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8. Which of the following simple artificial airways is often used to facilitate bag-mask ventilation?
a. oropharyngeal airway b. nasopharyngeal airway
c. Combitube airway d. laryngeal mask airway
ANSWER: a
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9. Which of the following simple artificial airways is often used to facilitate repeated nasotracheal suctioning?
a. oropharyngeal airway b. nasopharyngeal airway
c. Combitube airway d. laryngeal mask airway
ANSWER: b
14. When using a mouth-to-mask ventilation device, supplemental oxygen may be provided by:
I. attaching oxygen to the enrichment port on the mask
II. wearing a nasal cannula
III. placing a nasal cannula on the patient
IV. connecting the oxygen reservoir to an oxygen source
a. I and II b. I and III
c. II and III d. II and IV
ANSWER: a
16. Positive end-expiratory pressure (PEEP) may be provided during manual resuscitation by:
a. adding a water seal PEEP device to the exhalation port
b. using a spring or magnetic adjustable PEEP valve on the exhalation port
c. increasing oxygen flow to the manual resuscitator
d. none of the above
ANSWER: b
20. An adjunctive device that is helpful when intubating a patient nasally is:
a. the Miller blade b. the Macintosh blade
c. Magill forceps d. a stylette
ANSWER: c
21. An adjunctive device that helps to stiffen an endotracheal tube temporarily for insertion is:
a. the Miller blade b. the Macintosh blade
c. Magill forceps d. a stylette
ANSWER: d
23. Which of the following adjunctive devices is designed to facilitate the removal of large amounts of secretions, blood,
or vomitus?
a. Miller blade b. Macintosh blade
c. stylette d. Yankauer suction
ANSWER: d
24. Which of the following devices may be most helpful when performing a difficult intubation?
a. Miller blade b. Macintosh blade
c. Fiber-optic laryngeoscope d. Magill blade
ANSWER: c
31. If an endotracheal tube passed the Z-79 anesthesia committee testing for toxicity, it was:
a. tested by implantation into human tissue
b. tested by implantation into rabbit muscle tissue
c. tested by cell culture
d. none of the above
ANSWER: c
32. If an endotracheal tube passed toxicity testing and has the marking IT, this means it was:
a. tested by implantation into human tissue
b. tested by implantation into rabbit muscle tissue
c. tested by cell culture
d. none of the above
ANSWER: b
34. To facilitate visualization of an endotracheal tube on a chest X-ray, all endotracheal tubes have:
a. a Murphy eye
b. a pilot line
c. cm markings along the length of the tube
d. a radiopaque line
ANSWER: d
35. An endotracheal tube that facilitates removal of secretions above the cuff is the:
a. nasal RAE tube b. Carlens tube
c. Robertshaw endotracheal tube d. Hi-Lo Evac endotracheal tube
ANSWER: d
38. An endotracheal tube that is designed to keep the ventilator/anesthesia circuit away from the patient’s head is the:
a. nasal RAE tube b. Carlens tube
c. Robertshaw endotracheal tube d. Hi-Lo Evac endotracheal tube
ANSWER: a
39. An endotracheal tube that is designed to selectively enter the right or left main-stem bronchus is the:
a. nasal RAE tube b. Carlens tube
c. Robertshaw endotracheal tube d. Hi-Lo Evac endotracheal tube
ANSWER: c
40. An adjunct that is helpful when removing an old endotracheal tube and replacing it with a new one is:
a. a stylette b. a bronchoscope
c. a Robertshaw endotracheal tube d. an endotracheal tube exchanger
ANSWER: d
42. A type of tracheostomy tube that facilitates keeping the inner cannula patent is:
a. the cuffed disposable endotracheal tube
b. a fenestrated tracheostomy tube
c. one with disposable inner cannulas
d. a Hollinger tracheostomy tube
ANSWER: c
44. A technique where the cuff is inflated until no leak is heard during inspiration is termed minimal
a. leak technique b. pressure technique
c. volume technique d. occlusion volume technique
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45. A technique where the cuff is inflated until a slight leak is heard during inspiration is termed the minimal:
a. leak technique b. pressure technique
c. volume technique d. occlusion volume technique
ANSWER: a
46. When using a mechanical manometer and a three-way stopcock to measure cuff pressure, first:
I. the stopcock must be turned toward the cuff’s port
II. the system must be pressurized with a syringe to 18 cmH2O
III. the stopcock must be rotated to the “off” position
IV. the three-way stopcock must be attached to the endotracheal tube’s pilot line
a. I b. I and II
c. I, III, and IV d. III and IV
ANSWER: a
47. You are using a Posey Cufflator to measure cuff pressure. You added air to reach minimal occlusion volume, but you
added too much. How do you remove air from the tube’s cuff?
