Name: ______________________________________
Expectations:
|A1.1|A1.4|A2.4|A2.7|B1.1|B1.2|B2.1|B2.2|B2.3|D1.2|D1.3|D2.2|
Multiple Choice
Directions: Each question is worth one mark. Circle the letter
that BEST
completes each statement.
Every patient must have a patent airway to survive. When the
airway is obstructed, the rescuer must clear it as soon as possible using the
methods you’ve learned. The only exceptions to this would be situations where
it is unsafe for the rescuer or the airway problem is such that it cannot be
treated in the field and the patient must be transported immediately to a
hospital.
Once the airway has been opened, the rescuer must determine if
breathing is adequate. Patients with inadequate breathing must be artificially
ventilated using mouth-to-mouth, mouth-to-mask, bag-valve-mask or flow
restricted, oxygen-powered ventilation device. If the patient has adequate
breathing, the rescuer must decide if oxygen is indicated. If oxygen is
necessary, the rescuer must select the appropriate device and follow the
procedure for delivery.
Remember, a patient without an airway is a dead patient.
1.
Signs of adequate breathing include…
a. Regular
rhythm
b. Breath
sounds should be present and equal
c. The
chest should rise and fall with each respiratory cycle; and chest expansion
should be adequate and equal.
d. Breathing
should be effortless
e. All
of the above
f.
None of the above
2.
When ventilating with a bag-valve mask...
a. You
should always disable the one-way valve before use
b. Empty
the oxygen reservoir prior to establishing a mask seal
c. Attach
the oxygen hose to the outlet valve
d. Ensure
that the attachment to the nasal cannula is secure
e. All
of the above
f.
None of the above
3.
What is the correct respiratory rate for an adult…
a. 12-20/minute
b. 15-30/minute
c. 25-50/minute
d. 10-15/minute
e. All
of the above
f. None of the above
4.
When ventilating an adult patient, the rescuer should
ventilate…
a. Once
every five seconds
b. Twice
every 8 seconds
c. Three
times every 10 seconds
d. Once
every 10 seconds
e. All
of the above
f.
None of the above
5.
Signs of inadequate breathing include…
a. The
respiratory rate is outside of normal ranges and the rhythm may be irregular
b. Chest
expansion may be unequal or inadequate and there may be an increased effort of
breathing
c. Breath
sounds may be diminished or absent. In addition, there may be abnormal breath
sounds, such as snoring, gurgling, or wheezing.
d. The
skin may be pale or cyanotic (blue) and cool and clammy.
e. All
of the above
f.
None of the above
6.
Suctioning is used to…
a. Clean
the area the rescuers are working in
b. Empty
an oxygen cylinder before refilling it
c. Keep
the airway clear of blood, vomit, secretions, and foreign materials
d. Hold
a cervical collar in place
e. All
of the above
f.
None of the above
7.
What is the first step in caring for a patient who is
having trouble breathing?
a. Cover
the patient with a warm blanket
b. Find
the patient’s identification
c. Open
the airway
d. Look
for any signs of bleeding
e. Give
the patient warm liquids, but not alcohol.
f.
All of the above
g. None
of the above
8.
BSI means…
a. Breathing,
Suctioning, Intubation
b. Body
Substance Isolation
c. Brain
Science Institute
d. Body,
Substance, Injury
e. All
of the above
f.
None of the above
9.
The following are techniques of artificial ventilation…
a. Mouth-to-mask
b. Two-person
bag-valve-mask
c. Flow-restricted,
oxygen-powered ventilation device
d. One-person
bag-valve-mask
e. All
of the above
f.
None of the above
10. You
should suction for ___ seconds at a time.
a. Five
b. Ten
c. Fifteen
d. Twenty
e. All
of the above
f.
