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Question 1 (1 point)                   Prior to intubation…

Question 1 (1 point)

 

 

 

 

 

 

 

 

 

Prior to intubation the respiratory therapist must perform which of the following?

Question 1 options:

 

pre-oxygenate for three minutes

 

suction of the oral pharynx

 

position the head in a sniffing position

 

Question 2 (1 point)

 

 

 

 

 

 

 

 

 

When a patient is being intubated using a MacIntosh laryngoscope blade where should the blade be positioned for exposing the glottis?

Question 2 options:

 

between the vocal cords

 

under the epiglottis

 

into the vallecular space

 

against the roof of the mouth

 

Question 3 (1 point)

 

 

 

 

 

 

 

 

 

When a patient is being intubated using a Miller laryngoscope blade where should the blade be positioned for exposing the glottis?

Question 3 options:

 

between the vocal cords

 

against the roof of the mouth

 

into the vallecular space

 

under the epiglottis

 

Question 4 (1 point)

 

 

 

 

 

 

 

 

 

Immediate complications of oral intubation include which of the following?

Question 4 options:

 

bronchial intubation

 

tooth trauma

 

tracheoesophageal fistula

 

esophageal intubation

 

Question 5 (1 point)

 

 

 

 

 

 

 

 

 

The Mallampati classification is used to determine which of the following?

Question 5 options:

 

anticipate difficulty of intubation

 

best method for securing artificial airway

 

size endotracheal tube required

 

best position for airway during intubation

 

Question 6 (1 point)

 

 

 

 

 

 

 

 

 

A single intubation attempt should not last for more than which of the following?

Question 6 options:

 

30 seconds

 

45 seconds

 

2 minutes

 

60 seconds

 

Question 7 (1 point)

 

 

 

 

 

 

 

 

 

When using a colormetric end tidal CO2 detector to confirm endotracheal tube placement the respiratory therapist should deliver how many breaths with the manual resuscitator before assessing for color change?

Question 7 options:

 

six

 

four

 

eight

 

two

 

Question 8 (1 point)

 

 

 

 

 

 

 

 

 

Auscultation upon endotracheal tube intubation reveals absence of breath sounds over the left lung. Which of the following is the most likely cause?

Question 8 options:

 

ETT at the level of the vocal cords

 

esophageal intubation

 

left mainstem intubation

 

right mainstem intubation

 

Question 9 (1 point)

 

 

 

 

 

 

 

 

 

In which of the following procedures is Magill forceps routinely used?

Question 9 options:

 

oral intubation

 

nasal intubation

 

nasotracheal suctioning

 

tracheostomy

 

Question 10 (1 point)

 

 

 

 

 

 

 

 

 

Which of the following pharmacologic agents are used to facilitate intubation?

Question 10 options:

 

etomidate

 

albuterol

 

propofol

 

narcan

 

Question 11 (1 point)

 

 

 

 

 

 

 

 

 

A double lumen endotracheal tube is used to provide which of the following?

 

Question 11 options:

 

independent lung ventilation

 

long-term mechanical ventilation

 

all of the above

 

pre-hospital emergency airway

 

Question 12 (1 point)

 

 

 

 

 

 

 

 

 

The respiratory therapist is called to evaluate a mechanically ventilated patient with an oral endotracheal in place at the 26 cm mark at the lip. The therapist notes good chest expansion on the right and diminished expansion over the left lung. Which of the following is likely the cause?

Question 12 options:

 

the tube has been pulled out of the trachea

 

the tube is in the esophagus

 

the tube has slipped into the right mainstem bronchus

 

a pneumothorax has developed on the left

 

Question 13 (1 point)

 

 

 

 

 

 

 

 

 

While replacing equipment in the intubation tray of the code cart the respiratory therapist notes that the light on the Miller blade shines brightly when attached to the laryngoscope but when he attaches the MacIntosh blade the light fails to turn on. What action should the respiratory therapist take?

Question 13 options:

 

replace the batteries in the handle

 

replace the MacIntosh blade with a new one

 

inspect and tighten the bulb on the MacIntosh blade

 

mark the blade as damaged and put it back into the tray

 

Question 14 (1 point)

 

 

 

 

 

 

 

 

 

Which of the following are key components of an endotracheal tube?

