1. An unresponsive 64 year old male has a stoma. He is supine and apneic. What should you do?

• An unresponsive 64 year old male has a stoma. He is supine and apneic. What should you do?
• Assist his ventilations with an adult bag-valve mask and cover the stoma.
• Obtain a set of vital signs and apply an AED.
• Place a pediatric sized BVM over the stoma and ventilate.
• Apply a cervical collar and perform a jaw thrust maneuver.
• A 34 year old female has fallen from a height of 10 feet. She is unresponsive with snoring

respirations. What should you do?

• Use the jaw-thrust maneuver.
• Support her head and neck with a rolled towel.
• Attempt the chin-lift maneuver.
• Apply a cervical collar.
• A 56 year old male complains of pinpoint pain to the left side of his chest along with

difficulty breathing. He states that he recently went off his blood thinners before a hernia surgery. What should you suspect?

• Pulmonary embolism
• Tension pneumothorax
• Pulmonary edema
• Acute myocardial infarction
• What is the expected breathing rate for a child under the age of eight?
• 40-60 breaths per min.
• 10-20 breaths per min.
• 20-40 breaths per min.
• 5-10 breaths per min.
• During respiration, where does the process of the gas exchange occur?
• Aveoli
• Epiglottis
• Trachea
• Bronchioles
• A 7 year old boy is found supine at the base of 15 foot high jungle gym. His teacher is unsure

if he fell from the equipment. Vital signs are BP 100/90, R 0, P 42, SaO2 93%. What should you do?

• Insert an oropharyngeal airway.
• Open his airway with a jaw thrust maneuver.
• Open his airway with a head tilt-chin lift maneuver.
• Start CPR.
• A 56 year old male is sitting at the kitchen table in the tripod position. What should you do?
• Perform an orotracheal intubation.
• Not intervene as long as the patient is speaking.
• Apply oxygen by non-rebreather mask at 10-15 lpm.
• Give oxygen via nasal cannula at 4-6 lpm.
• A lethargic 22 month old male presents with hoarseness and coughing. He has sternal retractions

and his belly and chest move in opposite directions with each breath. He is breathing at a rate of

• What should you suspect?
• Cardiopulmonary failure.
• Respiratory distress.
• Cardiopulmonary arrest.
• Respiratory failure.
• Which of the following is the MOST common cause of airway obstruction?
• Trauma
• Laryngeal spasm
• The tongue
• Foreign bodies
• A 22 year old intoxicated male responds to voice by moaning. You note vomit in his airway,

what should you do?

• Manually stabilize c-spine.
• Insert a nasal airway.
• Turn the patient on his side.
• Suction the mouth.
• Which of the following structures serves as a passageway for both the respiratory and digestive

system?

• Pharynx
• Trachea
• Cricoid cartilage
• Esophagus
• What is a common reaction that you should expect from a drowning patient who is receiving

rescue breathing?

• Tonic-clonic seizures
• Vomiting
• Resistance
• Increased intracranial pressure
• Which of the following is a sign of pneumonia?
• Productive cough
• Jugular vein distension
• Distant lung sounds
• Crackles
• What is the most appropriate method for opening the airway of a patient with a suspected

cervical spine injury?

• Head-tilt, jaw-thrust
• Head-tilt, chin-lift
• Jaw-thrust
• Neck lift
• A 36 year old male complains of a sore throat with drooling. He is having difficulty breathing

with stridor. His skin is pink and hot to the touch. What should you suspect?

• Bronchitis
• Epiglottitis
• Pneumonia
• Tonsillitis
• An unresponsive 44 year old male has an oral airway and is being ventilated. He suddenly

regains consciousness and starts to gag. What should you do?

• Suction the airway and leave the adjunct in place.
• Remove the airway and apply high-flow oxygen.
• Insert a nasal airway.
• Request ALS to sedate the patient.
• What is the coarse sound of fluid movement heard on inspiration called?
• Rhonchi
• Snoring
• Gurgling
• Crackles
• A conscious 32 year old complains of difficulty breathing. He is coughing while pointing to

his throat. What should you do?

• Place him supine and begin CPR.
• Administer abdominal thrusts.
• Encourage him to keep coughing.
• Give four strong blows to the back.
• A 56 year old male has intercostal retractions and is in the tripod position. Vital signs are

BP 116/78, P 90, R 32. What should you do?

