What is the amount of air that normally reaches the alveoli in an adult? Correct Answer: 350ml
How much air is in the average adult ventilation? Correct Answer: 500ml
How much air is lost in the area of dead space when an adult is ventilating? Correct Answer:
150ml
A 67 year old male complains of mild respiratory distress. He smokes 4 packs of cigarettes a day
and reports a consistent cough and frequent respiratory infections. Chest sounds reveal bilateral
rhonchi. What should you suspect? Correct Answer: Chronic bronchitis
EXPLANATION: chronic bronchitis is long term inflammation of the bronchioles. Excessive mucus
and pus production leads to obstructed airways. the consistent cough is the body's response to
clear the airway obstruction
An unresponsive 43 year old male is cool, pale, diaphoretic, and breathing 6 times a minute.
which device should you use to administer oxygen? Correct Answer: Bag-valve mask
EXPLANATION: He is unresponsive and breathing too slow. This is a "sick" patient and assisting
his ventilation should be the first intervention. You can increase his respiratory rate with a bag-
valve mask.
diaphoretic Correct Answer: Characterized by profuse sweating.
Nasal cannula delivers about what percentage of oxygen Correct Answer: 20-44%
What are the structures that branch off of the trachea into the lower airway? Correct Answer:
Bronchi
EXPLANATION: the trachea splits at the carina into the left and right bronchus. The bronchi get
smaller and smaller until it reaches the terminal bronchioles where the alveoli are located.
What is the normal range of breaths per minute for an adult Correct Answer? 12-20
A febrile 44-year-old male complains of shortness of breath and has dull chest pain. he has been
coughing up "rusty" sputum for the last 3 days. what is the most likely cause? Correct Answer:
Pneumonia
EXPLANATION: Pneumonia is an infection of the lung tissue and the "rusty" sputum (spit) is a
sign of a lower airway infection. He is febrile (has a fever) from an immune response to the
infection, and the "dull" chest pain is a common symptom at the location of the infection.
, A 42 year old male complains of shortness of breath after being sprayed with super-heated
steam. He has burns to his face, neck and upper chest. Vitals signs are BP 112/66, P 124, R 26
shallow and labored. What should you do? Correct Answer: Assists his ventilations
EXPLANATION: He is in respiratory failure. His breathing is ineffective because his respirations
are fast and shallow. Shallow respirations do not allow for adequate oxygen exchange because
the air is not drawn down far enough into the lungs. Assisting his breathing with positive
pressure ventilations will help reduce any developing pulmonary edema from the lower airway
burns.
What is the term for abnormal breath sounds that result from an obstructed upper airway?
Correct Answer: Stridor
How should you insert a nasopharyngeal airway? Correct Answer: Face the bevel toward the
septum
Also know to only use water-soluble lubricants when inserting a NPA, no oil-based lubricants
The use of accessory muscles and nasal flaring are signs of what type of breathing? Correct
Answer: Labored breathing
Expect to initially see an increases respiratory rate ad heart rate with labored breathing. As the
patient begins to tire, the respiratory rate and the quality will begin to decrease, which worsens
the problem.
What are the small air sacs at the end of the airway that are responsible for gas exchange?
Correct Answer: Alveoli
A 53 year old male is sleepy, diaphoretic, difficult to arouse and breathing 8 times a minute.
What do you suspect? Correct Answer: Respiratory failure
What is directly posterior to the nose? Correct Answer: Nasopharynx
The nasopharynx connects the opening of the nostrils to the soft palate, which is located at the
back of the mouth. This passage is designed to warm up inhaled air and filters out fine
particulate matter
What is the name of the muscular structure the divides the chest cavity from the abdominal
cavity? Correct Answer: Diaphragm
What is the most common location for an airway obstruction? Correct Answer: Pharynx
This passageway is shared by air and food, so it is a common site for a partial of complete
obstruction, which could be food or a flaccid tongue.
What part of the respiratory system contains the vocal cords? Correct Answer: Larynx
This structure is directly above the trachea.