Ch9 Practice Questions Flashcards
The lower airway consists of which of the following structures?
A) Epiglottis, trachea, and bronchi
B) Pharynx, bronchi, and alveoli
C) Trachea, bronchi, and alveoli
D) Larynx, bronchi, and alveoli
The lower airway consists of which of the following structures? A) Epiglottis, trachea, and bronchi B) Pharynx, bronchi, and alveoli C) Trachea, bronchi, and alveoli D) Larynx, bronchi, and alveoli
Ans: C
Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 9 Title: Airway Management Feedback: 198 Objective: 9-1
Which of the following patients has an actual or potential critical occlusion of the upper airway?
A) 3-year-old with a fever and swelling of the larynx
B) 45-year-old with spasm of the bronchioles
C) 61-year-old with a severe cough
D) 78-year-old with a mucus plug in a right bronchioles
Which of the following patients has an actual or potential critical occlusion of the upper airway?
A) 3-year-old with a fever and swelling of the larynx
B) 45-year-old with spasm of the bronchioles
C) 61-year-old with a severe cough
D) 78-year-old with a mucus plug in a right bronchioles
Ans: A
Complexity: Moderate Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 199 Objective: 9-1
You want to open your patient’s mouth to check for obstruction with the cross-finger technique. Which of the following describes the best way to accomplish the cross-finger technique?
A) Place your index finger and thumb between the patient’s teeth and into the oropharynx. Then push the teeth apart.
B) Place your fingers on the lower teeth and pull downwards to open the mouth.
C) Cross your index finger and thumb on the boney part of the lower jaw. Then push up on the jaw to open the mouth.
D) Place your thumb and index finger on the upper teeth and lower teeth. Then spread your thumb and index finger to open the patients mouth.
You want to open your patient’s mouth to check for obstruction with the cross-finger technique. Which of the following describes the best way to accomplish the cross-finger technique?
A) Place your index finger and thumb between the patient’s teeth and into the oropharynx. Then push the teeth apart.
B) Place your fingers on the lower teeth and pull downwards to open the mouth.
C) Cross your index finger and thumb on the boney part of the lower jaw. Then push up on the jaw to open the mouth.
D) Place your thumb and index finger on the upper teeth and lower teeth. Then spread your thumb and index finger to open the patients mouth.
Ans: D
Complexity: Moderate Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 199 Objective: 9-3
Your patient has just had a seizure and is presenting with snoring respirations. You will open her airway with the head tilt – chin lift method. Which option correctly describes this method?
A) Place one hand on the forehead and one hand on the boney part of the lower jaw.
B) Place one hand on the forehead and one hand in the mouth.
C) Place one hand on the forehead and one hand under the back of the neck.
D) Place your fingers under the angles of the jaw.
Your patient has just had a seizure and is presenting with snoring respirations. You will open her airway with the head tilt – chin lift method. Which option correctly describes this method?
A) Place one hand on the forehead and one hand on the boney part of the lower jaw.
B) Place one hand on the forehead and one hand in the mouth.
C) Place one hand on the forehead and one hand under the back of the neck.
D) Place your fingers under the angles of the jaw.
Ans: A
Complexity: Easy Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 200 Objective: 9-3
You are correctly performing the jaw-thrust maneuver when you:
A) use the thumbs or fingers as a lever to lift the patient’s mandible forward.
B) maintain the patient’s head in a neutral position and tilt the head slightly backward.
C) open the patient’s airway by slightly pushing down on the forehead and thrusting the jaw upward.
D) place one hand on the patient’s forehead and lift the jaw upward with the other hand by inserting the thumb in the mouth.
You are correctly performing the jaw-thrust maneuver when you:
A) use the thumbs or fingers as a lever to lift the patient’s mandible forward.
B) maintain the patient’s head in a neutral position and tilt the head slightly backward.
C) open the patient’s airway by slightly pushing down on the forehead and thrusting the jaw upward.
D) place one hand on the patient’s forehead and lift the jaw upward with the other hand by inserting the thumb in the mouth.
