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