Question 1

The EMT is correctly performing the jaw-thrust airway maneuver when she:

Accepted Answer

A)  places her hands on the side of the patient's head and lifts the jaw upward. 
B)  maintains the head in a neutral position and slightly tilts the head backward. 
C)  opens the airway by slightly extending the head and thrusting the jaw upward. 
D)  places one hand on the forehead and lifts the jaw upward with her other hand. 
A)  places her hands on the side of the patient's head and lifts the jaw upward. 
B)  maintains the head in a neutral position and slightly tilts the head backward. 
C)  opens the airway by slightly extending the head and thrusting the jaw upward. 
D)  places one hand on the forehead and lifts the jaw upward with her other hand. A

Question 2

Assessment findings on an elderly patient with congestive heart failure indicate that her failing heart is causing fluid to collect and fill her alveoli. Based on this pathophysiology, for which pulmonary complication should the EMT treat the patient?

Accepted Answer

A)  Decreased blood pressure 
B)  Collapse of the bronchi 
C)  Swelling of the tongue 
D)  Decreased gas exchange 
A)  Decreased blood pressure 
B)  Collapse of the bronchi 
C)  Swelling of the tongue 
D)  Decreased gas exchange D

Question 3

The EMT should use the jaw-thrust maneuver to open the airway for the patient with which one of the following?

Accepted Answer

A)  Overdose with snoring respirations 
B)  Stroke with gurgling respirations 
C)  Cardiac arrest in bed 
D)  Unresponsive after falling from a porch 
A)  Overdose with snoring respirations 
B)  Stroke with gurgling respirations 
C)  Cardiac arrest in bed 
D)  Unresponsive after falling from a porch D

Question 4

Which one of the following actions should you perform when attaching a therapy regulator to a new oxygen tank?

Accepted Answer

A)  Open the cylinder valve for 1 second prior to attaching the regulator. 
B)  Tighten the regulator to the oxygen cylinder with an oxygen wrench. 
C)  Stand the tank upright on the floor for 2 minutes prior to attaching the regulator. 
D)  Lubricate the stem of the cylinder with oil prior to attaching the regulator. 
A)  Open the cylinder valve for 1 second prior to attaching the regulator. 
B)  Tighten the regulator to the oxygen cylinder with an oxygen wrench. 
C)  Stand the tank upright on the floor for 2 minutes prior to attaching the regulator. 
D)  Lubricate the stem of the cylinder with oil prior to attaching the regulator.

Question 5

You are starting to ventilate a patient with a laryngectomy and stoma. As you provide the first few ventilations, you note that the air passes easily into the patient, but does not cause the chest to rise. Your next action should be to:

Accepted Answer

A)  seal the patient's mouth and nose. 
B)  suction the tracheostomy tube. 
C)  perform a head-tilt, chin-lift. 
D)  ventilate through the mouth and nose. 
A)  seal the patient's mouth and nose. 
B)  suction the tracheostomy tube. 
C)  perform a head-tilt, chin-lift. 
D)  ventilate through the mouth and nose.

Question 6

Which one of the following statements about a nasal cannula is true?

Accepted Answer

A)  "I can adjust the oxygen flow rate anywhere from 1 to 8 lpm, depending on how much oxygen the patient needs." 
B)  "When the nasal cannula is set to the highest appropriate oxygen flow rate, a large portion of the air inspired by the patient is ambient air." 
C)  "The nasal cannula is preferred over the nonrebreather mask because it gives the oxygen through the nose instead of the mouth." 
D)  "It is best to see how the patient tolerates the nasal cannula before attempting to place a nonrebreather mask on the patient." 
A)  "I can adjust the oxygen flow rate anywhere from 1 to 8 lpm, depending on how much oxygen the patient needs." 
B)  "When the nasal cannula is set to the highest appropriate oxygen flow rate, a large portion of the air inspired by the patient is ambient air." 
C)  "The nasal cannula is preferred over the nonrebreather mask because it gives the oxygen through the nose instead of the mouth." 
D)  "It is best to see how the patient tolerates the nasal cannula before attempting to place a nonrebreather mask on the patient."

Question 7

If an injured patient has lost all use of his diaphragm, the EMT should recognize that the patient:

Accepted Answer

A)  has lost a major portion of his ability to breathe. 
B)  is breathing adequately but most likely will be complaining of chest pain. 
C)  requires immediate cardiopulmonary resuscitation and frequent suctioning. 
D)  requires supplemental oxygen with a nonrebreather face mask. 
A)  has lost a major portion of his ability to breathe. 
B)  is breathing adequately but most likely will be complaining of chest pain. 
C)  requires immediate cardiopulmonary resuscitation and frequent suctioning. 
D)  requires supplemental oxygen with a nonrebreather face mask.

Question 8

The EMT is properly applying continuous positive airway pressure (CPAP) when he:

Accepted Answer

A)  checks and documents the pulse oximetry reading every 15 minutes. 
B)  places a confused patient receiving CPAP in a lateral recovery position. 
C)  adjusts the ventilation rate to between 16 and 18breaths per minute. 
D)  places the mask over the mouth and nose and tightens it to the face. 
A)  checks and documents the pulse oximetry reading every 15 minutes. 
B)  places a confused patient receiving CPAP in a lateral recovery position. 
C)  adjusts the ventilation rate to between 16 and 18breaths per minute. 
D)  places the mask over the mouth and nose and tightens it to the face.