None of the above
11. A
patient is adequately ventilated when…
a. The
chest rises and falls with each artificial ventilation.
b. The
patient's breathing rate is sufficient
c. The
heart rate may return to normal with artificial ventilation.
d. All
of the above
e. None
of the above
12. Artificial
ventilation is inadequate when…
a. The
chest does not rise and fall with artificial ventilation.
b. The
rate is too slow or too fast.
c. The
heart rate does not return to normal.
d. All
of the above
e. None
of the above
13. The
first consideration if ventilations are not working is…
a. To
reposition the head
b. Put
aside the mask and perform mouth-to-mouth ventilations
c. Use
an airway adjunct
d. Get
a new bag-valve mask immediately
e. All
of the above
f.
None of the above
14. When
performing mouth-to-mask ventilation…
a. Run
the oxygen at 5 liters per minute
b. Cover
the patient with a warm blanket
c. Take
BSI precautions and wear gloves and eye protection
d. Be
prepared to switch rescuers due to fatigue
e. All
of the above
f.
None of the above
15. To
insert an oropharyngeal airway (OPA)…
a. Select
the proper size: measure from the corner of the patient's lips to the bottom of
the earlobe or angle of jaw.
b. In
adults, to avoid obstructing the airway with the tongue, insert the airway
upside down, with the tip facing toward the roof of the patient's mouth.
c. Advance
the airway gently until resistance is encountered. Turn the airway 180 degrees
so that it comes to rest with the flange on the patient's teeth.
d. Another
method of inserting an oral airway is to insert it right side up, using a
tongue depressor to press the tongue down and forward to avoid obstructing the
airway. This is the preferred method for airway insertion in an infant or
child..
e. All
of the above
f.
None of the above
Matching
Directions: Each question is worth two marks. Match each picture
in the left-hand column with the correct description from the right-hand
column. Write the letter of the correct description in the space provided.
Note: Some descriptions might not be used.
True-False
Directions: Each question is worth one mark. Circle the letter
‘T” if the statement is correct and “F” if the statement is incorrect.
T F
1.
Airway maintenance and ventilation are your top
priorities when caring for a patient. Recognition and treatment of respiratory
distress is crucial to patient survival since the brain can survive only a few
minutes when deprived of oxygen. Remember, all other therapies will fail if the
airway is inadequate! You must be prepared to intervene with the appropriate
airway management techniques if the patient's condition deteriorates.
T F
2.
Use the head-tilt chin-lift maneuver to open the airway
when the patient is unable to protect the airway and a neck injury is suspected.
T F
3.
Even though it is vital to the well-being of the
patient, airway management is probably the most neglected of pre-hospital
skills because the basics are easily taken for granted. Be sure to reassess the
patient frequently and check your technique.
T F
4.
The advantages of the head-tilt chin-lift maneuver are
that no equipment is required and it is a simple, safe, and non-invasive way to
open the airway. Disadvantages are that this technique can be hazardous to
patients with spinal injuries and it does not protect the patient from
aspirating.
T F
5.
It is not necessary to follow body substance isolation
(BSI) techniques when suctioning.
T F
6.
A child’s respiratory rate is 25-50/minute.
T F
7.
The flow rate set on the regulator to deliver 100%
oxygen when using a BVM or a non-rebreather mask is 15 lpm.
T F
8.
The nasal cannula is the best method of delivering
adequate oxygen to the prehospital patient.
T F
9.
When ventilating a patient with a stoma with a
bag-valve mask, use an infant or child mask to make the seal.
T F
10.
The first step in managing a patient’s airway is to
open the airway using the head-tilt chin-lift maneuver or jaw-thrust maneuver.
T F
11.
The primary objective when caring for a patient in
respiratory distress is to ensure optimal ventilation, including both the
delivery of oxygen and the elimination of carbon dioxide. Inadequate ventilation
occurs when the body cannot maintain the O2/CO2
balance or compensate for increased O2 demand.
T F
12.
A nasal cannula should be used only when patients will
not tolerate a nonrebreather mask, despite coaching from the rescuer.
T F
13.
An airway adjunct should be used when the patient can
maintain an open airway on his or her own.
T F
14.
Use the jaw-thrust maneuver when a spinal injury is
suspected.
T F
15.
Once the airway has been opened, you must determine if
breathing is adequate. Patients with inadequate breathing must be first
transported to the hospital.
