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