NUR 2016: MECHANICAL VENTILATION TEST 1 QUESTIONS
WITH COMPLETE SOLUTIONS
1) What is a laryngoscope? -- Answer ✔✔ Curved instrument used to insert
endotracheal tube
2) What is a glidescope? -- Answer ✔✔ video laryngoscope
3) What medications are needed for intubation? -- Answer ✔✔ Sedative and paralytic
4) Etomidate, Midazolam (versed), fentanyl, and propofol are all used in intubation as
_____. -- Answer ✔✔ Sedatives
5) Succinylcholine and Rocuronium are used in intubation as ____. -- Answer ✔✔
Paralytics
6) In what order do we give medications during intubation? -- Answer ✔✔ Sedation
first always, then paralytic
7) Where should an endotracheal tube be positioned? -- Answer ✔✔ Right above the
carina
8) What is the carina? -- Answer ✔✔ bifurcation of trachea (the fork in the trachea
where it splits off into the right and left main bronchus.)
, 9) If the endotracheal tube is inserted too far, what happens? -- Answer ✔✔ Only the
right lung will be ventilated (because the tube will start to go into the right main
bronchus)
10) If the endotracheal tube is not inserted far enough, what happens? -- Answer ✔✔ Pt
does not have an airway, possible damage to the vocal chords
11) If the ET tube appears to be out of place, what are the nursing priorities? -- Answer
✔✔ First assess pt/listen to lung sounds, then check to see if balloon is inflated, then
check and make sure pt is restrained, then call respiratory therapist or dr
12) What is the gold standard of ET tubes? -- Answer ✔✔ Hi lo ETT (not used as often
because they're expensive)
13) Why is the Hi Lo ET tube the gold standard for ET tubes? -- Answer ✔✔ Because it
has a yellow pigtail for suctioning which helps prevent VAP
14) Steps for suctioning a patient via an endotracheal tube or trach? -- Answer ✔✔ First
hyperoxygenate them, then suction, then return patient to previous settings, then
reassess lung sounds
15) How can you hyperoxygenate your patient? -- Answer ✔✔ Use 100% oxygen and
either manually bag with ambu-bag or set vent to 100% FiO2 for 2 minutes.
16) What is the proper technique to suction a patient via an ETT or trach? -- Answer
✔✔ Suction only on withdrawal using a rotating motion. Suction intermittently for
10-15 seconds
WITH COMPLETE SOLUTIONS
1) What is a laryngoscope? -- Answer ✔✔ Curved instrument used to insert
endotracheal tube
2) What is a glidescope? -- Answer ✔✔ video laryngoscope
3) What medications are needed for intubation? -- Answer ✔✔ Sedative and paralytic
4) Etomidate, Midazolam (versed), fentanyl, and propofol are all used in intubation as
_____. -- Answer ✔✔ Sedatives
5) Succinylcholine and Rocuronium are used in intubation as ____. -- Answer ✔✔
Paralytics
6) In what order do we give medications during intubation? -- Answer ✔✔ Sedation
first always, then paralytic
7) Where should an endotracheal tube be positioned? -- Answer ✔✔ Right above the
carina
8) What is the carina? -- Answer ✔✔ bifurcation of trachea (the fork in the trachea
where it splits off into the right and left main bronchus.)
, 9) If the endotracheal tube is inserted too far, what happens? -- Answer ✔✔ Only the
right lung will be ventilated (because the tube will start to go into the right main
bronchus)
10) If the endotracheal tube is not inserted far enough, what happens? -- Answer ✔✔ Pt
does not have an airway, possible damage to the vocal chords
11) If the ET tube appears to be out of place, what are the nursing priorities? -- Answer
✔✔ First assess pt/listen to lung sounds, then check to see if balloon is inflated, then
check and make sure pt is restrained, then call respiratory therapist or dr
12) What is the gold standard of ET tubes? -- Answer ✔✔ Hi lo ETT (not used as often
because they're expensive)
13) Why is the Hi Lo ET tube the gold standard for ET tubes? -- Answer ✔✔ Because it
has a yellow pigtail for suctioning which helps prevent VAP
14) Steps for suctioning a patient via an endotracheal tube or trach? -- Answer ✔✔ First
hyperoxygenate them, then suction, then return patient to previous settings, then
reassess lung sounds
15) How can you hyperoxygenate your patient? -- Answer ✔✔ Use 100% oxygen and
either manually bag with ambu-bag or set vent to 100% FiO2 for 2 minutes.
16) What is the proper technique to suction a patient via an ETT or trach? -- Answer
✔✔ Suction only on withdrawal using a rotating motion. Suction intermittently for
10-15 seconds
