Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 22 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A It requires the insertion of a prosthesis into the trachea.
B It enables the client to form words with the lips.
C It requires the client to hold a throat vibrator against the neck.
D It will result in a low, gruff-sounding voice.
Question #2
A Rapid, deep respirations
B Warm, moist skin
C Increased blood pressure
D Decreased pulse rate
Question #3
A Apply an ice pack to the nose.
B Reassure the client that the nose is not fractured.
C Administer prescribed oral ibuprofen (Motrin).
D Check the clear fluid for glucose.
Question #4
A “You may have a sore throat for 1 week.”
B “You are allowed to have hot tea or coffee.”
C “Decrease oral intake if increased swallowing occurs.”
D “Gargle with a warm salt solution.”
Question #5
A laryngeal necrosis.
B dysphasia.
C xerostomia.
D pain.
Question #6
A Have the client blow his nose.
B Test the nasal drainage for glucose.
C Contact the physician.
D Look for a halo sign after the drainage dries.
Question #7
A laryngeal cancer is one of the most preventable types of cancer.
B laryngeal cancer occurs primarily in women.
C inhaling polluted air isn’t a risk factor for laryngeal cancer.
D adenocarcinoma accounts for most cases of laryngeal cancer.
Question #8
A Gram-negative Klebsiella
B Staphylococcus aureus
C Group A, beta-hemolytic streptococci
D Pseudomonas aeruginosa
Question #9
A Respiratory failure (RF)
B Congestive heart failure (CHF)
C Chronic obstructive pulmonary disease (COPD)
D Gastroesophageal reflux disease (GERD)
Question #10
A Encourage oral nutrition on the second postoperative day.
B Maintain the client in a low-Fowler’s position.
C Develop an alternate method of communication.
D Assess the tracheostomy cuff for leaks.
Question #11
A Nasal culture
B Magnetic resonance imaging (MRI)
C CBC with differential
D Transillumination of the sinus
Question #12
A a foul odor to your breath”
B a persistent cough or sore throat”
C trouble with your breathing”
D difficulty swallowing foods”
Question #13
A Gargle with a warm saline solution frequently.
B Take acetaminophen with codeine when pain is 5 or above.
C Report relief of pain to level 3 using a pain intensity scale of 1 to 10.
D Use a pain intensity rating scale of 0 to 10.
Question #14
A Wait 10 seconds before administering the second spray.
B Clean the medication container once each day.
C Tilt the head back when activating the spray of the medication.
D Blow the nose before applying medication into the nares.
Question #15
A Increased pulse rate
B Dry skin
C Increased blood pressure
D Shallow respirations
Question #16
A Use enteral feedings after the procedure
B Offer plenty of thin liquids when intake resumes
C Season food to suit an increased sense of taste and smell
D Recommend the long-term use of zinc lozenges
Question #17
A Staphylococcus aureus
B Gram-negative Klebsiella
C Group A, beta-hemolytic streptococcus
D Pseudomonas aeruginosa
Question #18
A “You can use writing or a communication board to communicate.”
B “A speech therapist will evaluate you and recommend a system of communication after surgery.”
C “After surgery you will have a sore throat, but you will be able to speak.”
D “After surgery you will have to use an electric larynx to communicate.”
Question #19
A Headache
B Epistaxis
C Arthralgia
D Watery eyes
Question #20
A A ventilator
B A face mask
C A rigid shell
D A nasal cannula
Question #21
A a feeling of swelling at the back of the throat
B weight loss
C discomfort when drinking cold liquids
D headaches in the morning
Question #22
A Hemilaryngectomy
B Total laryngectomy
C Supraglottic laryngectomy
D Partial laryngectomy
Question #23
A Laryngeal cancer
B Chronic tonsilittis
C Chronic pharyngitis
D Laryngeal polyps
Question #24
A Nausea
B Mild headache
C Hypertension
D Nuchal rigidity
Question #25
A Imbalanced nutrition: Less than body requirements
B Ineffective airway clearance
C Impaired verbal communication
D Anxiety and depression
Question #26
A blow his nose and then put lateral pressure on his nose.
B hold his nose while bending forward at the waist.
C lie supine with his neck extended.
D sit upright, leaning slightly forward.
Question #27
A Cephalexin
B Clarithromycin
C Cefuroxime
D Amoxicillin-clavulanic acid
Question #28
A Prepare for endotracheal intubation with mechanical ventilation.
B Prepare for immediate tracheostomy.
C Prepare to administer subcutaneous epinephrine and corticosteroids.
D Apply 100% oxygen via a face mask.
Question #29
A “I smoke a pack of cigarettes a day.”
B “I have environmental allergies.”
C “I was chewing ice chips all day long.”
D “I used my voice in excess over the weekend.”
Question #30
A Plugged tracheostomy tube
B Edema of the upper airway
C Infection
D Postoperative bleeding
Question #31
A Laryngeal polyps
B Cancer of the tonsils
C Cancer of the pharynx
D Laryngeal cancer
Question #32
A Nausea
B Headache
C Myalgias
D Fever
Question #33
A Apply pressure to the convex portion of the nose
B Ensure mouth breathing
C Apply a warm pack postoperatively
D Provide a splint postoperatively
Question #34
A Applying steroidal nasal spray
B Applying nasal packing
C Administering nasal lavage
D Preparing the patient for a septoplasty
Question #35
A Apply pressure to the convex of the nose.
