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Which of the following is acceptable for maintaining a seal between an oxygen cylinder and regulator?


A) Pop-off valve
B) Gasket
C) Grease plug
D) Medical grade adhesive tape

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Your patient is a 65-year-old male with a history of COPD.He is sitting up and complaining of a severe shortness of breath.You should:


A) suction the airway with a rigid suction catheter.
B) administer 4 lpm of oxygen via nasal cannula.
C) insert a nasal airway and ventilate.
D) apply a nonrebreather mask giving 15 lpm of oxygen.

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The oxygen flow rate for a nasal cannula should not exceed ________ liters per minute.


A) 8
B) 4
C) 6
D) 2

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C

What device is used to perform mouth-to-mask ventilation?


A) Pocket face mask
B) Bag-valve mask
C) Stoma
D) Automatic transport ventilator

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A

For life to be maintained,a balance of oxygen and carbon dioxide is needed.The condition when oxygen levels are low is called:


A) hypotension.
B) hypercarbia.
C) hyperventilation.
D) hypoxia.

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D

Your patient is a 55-year-old man with a history of chronic bronchitis.You have been called to his home today because of an increase in his level of respiratory distress.The patient is on 2 liters per minute of oxygen by nasal cannula at home.Your assessment reveals difficulty speaking due to shortness of breath,leaning forward to breathe,a productive cough,and a respiratory rate of 32 per minute.Which of the following is true concerning the best course of action for this patient?


A) Because increased blood levels of carbon dioxide are the primary stimulus to breathe, you should encourage the patient to rebreathe his exhaled air from a paper bag.
B) You should increase the patient's oxygen flow rate to deliver adequate amounts of oxygen to his tissues. If his respiratory rate decreases, you can assist him with a bag-valve-mask device.
C) You should increase the patient's oxygen flow rate until his respiratory rate decreases and then resume oxygen administration at 2 liters per minute.
D) You should not increase the patient's oxygen flow rate because of his likely dependence on a hypoxic drive to stimulate breathing.

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Why does a patient involved in an auto crash who has major internal abdominal bleeding require oxygen to maintain internal respiration?


A) The red blood cells have a reduction of hemoglobin that reduces the amount of oxygen that can be transported.
B) A lack of oxygen in the air decreases the oxygen diffused into the bloodstream, which creates an increase of carbon dioxide.
C) The swelling of the abdominal space causes the diaphragm to be restricted, which will reduce the thorax space.
D) A lack of circulating volume decreases the oxygen and carbon dioxide transport capability.

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Which of the following oxygen cylinders would normally run out after 50 minutes when flowing at 10 liters per minute?


A) M tank
B) D tank
C) G tank
D) E tank

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You have arrived at the scene of a call for a "man down." As you enter the residence you note that your patient is a male in his mid-60s who is awake but does not seem to acknowledge your presence.He is perspiring profusely,has cyanosis of his ears and lips,and has rapid,shallow respirations.Which of the following should you do first?


A) Check for a radial pulse.
B) Obtain the patient's medical history.
C) Listen to his lung sounds.
D) Assist ventilations with a bag-valve mask and supplemental oxygen.

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Which of the following statements BEST describes the exchange of gas in the alveoli?


A) Blood moves by way of the pulmonary capillaries, air arrives at the alveoli, and osmosis occurs.
B) Blood moves from the left heart to the lungs, air arrives in the alveoli sacks, and diffusion occurs.
C) Air moves into the airway, blood arrives via the pulmonary veins, and osmosis occurs.
D) Air moves into the alveoli, blood is transported by the pulmonary capillaries, and diffusion occurs.

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What signs and symptoms would indicate inadequate breathing in a patient?


A) Increased effort to breathe, increased depth of respiration, pink dry skin, normal mental status
B) Rapid breathing, pale skin, and a normal mental status
C) Decreased depth of respiration, decreased rate of breathing, hot clammy skin, normal mental status
D) Increased effort to breathe, cyanosis, cool clammy skin, altered mental status

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Of the three types of oxygen flowmeters,which one can only be used upright?


A) Bourdon gauge flowmeter
B) Hudson gauge flowmeter
C) Constant flow selector valve
D) Pressure-compensated flowmeter

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The safe residual for an oxygen cylinder is ________ psi.


A) 200
B) 300
C) 500
D) 1,000

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A nonrebreather mask at 12 to 15 liters per minute will generally provide the patient what percentage of oxygen?


A) 80-100
B) 16-21
C) 24-44
D) 90-100

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Your patient is a motorcyclist who was ejected after striking a guard rail.The patient is unresponsive to painful stimuli and is breathing shallowly six to eight times per minute.Which of the following should you do first?


A) Use a bag-valve mask with supplemental oxygen.
B) Perform a rapid trauma assessment.
C) Apply a cervical collar.
D) Apply a nonrebreather mask with an oxygen flow rate of 15 lpm.

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Which of the following is necessary to deliver oxygen to patients at a safe pressure?


A) Filter
B) Float ball
C) Regulator
D) Flowmeter

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A 16-year-old patient presents with labored breathing and increased respiratory rate,increased heart rate,and leaning forward with his hands on his knees.His skin is pink and his accurate pulse oximetry is 96.This patient is suffering from respiratory:


A) failure.
B) hypoxia.
C) distress.
D) arrest.

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The movement of oxygen and carbon dioxide between the alveoli and circulating blood is called:


A) internal respiration.
B) osmosis.
C) cellular respiration.
D) pulmonary (external) respiration.

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Which of the following colors identifies an oxygen cylinder?


A) Orange and red
B) Black and tan
C) Blue and yellow
D) Green and white

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When does respiratory distress change to respiratory failure?


A) When the respiratory challenge continues, the systems fail with the demand for oxygen, pupils dilate, and the skin becomes hot and dry.
B) When the respiratory challenge continues, the systems cannot keep up with the demand, and skin color and mental status change.
C) When the patient who is short of breath, with noisy respiration, presents in the tripod position but then suddenly has the condition clear up and return to normal.
D) When the compensatory mechanism is no longer needed and the patient goes into arrest.

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