Question 14 options:

 

15 mm adapter attached to the proximal end

 

distance markings in centimeters

 

radiopaque indicator

 

maximum cuff volume

 

tube size in centimeters

 

Question 15 (1 point)

 

 

 

 

 

 

 

 

 

Which of the following are indications for endotracheal intubation?

Question 15 options:

 

inability of patient to protect lower airway

 

administration of heated humidity

 

treatment of sleep apnea

 

oxygen administration

 

provide positive pressure ventilation

 

Question 16 (1 point)

 

 

 

 

 

 

 

 

 

Which of the following represent the purpose of the cuff on an endotracheal tube?

Question 16 options:

 

secure the endotracheal tube in the airway

 

seal the airway for mechanical ventilation

 

apply pressure to the trachea to decrease blood flow

 

apply pressure to the trachea to decrease sputum production

 

prevent or minimize the risk of aspiration

 

Question 17 (1 point)

 

 

 

 

 

 

 

 

 

Oral intubation offers which of the following advantages over the nasal intubation route?

Question 17 options:

 

airway resistance is less significant

 

preferred route in emergency intubation

 

it is better tolerated by the patient

 

sinus drainage is not obstructed

 

laryngeal trauma is less likely

 

Question 18 (1 point)

 

 

 

 

 

 

 

 

 

What intubation equipment should the respiratory therapist prepare to intubate a full-term newborn?

Question 18 options:

 

stylet

 

laryngoscope handle

 

Miller blade size 1

 

cuffed endotracheal tube size 3.0

 

MacIntosh blade size 1

 

Question 19 (1 point)

 

 

 

 

 

 

 

 

 

The respiratory therapist is preparing to intubate a 49-year-old male who weighs 75 kg. Which endotracheal tube size should be selected?

Question 19 options:

 

8.0 mm

 

6.5 mm

 

6.0 mm

 

7.0 mm

 

Question 20 (1 point)

 

 

 

 

 

 

 

 

 

Which of the following explains the purpose for using a stylet during endotracheal intubation?

Question 20 options:

 

assist in providing suctioning 

 

aid in assessing the depth of the tube insertion to the carina

 

assist non-trained personnel in the intubation process

 

make the tube more rigid and allow adjustment of the tube curvature

 

Question 1 (1 point)

 

 

 

 

 

 

 

 

 

Prior to intubation the respiratory therapist must perform which of the following?

Question 1 options:

 

pre-oxygenate for three minutes

 

suction of the oral pharynx

 

position the head in a sniffing position

 

Question 2 (1 point)

 

 

 

 

 

 

 

 

 

When a patient is being intubated using a MacIntosh laryngoscope blade where should the blade be positioned for exposing the glottis?

Question 2 options:

 

between the vocal cords

 

under the epiglottis

 

into the vallecular space

 

against the roof of the mouth

 

Question 3 (1 point)

 

 

 

 

 

 

 

 

 

When a patient is being intubated using a Miller laryngoscope blade where should the blade be positioned for exposing the glottis?

Question 3 options:

 

between the vocal cords

 

against the roof of the mouth

 

into the vallecular space

 

under the epiglottis

 

Question 4 (1 point)

 

 

 

 

 

 

 

 

 

Immediate complications of oral intubation include which of the following?

Question 4 options:

 

bronchial intubation

 

tooth trauma

 

tracheoesophageal fistula

 

esophageal intubation

 

Question 5 (1 point)

 

 

 

 

 

 

 

 

 

The Mallampati classification is used to determine which of the following?

Question 5 options:

 

anticipate difficulty of intubation

 

best method for securing artificial airway

 

size endotracheal tube required

 

best position for airway during intubation

 

Question 6 (1 point)

 

 

 

 

 

 

 

 

 

A single intubation attempt should not last for more than which of the following?

Question 6 options:

 

30 seconds

 

45 seconds

 

2 minutes

 

60 seconds

 

Question 7 (1 point)

 

 

 

 

 

 

 

 

 

When using a colormetric end tidal CO2 detector to confirm endotracheal tube placement the respiratory therapist should deliver how many breaths with the manual resuscitator before assessing for color change?

Question 7 options:

 

six

 

four

 

eight

 

two

 

Question 8 (1 point)

 

 

 

 

 

 

 

 

 

Auscultation upon endotracheal tube intubation reveals absence of breath sounds over the left lung. Which of the following is the most likely cause?

