Demo Test

1. 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.

2. The correct initial dosage for Racemic Epinephrine for a pediatric patient with croup experiencing stridor at rest is?

0.25 ml

1.0 ml

0.5 mg/kg

5 mg

3. You are intubating a female patient with assistance from your partner Rudy. After inserting the ET tube and inflating the cuff Rudy auscultates and finds breath sounds in the right lung only. This is a sign for you to?

Pull back on the tube slightly with the stylet

Continue ventilating as one lung is better than none

Deflate the cuff and insert it another .5 inch

Deflate the cuff and retract the tube about a half inch

4. If someone is having breathing problems as a result of atelectasis...

They have a serious respiratory infection that is best treated with antibiotics

Initial treatment should include high flow O2, IV fluid bolus, and rapid transport

They have a serious cardiac condition that needs to be corrected immediately

The alveoli are collapsed as a result of inadequate surfactant

5. 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

6. A child between 3-5 would have normal vitals if they were?

35 breaths a minute, pulse of 88, and Systolic BP of 100

24 breaths a minute, pulse of 76, and Systolic BP of 98

20 breaths a minute, pulse of 120, and Systolic BP of 120

20 breaths a minute, pulse of 100, and Systolic BP of 110

7. What are diuretics like Furosemide used for?

Increase levels of chloride and reduce levels of sodium

Increase the levels of sodium and chloride in the body

Remove fluids and prevent the reabsorption of sodium in the body

Remove fluid, sodium, and chloride from the body

8. 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

9. You are intubating a 53 year old woman who is unconscious and has no gag reflex. Just after placing the tube and inflating the cuff you auscultate the epigastrum and lungs. You are unsure if tube placement is correct as there were conflicting sounds in the epigastrum. You should?

Remove the tube and check to see if the bulb is inflated still

Deflate the cuff and take the ET tube out

Inflate the cuff a little more to secure the airway

Deflate the cuff and retract .25 inches

10. You are assisting your partner who is preparing to intubate a 79 year old woman. You are managing the BVM and begin ventilating and preoxygenating the patient at what rate?

21 breaths a minute for 1 minute

12-18 breaths a minute for 2-3 minutes

12-20 breaths a minute for 1-2 minutes

15 breaths a minute for 4 minutes

Airway, Respiration and Ventilation: