B260 INDIANA UNIVERSITY/PURDUE UNIVERSITY AT INDIANAPOLIS -
B260 FUNDAMENTALS: COMPREHENSIVE FINAL REVIEW
200 EXAM QUESTIONS (IU/PUI 2026/2027 EDITION)
Section 1: Tracheostomy Care & Decannulation (Questions 1-20)
1. [Fill in the Blank] Accidental decannulation of a fresh trach is
considered a ________.
Answer: medical alert
2. [Single Choice] Which of the following is the priority action if a fresh
tracheostomy is accidentally decannulated?
A) Call the provider
B) Attempt to reinsert the tube
C) Apply a sterile occlusive dressing
D) Assess the patient's airway and breathing
Answer: D) Assess the patient's airway and breathing
3. [Multiple Choice] Which of the following are true regarding a fresh
tracheostomy? (Select all that apply)
A) It is considered a medical alert if decannulated.
B) The patient should have emergency equipment at the bedside.
C) The stoma tract is fully matured within 24 hours.
,D) Accidental decannulation can be life-threatening.
Answer: A, B, D
4. [List] List three emergency supplies that must remain at the bedside
of a patient with a fresh tracheostomy.
Answer: 1. Spare tracheostomy tube of the same size, 2. Spare
tracheostomy tube of a smaller size, 3. Bag-valve-mask (Ambu bag)
5. [Single Choice] What is the primary risk associated with accidental
decannulation of a fresh trach?
A) Infection
B) Loss of airway
C) Bleeding
D) Tracheal stenosis
Answer: B) Loss of airway
6. [Fill in the Blank] If a fresh trach is accidentally decannulated, the
nurse should first ________.
Answer: assess the patient's airway
7. [Multiple Choice] Which of the following indicate a fresh
tracheostomy?
A) The stoma tract has not yet healed.
B) The patient is within the first 7-10 days post-op.
C) The patient requires minimal suctioning.
,D) The tract is not fully epithelialized.
Answer: A, B, D
8. [Single Choice] When a fresh trach is decannulated, what is the best
approach to reinsertion?
A) Forcefully insert the same size tube
B) Use a smaller size tube or follow facility protocol
C) Wait for the provider to arrive before touching the patient
D) Insert an oral airway
Answer: B) Use a smaller size tube or follow facility protocol
9. [List] List three signs of respiratory distress in a patient with a fresh
tracheostomy.
Answer: 1. Increased respiratory rate, 2. Cyanosis, 3. Use of accessory
muscles
10. [Fill in the Blank] A ________ must be readily available at the
bedside for a patient with a fresh trach.
Answer: tracheostomy tube
11. [Single Choice] What does the term "fresh trach" imply regarding
the stoma?
A) The stoma is fully healed
B) The stoma is newly created and not fully matured
C) The stoma is infected
, D) The stoma is permanent
Answer: B) The stoma is newly created and not fully matured
12. [Multiple Choice] Which actions should the nurse take if a fresh
trach is accidentally decannulated? (Select all that apply)
A) Stay with the patient and call for help.
B) Assess oxygenation and ventilation.
C) Immediately irrigate the stoma with saline.
D) Attempt to reinsert a smaller tube if unable to ventilate.
Answer: A, B, D
13. [Fill in the Blank] Accidental decannulation of a fresh trach requires
immediate notification of the ________.
Answer: provider
14. [Single Choice] Which of the following is NOT a recommended
action during accidental decannulation of a fresh trach?
A) Assess the patient
B) Call for help
C) Force the original trach back in
D) Provide manual ventilation if needed
Answer: C) Force the original trach back in
B260 FUNDAMENTALS: COMPREHENSIVE FINAL REVIEW
200 EXAM QUESTIONS (IU/PUI 2026/2027 EDITION)
Section 1: Tracheostomy Care & Decannulation (Questions 1-20)
1. [Fill in the Blank] Accidental decannulation of a fresh trach is
considered a ________.
Answer: medical alert
2. [Single Choice] Which of the following is the priority action if a fresh
tracheostomy is accidentally decannulated?
A) Call the provider
B) Attempt to reinsert the tube
C) Apply a sterile occlusive dressing
D) Assess the patient's airway and breathing
Answer: D) Assess the patient's airway and breathing
3. [Multiple Choice] Which of the following are true regarding a fresh
tracheostomy? (Select all that apply)
A) It is considered a medical alert if decannulated.
B) The patient should have emergency equipment at the bedside.
C) The stoma tract is fully matured within 24 hours.
,D) Accidental decannulation can be life-threatening.
Answer: A, B, D
4. [List] List three emergency supplies that must remain at the bedside
of a patient with a fresh tracheostomy.
Answer: 1. Spare tracheostomy tube of the same size, 2. Spare
tracheostomy tube of a smaller size, 3. Bag-valve-mask (Ambu bag)
5. [Single Choice] What is the primary risk associated with accidental
decannulation of a fresh trach?
A) Infection
B) Loss of airway
C) Bleeding
D) Tracheal stenosis
Answer: B) Loss of airway
6. [Fill in the Blank] If a fresh trach is accidentally decannulated, the
nurse should first ________.
Answer: assess the patient's airway
7. [Multiple Choice] Which of the following indicate a fresh
tracheostomy?
A) The stoma tract has not yet healed.
B) The patient is within the first 7-10 days post-op.
C) The patient requires minimal suctioning.
,D) The tract is not fully epithelialized.
Answer: A, B, D
8. [Single Choice] When a fresh trach is decannulated, what is the best
approach to reinsertion?
A) Forcefully insert the same size tube
B) Use a smaller size tube or follow facility protocol
C) Wait for the provider to arrive before touching the patient
D) Insert an oral airway
Answer: B) Use a smaller size tube or follow facility protocol
9. [List] List three signs of respiratory distress in a patient with a fresh
tracheostomy.
Answer: 1. Increased respiratory rate, 2. Cyanosis, 3. Use of accessory
muscles
10. [Fill in the Blank] A ________ must be readily available at the
bedside for a patient with a fresh trach.
Answer: tracheostomy tube
11. [Single Choice] What does the term "fresh trach" imply regarding
the stoma?
A) The stoma is fully healed
B) The stoma is newly created and not fully matured
C) The stoma is infected
, D) The stoma is permanent
Answer: B) The stoma is newly created and not fully matured
12. [Multiple Choice] Which actions should the nurse take if a fresh
trach is accidentally decannulated? (Select all that apply)
A) Stay with the patient and call for help.
B) Assess oxygenation and ventilation.
C) Immediately irrigate the stoma with saline.
D) Attempt to reinsert a smaller tube if unable to ventilate.
Answer: A, B, D
13. [Fill in the Blank] Accidental decannulation of a fresh trach requires
immediate notification of the ________.
Answer: provider
14. [Single Choice] Which of the following is NOT a recommended
action during accidental decannulation of a fresh trach?
A) Assess the patient
B) Call for help
C) Force the original trach back in
D) Provide manual ventilation if needed
Answer: C) Force the original trach back in
