EMT Chapter 9 Practice Quiz

25 July 2022
4.7 (114 reviews)
81 test answers

Unlock all answers in this set

Unlock answers (77)
question
On which of the following patients would it be MOST appropriate to use the flow-restricted, oxygen-powered ventilation device?
answer
a 21-year-old male with traumatic cardiac arrest
question
How does CPAP improve oxygenation and ventilation in patients with certain respiratory problems?
answer
It forces the alveoli open and pushes more oxygen across the alveolar membrane.
question
You and your partner are caring for a critically injured patient. Your partner is controlling severe bleeding from the patient's lower extremities as you attempt ventilations with a bag-mask device. After repositioning the mask several times, you are unable to effectively ventilate the patient. You should:
answer
begin ventilations using the mouth-to-mask technique
question
Which of the following oxygen flowmeters is NOT affected by gravity and can be used in any position when attached to an oxygen cylinder?
answer
Bourdon-gauge flowmeter
question
You are ventilating a patient with a stoma; however, air is escaping from the mouth and nose. To prevent this, you should:
answer
seal the mouth and nose.
question
In which of the following patients would the head tilt-chin lift maneuver be the MOST appropriate method of opening the airway?
answer
a 37-year-old female who is found unconscious in her bed
question
Which of the following is the MOST reliable indicator of adequately performed bag-mask ventilations in an apneic adult with a pulse?
answer
adequate rise of the chest when squeezing the bag
question
The pressure of gas in a full cylinder of oxygen is approximately _______ pounds per square inch (psi).
answer
2,000
question
Which of the following patients is breathing adequately?
answer
a conscious male with respirations of 19 breaths/min and pink skin
question
While eating dinner, your partner suddenly grabs his throat and has a panicked look on his face. He has a weak cough, faint inspiratory stridor, and cyanosis around the lips. You should:
answer
stand behind him and administer abdominal thrusts.
question
The __________ cartilage is a firm ring that forms the inferior part of the larynx.
answer
cricoid
question
In the presence of oxygen, the mitochondria of the cells convert glucose into energy through a process called:
answer
aerobic metabolism.
question
What occurs when a patient is breathing very rapidly and shallowly?
answer
Air moves primarily in the anatomic dead space and does not participate in pulmonary gas exchange.
question
The MOST serious complication associated with using a nasopharyngeal airway in a patient with trauma to the head or face is:
answer
penetrating the cranium.
question
The process of exchanging oxygen and carbon dioxide between the alveoli and the blood of the capillaries is called:
answer
external respiration
question
Which of the following statements regarding oxygen is correct?
answer
Oxygen supports the combustion process and may cause a fire.
question
An unconscious patient found in a prone position must be placed in a supine position in case he or she:
answer
requires cardiopulmonary resuscitation (CPR)
question
The hypoxic drive—the primary stimulus to breathe for patients with certain chronic respiratory diseases—is influenced by:
answer
low blood oxygen levels.
question
Inhalation occurs when the:
answer
diaphragm and intercostal muscles contract and cause a decrease in intrathoracic pressure
question
The jaw-thrust maneuver is used to open the airway of patients with suspected:
answer
cervical spine injuries.
question
You are ventilating a 40-year-old uninjured man who is apneic but has a pulse. When your partner reassesses his blood pressure, he notes that it has decreased significantly from previous readings. You elevate the patient's legs, but this action has no effect. You should:
answer
reevaluate the rate and volume of your ventilations
question
Which of the following statements regarding positive-pressure ventilation is correct?
answer
With positive-pressure ventilation, more volume is required to have the same effects as normal breathing.
question
You have inserted an oral airway and are ventilating an apneic woman with a bag-mask device. She suddenly begins regurgitating large amounts of vomit. You should:
answer
roll her onto her side and remove the oral airway.
question
What is the minute volume of a patient with a tidal volume of 500 mL, a dead space volume of 150 mL, and a respiratory rate of 16 breaths/min?
answer
5,600 mL
question
Which of the following patients should you place in the recovery position?
