FISDAP Final Exam
Which patient would be classified as "immediate" during and MCI?
8 year old female with no respirations after 5 positive pressure ventilations.
A 13 year old female watching a horror movie states she can't catch her breath and her fingers are
numb. Respirations are 30 and deep with Sp02 of %100. She is speaking in clear sentences, has clear
and equal breath sounds. You should?
Calmly reassure her, encouraging her to calmly slow her rate of breathing.
You have inserted an OPA for a 21 year old apneic male. How many times per minute should you
ventilate him with a BVM?
10 to 12
Proper technique to suction patient's airway includes?
Oxygenating and ventilating before and after suctioning.
When ventilating patient with BVM, what is the appropriate oxygen flow rate?
15 liters/min
An obese man complains of sever difficulty breathing. His skin is cool and moist and breathing 22
times per minute. He indicates he never goes to the doctor and often feels dizzy after walking. You
should?
Apply a nonrebreather mask at 10 liters/min
A 42 year old asthmatic patient complains of chest pain, shortness of breath and a violent cough that
produces brownish sputum. What is the most likely cause?
Pneumonia
An 89 year old patient complains of difficulty breathing and a productive cough that has gotten worse
over the past 12 hours. You should suspect?
Pneumonia
As the diaphragm and intercostal muscles relax, the chest cavity?
Decreases in size, causing exhalation
During initial assessment of an adult's respiratory status, you should?
Evaluate both the respiratory rate and the rise and fall of the chest
In which group of patients are you likely to encounter "see-saw" breathing?
Pediatrics
Which sequence correctly traces the path oxygen takes from the atmosphere to the lungs?
Mouth, Pharynx, trachea, bronchi, alveoli.
,A 16 year old asthmatic female in a tripod position complains of increased shortness of breath. SpO2
is 79%. You should administer oxygen at?
10 lpm via nonrebreather mask
A 34 year old man is saying he is choking, You note stridor and hoarseness in his voice. What should
you do?
Encourage him to cough
An unresponsive trauma patient is gurgling. When you suction the oropharynx with a rigid catheter,
the patient gags. You should?
Assess insertion depth of the catheter
Thin 54 year old male with a nonproductive cough complains of difficulty breathing. Sitting upright
with hands on his knees and you see retractions. Notice oxygen tubing around the house. You should
suspect medical history of?
Chronic Bronchitis
Semiconscious patient's dentures completely loosened. You should?
Remove dentures
Carbon dioxide and oxygen exchange at the alveolar level by which process?
Diffusion
20 year old female unable to cath breath after minor car crash, numbness and tingling to hands and
face. Vitals are P 118, R 24. What should you do?
High flow oxygen with a nonrebreather mask
Which term best describes respiratory difficulty?
Dyspnea
What is the amount of air that normally reaches the alveoli in an adult?
350 mL
The average adult ventilation is 500 mL, but there is an area of dead space that traps 150 mL of air.
350 mL effectively reaches the alveoli for oxygen and carbon dioxide exchange.
A 77 year old female has dyspnea, speaks in short word burst, and breathes with pursed lips. Lung
sounds are diminished, distant, and clear. Vital signs are BP 152/90, P 86 and irregular, R 23. What
should you suspect?
Empysema
Emphysema is a chronic destructive process of the alveoli. The alveoli regenerate but they are
misshaped and consist of scar tissue. The scar tissue inhibits gas exchange. She has pursed lips
because she is attempting to keep the alveoli open. Without the extra effort her alveoli will collapse
due to increased surface tension.
,An 18 year old male is cyanotic and complains of sharp chest pain and difficulty breathing after lifting
weights. Vital signs are BP 110/66, P 88, R 22. What is the most likely cause?
Spontaneous pneumothorax
Performing strenuous activites can, on occasion, cause a collapsed (spontaneous pnemothorax) He
has stable vital signs so you should suspect a S.P. If he had been hypotensive (88/40), you should
suspect that the S.P had developed into a tension pneumothorax.
An unresponsive 43 year old male is cool, pale, diaphoretic, and breathing 6 times a minute. Which
device should you use to administer oxygen?
Bag-valve mask
He is unresponsive and breathing too slow. This is a "Sick" patient and assisting his ventilations should
be the first intervention. You can increase his respiratory rate with a bag valve mask, which is why it is
the most correct choice.
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. Vital signs are BP 112/66, P 124, R 28 shallow and
labored. What should you do?
Assist his ventilations
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 pulmonary edemy from the lower airway burns.
What are the structures that brach off the trachea into the lower airway?
Bronchi
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 term for high-pitched whistling sounds heard during expiration?
Wheezing
Wheezing is a high pitched whistling sound heard on EXHALATION. Wheezing suggest there is a
LOWER airway OBSTRUCTION or CONSTRICTION. Exhalation is a passive process, and the wheezing
noise is air passively leaving constricted bronchioles.
