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Airway Management in Mechanical Ventilation 185

6. The therapist is getting ready to intubate a patient who has been classified as Class 3 using the Mallampati
method. The therapist should _______ because the _______ are seen during assessment.
A. provide conscious sedation, soft palate and base of uvula
B. provide conscious sedation, fauces, uvula, and tonsillar pillars
C. seek anesthesia consultation, soft palate, and base of uvula
D. seek anesthesia consultation, fauces, uvula, and tonsillar pillars

7. A therapist is preparing to intubate a 49-year-old, 60-kg (132-lb) patient, and two endotracheal tubes,
size 7 and size 8 are available. The therapist should use the _______ tube because it offers _______ than
the other ET tube.
A. size 8, lower airflow resistance C. size 7, lower airflow resistance
B. size 8, higher airflow resistance D. size 7, higher airflow resistance

8. The therapist is called to intubate a patient in the dialysis unit. Since there are no crash cart and intuba-
tion equipment nearby, the therapist is asked to bring along the minimal supplies needed for intubation.
In addition to the laryngoscope handle, blade, and endotracheal tube, which of the following supplies is
the most essential item for intubation and initiation of ventilation?
A. water-soluble lubricant C. stylet
B. tape D. 10-mL syringe

9. A therapist is performing an elective intubation on a 32-year-old, 78-kg (172-lb), 5 ft 2 in. patient in
the intensive care unit. Based on the patient’s physical characteristics, the therapist should use a size
_______, _______ laryngoscope blade.

A. 2, Miller C. 4, Macintosh
B. 3, Miller D. 5, Macintosh

10. When the therapist intubates the patient in the preceding question, the therapist should place the tip of
the blade just under the _______ and use the laryngoscope handle to _______.
A. tongue, pry the mouth open C. epiglottis, pry the mouth open
B. tongue, lift up anteriorly D. epiglottis, lift up anteriorly

11. During intubation of an apneic patient, the patient develops arrhythmias. The therapist should remove
the blade and endotracheal tube immediately and provide:

A. cardiac defibrillation and ventilation.
B. 100% oxygen via a nonrebreathing ventilation.
C. 100% oxygen via manual resuscitation bag/mask system.
D. chest compression and mask.

12. The best approach to avoid esophageal intubation is to ensure that the endotracheal tube goes through
the _______ under direct vision.
A. underside of tongue C. vocal cords
B. pharynx D. epiglottis

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