Question 1

How is the size of the suctioning catheter determined?

Accepted Answer

A)  Doubling the size of the tracheostomy tube 
B)  Tripling the size of the tracheostomy tube 
C)  Doubling the size of the tracheostomy tube and adding 2 
D)  Adding 2 to the size of the tracheostomy tube 
A)  Doubling the size of the tracheostomy tube 
B)  Tripling the size of the tracheostomy tube 
C)  Doubling the size of the tracheostomy tube and adding 2 
D)  Adding 2 to the size of the tracheostomy tube C

Question 2

Which vacuum settings should be used while suctioning?

Accepted Answer

A)  The lowest possible settings (<120 mm Hg) 
B)  The highest possible settings 
C)  Between 120 and 200 mm Hg 
D)  None of the above 
A)  The lowest possible settings (<120 mm Hg) 
B)  The highest possible settings 
C)  Between 120 and 200 mm Hg 
D)  None of the above A

Question 3

Which is a potential complication from tracheal suctioning?

Accepted Answer

A)  Hypoxemia 
B)  Cardiac dysrhythmia 
C)  Bronchospasm 
D)  All of the above 
A)  Hypoxemia 
B)  Cardiac dysrhythmia 
C)  Bronchospasm 
D)  All of the above D

Question 4

Which is uncommon after extubation?

Accepted Answer

A)  Skin edges are taped together with butterfly strips. 
B)  Air may escape through the wound. 
C)  Noise from the partially closed trachea is normal. 
D)  Dressings over the wound are discouraged. 
A)  Skin edges are taped together with butterfly strips. 
B)  Air may escape through the wound. 
C)  Noise from the partially closed trachea is normal. 
D)  Dressings over the wound are discouraged.

Question 5

Which should be performed after suctioning a patient's artificial airway?

Accepted Answer

A)  Check the patient's breath sounds. 
B)  Monitor the patient for dysrhythmias. 
C)  Use pulse oximetry to monitor desaturation. 
D)  All of the above 
A)  Check the patient's breath sounds. 
B)  Monitor the patient for dysrhythmias. 
C)  Use pulse oximetry to monitor desaturation. 
D)  All of the above

Question 6

Which is true of polyvinyl chloride tracheostomy tubes?

Accepted Answer

A)  Minimize crusting and adherence of secretions 
B)  Higher in cost than metal tubes 
C)  Not commonly seen 
D)  Difficult attachment for inflatable cuffs 
A)  Minimize crusting and adherence of secretions 
B)  Higher in cost than metal tubes 
C)  Not commonly seen 
D)  Difficult attachment for inflatable cuffs

Question 7

Which complication of tracheostomy can occur immediately because of laceration of the mediastinal pleura?

Accepted Answer

A)  Air embolism 
B)  Pneumothorax 
C)  Subcutaneous emphysema 
D)  Aspiration 
A)  Air embolism 
B)  Pneumothorax 
C)  Subcutaneous emphysema 
D)  Aspiration

Question 8

Which complication from tracheal suctioning can be minimized by performing preoxygenation?

Accepted Answer

A)  Infection 
B)  Bronchospasm 
C)  Hypoxemia 
D)  All of the above 
A)  Infection 
B)  Bronchospasm 
C)  Hypoxemia 
D)  All of the above

Question 9

Which is a purpose for an artificial airway?

Accepted Answer

A)  To bypass upper airway obstruction 
B)  To assist or control respirations over prolonged periods 
C)  To prevent aspiration of oral and gastric secretions 
D)  All of the above 
A)  To bypass upper airway obstruction 
B)  To assist or control respirations over prolonged periods 
C)  To prevent aspiration of oral and gastric secretions 
D)  All of the above

Question 10

Which can help a nurse or therapist determine the amount of secretions present in an artificial airway?

Accepted Answer

A)  Respiratory rate 
B)  Lung sounds 
C)  Oxygen saturation 
D)  All of the above 
A)  Respiratory rate 
B)  Lung sounds 
C)  Oxygen saturation 
D)  All of the above

Question 11

Before suctioning an artificial airway,how many hyperoxygenating breaths with a manual resuscitation bag should be provided?

Accepted Answer

A)  1 to 2 
B)  3 to 5 
C)  10 to 15 
D)  30 to 40 
A)  1 to 2 
B)  3 to 5 
C)  10 to 15 
D)  30 to 40

Question 12

Which term refers to the removal of an artificial airway?

Accepted Answer

A)  Decannulation 
B)  Intubation 
C)  Excision 
D)  Tracheostomy 
A)  Decannulation 
B)  Intubation 
C)  Excision 
D)  Tracheostomy

Question 13

Which is needed to reinsert a dislodged outer cannula?

Accepted Answer

A)  Tracheal hook 
B)  Trousseau dilator 
C)  Satisfactory tissue retraction 
D)  All of the above 
A)  Tracheal hook 
B)  Trousseau dilator 
C)  Satisfactory tissue retraction 
D)  All of the above

Question 14

Which airway device is a speaking valve that allows inspiration only and forces exhalation through the upper airway?