The use of accessory muscles and nasal flaring are signs of what type of breathing?
Labored
The use of accessory muscles is a sign of respiratory distress or failure. Nasal flaring is the body's
response in effort to increase the size of the airway and attempt to draw in more air with each breath.
Expect to initially see an increased respiratory rate and heart rate with labored breathing. As the
patient begins to tire, the respiratory rate and quality will begin to decrease, which worsens the
problem.
We have an expert-written solution to this problem!
What is the term for abnormal breath sounds that result from an obstructed airway?
, Stridor
Stridor is an UPPER airway obstruction caused by the tissue swelling around the trachea, larynx, or
epiglottis during INSPIRATION.
A 53 year old male is sleepy, diaphoretic, difficult to arouse, and breathing 8 times a minute. What
should you suspect?
Respiratory Failure
This rate is too slow and the fact that he is sleepy and difficult to arouse shows that he is in
respiratory failure. An adult with a respiratory of 8 is too slow for adequate gas exchange.
An alert 32 year old female complains of difficulty breathing. She speaks in 2-3 word sentences and
has oxygen saturation of 92%. What should you do?
Apply high flow oxygen.
-She is alert and her respirations are still effective without the need for assisting ventilations. She only
complains of shortness of breath, so applying high flow oxygen should be the first treatment.
A 56 year old female has a complete airway obstruction from a piece of food. She becomes
unconscious while you asses her. What should you do?
When a patient has a completely obstructed airway and become unconscious the first thing you
should do is start chest compressions.
A 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 rhonci. What
should you suspect?
Chronic bronchitis (sounds like snoring, excess mucus)
Excessive mucus and pus production leads to obstructed airways. The consistent cough is the bodys
response to clear the airway obstruction.
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 three days. What is the most likely cause?
Pneumonia
Pneumonia is an infection of the lung tissue and the "rusty" sputum (spit) is a sign of lower airway
infection. He is febrile (fever) from an immune response to the infection, and the "dull" chest pain is a
common symptom at the location of the infection.
a 75 year old female complains of a sudden onset of right sided chest pain and dyspnea. She is
recovering from a recent hip surgery. What should you expect?
Pulmonary embolism
A pulmonary embolism is typically the result of a clot that has formed in the lower extremity with
poor circulation.
Hip surgery requires a patient to be immobilized for an extended period of time which can permit a
clot to form in the distal portion of an extremity.
Which patient would be classified as "immediate" during and MCI?
8 year old female with no respirations after 5 positive pressure ventilations.
A 13 year old female watching a horror movie states she can't catch her breath and her fingers are
numb. Respirations are 30 and deep with Sp02 of %100. She is speaking in clear sentences, has clear
and equal breath sounds. You should?
Calmly reassure her, encouraging her to calmly slow her rate of breathing.
You have inserted an OPA for a 21 year old apneic male. How many times per minute should you
ventilate him with a BVM?
10 to 12
Proper technique to suction patient's airway includes?
Oxygenating and ventilating before and after suctioning.
When ventilating patient with BVM, what is the appropriate oxygen flow rate?
15 liters/min
An obese man complains of sever difficulty breathing. His skin is cool and moist and breathing 22
times per minute. He indicates he never goes to the doctor and often feels dizzy after walking. You
should?
Apply a nonrebreather mask at 10 liters/min
A 42 year old asthmatic patient complains of chest pain, shortness of breath and a violent cough that
produces brownish sputum. What is the most likely cause?
Pneumonia
An 89 year old patient complains of difficulty breathing and a productive cough that has gotten worse
over the past 12 hours. You should suspect?
Pneumonia
As the diaphragm and intercostal muscles relax, the chest cavity?
Decreases in size, causing exhalation
During initial assessment of an adult's respiratory status, you should?
Evaluate both the respiratory rate and the rise and fall of the chest
In which group of patients are you likely to encounter "see-saw" breathing?
Pediatrics
Which sequence correctly traces the path oxygen takes from the atmosphere to the lungs?
Mouth, Pharynx, trachea, bronchi, alveoli.
,A 16 year old asthmatic female in a tripod position complains of increased shortness of breath. SpO2
is 79%. You should administer oxygen at?
10 lpm via nonrebreather mask
A 34 year old man is saying he is choking, You note stridor and hoarseness in his voice. What should
you do?
Encourage him to cough
An unresponsive trauma patient is gurgling. When you suction the oropharynx with a rigid catheter,
the patient gags. You should?
Assess insertion depth of the catheter
Thin 54 year old male with a nonproductive cough complains of difficulty breathing. Sitting upright
with hands on his knees and you see retractions. Notice oxygen tubing around the house. You should
suspect medical history of?
Chronic Bronchitis
Semiconscious patient's dentures completely loosened. You should?
