Term
19. In which o the following would the blood oxygen saturation be high, yet the patient still dies from hypoxia?
a. Carbon Monoxide poisoning
b. hypovolemia
c. hypothermia
d. all of the above |
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Definition
| a. Carbon monoxide poisoning |
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Term
| 20. The normal PaCO2 for a healthy adult, breathing room air is: a. 60-80 b. 30-40 c. 35-45 d. 7.35-7.45 |
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Definition
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Term
21. Which of the following is CORRECT regarding the FiO2 in room air?
a. 80-100 toor
b. 21%
c. 100%
d. 49 torr |
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Definition
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Term
22. Which of the following is CORRECT in regard to changing patient oxygen delivery system prior to obtaining an ABG sample?
a. it should not be done
b. can be done if noted on the sample
c. may require 15 minutes for the patient to adapt
d. Requires the sample to be tested on two machines, and results compared |
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Definition
| c. May require 15 minutes for the patient to adapt |
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Term
23. After pleural decompression, assessment observations would include:
I. heoptysis
II. Signs of hypoxemia
III. Lung sounds
IV. Tracheal Stenosis
a. I, II, III
b. II, III, IV
c. I, III, IV
d. I, II, IV |
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Definition
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Term
24. The volum of gas inhaled or exhaled during a single respiratory cycle is called the:
a. Inspiratory capacity
b. Vital capacity
c. Total Lung capacity
d. Tidal VOlume |
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Definition
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Term
25. Which of the following IS NOT a complication of pleural decompression?
a. Pneumothorax
b. Infection
c. Lung contusion
d. Occlusion of the 14g catheter |
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Definition
| d. Occlusion of the 14g catheter |
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Term
26. The chest tube insertion site for air removal is the:
a. 7th intercostal space on the mid axillary line
b. 5th or 6th intercostal space on the midclavicular line
c. 2nd intercostal space on the midaxillary line
d. 2nd intercostal space on the mid-clavicular line |
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Definition
| c. 2nd intercostal space on the mid-axillary line |
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Term
27. Which of the following is/are TRUE regarding the indications for clamping a chest tube?
a. To locate the souce of an air leak
b. Replacing the drainage unit
c. Suspicion that the tube is dislodged
d. AOTA |
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Definition
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Term
28. A dyspneic paitient complains of sharp chest pain in the upper right chest. Which condition would you suspect?
a. Acute bronchospasm
b. Pleuritic iritation
c. AMI
d. Bronchial obstruction |
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Definition
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Term
29. Chose the blood gas sequence that indicates the need for mechanical ventilation:
a. Decreasing PO2; decreasing PCO2, normal pH
b. Increasing PO2; decreasing PCO2; increasing pH
c. Decreasing PO2; Increasing PCO2; decreasing pH
d. Increasing PO2; decreasing PCO2; Decreasing pH |
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Definition
| c. Decreasing PO2; Increasing PCO2; decreasing pH |
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Term
30. Which of the following IS NOT a standard ventilator setting?
a. Peak inspiratory pressure less than 40lpm
b. flow rate 80-100lpm
c. tidal volume 12ml/kg body weight
d. Respiratory rate 10-15 breaths per minute |
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Definition
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Term
31. Which of the following IS NOT and indication for ETT suctioning?
a. the normal cough mechanism is lost
b. Production of secetions is increased
c. to maintain patency of the device.
d. Monitor tube position |
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Definition
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Term
32. Which of the following abnormalities can be corrected by increasing ventilation?
a. metabolic acidosis
b. Respiratory acidosis
c. Metabolic alkalosis
d. respiratory alkalosis |
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Definition
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Term
33. Which statement is FALSE regarding the use of Sellick's maneuver?
a. Pressure is aplied to the cricoid cartilage
b. It cannot be used on children
c. It serves ot occlude the esophagus in the vomiting patient
d. aids in the visualization of the airway for intubation |
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Definition
| b. It cannot be used on children |
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Term
34. Place the following steps for rapid sequence intubation in chronological order:
I. Aply cardiac monitor and pulse oximeter
II. Pre-oxygenate the patient
III. Medicate the patient with succinylcholine
IV. Medicate the patient with pancuronium or vecuronium if necessary
V. Intubate the patient
a. IV, II, I, V, III, VI
b. III, I, II, IV, V, VI
c. II, I, V, III, IV, VI
d. I, II, III, V, IV |
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Definition
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Term
35. Which of the follwing is CORRECT regarding why a tracheostomy wound is not packed and surgically closed?
a. to allow rapid removal of the tube if necessary
b. to avoid subcutaneous emphysema
c. to avoid the possibility of infection
d. the neck tape adequately secures the tube; no other stability is needed |
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Definition
| b. to avoid subcutaneous emphysema |
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Term
36. Which of the following is the CORRECT proceedure for a cricothyrotomy incision?
a. a transverse incision is made through the superficial cricothyroid membrane
b. a transverse incision is made 1cm superior to the suprasternal notch
c. a transverse incision is made between the 4th and 5th ribs
d. the subcutaneous tissues are infiltrated with lidocaine prior to starting the incision |
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Definition
| a. a transverse incision is made through the superficial cricoid membrane. |
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Term
37. Which of the following is NOT an indication for needle cricothyrotomy?
a. obstruction below the cricoid membrane
b. manual measure for airway maintenance have failed
c. Central cyanosis
d. Endotracheal intubation is not possible. |
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Definition
| a. obstruction below the cricoid membrane. |
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Term
38. When the anterior neck is palpated from superior to inferior, the cricoid membrane is:
a. the first potential structure palpated
b. the second prominent structure felt
c. Between the 1st and 2nd prominent structures
d. below the 2nd prominet structure |
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Definition
| c. between the 1st and nd prominent structures |
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Term
39. Which procedure allows rapid entrance into the airway by making a horizontal incision?
a. percutaneous transtracheal jet insufflation
b. Needle Cricothyrotomy
c. Surgical cricothyrotomy
d. Retrograde surgical intubation |
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Definition
| c. Surgical cricothyrotomy |
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Term
40. A stabbing incision is made at the _____ to perform a surgical cricothyrotomy.
a. Thyroid membrane
b. Thyroid cartilage
c. Cricothyroid membrane
d. Cricoid cartilage |
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Definition
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Term
41. Which of the following is CORRECT regarding an indication for retrograde intubation?
a. Inability to fully open the patient's mouth
b. a patient less than 5yrs old
c. Lack of laryngascope
d. the presence of subcutaneous emphysema |
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Definition
| a. inability to fully open the patient's mouth |
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Term
42.Which of the follwoing are potential side effects or complication of retrograde intubation?
I. Bleeding
II. Hypoxemia
III. Coagulation disorder
IV. the lack of local anesthetic for the puncture site
a. I, IV
b. II, III
c. III, IV
d. I, II |
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Definition
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