Question 9

When a person's diaphragm contracts and the intercostal muscles pull the ribs upward, which one of the following will occur?

Accepted Answer

A)  Oxygen will leave the body. 
B)  Air will flow into the lungs. 
C)  Pressure inside the chest will increase. 
D)  Carbon dioxide will be exhaled. 
A)  Oxygen will leave the body. 
B)  Air will flow into the lungs. 
C)  Pressure inside the chest will increase. 
D)  Carbon dioxide will be exhaled.

Question 10

Which one of the following actions indicates that the EMT is correctly using a nonrebreather face mask on an adult patient?

Accepted Answer

A)  He ensures that the reservoir fully collapses with each breath. 
B)  He instructs the patient to take deeper breaths when the mask is on. 
C)  He sets the oxygen flow rate to between 6 and 16 liters per minute. 
D)  He fully inflates the reservoir prior to placing it on the patient. 
A)  He ensures that the reservoir fully collapses with each breath. 
B)  He instructs the patient to take deeper breaths when the mask is on. 
C)  He sets the oxygen flow rate to between 6 and 16 liters per minute. 
D)  He fully inflates the reservoir prior to placing it on the patient.

Question 11

When using a therapy regulator, which one of the following can be readily observed?

Accepted Answer

A)  Temperature of oxygen in the cylinder 
B)  Liters of oxygen remaining in the oxygen cylinder 
C)  Concentration of oxygen received by the patient 
D)  Flow rate of oxygen leaving the oxygen cylinder 
A)  Temperature of oxygen in the cylinder 
B)  Liters of oxygen remaining in the oxygen cylinder 
C)  Concentration of oxygen received by the patient 
D)  Flow rate of oxygen leaving the oxygen cylinder

Question 12

The EMT shows that she understands how to use an oropharyngeal airway when she states:

Accepted Answer

A)  "Once it has been placed, the head-tilt, chin-lift is no longer needed." 
B)  "If it is too small, it could push the epiglottis over the opening of the trachea." 
C)  "It protects the patient from aspirating vomit or other secretions." 
D)  "I must watch the patient for vomiting or spasm of the vocal cords even with proper insertion." 
A)  "Once it has been placed, the head-tilt, chin-lift is no longer needed." 
B)  "If it is too small, it could push the epiglottis over the opening of the trachea." 
C)  "It protects the patient from aspirating vomit or other secretions." 
D)  "I must watch the patient for vomiting or spasm of the vocal cords even with proper insertion."

Question 13

You are observing an EMT insert an oropharyngeal airway into the airway of a 36-year-old male who has overdosed on a street drug. Which one of the following observations indicates correct technique?

Accepted Answer

A)  The airway is inserted into the mouth upside-down and is then turned 180 degrees once it contacts the soft palate. 
B)  The EMT uses a tongue depressor to press the back of the tongue downward, and then inserts the oral airway upside-down. 
C)  The airway is inserted in its normal anatomic position until the flange of the airway is 1 cm above the lips. 
D)  The oral airway is introduced sideways into the mouth, and then rotated 180 degrees once it has reached the base of the tongue. 
A)  The airway is inserted into the mouth upside-down and is then turned 180 degrees once it contacts the soft palate. 
B)  The EMT uses a tongue depressor to press the back of the tongue downward, and then inserts the oral airway upside-down. 
C)  The airway is inserted in its normal anatomic position until the flange of the airway is 1 cm above the lips. 
D)  The oral airway is introduced sideways into the mouth, and then rotated 180 degrees once it has reached the base of the tongue.

Question 14

Which one of the following patients is most likely to lose neurological control and regulation of the respiratory system?

Accepted Answer

A)  31-year-old with a severe injury to the head 
B)  44-year-old who smokes and is nauseated 
C)  56-year-old with heart problems and chest pain 
D)  61-year-old newly diagnosed with diabetes 
A)  31-year-old with a severe injury to the head 
B)  44-year-old who smokes and is nauseated 
C)  56-year-old with heart problems and chest pain 
D)  61-year-old newly diagnosed with diabetes

Question 15

You are checking the D oxygen tank in the ambulance and note that the reading on the pressure regulator reads 1,000 psi. You should recognize that the tank is:

Accepted Answer

A)  leaking. 
B)  overfilled. 
C)  half full. 
D)  almost empty. 
A)  leaking. 
B)  overfilled. 
C)  half full. 
D)  almost empty.

Question 16

The EMT is appropriately sizing the nasal airway when she measures the:

Accepted Answer

A)  distance from the mouth to the angle of the jaw. 
B)  diameter of the larger nostril. 
C)  distance from the nose to earlobe. 
D)  diameter of the patient's little finger. 
A)  distance from the mouth to the angle of the jaw. 
B)  diameter of the larger nostril. 
C)  distance from the nose to earlobe. 
D)  diameter of the patient's little finger.

