Question 1

The nurse is working in the pediatric intensive care unit,and is caring for a toddler-age client with a tracheostomy.Which type of tracheostomy does the nurse anticipate this client will have?

Accepted Answer

A) Uncuffed tube 
B) Cuffed tube 
C) Tube with an inner cannula 
D) Tube with a low-pressure cuff A

Question 2

The nurse is caring for a client being weaned from the ventilator,and wants to improve the client's ability to communicate.Which item will the nurse request an order for from the health care provider?

Accepted Answer

A) Cuffed tracheostomy tube 
B) Uncuffed tracheostomy tube 
C) Fenestrated tracheostomy tube 
D) Obturator C

Question 3

Which task could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

Accepted Answer

A) Capping a tracheostomy tube 
B) Performing tracheostomy care 
C) Increasing oxygen concentration delivered to the client 
D) Providing routine client care D

Question 4

The nurse is caring for a client with a tracheostomy tube in place connected to a mechanical ventilator.When facilitating communication,which strategy is not appropriate?

Accepted Answer

A) Using a fenestrated tracheostomy tube 
B) Using writing materials 
C) Using a communication board 
D) Using a Passy-Muir valve

Question 5

The nurse is performing tracheostomy care.Which portion of the trach will the nurse use when tying the new trach ties?

Accepted Answer

A) Inner cannula 
B) Outer cannula 
C) Obturator 
D) Flange

Question 6

When performing tracheostomy care,which action by the nurse is not appropriate?

Accepted Answer

A) Unlocking and removing the inner cannula 
B) Rinsing the cannula in normal saline 
C) Using a pipe cleaner to dry the inside and outside of the cannula 
D) Cleaning the incision site and flange using sterile applicators or gauze dressings moistened with normal saline

Question 7

The nurse is caring for a client with a longstanding permanent tracheostomy that has been in place for several years in order to provide mechanical ventilation.Which type of tracheostomy does the nurse anticipate this client may have based on the health history?

Accepted Answer

A) Uncuffed tracheostomy 
B) Cuffed tracheostomy 
C) Fenestrated tracheostomy 
D) Uncuffed or fenestrated tracheostomy

Question 8

When preparing to cap the client's tracheostomy tube with a speaking valve,which nursing action is not appropriate before placing the valve?

Accepted Answer

A) Suctioning the oropharynx if there are any secretions present 
B) Asking the client to cough 
C) Suctioning the tracheostomy tube 
D) Deflating the cuffed tracheostomy tube

Question 9

When capping the client's tracheostomy tube with a speaking valve,the nurse assesses the client's breath sounds around the tube and hears no air leak.Which nursing action is the most appropriate based on this assessment finding?

Accepted Answer

A) Allowing the cap to remain in place as long as the client tolerates it 
B) Documenting the placement of the cap and relevant data regarding client assessment 
C) Removing the valve and notifying the health care provider 
D) Assisting the client out of bed

Question 10

Which item is not included for all tracheostomy tubes?

Accepted Answer

A) Outer cannula 
B) Inner cannula 
C) Flange 
D) Obturator

Exam 27: Caring for the Client With a Tracheostomy