Remove dentures
Carbon dioxide and oxygen exchange at the alveolar level by which process?
Diffusion
20 year old female unable to cath breath after minor car crash, numbness and tingling to hands and
face. Vitals are P 118, R 24. What should you do?
High flow oxygen with a nonrebreather mask
Which term best describes respiratory difficulty?
Dyspnea
What is the amount of air that normally reaches the alveoli in an adult?
350 mL
The average adult ventilation is 500 mL, but there is an area of dead space that traps 150 mL of air.
350 mL effectively reaches the alveoli for oxygen and carbon dioxide exchange.
A 77 year old female has dyspnea, speaks in short word burst, and breathes with pursed lips. Lung
sounds are diminished, distant, and clear. Vital signs are BP 152/90, P 86 and irregular, R 23. What
should you suspect?
Empysema
Emphysema is a chronic destructive process of the alveoli. The alveoli regenerate but they are
misshaped and consist of scar tissue. The scar tissue inhibits gas exchange. She has pursed lips
because she is attempting to keep the alveoli open. Without the extra effort her alveoli will collapse
due to increased surface tension.
,An 18 year old male is cyanotic and complains of sharp chest pain and difficulty breathing after lifting
weights. Vital signs are BP 110/66, P 88, R 22. What is the most likely cause?
Spontaneous pneumothorax
Performing strenuous activites can, on occasion, cause a collapsed (spontaneous pnemothorax) He
has stable vital signs so you should suspect a S.P. If he had been hypotensive (88/40), you should
suspect that the S.P had developed into a tension pneumothorax.
An unresponsive 43 year old male is cool, pale, diaphoretic, and breathing 6 times a minute. Which
device should you use to administer oxygen?
Bag-valve mask
He is unresponsive and breathing too slow. This is a "Sick" patient and assisting his ventilations should
be the first intervention. You can increase his respiratory rate with a bag valve mask, which is why it is
the most correct choice.
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. Vital signs are BP 112/66, P 124, R 28 shallow and
labored. What should you do?
Assist his ventilations
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 pulmonary edemy from the lower airway burns.
What are the structures that brach off the trachea into the lower airway?
Bronchi
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 term for high-pitched whistling sounds heard during expiration?
Wheezing
Wheezing is a high pitched whistling sound heard on EXHALATION. Wheezing suggest there is a
LOWER airway OBSTRUCTION or CONSTRICTION. Exhalation is a passive process, and the wheezing
noise is air passively leaving constricted bronchioles.
The use of accessory muscles and nasal flaring are signs of what type of breathing?
Labored
The use of accessory muscles is a sign of respiratory distress or failure. Nasal flaring is the body's
response in effort to increase the size of the airway and attempt to draw in more air with each breath.
Expect to initially see an increased respiratory rate and heart rate with labored breathing. As the
patient begins to tire, the respiratory rate and quality will begin to decrease, which worsens the
problem.
We have an expert-written solution to this problem!
What is the term for abnormal breath sounds that result from an obstructed airway?
, Stridor
Stridor is an UPPER airway obstruction caused by the tissue swelling around the trachea, larynx, or
epiglottis during INSPIRATION.
A 53 year old male is sleepy, diaphoretic, difficult to arouse, and breathing 8 times a minute. What
should you suspect?
Respiratory Failure
This rate is too slow and the fact that he is sleepy and difficult to arouse shows that he is in
respiratory failure. An adult with a respiratory of 8 is too slow for adequate gas exchange.
An alert 32 year old female complains of difficulty breathing. She speaks in 2-3 word sentences and
has oxygen saturation of 92%. What should you do?
Apply high flow oxygen.
-She is alert and her respirations are still effective without the need for assisting ventilations. She only
complains of shortness of breath, so applying high flow oxygen should be the first treatment.
A 56 year old female has a complete airway obstruction from a piece of food. She becomes
unconscious while you asses her. What should you do?
When a patient has a completely obstructed airway and become unconscious the first thing you
should do is start chest compressions.
A 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 rhonci. What
should you suspect?
Chronic bronchitis (sounds like snoring, excess mucus)
Excessive mucus and pus production leads to obstructed airways. The consistent cough is the bodys
response to clear the airway obstruction.
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 three days. What is the most likely cause?
Pneumonia
Pneumonia is an infection of the lung tissue and the "rusty" sputum (spit) is a sign of lower airway
infection. He is febrile (fever) from an immune response to the infection, and the "dull" chest pain is a
common symptom at the location of the infection.
a 75 year old female complains of a sudden onset of right sided chest pain and dyspnea. She is
recovering from a recent hip surgery. What should you expect?
Pulmonary embolism
A pulmonary embolism is typically the result of a clot that has formed in the lower extremity with
poor circulation.
Hip surgery requires a patient to be immobilized for an extended period of time which can permit a
clot to form in the distal portion of an extremity.
