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