a. Squeeze the black bulb.
b. Remove the Cufflator from the pilot line.
c. Press the red button.
d. Pull back on the syringe.
ANSWER: c
48. You are using a three way stop cock and a manometer to measure cuff pressure. You added air to reach minimal
occlusion volume, but you added too much. How do you remove air from the tube’s cuff?
a. Squeeze the black bulb.
b. Remove the stop cock from the pilot line.
c. Press the red button.
d. Pull back on the syringe.
ANSWER: d
49. You have an endotracheal tube that is in good position, but the cuff is leaking. What could you use to “salvage” the
tube without replacing it?
a. a DHD Healthcare, Inc., Cuff-Mate 2
b. a Posey, Inc., Cufflator
c. a Respironics, Inc., PressureEasy
d. a syringe attached to the pilot line
ANSWER: c
50. You are weaning a patient from a tracheostomy tube, and you wish to have access to the stoma for suctioning. What
device might work best in this situation?
a. an aerosol "T" or Briggs adapter b. a Trach-Button
c. a Passy-Muir Valve d. a fenestrated tracheostomy tube
ANSWER: b
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51. Which of the following tracheostomy weaning devices has an IPPB adapter for positive pressure ventilation?
a. an Olympic Medical Trach-Talk b. a Trach-Button
c. a Passy-Muir Valve d. a fenestrated tracheostomy tube
ANSWER: b
52. Which of the following tracheostomy weaning devices are intended to be used with the cuff deflated?
I. an Olympic Medical Trach Button
II. a Trach-Button
III. a Passy-Muir Valve
IV. a fenestrated tracheostomy tube
a. I b. I and II
c. I, II, and III d. I, II, III, and IV
ANSWER: d
53. Which of the following are indications for suctioning according to the American Association for Respiratory Care
(AARC) Clinical Practice Guideline: Endotracheal Suctioning of Mechanically Ventilated Adults and Children with
Artificial Airways?
I. coarse breath sounds
II. increased peak inspiratory pressures
III. inability to spontaneously cough
IV. the need to obtain a sputum specimen
a. I b. I and II
c. I, II, and III d. I, II, III, and IV
ANSWER: d
54. A good rule of thumb when selecting a suction catheter for use in an artificial airway is to choose one that does not
exceed:
a. 1/3 the inner diameter of the airway b. 1/2 the inner diameter of the airway
c. 5/8 the inner diameter of the airway d. 3/4 the inner diameter of the airway
ANSWER: b
55. A type of suction catheter that allows ventilation during the suctioning process is:
a. the Argyle Aeroflow catheter b. the Whistletip catheter
c. the Coudé tip catheter d. the closed suction system catheter
ANSWER: d
56. An adjunct to suctioning that may be used for specimen collection is:
a. the Murphy eye b. the Coudé collection system
c. the Lukens trap d. none of the above
ANSWER: c
57. Which of the following are advantages of the diaphragm and duck bill resuscitation valves?
a. I
b. I and II
c. I, II, and III
d. I, II, III, and IV
ANSWER: b
62. One way to reduce the threat of disease transmission when using manual resuscitators is:
a. ensure that they are autoclaved after every use
64. Which of the following may be used to determine endotracheal tube placement by detecting exhaled carbon dioxide?
I. Capncheck II®
II. Easy Cap®
III. Nelcor Onyx
IV. GlideScope
a. I
b. I and II
c. II and III
d. III and IV
ANSWER: b
65. Which of the following helps stiffen a tracheostomy tube to facilitate its initial insertion?
a. a stylette
b. Magill forceps
c. an obturator
d. a trocar
ANSWER: c