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