answer
a 31-year-old semiconscious male with low blood sugar and adequate breathing
question
Which of the following structures is NOT found in the upper airway?
answer
bronchus
question
The primary waste product of aerobic metabolism is:
answer
carbon dioxide
question
A 51-year-old female presents with a sudden onset of difficulty breathing. She is conscious and alert and able to speak in complete sentences. Her respirations are 22 breaths/min and regular. You should:
answer
administer 100% oxygen via a nonrebreathing mask.
question
Tidal volume is defined as the volume of air that:
answer
moves into or out of the lungs in a single breath.
question
Intrapulmonary shunting occurs when:
answer
blood coming from the right side of the heart bypasses nonfunctional alveoli and returns to the left side of the heart in an unoxygenated state.
question
A ventilation/perfusion (V/Q ratio) mismatch occurs when:
answer
a disruption in blood flow inhibits the exchange of oxygen and carbon dioxide in the lungs, even though the alveoli are filled with fresh oxygen.
question
The MOST significant complication associated with oropharyngeal suctioning is:
answer
hypoxia due to prolonged suction attempts
question
Gas exchange in the lungs is facilitated by:
answer
adequate amounts of surfactant.
question
The partial pressure of oxygen in the alveoli is _______ mm Hg, while the partial pressure of carbon dioxide in the alveoli is _______ mm Hg.
answer
104, 40
question
Which of the following patients would MOST likely require insertion of an oropharyngeal airway?
answer
a 40-year-old unconscious patient with slow, shallow respirations
question
You and your partner are treating a 66-year-old man who experienced a sudden onset of respiratory distress. He is conscious but is unable to follow simple verbal commands. Further assessment reveals that his breathing is severely labored and his oxygen saturation is 80%. You should:
answer
assist his ventilations with a bag-mask device.
question
At a flow rate of 6 L/min, a nasal cannula can deliver an approximate oxygen concentration of up to:
answer
44%.
question
You are dispatched to a residence where a middle-aged man was found unconscious in his front yard. There are no witnesses who can tell you what happened. You find him in a prone position; his eyes are closed and he is not moving. Your FIRST action should be to:
answer
log roll him as a unit to a supine position.
question
Structures of the lower airway include all of the following, EXCEPT the:
answer
epiglottis
question
To select the proper size oropharyngeal airway, you should measure from the:
answer
corner of the mouth to the earlobe.
question
With a good mask-to-face seal and an oxygen flow rate of 15 L/min, the nonrebreathing mask is capable of delivering up to ______% inspired oxygen.
answer
90
question
A 19-year-old female is found unconscious by her roommate. Your primary assessment reveals that her breathing is inadequate. As you insert an oropharyngeal airway, she begins to gag violently. You should:
answer
remove the airway and be prepared to suction her oropharynx.
question
An oxygen cylinder should be taken out of service and refilled when the pressure inside it is less than:
answer
500 psi.
question
Which of the following organs or tissues can survive the longest without oxygen?
answer
muscle
question
The actual exchange of oxygen and carbon dioxide occurs in the:
answer
alveolar sacs.
question
A 71-year-old male is semiconscious following a sudden, severe headache. There is vomitus on his face and his respirations are slow and shallow. The EMT must immediately:
answer
perform oropharyngeal suctioning.
question
The diaphragm functions as an involuntary muscle when a person:
answer
sleeps.
question
Which of the following statements regarding oxygenation and ventilation is correct?
answer
In mines or confined places, where oxygen levels are low, ventilation may continue despite adequate oxygenation.
question
Which of the following statements regarding normal gas exchange in the lungs is correct?
answer
Oxygen and carbon dioxide diffuse across the alveolar walls and capillaries
question
Without adequate oxygen, the body's cells:
answer
incompletely convert glucose into energy, and lactic acid accumulates in the blood.
question
The main advantage of the Venturi mask is:
answer
the use of its fine adjustment capabilities in the long-term management of physiologically stable patients.
question
An adult at rest should have a respiratory rate that ranges between:
answer
12 and 20 breaths/min.