• Apply a non-rebreather mask at 15 lpm.
• Administer albuterol.
• Assist his ventilations.
• Administer oxygen by nasal cannula.

• A 24 year old male is lying supine and is unresponsive. You have opened his airway with a

head-tilt/chin-lift maneuver and determined that he is apneic with a bradycardic pulse. You attempt to ventilate, but are unsuccessful. What should you do?

• Check for a carotid pulse.
• Reposition the airway and give 2 ventilations.
• Attempt to give 2 more forceful ventilations.
• Begin continuous chest compressions.
• What is the normal rate of breathing for an adult?
• 12 to 20 breaths per minute.
• 22 to 26 breaths per minute.
• 6 to 10 breaths per minute.
• 28 to 36 breaths per minute.
• What is a hazardous, odorless gas resulting from incomplete combustion?
• Sarin
• Carbon dioxide
• Nitrogen
• Carbon monoxide
• What is the name of the leaf shaped valve that prevents food from entering the trachea?
• Pharynx
• Bronchi
• Epiglottis
• Larynx

Scenario:

• A 33 year old male has respirations of 22 per minute. How should you administer oxygen to him?
• Non-rebreather mask at 15 lpm.
• Bag-valve mask at 8 lpm.
• Venturi mask at 8 lpm.
• Simple rebreather mask at 4 lpm.
• How much air is inspired in during a single inhalation?
• 150 mL
• 500 mL
• 750 mL
• 200 mL
• A 20 year old male was involved in a motorcycle accident. He has bits of broken teeth and blood

in his airway. After 10 seconds of suctioning his mouth there is still active bleeding. What should you do?

• Roll him onto his side.
• Give two rescue breaths.
• Remove the pieces of teeth with a finger sweep.
• Insert a roll of gauze to soak up the blood.
• A 43 year old unresponsive female is slumped over in a chair. Vital signs are P 43, R 0. What

should you do?

• Apply high-flow oxygen by non-rebreather mask.
• Assist her ventilations.
• Check for a medical bracelet.
• Obtain a pulse oximetry reading.
• What percent of oxygen is delivered with a pocket mask on room air?
• 10
• 23
• 17
• 92
• You successfully opened your patient's airway and chose the proper size nasal airway. You

should next:

• gently push the tip of her nose up slightly.
• suction excess saliva from her mouth.
• lubricate the outside of the nasal airway.

• insert it with the bevel pointing at the nasal septum.
• What condition results when the alveoli collapse?
• Pneumothorax
• Pneumonia
• Effusion
• Atelectasis
• A 55 year old male patient complains of shortness of breath and chest tightness. His skin is

pale and cool, and his respirations are 30 and shallow. You should deliver oxygen via:

• Nasal cannula.
• Bag-valve mask.
• CPAP device.
• Nonrebreather mask.
• A 19 year old underweight female complains of difficulty breathing. She has been coughing up

clear sputum and has bilateral ronchi. She has a light coating of small crystalline granules on her arms and legs. Her father states "This shortness of breath is different from normal." What should you suspect?

• COPD exacerbation
• Pneumonia
• Asthma attack
• Cystic Fibrosis
• Which of the following is a sign or symptom of Severe Acute Respiratory Syndrome?
• Rash and sore throat
• High fever and diarrhea
• Dark urine and jaundice
• Persistent low grade fever
• A 4 year old male has snoring respirations. What should you do?
• Perform a head-tilt maneuver.
• Insert an oropharyngeal airway.
• Gently shake to wake up the patient.
• Insert a nasopharyngeal airway.
• A conscious 18 year old male is bleeding profusely from his mouth. How should you position him?
• Leaning back with a nasopharyngeal airway.
• Supine with knees flexed.
• Sitting up and leaning forward.
• Lateral recumbent position with pressure dressing.
• A 4 year old male is choking on a marble. He is coughing and drooling. What should you do?
• Perform 5 back blows.
• Coach him to cough.
• Visualize and remove the marble.
• Perform 5 abdominal thrusts.
• What is the name of the tracheal ring that sits directly inferior to the larynx?
• Cricoid cartilage
• Thyroid cartilage
• Corniculate cartilage
• Cuneiform cartilage
• An 18 year old male complains of chest pain. Lung sounds reveal coarse rhonchi bilateraly.

His skin color is pale and he is warm to the touch. Vital signs are BP 124/90, P 88, R 16, SpO2 96%. What should you suspect?

• Chronic bronchitis