Demo Test

1. Which of the following patients has adequate respirations?

55 year old woman with paradoxical chest expansion at 22 per minute

A 31 year old man breathing at 20 per minute and slightly irregular

A 6 month old child who is breathing at 22 per minute

A 10 year old who is breathing with accessory muscles at 30 per minute

2. Use of an SpO2 monitor on a person suffering from carbon monoxide poisoning will be inaccurate because ___________.

The oxygen has stronger bonding properties than the CO2 molecule

CO2 is odorless and tasteless so the monitor cannot detect it

Carbon monoxide has a weaker bond with the hemoglobin

The carbon monoxide molecule displaces the oxygen molecule inhibiting oxygen delivery

3. The pediatric assessment triangle is composed of three elements:

Level of Consciousness, Quality of Respirations, General Appearance

Muscle Tone, Respiratory depth and rate, Perfusion

Circulation, Appearance, Work of Breathing

Blood pressure, Pulse rate, Respiratory Rate

4. You have just arrived at the scene to find a 27-year-old female complaining of anxiety and breathing difficulties. Which of the following questions would be most appropriate to ask first?

What is your name?

What day is today?

Do you have a history of panic attacks?

How long have you been having trouble breathing?

5. You arrive on scene with your partner to a restaurant where a man was reported to be choking. You enter and find an unconscious cyanotic male on the floor. He is supine with BBQ sauce on his mouth and a napkin in his hand. What would you do for this patient?

Verify apnea, give two slow breaths with high flow O2, and administer back thrusts until the object has been removed.

Ask the bystanders what happened. Verify no pulse, and attach the AED. Tell everyone to stand back, and hit analyze, following the prompts.

Administer abdominal thrusts, followed by a finger sweep, and then administer high flow O2. Monitor patient while transporting.

Head tilt, chin lift, verify apnea and begin Compressions. Upon completion of the compressions, give two slow breaths looking for chest rise and fall.

6. You are assessing an 84 year old man. Upon auscultation of the lungs you discover crackles or rale sounds. He is complaining of chest pain and congestion. These signs and symptoms can indicate?

An embolism

Collapse of the vena cava

Right ventricular failure

Left ventricular failure

7. You and your partner Amy arrive on scene to find a woman with hives over much of her body. She is wheezing and complaining of difficulty breathing. Her husband says she was stung by a hornet and has no prior history of allergies. What would be the best course of action?

Use an autoinject epinephrine pen and administer to the patient's thigh. Obtain signed transport refusal.

Make sure blood pressure is above 100 mmHg and inject her with epinephrine 1/1000.

Get her BP, pulse, and respirations and then inject her with epinephrine only if her vitals are within normal limits.

High flow O₂ and rapid transportation if the patient appears to be going into anaphylaxis.

8. What would be the correct sequence of treatment for a 76 year old female with a pulse of 142. The patient is also cyanotic around the lips and nail beds?

Ventilate her with a BVM and transport

Continue assessment to determine cause and call ALS

Continue assessing en route to the hospital and apply high flow O2

Perform a rapid trauma assessment and transport rapidly

9. A respiration rate would be considered within normal limits for an adult at____ per minute, for a 6-12 year old child at ____ per minute, and for an infant at____ per minute.

22 - 32 - 42

16 - 25 - 40

20 - 40 - 60

10 - 20 - 40

10. The umbilical cord is wrapped tightly around the baby's neck and you have tried unsuccessfully to slip the cord over the head. What should your next course of action be?

Push the baby's head into the vagina until the cord comes loose

Clamp the cord in two places and cut it in the middle

Support the head and suction the baby's nose and mouth

Massage the uterus to stimulate harder contractions to free the baby

Airway, Respiration and Ventilation: