Quiz Questions

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1. Which of the following is NOT a goal in the initial management of respiratory arrest?

1. Identifying inadequate respiratory effort
2. Establishing an airway
3. Maintaining the airway
4. Administering CPR
5. Providing sufficient oxygenation and respirations

2. A 16-year-old boy collides with a truck as he rides on his bike through an intersection. He is taken to the ED. He is unresponsive and there are no breath sounds. What maneuver do you use to open his airway?

1. Head-tilt, chin-lift
2. Jaw thrust

3. Which set of actions reflects the correct sequence for the primary survey (as it is applied to respiratory arrest)?

1. Open the airway.
   Check breathing.
   Feel for a pulse.
   Initiate defibrillation.
2. Maintain patient's airway.
   Place an advanced airway adjunct.
   Start an IV.
   Differential diagnosis
3. Open the airway.
   Look, listen, and feel for breathing.
   Check patient's pulse.
   Review cardiac rhythm.
4. Open airway.
   Check breathing.
   Feel for a pulse.
   Do not attach defibrillator.

4. What is the first thing you do when you arrive at the scene of an emergency?

1. Run for a defibrillator.
2. Call 911.
3. Determine if the scene is safe.
4. Tap person on the shoulder.

5. Which statement is incorrect?

1. Suctioning attempts should last 10 seconds or less.
2. Suctioning should be followed by the administration of 100% oxygen.
3. Yankauer catheters are used to suction the nose.
4. Monitor the patient's heart rate and clinical appearance during suctioning.

6. Under what circumstances would you use an NPA rather than an OPA?

1. When the patient has serious facial trauma
2. When the head-tilt/chin lift maneuver fails to keep the airway open
3. When the patient is conscious or semi-conscious
4. When the patient is unconscious and unresponsive

7. Which advanced airway adjunct is more likely to have a fatal consequence if it is placed incorrectly?

1. LMA
2. ET tube
3. Combitube

Quiz Answers

1. Answer: D. Administering CPR. This is not a priority in respiratory arrest.
2. Answer: B. Jaw thrust. You use this maneuver to avoid potential or additional cervical spine injury.
3. Answer: D. In this case, the patient has a pulse and defibrillation is not indicated.
4. Answer: C. Determine if the scene is safe.
5. Answer: C. Yankauer catheters are used to suction the nose.
6. Answer: C. When the patient is conscious or semi-conscious. An OPA is not tolerated by semi-conscious or conscious patients.
   A is a contraindication for NPA use.
   B is true for both the OPA and the NPA.
   D. is true for both, but applies particularly to the OPA.
7. Answer: C. Combitube. Advanced training is required to use this advanced airway adjunct safely.