Airway

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  1. A therapist is preparing a steel-type laryngoscope for an anesthesiologist. The light does not shine. Which of the following should be done to solve the problem?

    A) get a smaller blade to fit the handle
    B) tighten the bulb & replace the batteries
    C) replace the handle with a plastic one
    D) get a larger blade to fit the handle
    B) tighten the bulb & replace the batteries
    (this multiple choice question has been scrambled)
  2. An oropharyngeal airway would be indicated under which of the following conditions?

    A) seizure activity is present or expected & supine unconscious person w/ upper airway obstruction & an orally intubated pt is biting the tube
    B) supine unconscious person w/ upper airway obstruction & orally intubated pt biting the tube
    C) pt w/ a traumatic jaw injury & orally intubated pt biting the tube
    D) maintain airway before a trach & pt w/ a traumatic jaw injury
    A) seizure activity is present or expected & supine unconscious person w/ upper airway obstruction & an orally intubated pt is biting the tube
    (this multiple choice question has been scrambled)
  3. An RT has just assisted w/ ET intubation of a normotensive adult pt. To minimize the risk of soft-tissue injury to the trachea, the cuff pressure should be:

    A) < 35 cm H2O
    B) < 30 cm H2O
    C) < 20 cm H2O
    D) < 25 cm H2O
    B) < 30 cm H2O
    (this multiple choice question has been scrambled)
  4. A 50 YO male pt w/ throat CA will be having a laryngectomy tomorrow w/ the placement of a voice prosthesis. What type of airway would best serve the pt's long term needs?

    A) single cannula trach tube
    B) fenestrated laryngectomy tube
    C) fenestrated trach tube
    D) tracheostomy button
    B) fenestrated laryngectomy tube
    (this multiple choice question has been scrambled)
  5. An Rt replaces a pt's trach tube w/ another one of the same size & inflates the cuff w/ 5 ml of air as was done previously. Immediately, the pt has difficulty breathing & no air can be felt coming from the tube. What could be the problem?

    A) the pt has closed the epiglottis over the trachea
    B) more air must be added to the cuff to form a seal
    C) the tube has accidentally been placed into the esophagus
    D) the tip of the tube has been placed into the sub-q tissues
    D) the tip of the tube has been placed into the sub-q tissues
    (this multiple choice question has been scrambled)
  6. While assisting a CPR attempt, the anesthesiologist asks for a properly sized ETT so that the pt can be intubated. The pt is a large, physically fit man. What size would be best?

    A) 9.0 mm ID oral ETT
    B) 8.0mm ID nasal ETT
    C) 10.0mm ID nasal ETT
    D) 7.0mm ID oral ETT
    A) 9.0 mm ID oral ETT
    (this multiple choice question has been scrambled)
  7. A spontaneously breathing pt's trach tube cuff pressures has been measured at 10mm Hg. What would be recommended?

    A) increase the cuff pressure to 30 cm H2O
    B) leave the pressure as is
    C) increase the cuff pressure to 15 mm Hg
    D) replace the tube with a larger one
    C) increase the cuff pressure to 15 mm Hg
    (this multiple choice question has been scrambled)
  8. A 45 YO female ot is brought to the ED from an MVA. She has facial trauma, including a broken nose & jaw. Because of heavy bleeding into her mouth, she is having difficulty breathing. Which of the following should be recommended to ensure a safe, effective airway?

    A) place a trach tube
    B) place a nasal ETT
    C) place an oral airway
    D) place a nasopharyngeal airway
    A) place a trach tube
    (this multiple choice question has been scrambled)
  9. While working in the NICU, a ET is called to assist in the care of a 900-gram newborn. The neonatologist asks you to get the proper ET for intubation. What would be the correct sized tube?

    A) 3.5mm ID
    B) 1.5mm ID
    C) 2.5mm ID
    D) 4.0mm ID
    C) 2.5mm ID
    (this multiple choice question has been scrambled)
  10. A 59kg (130 lbs) woman must be intubated to initiate mechanical ventilation. What size tube should be used?

    A) 6.0mm ID
    B) 7.5mm ID
    C) 6.5mm ID
    D) 9.0mm ID
    B) 7.5mm ID
    (this multiple choice question has been scrambled)
  11. An RT is going to assist in the ambulance transport of a 25 YO pt. The pt has an oral ETT and bag/mask ventilation will be performed during the trip. Which of the following should be chosen to help ensure that the ETT stays properly placed in the trachea?