Accepted Answer

A)  Olympic tracheostomy button 
B)  Passy-Muir valve 
C)  Montgomery T tube 
D)  None of the above 
A)  Olympic tracheostomy button 
B)  Passy-Muir valve 
C)  Montgomery T tube 
D)  None of the above

Question 15

Which method of airway clearance is most hazardous to health care professionals?

Accepted Answer

A)  Mucociliary escalator 
B)  The cough reflex 
C)  Suctioning 
D)  A cough machine 
A)  Mucociliary escalator 
B)  The cough reflex 
C)  Suctioning 
D)  A cough machine

Question 16

In which position should nasotracheal and pharyngeal suctioning be done?

Accepted Answer

A)  Fully supine position 
B)  Fowler position 
C)  Trendelenburg position 
D)  Side-lying position 
A)  Fully supine position 
B)  Fowler position 
C)  Trendelenburg position 
D)  Side-lying position

Question 17

Which postoperative complication of tracheostomy can result from incorrect suctioning technique and the presence of a foreign body in the trachea?

Accepted Answer

A)  Crusting 
B)  Tracheobronchitis 
C)  Tracheal stenosis 
D)  Infection at the surgical site 
A)  Crusting 
B)  Tracheobronchitis 
C)  Tracheal stenosis 
D)  Infection at the surgical site

Question 18

What is the recommended pressure for a tracheostomy tube cuff?

Accepted Answer

A)  5 to 15 mm Hg 
B)  15 to 25 mm Hg 
C)  25 to 35 mm Hg 
D)  35 to 45 mm Hg 
A)  5 to 15 mm Hg 
B)  15 to 25 mm Hg 
C)  25 to 35 mm Hg 
D)  35 to 45 mm Hg

Question 19

How long should each suctioning procedure last?

Accepted Answer

A)  5 to 10 seconds 
B)  15 to 20 seconds 
C)  25 to 30 seconds 
D)  35 to 40 seconds 
A)  5 to 10 seconds 
B)  15 to 20 seconds 
C)  25 to 30 seconds 
D)  35 to 40 seconds

Question 20

How often should the pressure of a tracheostomy tube cuff be checked?

Accepted Answer

A)  Once per day 
B)  Twice per day 
C)  Every 4 to 8 hours 
D)  Every 30 minutes 
A)  Once per day 
B)  Twice per day 
C)  Every 4 to 8 hours 
D)  Every 30 minutes

Exam 44: Care of the Patient With an Artificial Airway

How is the size of the suctioning catheter determined?

Which vacuum settings should be used while suctioning?

Which is a potential complication from tracheal suctioning?

Which is uncommon after extubation?

Which should be performed after suctioning a patient's artificial airway?

Which is true of polyvinyl chloride tracheostomy tubes?

Which complication of tracheostomy can occur immediately because of laceration of the mediastinal pleura?

Which complication from tracheal suctioning can be minimized by performing preoxygenation?

Which is a purpose for an artificial airway?

Which can help a nurse or therapist determine the amount of secretions present in an artificial airway?

Before suctioning an artificial airway,how many hyperoxygenating breaths with a manual resuscitation bag should be provided?

Which term refers to the removal of an artificial airway?

Which is needed to reinsert a dislodged outer cannula?

Which airway device is a speaking valve that allows inspiration only and forces exhalation through the upper airway?

Which method of airway clearance is most hazardous to health care professionals?

In which position should nasotracheal and pharyngeal suctioning be done?

Which postoperative complication of tracheostomy can result from incorrect suctioning technique and the presence of a foreign body in the trachea?

What is the recommended pressure for a tracheostomy tube cuff?

How long should each suctioning procedure last?

How often should the pressure of a tracheostomy tube cuff be checked?

Epidemiology As a Basis for Informing Contemporary Physical Therapy Practice

Oxygen Transport: the Basis of Cardiovascular and Pulmonary Physical Therapy

Cardiovascular and Pulmonary Anatomy

Cardiovascular and Pulmonary Physiology

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Cardiovascular and Pulmonary Manifestations of Systemic Conditions

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History

Pulmonary Function Tests

Arterial Blood Gases

Imaging of the Chest

Electrocardiogram Identification

Multisystem Assessment and Laboratory Investigations

Special Tests

Clinical Evaluation and Assessment of the Cardiovascular and Pulmonary Systems

Monitoring Systems, catheters, and Devices in the Intensive Care Unit

Maximizing Outcomes: Relating Interventions to an Individuals Needs

Mobilization and Exercise: Physiological Basis for Assessment, evaluation, and Training

Mobilization and Exercise: Testing and Training

Body Positioning

Airway Clearance Techniques

Facilitating Airway Clearance With Coughing Techniques

Facilitating Ventilation Patterns and Breathing Strategies

Exercise Testing and Training: Primary Cardiopulmonary Dysfunction

Exercise Testing and Training: Secondary Cardiopulmonary Dysfunction

Respiratory Muscle Training

Complementary Therapies As Cardiopulmonary Physical Therapy Interventions

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Intensive Care Management of Medical and Surgical Complications

Infants and Children With Cardiovascular and Pulmonary Concerns

The Aging Patient

Multisystem Clinical Implications of Impaired Breathing Mechanics and Postural Control

The Transplant Patient

The Patient in the Community

Body Mechanics: Positioning and Moving Patients

Respiratory Care Practice Review

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