Question 8 options:

 

ETT at the level of the vocal cords

 

esophageal intubation

 

left mainstem intubation

 

right mainstem intubation

 

Question 9 (1 point)

 

 

 

 

 

 

 

 

 

In which of the following procedures is Magill forceps routinely used?

Question 9 options:

 

oral intubation

 

nasal intubation

 

nasotracheal suctioning

 

tracheostomy

 

Question 10 (1 point)

 

 

 

 

 

 

 

 

 

Which of the following pharmacologic agents are used to facilitate intubation?

Question 10 options:

 

etomidate

 

albuterol

 

propofol

 

narcan

 

Question 11 (1 point)

 

 

 

 

 

 

 

 

 

A double lumen endotracheal tube is used to provide which of the following?

 

Question 11 options:

 

independent lung ventilation

 

long-term mechanical ventilation

 

all of the above

 

pre-hospital emergency airway

 

Question 12 (1 point)

 

 

 

 

 

 

 

 

 

The respiratory therapist is called to evaluate a mechanically ventilated patient with an oral endotracheal in place at the 26 cm mark at the lip. The therapist notes good chest expansion on the right and diminished expansion over the left lung. Which of the following is likely the cause?

Question 12 options:

 

the tube has been pulled out of the trachea

 

the tube is in the esophagus

 

the tube has slipped into the right mainstem bronchus

 

a pneumothorax has developed on the left

 

Question 13 (1 point)

 

 

 

 

 

 

 

 

 

While replacing equipment in the intubation tray of the code cart the respiratory therapist notes that the light on the Miller blade shines brightly when attached to the laryngoscope but when he attaches the MacIntosh blade the light fails to turn on. What action should the respiratory therapist take?

Question 13 options:

 

replace the batteries in the handle

 

replace the MacIntosh blade with a new one

 

inspect and tighten the bulb on the MacIntosh blade

 

mark the blade as damaged and put it back into the tray

 

Question 14 (1 point)

 

 

 

 

 

 

 

 

 

Which of the following are key components of an endotracheal tube?

Question 14 options:

 

15 mm adapter attached to the proximal end

 

distance markings in centimeters

 

radiopaque indicator

 

maximum cuff volume

 

tube size in centimeters

 

Question 15 (1 point)

 

 

 

 

 

 

 

 

 

Which of the following are indications for endotracheal intubation?

Question 15 options:

 

inability of patient to protect lower airway

 

administration of heated humidity

 

treatment of sleep apnea

 

oxygen administration

 

provide positive pressure ventilation

 

Question 16 (1 point)

 

 

 

 

 

 

 

 

 

Which of the following represent the purpose of the cuff on an endotracheal tube?

Question 16 options:

 

secure the endotracheal tube in the airway

 

seal the airway for mechanical ventilation

 

apply pressure to the trachea to decrease blood flow

 

apply pressure to the trachea to decrease sputum production

 

prevent or minimize the risk of aspiration

 

Question 17 (1 point)

 

 

 

 

 

 

 

 

 

Oral intubation offers which of the following advantages over the nasal intubation route?

Question 17 options:

 

airway resistance is less significant

 

preferred route in emergency intubation

 

it is better tolerated by the patient

 

sinus drainage is not obstructed

 

laryngeal trauma is less likely

 

Question 18 (1 point)

 

 

 

 

 

 

 

 

 

What intubation equipment should the respiratory therapist prepare to intubate a full-term newborn?

Question 18 options:

 

stylet

 

laryngoscope handle

 

Miller blade size 1

 

cuffed endotracheal tube size 3.0

 

MacIntosh blade size 1

 

Question 19 (1 point)

 

 

 

 

 

 

 

 

 

The respiratory therapist is preparing to intubate a 49-year-old male who weighs 75 kg. Which endotracheal tube size should be selected?

Question 19 options:

 

8.0 mm

 

6.5 mm

 

6.0 mm

 

7.0 mm

 

Question 20 (1 point)

 

 

 

 

 

 

 

 

 

Which of the following explains the purpose for using a stylet during endotracheal intubation?

Question 20 options:

 

assist in providing suctioning 

 

aid in assessing the depth of the tube insertion to the carina

 

assist non-trained personnel in the intubation process

 

make the tube more rigid and allow adjustment of the tube curvature