device alongside the patient's face
and measure from the corner of the mouth to the angle of the jaw.
You are caring for an alert, cooperative 78 year old female patient in the stroke
rehabilitation unit who is breathing spontaneously and in no apparent respiratory
distress. As a result of her recent stroke, she has a very weak and ineffective
cough, and is starting to show signs of having retained pulmonary secretions. At
the request of her physician, you nasally suction the patient, and although it does
seem to help, you feel that the procedure will need repeated frequently. What
airway would you recommend to be placed at this point? -ANS>Nasopharyngeal
airway/trumpet
After properly sizing a nasal trumpet, what substance should be applied to it to
decrease trauma and ease insertion? -ANS>Water soluble lubricant
Although not as popular today as it once was, EMS personnel sometimes place the
airway pictured below as an alternative to endotracheal intubation. Which choice
contains the correct name of this device and its proper placement for effective
use? -ANS>This is called a Combitube; it can be placed in EITHER the trachea or
esophagus to be used effectively.
The airway device pictured below has recently become very popular in the OR
setting, as an alternative to traditional endotracheal intubation, for short surgical
cases. What is it? -ANS>Laryngeal mask airway
, The airway in the previous question is best classified as a
________________________ airway. -ANS>Artificial supraglottic airway
During a mass casualty event, the local hospital ER is overwhelmed with patients
and they run out of endotracheal tubes for intubation. The ER Medical Director
discovers a box of new Combitube airways in storage, and gets them out for use.
Minutes later, the last victim of the event is brought to the ER, and he is apneic,
pulseless, and unresponsive, so CPR is started. The ER doctor places a Combitube
into the patient and tells you to initiate manual ventilation to the device using the
tube labeled as #1. You do so, but hear no breath sounds and see no chest rise
with ventilations. Your next step would be: -ANS>Remove your ventilation bag
from tube #1 and attach it to tube #2 and reassess chest rise and breath sounds.
For the airway pictured, pick the choice that correctly classifies it, names the style,
and states the indication for its use -ANS>Simple oropharyngeal, Guedel style,
useful for lifting tongue off of posterior pharyngeal wall.
Endotracheal tubes designed for use in newborn infants are most commonly
designed with a cuff due to anatomical airway features of those patients. -
ANS>False
You are assisting a physician with an intubation. She yells at you, "Gimme a size 8.0
tube STAT!" The 8.0 refers to -ANS>The inner diameter of the tube in millimeters.
The cuff pressure of an endotracheal tube being used in a patient is measured to
be at 50 cmH20. This puts the patient at risk for -ANS>Tracheal mucosa injury and
possible necrosis in that area where the cuff is in contact.
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