B Position the patient in the side-lying position.
C Restrict fluid intake.
D Apply an ice pack.
Question #36
A Assess capillary refill.
B Monitor heart rhythm.
C Auscultate lung sounds.
D Obtain vital signs.
Question #37
A Provide alternative methods of communication.
B Provide a lip reader as a translator.
C Teach the client about an artificial larynx.
D Teach the client esophageal speech.
Question #38
A Total laryngectomy
B Laser surgery
C Radiation therapy
D Partial laryngectomy
Question #39
A Erosion of the trachea
B Incrusted mucous membranes
C Noisy breathing
D Hardened secretions
Question #40
A Deficient fluid volume related to increased fluid needs
B Deficient knowledge related to prevention of upper respiratory infections
C Acute pain related to upper airway irritation
D Ineffective airway clearance related to excess mucus production
Question #41
A Maintaining a warm compress around the client’s neck area
B Placing the client prone with the head turned to the side
C Removing the oral airway before the gag reflex has returned for client comfort
D Sitting the client in the semi–Fowler’s position
Question #42
A Hand-held showers
B Wearing a scarf over the stoma
C Swimming
D Coughing
Question #43
A “Clean the tracheostomy tube with alcohol and water.”
B “Family members should continue to talk to the client.”
C “Oral intake of fluids should be limited for 1 week only.”
D “Limit the amount of protein in the diet.”
Question #44
A A portion of the vocal cord was removed.
B The voice was spared and a tracheostomy would be in place until the airway was established.
C A permanent tracheal stoma would be necessary.
D One vocal cord was removed along with a portion of the larynx.
Question #45
A Hoarseness of more than 2 week’s duration
B Dysphasia
C Persistent ulceration
D Cervical lymph adenopathy
Question #46
A In 2 to 3 weeks.
B Within 1 week.
C After 1 month.
D Within 24 hours.
Question #47
A When the patient has less than 30 mL for 2 consecutive days
B When the patient states that there is discomfort and requests removal
C When the drainage tube comes out
D In 1 week when the patient no longer has serous drainage
Question #48
A Assess the tracheostomy cuff for leaks.
B Develop an alternate method of communication.
C Encourage oral nutrition on the second postoperative day.
D Maintain the client in a low-Fowler’s position.
Question #49
A It enables the client to form words with the lips.
B It requires the insertion of a prosthesis into the trachea.
C It will result in a low, gruff-sounding voice.
D It requires the client to hold a throat vibrator against the neck.
Question #50
A “Do not smoke and avoid being around others who are smoking.”
B “It is fine to speak in a whisper. This does not strain your voice.”
C “The ‘tickle’ in your throat will improve with cold liquids.”
D “Do not use a humidifier; it will make your problem worse.”
Question #51
A Bleeding
B Difficulty swallowing
C Difficulty talking
D Throat pain
Question #52
A Drink warm or hot liquids during the acute stage of the disease.
B Try a liquid or soft diet during the acute stage of the disease.
C Apply an ice collar.
D Stay on bed rest during the febrile stage of the illness.
E Gargle with an alcohol-based mouthwash.
Question #53
A An ointment such as bacitracin
B An antibiotic such as amoxicillin
C An antihistamine such as Benadryl
D An antiviral agent such as acyclovir
Question #54
A 3 to 6 months
B 1 to 3 months
C 20 to 30 days
D 2 to 12 days
Question #55
A Epistaxis, twice last week
B Hoarseness for 2 weeks
C Laryngitis following a cold
D Aphonia following a football game
Question #56
A Plugged tracheostomy tube
B Post operative bleeding
C Edema of the upper airway
D Infection
Question #57
A Exerts pressure against the worker’s abdomen
B Places both arms around the worker’s waist
C Stands behind the worker, who has hands across the neck
D Makes a fist with one hand with the thumb outside the fist
Question #58
A Dysphagia
B Xerostomia
C Rhinorrhea
D Epistaxis
Question #59
A The surgical site is dry with encrustations.
B Drainage is <30 mL/day for 2 consecutive days.
C The stoma is healed, about 6 weeks after surgery.
D The patient is able to assist with his own suctioning.
Question #60
A “The ET tube will maintain your airway while you’re under anesthesia.”
B “The ET tube will remain in place for at least a day postsurgery.”
C “The ET tube will be connected to a negative-pressure ventilator.”
D “The ET tube will be inserted through an opening in your trachea.”
Question #61
A Caution against frequent coughing.
B Provide meticulous mouth care every 4 hours.
C Encourage deep breathing every 2 hours.
D Monitor for signs of dysphagia.
Question #62
A Apply direct continuous pressure.
B Apply a moustache dressing.
C Place the client in a semi-Fowler’s position.
D Provide a nasal splint.
Question #63
A “Do you eat a lot of red meat?”
B “Do you smoke cigarettes, cigars, or a pipe?”
C “Have you strained your voice recently?”
D “Do you eat spicy foods?”