BREATHING EXAM V2 WITH VERIFIED
QUESTIONS AND ANSWERS 2026
What relaxes bronchial smooth muscles? - ANSWER-beta agonists
A 47-year old male complains of chest discomfort and difficulty breathing. He has had a fever, chills, and
a productive cough for 3 days. Crackles are present upon auscultation. What is the most likely cause? -
ANSWER-Bacterial Pneumonia
A 45 year old male was assaulted and you note a small, localized area on the chest that is edematous.
You hear crackling when the skin palpated. What should you expect? - ANSWER-Subcutaneous
Emphysema
While ventilating an intubated patient, you notice a shark fin waveform on capnography. Ventilations
become increasingly difficult. What should you do? - ANSWER-Administer albuterol
A 28 year old female is complaining of gradual-onset dyspnea after being released from the hospital. She
was hospitalized for 1 day following thoracic trauma and a lung contusion. Lung sounds present with
crackles in both bases. Vital signs are BP 130/80, P 110, R 32 shallow, SpO2:88%. You should - ANSWER-
apply oxygen via non-rebreather and transport emergently
What is the volume of air that a patient inhales during each breath referred to as? - ANSWER-Tidal
Volume
When you hear wheezing, where is the obstruction located? - ANSWER-Lower Airway
, a 68 year old female complains of shortness of breath and is sitting in a tripod position and has pink
sputum in the corners of her mouth. Vital signs are BP 165/110, P88, R22 with crackles, SpO2 82% on
3lpm. What should you do? - ANSWER-Increase oxygen
A 71 year old mle with a tracheostomy tube is cyanotic. You hear audible gurgling during inspiration and
crackles in the base of the lungs. Vital signs are BP 148/100, P 94, R 24, SpO2 88%. What should you do?
- ANSWER-Suction the lumen with a soft tip catheter
A 19 year old male was extricated from a structure fire. He is actively coughing and complains of pain
due to burns on his chest, arms and stomach. What is the priority? - ANSWER-Laryngeal swelling
a 62 year old female complains of shortness of breath. She is sitting upright in bed with multiple pillows
behind her back. She has history of COPD and diabetes. Skin is warm to the touch. BP 166/100, P 84
irregular, R 20 with crackles, SpO2 95%. What should you do? - ANSWER-Administer 2.5mg of Albuterol
A 29 year old male inhaled an unknown chemical. His voice is now horse and its difficult to understand
him. Vital signs P136, R28, SpO2 78%. What should you do? - ANSWER-Place the patient on a nasal
cannula and lie the patient supine
A 56 year old female is sitting upright in bed on a home CPAP machine. She is unable to follow verbal
commands and is lethargic. What should you do? - ANSWER-Assist ventilations with a bag mask device.
How does emphysema affect the lungs and ventilations? - ANSWER-decreases surface area making gas
exchange inefficient
What disease has the greatest effect on alveolar oxygen diffusion? - ANSWER-Emphysema
A 19 year old female overdosed on benzodiazepines. She has snoring respirations and with minimal
response to painful stimuli. How should you manage her airway? - ANSWER-Oropharyngeal Adjunct