    A) ECG
    B) colorimetric CO2 detector
    C) pulse ox
    D) capnograph
    B) colorimetric CO2 detector
    (this multiple choice question has been scrambled)
  12. All of the following should be monitored after a pt returns from having a trach tube placed EXCEPT:

    A) cuff pressure
    B) bowel sounds
    C) breath sounds
    D) excessive bleeding
    B) bowel sounds
    (this multiple choice question has been scrambled)
  13. Auscultation of a recently intubated pt in respiratory failure reveals absent breath sounds on the L side of the chest. The most likely cause of this finding is:

    A) placement of the ETT into the esophagus
    B) placement of the ETT into the R mainstem bronchus
    C) placement of the ETT into the L mainstem bronchus
    D) a pneumothorax on the R side
    B) placement of the ETT into the R mainstem bronchus
    (this multiple choice question has been scrambled)
  14. While working the night shift, a RT is called to intubate an apenic patient. Which of the following would be needed for an emergency oral intubation?

    A) stylet & blade & 10ml syringe & Magill forceps
    B) stylet & 10ml syringe
    C) scope handle & stylet & 10 ml syringe & proper blade
    D) handle & blade
    C) scope handle & stylet & 10 ml syringe & proper blade
    (this multiple choice question has been scrambled)
  15. A RT is assisting with the extubation of an adult pt. At what point in the procedure should the tube be removed?

    A) during a FVC effort
    B) at the start of a peak inspiratory effort
    C) at the start of a peak inspiratory effort
    D) at the end of a peak expiratory effort
    D) at the end of a peak expiratory effort
    (this multiple choice question has been scrambled)
  16. A pt with a trach has just returned from a series of radiography procedures. SUddenly, the pt develops respiratory distress & cannot breathe. A suction catheter cannot be passed through the trach tube. What should be done?

    A) ventilate with a manual resuscitation bag
    B) attempt to pass a smaller suction catheter
    C) remove the trach tube
    D) insert an endotracheal tube
    C) remove the trach tube
    (this multiple choice question has been scrambled)
  17. After a successful CPR attempt, a pt with an oral ETT is placed on mechanical ventilation in the ICU. The RT notices that the exhaled CO2 monitor is approrpaitely changing color with each breath cycle. The pt's breath sounds are present on the R side but diminished on the L. What is the most likely cause of this situation?

    A) delivered Vt is too small
    B) R bronchial intubation
    C) L sided pneumothorax
    D) maifunctioning exhaled CO2 monitor
    B) R bronchial intubation
    (this multiple choice question has been scrambled)
  18. An 18 Yo woman has been admitted after being found unconscious from a drug OD. She has severe atelectasis of the L lung caused by lying on her L side x 2 days. Her R lung is normal. She is going to require mechanical ventilation to open the atelectatic areas. What ETT should be suggested to properly treat the abnormal lung?

    A) fenestrated trach
    B) wire reinforced
    C) double lumen
    D) standard
    C) double lumen
    (this multiple choice question has been scrambled)
  19. An adult pt with epilepsy has been having unpredictable seizure activity. What oral ETT should be suggested to provide a secure airway?

    A) wire reinforced
    B) guidable
    C) double lumen
    D) preformed
    A) wire reinforced
    (this multiple choice question has been scrambled)
  20. A consious pt is recovering from Guillain-Barré syndrome & is able to breathe spontaneously off the ventilator for several hours. The pt currently has a single cannula 7.5mm ID trach tube. To help the pt's weaning process but enable the pt to be ventilated at night, what should be done?

    A) replace the current tube with one that is 6.0mm ID
    B) remove the trach tube when the pt is off the ventilator
    C) substitute a fenestrated tube
    D) substitute a speaking type trach tube
    C) substitute a fenestrated tube
    (this multiple choice question has been scrambled)
  21. A semiconscious pt with many trach secretions will need frequent nasotracheal suctioning/ What can be done to minimze trauma from the procedure?

    A) tracheostomy button
    B) sedate the pt and insert an oropharyngeal airway
    C) insert a nasophayngeal airway
    D) suction through a fenestrated trach tube
    C) insert a nasophayngeal airway
    (this multiple choice question has been scrambled)
  22. An adult pt with a trach button and an attached speaking valve is c/o it is difficult to breathe. You find that a 12-Fr suction catheter cannot be passed through the button. What should be done?