Ans: A
Complexity: Moderate Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 200 Objective: 9-3
You are caring for an unconscious patient who has vomited and appears to have a blocked airway. Using the cross-finger technique, you open the patient’s mouth and can see a large piece of undigested food near the back of the throat. You would:
A) insert an airway.
B) administer abdominal thrusts.
C) perform a finger sweep.
D) encourage the patient to cough.
You are caring for an unconscious patient who has vomited and appears to have a blocked airway. Using the cross-finger technique, you open the patient’s mouth and can see a large piece of undigested food near the back of the throat. You would: A) insert an airway. B) administer abdominal thrusts. C) perform a finger sweep. D) encourage the patient to cough.
Ans: C
Complexity: Moderate Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 201 Objective: 9-4
Which of the following statements shows that the OEC technician understands how to suction patients properly in a field setting?
A) “A rigid suction catheter is affected more by temperature than a flexible catheter, and, therefore, flexible catheters should be chilled.”
B) “To thoroughly suction a patient, I insert the rigid tip of the catheter past the base of the tongue and into the pharynx.”
C) “It is helpful to pour sterile water into a patient’s mouth to liquefy vomit and make it easier to suction out.”
D) “When there is active bleeding in the mouth, I may need to use gravity and suction concurrently.”
Which of the following statements shows that the OEC technician understands how to suction patients properly in a field setting?
A) “A rigid suction catheter is affected more by temperature than a flexible catheter, and, therefore, flexible catheters should be chilled.”
B) “To thoroughly suction a patient, I insert the rigid tip of the catheter past the base of the tongue and into the pharynx.”
C) “It is helpful to pour sterile water into a patient’s mouth to liquefy vomit and make it easier to suction out.”
D) “When there is active bleeding in the mouth, I may need to use gravity and suction concurrently.”
Ans: D
Complexity: Moderate Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 203 Objective: 9-4
To clear an airway of fluid and debris:
A) suction the airway deep by using an up and down motion.
B) insert the tip of the suction catheter only as far as you can see.
C) apply suction prior to placing the tip into the mouth.
D) insert the tip of the suction catheter as deeply as possible.
To clear an airway of fluid and debris:
A) suction the airway deep by using an up and down motion.
B) insert the tip of the suction catheter only as far as you can see.
C) apply suction prior to placing the tip into the mouth.
D) insert the tip of the suction catheter as deeply as possible.
Ans: B
Complexity: Moderate Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 203 Objective: 9-4
You have opened and cleared your unresponsive patient’s airway, and there is no evidence of head or spinal injury. While waiting for other equipment or personnel, the easiest way to maintain this state and ensure adequate breathing is to put this patient into the recovery position. Which of the following best describes this position?
A) Place the patient onto his left side.
B) Place the patient with his head down and feet up.
C) Place the patient onto his back.
D) Place the patient into a semi seated position.
You have opened and cleared your unresponsive patient’s airway, and there is no evidence of head or spinal injury. While waiting for other equipment or personnel, the easiest way to maintain this state and ensure adequate breathing is to put this patient into the recovery position. Which of the following best describes this position?
A) Place the patient onto his left side.
B) Place the patient with his head down and feet up.
C) Place the patient onto his back.
D) Place the patient into a semi seated position.
Ans: A
Complexity: Easy Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 205 Objective: 9-5
You have been asked to teach a new patroller how to put a patient in the recovery position. Which of the following statements about the recovery position would be correct?
A) “Roll the patient onto his back and then hold him there until help arrives.”
B) “After turning the patient on his side, rest the patient’s head on your aid pack.”
C) “Elevate the patient’s lower body so that his oral secretions will drain out easily.”
D) “Turn the patient on his side and flex his upper leg so that it anchors him on his side.”
You have been asked to teach a new patroller how to put a patient in the recovery position. Which of the following statements about the recovery position would be correct?
A) “Roll the patient onto his back and then hold him there until help arrives.”
B) “After turning the patient on his side, rest the patient’s head on your aid pack.”
C) “Elevate the patient’s lower body so that his oral secretions will drain out easily.”
