EMS 131 EXAM 2 EXAMINATION TEST
COMPLETE QUESTIONS AND ANSWERS
FULL SOLUTION VERIFIED
●● Your patient is breathing 4 shallow breaths per minute due to
overdosing on his pain medication but he has a palpable radial pulse. He
vomited prior to your arrival and is choking. You should:
move the patient to the ambulance and suction.
roll him onto his side to clear the airway.
insert an oropharyngeal airway and ventilate.
perform chest thrusts to clear the lungs.
Answer: Roll him onto his side to clear the airway.
●● The jaw-thrust maneuver is the only ________ airway procedure for
an unconscious patient with possible head, neck, or spine injury or an
unknown mechanism of injury.
discouraged
recommended
required
prohibited
Answer: recommended
,●● You are ventilating a cardiac arrest patient when he begins to vomit
copious amounts of large pieces of undigested food. Which of the
following would be most effective in clearing the airway?
Using a rigid pharyngeal suction tip
Using large bore suction tubing without a tip or catheter attached
Using a 14 French suction catheter
Irrigating the mouth with sterile water to dilute the material before
suctioning
Answer: Using large bore suction tubing without a tip or catheter
attached
●● You have performed a head tilt-chin lift maneuver on a 17-month-old
boy and are attempting to ventilate him with a bag-valve mask. You are
experiencing a lot of resistance with each breath and the chest is barely
rising. Prior to attempting ventilations again, you should:
tilt the head back further.
ease the head forward a little.
perform chest thrusts.
finger sweep the airway.
Answer: Ease the head forward a little.
●● You are ventilating an 85-year-old male without difficulty. A nurse
tells you that the patient has dentures. To ensure a good mask seal, you
should:
,tape the dentures in place.
remove the dentures.
use an infant mask over the nose.
leave the dentures in place.
Answer: Leave the dentures in place.
●● What signs and symptoms would indicate inadequate breathing in a
patient?
Increased effort to breathe, increased depth of respiration, normal skin,
normal mental status
Decreased depth of respiration, decreased rate of breathing, clammy
skin, normal mental status
Rapid breathing, pale skin, and normal mental status
Increased effort to breathe, cyanosis, clammy skin, altered mental status
Answer: Increased effort to breathe, cyanosis, clammy skin, altered
mental status
●● The process of air moving in and out of the chest is called:
tidal volume.
inhalation.
ventilation.
respiration.
Answer: Ventilation.
, ●● The normal urge to breathe is stimulated by chemoreceptors that
measure changing levels of what two gases?
Carbon monoxide and oxygen
Hydrogen and carbon monoxide
Hydrogen and carbon dioxide
Carbon dioxide and oxygen
Answer: Carbon dioxide and oxygen
●● A 21-year-old patient presents with labored breathing and audible
wheezes, heart rate of 124, respiration 36. He has significantly altered
mentation. What is the treatment for this patient?
Ventilate with a bag-valve mask with high oxygen or FROPVD.
Supplement the breaths with high-concentration oxygen through a
nonrebreather mask.
Give mouth-to-mouth breathing with a nasal cannula, providing the
patient with an increase of oxygen.
Use a pocket mask, which will provide adequate oxygen to improve the
patient's condition.
Answer: Ventilate with a bag-valve mask with high oxygen or FROPVD.
●● Your patient is a 65-year-old male with a history of COPD. He is
sitting up and complaining of a severe shortness of breath. You should:
administer 4 lpm of oxygen via nasal cannula.
COMPLETE QUESTIONS AND ANSWERS
FULL SOLUTION VERIFIED
●● Your patient is breathing 4 shallow breaths per minute due to
overdosing on his pain medication but he has a palpable radial pulse. He
vomited prior to your arrival and is choking. You should:
move the patient to the ambulance and suction.
roll him onto his side to clear the airway.
insert an oropharyngeal airway and ventilate.
perform chest thrusts to clear the lungs.
Answer: Roll him onto his side to clear the airway.
●● The jaw-thrust maneuver is the only ________ airway procedure for
an unconscious patient with possible head, neck, or spine injury or an
unknown mechanism of injury.
discouraged
recommended
required
prohibited
Answer: recommended
,●● You are ventilating a cardiac arrest patient when he begins to vomit
copious amounts of large pieces of undigested food. Which of the
following would be most effective in clearing the airway?
Using a rigid pharyngeal suction tip
Using large bore suction tubing without a tip or catheter attached
Using a 14 French suction catheter
Irrigating the mouth with sterile water to dilute the material before
suctioning
Answer: Using large bore suction tubing without a tip or catheter
attached
●● You have performed a head tilt-chin lift maneuver on a 17-month-old
boy and are attempting to ventilate him with a bag-valve mask. You are
experiencing a lot of resistance with each breath and the chest is barely
rising. Prior to attempting ventilations again, you should:
tilt the head back further.
ease the head forward a little.
perform chest thrusts.
finger sweep the airway.
Answer: Ease the head forward a little.
●● You are ventilating an 85-year-old male without difficulty. A nurse
tells you that the patient has dentures. To ensure a good mask seal, you
should:
,tape the dentures in place.
remove the dentures.
use an infant mask over the nose.
leave the dentures in place.
Answer: Leave the dentures in place.
●● What signs and symptoms would indicate inadequate breathing in a
patient?
Increased effort to breathe, increased depth of respiration, normal skin,
normal mental status
Decreased depth of respiration, decreased rate of breathing, clammy
skin, normal mental status
Rapid breathing, pale skin, and normal mental status
Increased effort to breathe, cyanosis, clammy skin, altered mental status
Answer: Increased effort to breathe, cyanosis, clammy skin, altered
mental status
●● The process of air moving in and out of the chest is called:
tidal volume.
inhalation.
ventilation.
respiration.
Answer: Ventilation.
, ●● The normal urge to breathe is stimulated by chemoreceptors that
measure changing levels of what two gases?
Carbon monoxide and oxygen
Hydrogen and carbon monoxide
Hydrogen and carbon dioxide
Carbon dioxide and oxygen
Answer: Carbon dioxide and oxygen
●● A 21-year-old patient presents with labored breathing and audible
wheezes, heart rate of 124, respiration 36. He has significantly altered
mentation. What is the treatment for this patient?
Ventilate with a bag-valve mask with high oxygen or FROPVD.
Supplement the breaths with high-concentration oxygen through a
nonrebreather mask.
Give mouth-to-mouth breathing with a nasal cannula, providing the
patient with an increase of oxygen.
Use a pocket mask, which will provide adequate oxygen to improve the
patient's condition.
Answer: Ventilate with a bag-valve mask with high oxygen or FROPVD.
●● Your patient is a 65-year-old male with a history of COPD. He is
sitting up and complaining of a severe shortness of breath. You should:
administer 4 lpm of oxygen via nasal cannula.
