AIRWAY FISDAP ACTUAL EXAM NEWEST VERSION 2024-
2025 EXPECTED QUESTION AND CORRECT ANSWER
FROM VERIFIED SOURCES RATED A GRADE.
A 77 year old female has dyspnea, speaks in short word burst, and breathes
with pursed lips. Lung sounds are diminished, distant, and clear. Vital signs
are BP 152/90, P 86 and irregular, R 23. What should you suspect?
✔✔CORRECT ANSWER✔✔Empysema
Emphysema is a chronic destructive process of the alveoli. The alveoli
regenerate but they are misshaped and consist of scar tissue. The scar tissue
inhibits gas exchange. She has pursed lips because she is attempting to keep
the alveoli open. Without the extra effort her alveoli will collapse due to
increased surface tension.
An 18 year old male is cyanotic and complains of sharp chest pain and
difficulty breathing after lifting weights. Vital signs are BP 110/66, P 88, R 22.
What is the most likely cause? ✔✔CORRECT ANSWER✔✔Spontaneous
pneumothorax
Performing strenuous activites can, on occasion, cause a collapsed
(spontaneous pnemothorax) He has stable vital signs so you should suspect a
S.P. If he had been hypotensive (88/40), you should suspect that the S.P had
developed into a tension pneumothorax.
,An unresponsive 43 year old male is cool, pale, diaphoretic, and breathing 6
times a minute. Which device should you use to administer oxygen?
✔✔CORRECT ANSWER✔✔Bag-valve mask
He is unresponsive and breathing too slow. This is a "Sick" patient and
assisting his ventilations should be the first intervention. You can increase his
respiratory rate with a bag valve mask, which is why it is the most correct
choice.
A 42 year old male complains of shortness of breath after being sprayed with
super-heated steam. He has burns to his face, neck and upper chest. Vital
signs are BP 112/66, P 124, R 28 shallow and labored. What should you do?
✔✔CORRECT ANSWER✔✔Assist his ventilations
He is in respiratory failure. His breathing is ineffective because his
respirations are fast and shallow. Shallow respirations do not allow for
adequate oxygen exchange because the air is not drawn down far enough
into the lungs. Assisting his breathing with positive pressure ventilations will
help reduce any pulmonary edemy from the lower airway burns.
What are the structures that brach off the trachea into the lower airway?
✔✔CORRECT ANSWER✔✔Bronchi
The trachea splits at the carina into the left and right bronchus. The bronchi
get smaller and smaller until it reaches the terminal bronchioles where the
alveoli are located.
, What is the term for high-pitched whistling sounds heard during expiration?
✔✔CORRECT ANSWER✔✔Wheezing
Wheezing is a high pitched whistling sound heard on EXHALATION. Wheezing
suggest there is a LOWER airway OBSTRUCTION or CONSTRICTION.
Exhalation is a passive process, and the wheezing noise is air passively
leaving constricted bronchioles.
The use of accessory muscles and nasal flaring are signs of what type of
breathing? ✔✔CORRECT ANSWER✔✔Labored
The use of accessory muscles is a sign of respiratory distress or failure. Nasal
flaring is the body's response in effort to increase the size of the airway and
attempt to draw in more air with each breath.
Expect to initially see an increased respiratory rate and heart rate with
labored breathing. As the patient begins to tire, the respiratory rate and
quality will begin to decrease, which worsens the problem.
What is the term for abnormal breath sounds that result from an obstructed
airway? ✔✔CORRECT ANSWER✔✔Stridor
Stridor is an UPPER airway obstruction caused by the tissue swelling around
the trachea, larynx, or epiglottis during INSPIRATION.
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