    A) place a transtracheal O2 catheter through the trach button
    B) remove the button and orally intubate the pt
    C) force a larger catheter through the button
    D) remove the speaking valve & reassess the pt
    D) remove the speaking valve & reassess the pt
    (this multiple choice question has been scrambled)
  23. During a surgical procedure, the anesthesiologist wishes to protect the airway & proviide mechanical ventilation but does not want to place an ETT. What airway should be used?

    A) laryngeal mask airway
    B) nasopharyngeal airway in each nostril
    C) combitube
    D) orpharyngeal airway
    A) laryngeal mask airway
    (this multiple choice question has been scrambled)
  24. An unconscious 17 YO pt has arrived in the ED. The pt was involved in an MVA, has a neck injury & is wearing a neck brace. If the pt were to show signs of an upper airway obstruction, all of the following could be used to maintain the airway EXCEPT:

    A) laryngeal mask airway
    B) nasopharyngeal airway
    C) Oral ETT
    D) oropharyngeal airway
    C) Oral ETT
    (this multiple choice question has been scrambled)
  25. Immediate complications of an oral intubation include all of the following:

    A) esophageal intubation & tracheoesphageal fistula
    B) tooth trauma & esophageal intubation & tracheoesophagela fistula & bronchial intubation
    C) tracheoesophageal fistula & bronchial intubation
    D) tooth trauma & esophageal intubation & tracheoesophageal fistula
    D) tooth trauma & esophageal intubation & tracheoesophageal fistula
    (this multiple choice question has been scrambled)
  26. A hospitalized pt rapidly develops ventilatory failure because of an OD of morphine for pain control. The preferred way to  quickly provide a safe, secure airway is to:

    A) place a nasal ETT
    B) place a nasopharyngeal airway
    C) hyperextend the neck
    D) place an oral ETT
    D) place an oral ETT
    (this multiple choice question has been scrambled)
  27. Indications for oral intubation include all of the following EXCEPT:

    A) pt is at risk for vomiting & aspiration
    B) pt requires frequent tracheal suctioning
    C) pt requires mechanical ventilation
    D) pt has a cervical spine injury
    D) pt has a cervical spine injury
    (this multiple choice question has been scrambled)
  28. A 2 YO child admitted with severe croup has just been extubated after 2 days with an oral ETT. THe child is given O2 and aerosolized HOH through a heated large-volume nebulizer. Thirty minutes later, mild inspiratory stridor is heard over the child's throat area. What should be done first?

    A) deliver nebulized racemic epinephrine
    B) perform a trachoestomy
    C) reintubate
    D) perform a cricothyrotomy
    A) deliver nebulized racemic epinephrine
    (this multiple choice question has been scrambled)
  29. A 55 YO 77kg (170 lbs) ventilator dependent male pt has returned from the OR with a 6.0mm ID trach tube. The RT determines the cuff pressure to be 35 mm Hg. The ventilator is driving a Vt of 750ml and returning a Vt of 650ml, and a leak can be heard at the trach site. What should be done?

    A) increase the cuff pressure to stop the Vt leak
    B) replace the trach tube with an 8.5mm ID tube
    C) increase Vt by 100ml to restore the delivered Vt
    D) deflate the cuff enough to reduce the cuff pressure to 20 mm Hg
    B) replace the trach tube with an 8.5mm ID tube
    (this multiple choice question has been scrambled)
  30. An intubated and ventilated adult pt has been returned to the long term care unit after being transported to Radiology for an abdominal film. The RT notices the trachea is midline; however the pt's L chest does not rise with inspitation as much as the R. THe ETT is at 28-cm mark at the teeth. What should be done now?

    A) check the abdominal film for signs of aspiration
    B) Pull the ETT back about 4 cm
    C) check the pt's end tidal CO2 level
    D) deliver a larger Vt to better inflate the L lung
    B) Pull the ETT back about 4 cm
    (this multiple choice question has been scrambled)
  31. A pt is about to have an oral ETT inserted. What can be done during and/or after the procedure to determine its position within the trachea?

