{"id":118946,"date":"2023-09-07T15:26:43","date_gmt":"2023-09-07T15:26:43","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118946"},"modified":"2023-09-07T15:26:46","modified_gmt":"2023-09-07T15:26:46","slug":"egans-final-exam-2023-with-complete-solutionactual-questions-and-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/07\/egans-final-exam-2023-with-complete-solutionactual-questions-and-answers\/","title":{"rendered":"Egan&#8217;s Final Exam 2023 with complete solution;Actual Questions and Answers"},"content":{"rendered":"\n<p>What is the primary indication for tracheal suctioning? Ans- Retention of secretions<br>What is the most common complication of suctioning? Ans- hypoxemia.<br>Complications of tracheal suctioning include all of the following except: Ans\u0002hyperinflation<br>How often should patients be suctioned? Ans- When physical findings support the<br>need<br>What is the normal range of negative pressure to use when suctioning an adult patient?<br>Ans- -100 to -120 mm Hg<br>but in egan&#8217;s -120 to -150 mmHg<br>What is the normal range of negative pressure to use when suctioning children? Ans- &#8211;<br>100 to -120 mm Hg<br>or -80 to -120 mmHg<br>You are about to suction a 10-year-old patient who has a 6-mm (internal diameter)<br>endotracheal tube in place. What is the maximum size of catheter that you would use in<br>this case? Ans- 10Fr<br>You are about to suction a female patient who has an 8-mm (internal diameter)<br>endotracheal tube in place. What is the maximum size of catheter you would use in this<br>case? Ans- 14 Fr<br>To prevent hypoxemia when suctioning a patient, the respiratory care practitioner<br>should initially do which of the following? Ans- preoxygenate<br>To maintain positive end expiratory pressure (PEEP) and high FiO2 when suctioning a<br>mechanically ventilated patient, what would you recommend? Ans- Use a closed\u0002system multiuse suction catheter.<br>Total application time for endotracheal suction in adults should not exceed which of the<br>following? Ans- 10-15 sec<br>While suctioning a patient, you observe an abrupt change in the electrocardiogram<br>waveform being displayed on the cardiac monitor. Which of the following actions would<br>be most appropriate? Ans- Stop suctioning and immediately administer oxygen<br><br>what methods can help to reduce the likelihood of atelectasis due to tracheal<br>suctioning? Ans- 1. Limit the amount of negative pressure used.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>Hyperoxygenate the patient before and after the procedure.<\/li>\n\n\n\n<li>Suction for as short a period of time as possible.<br>Which of the following can help to minimize the likelihood of mucosal trauma during<br>suctioning?<\/li>\n\n\n\n<li>Use as large a catheter as possible.<\/li>\n\n\n\n<li>Rotate the catheter while withdrawing.<\/li>\n\n\n\n<li>Use as rigid a catheter as possible.<\/li>\n\n\n\n<li>Limit the amount of negative pressure. Ans- 2 and 4<br>Absolute contraindication for nasotracheal suctioning includes which of the following?<\/li>\n\n\n\n<li>Epiglottitis<\/li>\n\n\n\n<li>Croup<\/li>\n\n\n\n<li>Irritable airway Ans- 1 and 2<br>Which of the following equipment is NOT needed to perform nasotracheal suctioning?<br>a.suction kit (catheter, gloves, basin, etc.)<br>b.laryngoscope with MacIntosh and Miller blades<br>c.oxygen delivery system (mask and manual resuscitator)<br>d.bottle of sterile water or saline solution Ans- b.laryngoscope with MacIntosh and<br>Miller blades<br>After repeated nasotracheal suctioning over 2 days, a patient with retained secretions<br>develops minor bleeding through the nose. Which of the following actions would you<br>recommend? Ans- Stop the bleeding and use a nasopharyngeal airway for access.<br>Before the suctioning of a patient, auscultation reveals coarse breath sounds during<br>both inspiration and expiration. After suctioning, the coarseness disappears, but<br>expiratory wheezing is heard over both lung fields. What is most likely the problem?<br>Ans- The patient has hyperactive airways and has developed bronchospasm.<br>What general condition requires airway management?<\/li>\n\n\n\n<li>Airway compromise<\/li>\n\n\n\n<li>Respiratory failure<\/li>\n\n\n\n<li>Need to protect the airway Ans- 1, 2, and 3<br>Which of the following conditions require emergency tracheal intubation?<\/li>\n\n\n\n<li>Upper airway or laryngeal edema<\/li>\n\n\n\n<li>Loss of protective reflexes<\/li>\n\n\n\n<li>Cardiopulmonary arrest<\/li>\n\n\n\n<li>Traumatic upper airway obstruction Ans- 1,2,3,4<br>All of the following indicate an inability to adequately protect the airway except:<br>a.wheezing<br><br>b.coma<br>c.lack of gag reflex<br>d.inability to cough Ans- a.wheezing<br>Compared with the nasal route, the advantages of oral intubation include all of the<br>following except:<br>a.reduced risk of kinking<br>b.less retching and gagging<br>c.easier suctioning<br>d.less traumatic insertion Ans- b.less retching and gagging<br>Compared with the oral route, the advantages of nasal intubation include all of the<br>following except:<br>a.reduced risk of kinking<br>b.less retching and gagging<br>c.less accidental extubation<br>d.greater long-term comfort Ans- a.reduced risk of kinking<br>Compared with translaryngeal intubation, the advantages of tracheostomy include all of<br>the following except:<br>a.greater patient comfort<br>b.reduced risk of bronchial intubation<br>c.no upper airway complications<br>d.decreased frequency of aspiration Ans- d.decreased frequency of aspiration<br>What is the standard size for endotracheal or tracheostomy tube adapters? Ans- 15<br>mm external diameter<br>What is the purpose of the additional side port (Murphy eye) on most modern<br>endotracheal tubes? Ans- ensure gas flow if the main port is blocked<br>What is the purpose of a cuff on an artificial tracheal airway? Ans- to seal off and<br>protect the lower airway<br>What is the purpose of the pilot balloon on an endotracheal or a tracheostomy tube?<br>Ans- to monitor cuff status and pressure<br>Which of the following features incorporated into most modern endotracheal tubes<br>assist in verifying proper tube placement?<\/li>\n\n\n\n<li>Length markings on the curved body of the tube<\/li>\n\n\n\n<li>Imbedded radiopaque indicator near the tube tip<\/li>\n\n\n\n<li>Additional side port (Murphy eye) near the tube tip Ans- 1 and 2<br>The removable inner cannula commonly incorporated into modern tracheostomy tubes<br>serves which of the following purposes?<\/li>\n\n\n\n<li>aid in routine tube cleaning and tracheostomy care<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>What is the primary indication for tracheal suctioning? Ans- Retention of secretionsWhat is the most common complication of suctioning? Ans- hypoxemia.Complications of tracheal suctioning include all of the following except: Ans\u0002hyperinflationHow often should patients be suctioned? Ans- When physical findings support theneedWhat is the normal range of negative pressure to use when suctioning an adult [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118946","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118946","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118946"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118946\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118946"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118946"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118946"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}