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