D) “Turn the patient on his side and flex his upper leg so that it anchors him on his side.”
Ans: D
Complexity: Easy Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 205 Objective: 9-5
By placing an oropharyngeal airway in a patient, you have:
A) protected the airway from vomit or other secretions.
B) kept the tongue from occluding the airway.
C) obtained a patent airway by keeping the mouth and nares from closing.
D) minimized the risk of vomiting by closing off the esophagus.
By placing an oropharyngeal airway in a patient, you have:
A) protected the airway from vomit or other secretions.
B) kept the tongue from occluding the airway.
C) obtained a patent airway by keeping the mouth and nares from closing.
D) minimized the risk of vomiting by closing off the esophagus.
Ans: B
Complexity: Easy Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 206 Objective: 9-6
Which of the following statements indicates that the speaker understands how and when to use an oropharyngeal airway?
A) “It can be used for patients who respond to painful stimuli.”
B) ”It should be sized from the tip of the nose to the angle of the jaw.”
C) “It protects the patient from aspirating vomit or other secretions.”
D) “I must watch the patient for vomiting or gagging even with the proper insertion.”
Which of the following statements indicates that the speaker understands how and when to use an oropharyngeal airway?
A) “It can be used for patients who respond to painful stimuli.”
B) ”It should be sized from the tip of the nose to the angle of the jaw.”
C) “It protects the patient from aspirating vomit or other secretions.”
D) “I must watch the patient for vomiting or gagging even with the proper insertion.”
Ans: D
Complexity: Moderate Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 206 Objective: 9-6
For which of the following patients is placement of an oropharyngeal airway indicated?
A) A responsive but confused patient with stridor respirations
B) A patient who has vomited and responds to painful stimuli by moaning
C) An unresponsive patient who has neither a gag reflex nor a cough reflex
D) A patient with snoring respirations who coughs as the oral airway is placed into his mouth
For which of the following patients is placement of an oropharyngeal airway indicated?
A) A responsive but confused patient with stridor respirations
B) A patient who has vomited and responds to painful stimuli by moaning
C) An unresponsive patient who has neither a gag reflex nor a cough reflex
D) A patient with snoring respirations who coughs as the oral airway is placed into his mouth
Ans: C
Complexity: Moderate Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 206 Objective: 9-6
Which of the following statements indicates that the speaker knows how to properly size an oropharyngeal airway before its placement?
A) “The length of the airway should approximate the distance from the tip of the nose to the angle of the jaw.”
B) “To select an appropriately sized airway, you must first estimate the patient’s height and weight.”
C) “The length of the airway should approximate the distance from the corner of the mouth to the angle of the jaw.”
D) “An appropriately sized oral airway can be selected by looking in the patient’s mouth and estimating the length of the tongue.”
Which of the following statements indicates that the speaker knows how to properly size an oropharyngeal airway before its placement?
A) “The length of the airway should approximate the distance from the tip of the nose to the angle of the jaw.”
B) “To select an appropriately sized airway, you must first estimate the patient’s height and weight.”
C) “The length of the airway should approximate the distance from the corner of the mouth to the angle of the jaw.”
D) “An appropriately sized oral airway can be selected by looking in the patient’s mouth and estimating the length of the tongue.”
Ans: C
Complexity: Moderate Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 206 Objective: 9-6
You have been ventilating the patient with an oropharyngeal airway and bag-valve mask. Suddenly the patient regains consciousness and starts to gag. Your immediate action should be to:
A) leave the airway in place but stop ventilations.
B) remove the airway.
C) suction around the airway.
D) reassure and calm the patient.
You have been ventilating the patient with an oropharyngeal airway and bag-valve mask. Suddenly the patient regains consciousness and starts to gag. Your immediate action should be to:
A) leave the airway in place but stop ventilations.
B) remove the airway.
C) suction around the airway.
D) reassure and calm the patient.
Ans: B
Complexity: Easy Ahead: Airway Management Subject: Chapter 9 Title: Airway Management Feedback: 206 Objective: 9-6