question
You are ventilating an apneic woman with a bag-mask device. She has dentures, which are tight-fitting. Adequate chest rise is present with each ventilation, and the patient's oxygen saturation reads 96%. When you reassess the patency of her airway, you note that her dentures are now loose, although your ventilations are still producing adequate chest rise. You should:
answer
remove her dentures, resume ventilations, and assess for adequate chest rise.
question
The nasopharyngeal airway is MOST beneficial because it:
answer
can maintain a patent airway in a semiconscious patient with a gag reflex.
question
Which of the following statements regarding the one-person bag-mask device technique is correct?
answer
mouth-to-mask technique with a one-way valve.
question
Irregular respirations characterized by an increasing rate and depth of breathing followed by periods of apnea are called:
answer
Cheyne-Stokes respirations.
question
The physical act of moving air into and out of the lungs is called:
answer
ventilation.
question
When testing a mechanical suctioning unit, you should turn on the device, clamp the tubing, and ensure that it generates a vacuum pressure of more than:
answer
300 mm Hg
question
Central chemoreceptors located in the medulla provide feedback to increase the rate and depth of breathing when they sense:
answer
slight elevations in carbon dioxide or a decrease in the pH of the cerebrospinal fluid.
question
If ventilation is impaired, carbon dioxide levels in the bloodstream will increase. This condition is called:
answer
hypercarbia.
question
CPAP is indicated for patients who:
answer
have pulmonary edema and can follow verbal commands.
question
As the single EMT managing an apneic patient's airway, the preferred initial method of providing ventilations is the:
answer
mouth-to-mask technique with a one-way valve.
question
Proper technique for suctioning the oropharynx of an adult patient includes:
answer
suctioning while withdrawing the catheter from the oropharynx.
question
Which of the following structures is contained within the mediastinum?
answer
esophagus
question
Which of the following is NOT a possible cause of airway obstruction?
answer
shallow breathing
question
You are performing mouth-to-mask ventilations with oxygen connected and set at a flow rate of 15 L/min. What percentage of oxygen is your patient receiving?
answer
55%
question
What is the MOST common cause of airway obstruction in an unconscious patient?
answer
the tongue
question
The nasal cannula is MOST appropriately used in the prehospital setting:
answer
when the patient cannot tolerate a nonrebreathing mask
question
All of the following will help minimize the risk of gastric distention when ventilating an apneic patient with a bag-mask device, EXCEPT:
answer
increasing the amount of delivered tidal volume.
question
Which of the following statements regarding breathing adequacy is correct?
answer
Patients breathing shallowly may require assisted ventilation despite a normal respiratory rate.
question
A 37-year-old male has an apparent foreign body airway obstruction. He is conscious and alert and is coughing forcefully. His skin is pink, warm, and moist. The MOST appropriate treatment for this patient includes:
answer
encouraging him to cough and transporting.
question
The purpose of the pin-indexing system that has been established for compressed gas cylinders is to:
answer
ensure that the correct regulator is used for the cylinder.
question
Prior to applying a nonrebreathing mask on a patient, you must ensure that the:
answer
reservoir bag is fully inflated.
question
The leaf-shaped structure located superior to the larynx is called the:
answer
epiglottis.
question
A nasopharyngeal airway is inserted:
answer
with the bevel facing the septum if inserted into the right nare
question
Each cell of the body combines nutrients and oxygen and produces energy and waste products through a process called:
answer
metabolism.
question
Which of the following factors will cause a decreased minute volume in an adult?
answer
shallow breathing
question
Which of the following would NOT cause a decrease in tidal volume?
answer
deep respirations
question
How does positive-pressure ventilation affect cardiac output?
answer
It increases intrathoracic pressure, which decreases venous return to the heart and causes a decrease in cardiac output.
question
In contrast to inhalation, exhalation:
answer
is a passive process caused by increased intrathoracic pressure.
question
A 23-year-old male experienced severe head trauma after his motorcycle collided with an oncoming truck. He is unconscious, has rapid and shallow breathing, and has copious bloody secretions in his mouth. How should you manage his airway?
answer
Alternate 15 seconds of oral suctioning with 2 minutes of assisted ventilation.