NREMT Airway, Respiration, and Ventilation Exam
1. She is unrespon-
sive and snoring.
2. It relaxes the
smooth muscles
of the bronchi-
oles.
A 39-year-old female is lying in bed. When you assess
her, which of the following findings indicate an inadequate
airway?
A. She has chest wall expa...
1. She is unrespon- A 39-year-old female is lying in bed. When you assess
sive and snoring. her, which of the following findings indicate an inadequate
airway?
A. She has chest wall expansion with little abdominal wall
movement.
B. She has an open pill bottle next to her bed.
C. She is lying on her side.
D. She is unresponsive and snoring.
2. It relaxes the Which of the following describes how albuterol helps a
smooth muscles patient who is having an asthma attack?
of the bronchi- A. It decreases pulmonary capillary pressure.
oles. B. It increases airway pressure in the alveoli.
C. It relaxes the smooth muscles of the bronchioles.
D. It reduces inflammation in the bronchus.
3. begin transport. A 9-year-old male has partial-thickness burns around
mouth after inhaling steam. He has a history of asthma
and has had a cold for three days. His mother tells you
he has had chest congestion and she was trying to break
up the phlegm. He is drooling and tells you he cannot
swallow. You should first:
A. administer his metered-dose inhaler.
B. insert an oropharyngeal airway.
C. begin transport.
D. assess his vital signs.
4. adequate and ad- A 66-year-old male complains of difficulty breathing. He
minister oxygen. tells you that his asthma attack began 20 minutes ago,
and his inhaler isn't helping. You auscultate wheezes in
all lung fields and good chest rise with accessory muscle
use. His vital signs are P 96, R 24, BP 146/88, and
SpO2 is 93% on room air. You should suspect his minute
ventilation is:
A. adequate and administer CPAP.
B. adequate and administer oxygen.
C. inadequate and assist his ventilation.
D. inadequate and administer oxygen.
,5. administer oxy- A 93-year-old female complains of a sudden onset of
gen by nasal can- difficulty breathing. She tells you that she has a history of
nula. breast cancer. She tells you it is easier for her to breathe
when she is sitting up. She has decreased lung sounds
when you auscultate her left mid-axillary line, sixth inter
costal space. Her vital signs are P 86, R 18, BP 144
and SpO2 is 95% on room air. You should:
A. administer oxygen by nasal cannula.
B. administer oxygen by non-rebreather mask.
C. administer aspirin.
D. assist with the administration of her nitroglycerin.
6. administer oxy- A 47-year-old male complains of difficulty breathing, a
gen. he cannot stop coughing. His conjunctivae are pale and
moist. He has a 40 pack-year smoking history. You shou
first:
A. determine his past medical history.
B. collect a sample of his phlegm.
C. administer oxygen.
D. assess his vital signs.
7. Look for slight You are ventilating an unresponsive 47-year-old male who
chest rise. is in respiratory arrest. How should you determine that
you are delivering adequate tidal volume?
A. Look for slight chest rise.
B. Assess his pulse oximetry.
C. Auscultate for bronchial breath sounds.
D. Fully deflate the BVM.
8. assist her ven- An unresponsive 7-month-old female is lying limp in her
tilation with a father's arms. He tells you that she was having an asthma
BVM. attack but is better now. Her conjunctivae are pale and
moist. You are only able to auscultate faint wheezes in her
upper chest. Her vital signs are P 76 and R 18. You should
first:
A. administer oxygen by non-rebreather mask.
B. assist her ventilation with a BVM.
C. assess her oxygen saturation level.
D. assist with the administration of her nebulized albuterol.
, 9. administer oxy- A 49-year-old male complains of a sore throat and has
gen. a muffled voice. He tells you the sore throat started a
week ago and has gotten worse. He looks sick, and his
skin is hot to the touch. He has a history of asthma. You
auscultate a slight high-pitched sound occasionally in hi
upper airway. His vital signs are P 102, R 16, BP 13
and SpO2 is 93% on room air. You should:
A. inspect his airway.
B. assist with the administration of his MDI.
C. place him supine.
D. administer oxygen.
10. respiratory ar- An unresponsive 22-year-old male is lying on the ground
rest. outside a bar. You do not see any chest rise but palpate a
carotid pulse. You should suspect:
A. respiratory arrest.
B. alcohol intoxication.
C. hypoglycemia.
D. head injury.
11. administer hu- An 11-year-old male who has a history of cystic fibrosis
midified oxygen. complains of difficulty breathing. He tells you he has been
coughing up thick mucus. His vital signs are P 92, R 2
BP 118/76, and SpO2 is 91% on room air. You shou
A. administer a bronchodilator.
B. apply CPAP.
C. administer humidified oxygen.
D. assist his ventilation.
12. switch to a sim- An 86-year-old female who has a history of emphysema
ple face mask. complains of chest pain. Her initial SpO2 was 92% on
home oxygen by nasal cannula, 3 L/minute. You admin
tered oxygen by non-rebreather, 12 L/minute. Her SpO
is now 100%, and her chest pain is resolved after aspiri
and nitroglycerin administration. You should next:
A. decrease the flow rate to 6 L/minute.
B. switch to a simple face mask.
C. discontinue oxygen administration.
D. transport her.
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