    A) palpate larynx & auscultate bilateral BS
    B) CXR & auscultate bilateral BS & check exhaled CO2
    C) CXR, palpate the larynx, auscultate bilateral BS, attach an EDD, check for exhaled CO2
    D) CXR & attach EDD
    C) CXR, palpate the larynx, auscultate bilateral BS, attach an EDD, check for exhaled CO2
    (this multiple choice question has been scrambled)
  32. A pt who suffered facial burns and smoke inhalation has recovered enough to be extubated. Although the pt is receiving 40% O2 with a bland aerosol, significant inspiratory stridor is noticed within 15 minutes. Following the inhalation of a vasoconstricting med, the pt's BS are improved. THirty minutes later the pt's SpO2 is 80% and the inspiratory stridor is more serious. The pt is very anxious & is pulling off the O2 mask. What should be recommended to best manage this pt?

    A) increase O2 to 50%
    B) administer a sedative
    C) intubate
    D) draw an ABG
    C) intubate
    (this multiple choice question has been scrambled)
  33. During a CPR attempt, a peds pt had an oral ETT placed. To ensure that the ETT is placed properly, all of the following should be recommended EXCEPT:

    A) listen to RUL for BS
    B) have a CXR taken
    C) have a lateral neck xray taken
    D) listen for bilateral BS
    C) have a lateral neck xray taken
    (this multiple choice question has been scrambled)
  34. A pt in the PAR is found to have a trach tube cuff pressure of 35 mm Hg. If left unchanged, this pressure could cause which of the following:

    A) tracheomalacia & tracheoesophageal fistula & damage to the vocal cords
    B) innominate artery erosion & loss of venous flow through the tracheal soft tissues
    C) tracheoesophageal fistula & damage to the vocal cords
    D) tracheomalacia & trancheoesophageal fistula & innominate artery erosion &loss of venous flow through the tracheal soft tissues
    D) tracheomalacia & trancheoesophageal fistula & innominate artery erosion &loss of venous flow through the tracheal soft tissues
    (this multiple choice question has been scrambled)
  35. A properly inserted Combitube will usually:

    A) intubate the trachea & maintain the airway
    B) intubate the esophagus & maintain an airway
    C) intubate the esophagus & prevent vomiting & maintain the airway
    D) intubate the trachea & prevent vomiting
    C) intubate the esophagus & prevent vomiting & maintain the airway
    (this multiple choice question has been scrambled)
  36. A newborn child with macroglossia is having moderate airway obstruction episodes. What could be done to manage the current situation?

    A) place a nasopharyngeal airway & place the newborn in a prone position
    B) place a trach button
    C) place a nasopharyngeal airway
    D) place a nasopharyngeal airway & place a tach button & place an endotracheal tube
    A) place a nasopharyngeal airway & place the newborn in a prone position
    (this multiple choice question has been scrambled)
  37. A 28 YO pt is brought to the ED. The pt has a cervical spine injury from a diving accident & is wearing a neck brace. THe pt is unconscious & inspiratory stridor can be heard. ABFs on 40% O2 are Ph 7.30 PaCO2 56 PaO2 57. The physician has decided to establish a secure airway. What device should be recommended?

    A) 7.0mm ID nasotracheal tube
    B) 8.5mm ID Carlens orotracheal tube
    C) 9,0 mm nasotracheal tube
    D) Berman oral airway
    A) 7.0mm ID nasotracheal tube
    (this multiple choice question has been scrambled)
  38. An adult female pt is recovering from her neuromuscular disease. She has a standard trach tube and requires mechanical ventilation only while sleeping. The physician asks the RT for a recommendation about what can be done to enable her to communicate during the day but be put on the ventilator at night. What should be recommended?

    A) put an obturator into her current trach tube during the day
    B) use an uncuffed trach tube
    C) put a trach button on her during the day
    D) change her to a fenestrated trach tube
    D) change her to a fenestrated trach tube
    (this multiple choice question has been scrambled)
  39. The Combitube has advantages over the standard LMA because:

    A) a gastric tube can be placed through it to empty the stomach & the pt can be centilated whether it is placed into the esophagus or trachea
    B) it can be placed nasally & a gastric tube can be placed through it
    C) it is available in small pediatric size & the pt can be ventilated whether it is placed into the esophagus or the trachea
    D) it can be placed nasally & the pt can be ventilated whether it is placed in the esophagus or trachea
    A) a gastric tube can be placed through it to empty the stomach & the pt can be centilated whether it is placed into the esophagus or trachea
    (this multiple choice question has been scrambled)
Author:
n1297f
ID:
316245
Card Set:
Airway
Updated:
2016-02-21 18:32:34
Tags:
airway
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Description:
airway
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