Question 17

Which one of the following statements made by an EMT shows that she understands how to suction patients in a field setting?

Accepted Answer

A)  "When caring for a young child, I suction for a minimum of 5 seconds." 
B)  "To thoroughly suction a patient, I insert the rigid-tip catheter past the base of the tongue and into the pharynx." 
C)  "It is helpful to pour sterile water into the patient's mouth to liquefy vomit and make it easier to suction." 
D)  "I only activate the suction device when I am withdrawing the suction catheter." 
A)  "When caring for a young child, I suction for a minimum of 5 seconds." 
B)  "To thoroughly suction a patient, I insert the rigid-tip catheter past the base of the tongue and into the pharynx." 
C)  "It is helpful to pour sterile water into the patient's mouth to liquefy vomit and make it easier to suction." 
D)  "I only activate the suction device when I am withdrawing the suction catheter."

Question 18

Which one of the following statements shows that the EMT knows how to properly size an oral airway prior to placement?

Accepted Answer

A)  "It is better to have an oral airway that is too large, rather than one that is too small." 
B)  "To select an appropriately sized oral airway, you must estimate the patient's height and weight." 
C)  "The airway should approximate the distance from the front teeth to the angle of the jaw." 
D)  "An appropriately sized oral airway can be selected by looking in the patient's mouth and estimating the length of the tongue." 
A)  "It is better to have an oral airway that is too large, rather than one that is too small." 
B)  "To select an appropriately sized oral airway, you must estimate the patient's height and weight." 
C)  "The airway should approximate the distance from the front teeth to the angle of the jaw." 
D)  "An appropriately sized oral airway can be selected by looking in the patient's mouth and estimating the length of the tongue."

Question 19

What is the preferred method of providing high-concentration oxygen in the prehospital setting?

Accepted Answer

A)  Nasal cannula 
B)  Nonrebreather face mask 
C)  Simple face mask 
D)  Venturi mask 
A)  Nasal cannula 
B)  Nonrebreather face mask 
C)  Simple face mask 
D)  Venturi mask

Question 20

Which one of the following statements made by an EMT shows he understands the use of the pocket mask?

Accepted Answer

A)  "Although the pocket mask is very effective at ventilating a patient, the EMT is directly exposed to secretions from the patient." 
B)  "In comparison to the bag-valve mask, the pocket mask can deliver a just as good, if not better, tidal volume." 
C)  "When using the pocket mask to ventilate a patient, the EMT must make sure that the reservoir bag is in place." 
D)  "The EMT must remove the oral airway and replace it with a nasal airway when ventilating with a pocket mask." 
A)  "Although the pocket mask is very effective at ventilating a patient, the EMT is directly exposed to secretions from the patient." 
B)  "In comparison to the bag-valve mask, the pocket mask can deliver a just as good, if not better, tidal volume." 
C)  "When using the pocket mask to ventilate a patient, the EMT must make sure that the reservoir bag is in place." 
D)  "The EMT must remove the oral airway and replace it with a nasal airway when ventilating with a pocket mask."

Exam 10: Airway Management, Artificial Ventilation, and Oxygenation

The EMT is correctly performing the jaw-thrust airway maneuver when she:

Assessment findings on an elderly patient with congestive heart failure indicate that her failing heart is causing fluid to collect and fill her alveoli. Based on this pathophysiology, for which pulmonary complication should the EMT treat the patient?

The EMT should use the jaw-thrust maneuver to open the airway for the patient with which one of the following?

Which one of the following actions should you perform when attaching a therapy regulator to a new oxygen tank?

You are starting to ventilate a patient with a laryngectomy and stoma. As you provide the first few ventilations, you note that the air passes easily into the patient, but does not cause the chest to rise. Your next action should be to:

Which one of the following statements about a nasal cannula is true?

If an injured patient has lost all use of his diaphragm, the EMT should recognize that the patient:

The EMT is properly applying continuous positive airway pressure (CPAP) when he:

When a person's diaphragm contracts and the intercostal muscles pull the ribs upward, which one of the following will occur?

Which one of the following actions indicates that the EMT is correctly using a nonrebreather face mask on an adult patient?

When using a therapy regulator, which one of the following can be readily observed?

The EMT shows that she understands how to use an oropharyngeal airway when she states:

You are observing an EMT insert an oropharyngeal airway into the airway of a 36-year-old male who has overdosed on a street drug. Which one of the following observations indicates correct technique?

Which one of the following patients is most likely to lose neurological control and regulation of the respiratory system?

You are checking the D oxygen tank in the ambulance and note that the reading on the pressure regulator reads 1,000 psi. You should recognize that the tank is:

The EMT is appropriately sizing the nasal airway when she measures the:

Which one of the following statements made by an EMT shows that she understands how to suction patients in a field setting?

Which one of the following statements shows that the EMT knows how to properly size an oral airway prior to placement?

What is the preferred method of providing high-concentration oxygen in the prehospital setting?

Which one of the following statements made by an EMT shows he understands the use of the pocket mask?

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