TNCC Airway and Ventilation Management 2

Question 1

A trauma patient with facial burns and singed nasal hairs has a hoarse voice. The priority intervention is:

Accepted Answer

Early endotracheal intubation before airway edema progresses

Answer

Administering humidified oxygen via face mask

Answer

Nebulized epinephrine treatment

Answer

Continuous pulse oximetry monitoring

Question 2

Which airway adjunct is most appropriate as a temporizing measure for an unconscious trauma patient with intact gag reflex?

Accepted Answer

Nasopharyngeal airway (NPA)

Answer

Oropharyngeal airway (OPA)

Answer

Laryngeal mask airway (LMA)

Answer

Endotracheal tube

Question 3

During rapid sequence intubation of a trauma patient, cricoid pressure (Sellick maneuver) is applied primarily to:

Accepted Answer

Prevent aspiration by occluding the esophagus

Answer

Improve visualization of the vocal cords

Answer

Reduce cervical spine movement

Answer

Facilitate tube passage through the trachea

Question 4

A trauma patient has oxygen saturation of 85% despite bag-valve-mask ventilation with 100% oxygen. Breath sounds are absent on the left with tracheal deviation to the right. The immediate intervention is:

Accepted Answer

Needle decompression at the left 2nd intercostal space, midclavicular line

Answer

Left chest tube insertion

Answer

Emergent intubation

Answer

Increase the respiratory rate of bag-valve-mask ventilation

Question 5

Which of the following confirms correct endotracheal tube placement most reliably?

Accepted Answer

Continuous waveform capnography (ETCO2)

Answer

Auscultation of bilateral breath sounds

Answer

Visualization of chest rise with ventilation

Answer

Condensation in the endotracheal tube

Question 6

A trauma patient requires a surgical airway. The anatomical landmark for cricothyrotomy is the membrane between the:

Accepted Answer

Thyroid cartilage and cricoid cartilage

Answer

Hyoid bone and thyroid cartilage

Answer

Cricoid cartilage and first tracheal ring

Answer

First and second tracheal rings