833 - Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the patient gags, You should A. Insert a nasal airway B. Suction the oropharynx C. Reattempt using a smaller oral adjunct D. Insert a dual lumen airway Correct Answer-A. Insert a nasal airway 903 - After air passes through the vocal cords during inhalation, which structure does it reach next? A. Trachea B. Epiglottis C. Alveolus D. Bronchus Correct Answer-A. Trachea 906 - You are ventilating an apneic asthmatic pt with a BVM. The patient has inadequate chest rise. You should A. Decrease the rate of ventilations to 10/min B. Use an O2 powered ventilation device C. Increase the forcefulness of ventilations D. Increase the rate of ventilations to 20/min Correct Answer-A. Decrease the rate of ventilations to 10/min 909 - A 72 y/o female pt is unresponsive following an ejection from a MVC, she has an open jaw fracture and a dialated right pupil. What is the best way to open this pt's airway A. Insert an OPA B. Perform a modified head tilt chin lift C. Insert a NPA D. Perform jaw thrust Correct Answer-C. Insert a NPA 910 - A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube. The opening is partially obstructed with skin. You should A. Use a soft tip catheter and suction until clear B. Insert a nasal airway into stoma C. Wipe the area clean and perform mouth to stoma ventilation D. Cut the skin away from the stoma Correct Answer-A. Use a soft tip catheter and suction until clear 908 - You are using a BVM and an OPA on an apneic pt. Suddenly it becomes difficult to ventilate. You should first suspect that A. The patients diaphragm has contracted B. The pt has an airway obstruction C. The Pt is becoming more responsive D. The pt's lungs have collapsed Correct Answer-B. The pt has an airway obstruction 946 - A 60-year-old pt with stoma is apneic. You have been suctioning pink frothy sputum for 10 seconds and you continue to get more material. You should A. continue suctioning and have a partner ventilate through the pt's mouth B. suction until airway is clear C. stop suctioning and give a breath D. use a saline solution to moisten secretions and continue suctioning Correct Answer-C. stop suctioning and give a breath 947 - victim of smoke inhalation has developed difficulty breathing. He does not like the smell of the mask you are using to deliver O2. You should A. Switch to a NC set to deliver O2 @ 6 LPM B. Restrain the pt and continue administering O2 via NRB C. Explain that the mask is very important and continue its use D. Administer blow-by O2 via Simple mask Correct Answer-C. Explain that the mask is very important and continue its use 948 - An unresponsive 82 y/o pt is lying supine. Their airway is most likely to be obstructed by A. loose dentures B. Secretions C. The tongue D. Swelling of the epiglottis Correct Answer-C. The tongue 949 - You are inserting an OPA into a 4 y/o pt you should A. Use a tongue depressor to keep tongue out of the way B. Use a head tilt chin lift C. Insert the tip pointing toward the roof of the mouth D. Use an airway that measures one size too small and rotate Correct Answer-A. Use a tongue depressor to keep tongue out of the way 951 - Initial assessment reveals an alert adult pt who is SOB. He is seated in a tripod position using accessory muscles to breathe. Vital signs are BP 140/80 P 110, R 22 with crackles, SpO2 95%. You should A. Administer O2 via NRB B. Ventilate the pt with a BVM to slow respirations C. Administer O2 via NC D. Monitor pulse oximetry Correct Answer-A. Administer O2 via NRB 952 When suctioning a patient, you should A. Suction on the way in for no more than 5 seconds B. Suction on the way out for no more than 15 seconds C. Suction on the way in for no more than 15 seconds D. Suction on the way out for no more than 5 seconds Correct Answer-B. Suction on the way out for no more than 15 seconds 1139 - Which of the following is the most appropriate way to measure for an OPA? A. From the patient's earlobe to angle of the jaw B. From the center of pt's mouth to earlobe C. From the corner of the pt's mouth to the earlobe