ACCS Oakes practice Exam Questions and answers with 100% correct solutions | A+ Grade
A difficult intubation is anticipated with an obese pt. The decision is made to intubate by video
laryngoscopy. Which of the following is LEAST likely to be needed:
A) Cook's Exchanger
B) Rigid Stylet
C) Cuffed Endotracheal Tube
D) Video-enabled Laryngoscope ✔✔A) cook's exchanger
Video laryngoscopy involves use of a normal ET Tube with the addition of a rigid stylet, as well as a
video-enabled laryngoscope and other normal intubation equipment.
A Cook's Tube Exchanger is not necessary - this is used to exchange tubes already in place.
A 5'6" female has been transferred from Intermediate Care to Intensive Care in respiratory distress. She
is intubated with a silver-coated #7.0 Endotracheal tube. CXR immediately following intubation shows
Right Upper Lobe infiltrate with bibasilar atelectasis. The ET Tube is noted to be approximately 4 cm
above the carina.
The Respiratory Therapist would BEST recommend:
A) Initiation of broad-spectrum antibiotics for probably pneumonia
B)Withdraw Endotracheal tube at least 3 cm
C) Use tube exchanger to replace Endotracheal tube from silver-coated to a low-pressure/high-volume
cuffed tube
D) Immediate V/Q Scan ✔✔Correct answer is A
This pt has gone into respiratory failure, requiring intubation. The X-ray is consistent with a possible
pneumonia diagnosis. The best option therefore is to start antibiotics.
Withdrawing ET Tube is not indicated as 4 cm is likely adequate. Pulling back 3 cm could result in
inadvertent extubation and would cause harm to patient