EMT Final Exam 833 - Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the patient gags, You should
- Insert a nasal airway
- Suction the oropharynx
- Reattempt using a smaller oral adjunct
- Insert a dual lumen airway
(ANS- A. Insert a nasal airway
903 - After air passes through the vocal cords during inhalation, which structure does it reach next?
- Trachea
- Epiglottis
- Alveolus
- Bronchus
(ANS- A. Trachea
906 - You are ventilating an apneic asthmatic pt with a BVM. The patient has inadequate chest rise. You should
- Decrease the rate of ventilations to 10/min
- Use an O2 powered ventilation device
- Increase the forcefulness of ventilations
- Increase the rate of ventilations to 20/min
(ANS- 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
- Insert an OPA
- Perform a modified head tilt chin lift
- Insert a NPA
- Perform jaw thrust
(ANS- C. Insert a NPA 1 / 4
910 - A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube.The opening is partially obstructed with skin. You should
- Use a soft tip catheter and suction until clear
- Insert a nasal airway into stoma
- Wipe the area clean and perform mouth to stoma ventilation
- Cut the skin away from the stoma
(ANS- 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
- The patients diaphragm has contracted
- The pt has an airway obstruction
- The Pt is becoming more responsive
- The pt's lungs have collapsed
(ANS- 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
- continue suctioning and have a partner ventilate through the pt's mouth
- suction until airway is clear
- stop suctioning and give a breath
- use a saline solution to moisten secretions and continue suctioning
(ANS- 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
- Switch to a NC set to deliver O2 @ 6 LPM
- Restrain the pt and continue administering O2 via NRB
- Explain that the mask is very important and continue its use
- Administer blow-by O2 via Simple mask
(ANS- C. Explain that the mask is very important and continue its use
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948 - An unresponsive 82 y/o pt is lying supine. Their airway is most likely to be obstructed by
- loose dentures
- Secretions
- The tongue
- Swelling of the epiglottis
(ANS- C. The tongue
949 - You are inserting an OPA into a 4 y/o pt you should
- Use a tongue depressor to keep tongue out of the way
- Use a head tilt chin lift
- Insert the tip pointing toward the roof of the mouth
- Use an airway that measures one size too small and rotate
(ANS- 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
- Administer O2 via NRB
- Ventilate the pt with a BVM to slow respirations
- Administer O2 via NC
- Monitor pulse oximetry
(ANS- A. Administer O2 via NRB
952 When suctioning a patient, you should
- Suction on the way in for no more than 5 seconds
- Suction on the way out for no more than 15 seconds
- Suction on the way in for no more than 15 seconds
- Suction on the way out for no more than 5 seconds
(ANS- 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?
- From the patient's earlobe to angle of the jaw
- From the center of pt's mouth to earlobe
- From the corner of the pt's mouth to the earlobe 3 / 4
- From the tip of pt's nose to earlobe
(ANS- C. From the corner of the pt's mouth to the earlobe
1141 - How should you ventilate an apneic adult pt?
- Perform mouth to mask ventilation 12 breath per minute
- Ventilate with a flow restricted PPV at 12-20 breaths per minute
- Ventilate once every 5-6 seconds with a bag valve mask
- Ventilate once every 3 seconds with a BVM
(ANS- C. Ventilate once every 5-6 seconds with a bag valve mask
1142 - Your pt was involved in a MVC he is unresponsive and you hear snoring respirations when he breathes. You should perform a
- Head tilt neck lift with c-spine stabilization
- Jaw thrust with c-spine stabilization
- Tongue jaw lift with c-spine stabilization
- Head tilt lift with c-spine stabilization
(ANS- B. Jaw thrust with c-spine stabilization
1145 - A 67-year-old female is short of breath and sitting in a tripod position. She is on home oxygen and has had a productive cough over the last few days. During your exam, you note that she is wheezing and breathing with pursed lips. SPO2 is 93%. You should suspect
- Anaphylactic reaction
- Obstructive pulmonary disease
C. AMI
- Pulmonary embolism
(ANS- B. Obstructive pulmonary disease
1338 - Which of the following indicates the correct flow range and delivery percentage for NC?
A. 1-6 LPM / 44%
B. 10-15 LPM / 95%
C. 2-8 LPM / 28%
D. 2-4 LPM / 35%
(ANS- A. 1-6 LPM / 44%
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