In the ABCDE approach, problems involving the take priority over less urgent assessment findings.
4 Airway Management Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Airway Management, test your knowledge, and prepare for your next test or exam.
Routine instillation of normal saline before every artificial-airway suction pass should generally be avoided.
- A
True
- B
False
Alongside abnormal airway sounds and secretions, what patient feature should you listen to when assessing airway patency?
A drowsy patient has gurgling respirations and pooled secretions. What is the priority response?
- A
Obtain an arterial blood gas before taking action
- B
Treat this as possible airway obstruction, call for assistance, and take appropriate steps to clear the airway
- C
Offer oral fluids to thin the secretions
- D
Wait 30 minutes and reassess
An unresponsive patient has suspected cervical-spine trauma and signs of airway obstruction. Which initial airway-opening maneuver is preferred?
- A
Head tilt–chin lift
- B
Jaw thrust while maintaining spinal alignment
- C
Trendelenburg positioning
- D
Neck extension
Which findings in a patient with an endotracheal tube support suctioning because secretions may be retained? Select all that apply.
- A
Visible secretions in the airway
- B
The scheduled time for routine suctioning has arrived
- C
Coarse airway sounds
- D
The patient is resting comfortably with a clear airway
- E
A ventilator waveform suggesting retained secretions, such as a sawtooth pattern
For adult artificial-airway suctioning, what is the maximum recommended duration, in seconds, for each suction application?
For an adult with an artificial airway, a scheduled suction time alone is not a substitute for assessing whether suctioning is needed. True or false?
- A
True
- B
False
When organizing an urgent SBAR report about a worsening airway, which information should be included? Select all that apply.
- A
The patient's current situation
- B
Relevant background
- C
Assessment findings
- D
Only the patient's latest oxygen-saturation reading
- E
A clear statement of what help is needed
A patient develops new stridor, increasing work of breathing, and a hoarse voice, although the oxygen-saturation reading is still acceptable. What is the best response?
- A
Continue routine observations while the oxygen saturation remains acceptable
- B
Call for urgent expert help and prepare to support oxygenation while the airway is assessed
- C
Offer food and water to soothe the throat
- D
Wait for cyanosis before escalating
After an intervention to address an airway threat, the patient to evaluate the response.
Which action is recommended before suctioning an adult patient with an artificial airway?
- A
Instill normal saline routinely before the pass
- B
Preoxygenate the patient before suctioning
- C
Suction on a fixed schedule whether or not secretions are present
- D
Continue suctioning without monitoring the patient's response
A clinician should routinely instill normal saline before every suction pass to prevent secretion buildup.
- A
True
- B
False
Explain how to decide whether an adult with an artificial airway needs suctioning and describe the key measures for carrying it out safely.
A patient with an endotracheal tube has no scheduled suction time due, but visible secretions and coarse airway sounds are present. Which action is best supported by the assessment?
- A
Suction at fixed intervals, even when assessment shows no secretions
- B
Suction when visible secretions or coarse airway sounds suggest secretions are retained
- C
Suction whenever the patient is resting comfortably
- D
Suction to prevent any possible future secretion buildup
A patient's airway status is worsening despite initial measures. What information should the nurse include when contacting the rapid-response or airway team?
- A
Give only the patient's diagnosis
- B
Provide a concise SBAR report, including the current situation, relevant background, assessment, and help needed
- C
Share only the latest oxygen-saturation reading
- D
Ask the team to call back after the next routine observation
Which plan follows the guidance for adult artificial-airway suctioning?
- A
Instill normal saline routinely before each suction pass
- B
Suction for as long as needed, even if the patient desaturates
- C
Preoxygenate before suctioning and limit each suction application to no more than 15 seconds
- D
Suction on a fixed schedule whether or not secretions are present
A patient develops new stridor, increasing work of breathing, and a hoarse voice, although oxygen saturation remains acceptable. What is the best response?
- A
Continue routine observations because oxygen saturation is still acceptable
- B
Call for urgent expert help and prepare to support oxygenation while the airway is assessed
- C
Offer food and water to soothe the throat
- D
Wait for cyanosis before escalating
What is the maximum duration, in seconds, for each suction application during adult artificial-airway suctioning?
For an unresponsive patient with suspected cervical-spine trauma and signs of airway obstruction, which initial airway-opening maneuver is preferred while maintaining spinal alignment?
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