Correct Answers
Which of the following does NOT occur during inspiration?
Intercostal muscles contract
Chest cavity increases in size
Diaphragm lowers
Diaphragm relaxes Correct answer-Diaphragm relaxes
Which of the following is TRUE concerning expiration?
The chest cavity increases in size.
The diaphragm moves upward.
The intercostal muscles contract to force air out of the lungs.
The ribs move upward and outward. Correct answer-The diaphragm moves upward.
Which of the following respiratory rates is considered an abnormal respiratory rate for an adult?
20 breaths/min
12 breaths/min
16 breaths/min
8 breaths/min Correct answer-8 breaths/min
Which of the following respiratory rates should be cause for alarm in a 2-month-old child?
28 breaths/min
40 breaths/min
16 breaths/min
32 breaths/min Correct answer-16 breaths/min
While caring for a 3-year-old child, you should be concerned if his respiratory rate exceeds ________
breaths per minute.
16
t20
24
30 Correct answer-30
Which of the following BEST defines inadequate breathing?
Wheezing noises when breathing
Breathing that is insufficient to sustain life
Breathing slower than normal
Breathing faster than normal Correct answer-Breathing that is insufficient to sustain life
Which of the following patients does not necessarily have inadequate breathing?
A patient with cyanosis
A patient's whose breath sounds cannot be heard
A patient with agonal respirations
, A patient with an irregular respiratory rhythm Correct answer-A patient with an irregular respiratory
rhythm
Which of the following signs of inadequate breathing is more prominent in children than in adults?
See-sawing of the chest and abdomen
Grunting respirations
Nasal flaring
All of the above Correct answer-All of the above
You are first on the scene of a 61-year-old female in need of assistance with her respirations. You have a
pocket mask with supplemental oxygen. How can you determine that your artificial ventilation is
effective?
You are assisting respirations at 10 breaths per minute.
Patient's pulse returns to normal.
You assure oxygen is being delivered at 15 liters per minute.
Patient's skin color remains the same. Correct answer-You assure oxygen is being delivered at 15 liters
per minute.
Your patient is a 24-year-old woman with asthma who is struggling to breathe and is very agitated. She
has cyanosis of her lips and nail beds, and is cool and clammy to the touch. When you attempt to assist
her ventilations with a bag-valve-mask device, she becomes combative and repeatedly pushes the mask
away from her face. Which of the following is the BEST option?
Use a nasal cannula to administer supplemental oxygen.
Have your partner restrain the patient's hands so you can ventilate her.
Begin transport immediately and contact medical control for advice.
Wait for the patient's level of consciousness to decrease so that she can no longer resist your attempts
to ventilate. Correct answer-Begin transport immediately and contact medical control for advice.
Your patient is a 15-year-old male with a history of multiple prior hospitalizations for asthma. Upon your
arrival the patient responds only to painful stimuli and is making very weak respiratory effort. Which of
the following should you do next?
Contact medical control.
Check the patient's oxygen saturation level.
Assist the patient with his inhaler.
Assist the patient's ventilations with a bag-valve-mask device and supplemental oxygen. Correct
answer-Assist the patient's ventilations with a bag-valve-mask device and supplemental oxygen.
Which of the following is a sign of adequate artificial ventilations in a pediatric patient?
The breath is delivered easily.
Pulse rate slows down.
Pulse rate increases.
You notice cyanosis developing around the mouth. Correct answer-Pulse rate increases.
When ventilating a child with inadequate respirations, which of the following is the maximum rate at
which artificial respirations should be delivered?
15 per minute
12 per minute
24 per minute