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Practice Lab 2 - Test 2 Exam Questions And
Answers |Latest 2025 | Guaranteed Pass.
A nurse is trying to determine whether or not a patient's artificial airway should be suctioned.
Which of the following is not an indication for suctioning?
A. Pulse oximetry 89%
B. Pulmonary secretions
C. Two hours have elapsed since patient was last suctioned
D. Patient has audible gurgling and appears restless. - Answer✔A. Pulse oximetry 89%
The student nurse is observing the staff nurse perform routine tracheostomy care. Which of the
following actions, if made by the staff nurse, would be inappropriate?
A. The nurse removes the soiled tracheostomy ties, cleans the flange, and applies new
tracheostomy ties, securing them tightly behind the patient's neck.
B. The nurse oxygenates the patient, suctions the tracheostomy tube, and removes the soiled
tracheostomy dressing before removing gloves.
C. The nurse cleans around the tracheostomy faceplate and stoma with normal saline-saturated
sterile cotton-tipped applicators and sterile gauze.
D. The nurse removes the inner cannula and places it in a sterile basin of normal saline. -
Answer✔A. The nurse removes the soiled tracheostomy ties, cleans the flange, and applies new
tracheostomy ties, securing them tightly behind the patient's neck.
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The nurse is going to perform inline tracheostomy suctioning followed by tracheostomy tube
care (using a disposable inner cannula). Which of the following is an incorrect step in the
sequence for these procedures?
A. Perform hand hygiene. Connect suctioning tubing to suction machine. Set on low.
Hyperoxygenate patient. Unlock suction catheter. Insert catheter during inspiration.
B. Apply suction. Withdraw catheter to the point indicated. Lock suction catheter. Turn off
suction machine. Provide oral care.
C. Remove existing tracheostomy dressing and discard gloves. Perform hand hygiene. Using
sterile technique, open tracheostomy kit. Prepare supplies: open 4- ✕ 4-inch gauze, saline; pour
saline solution over cotton swabs. Open tracheostomy dressing package, prepare fixation
device, open new inner cannula.
D. Apply clean gloves. Remove existing inner cannula. Clean around stoma and flange with
brush in outward circle - Answer✔D. Apply clean gloves. Remove existing inner cannula. Clean
around stoma and flange with brush in outward circle moving toward stoma. Insert new inner
cannula. Have assistant hold tracheostomy tube.
For the patient who extubated himself, what priority action should the nurse take?
A. Apply a sterile dressing to the site
B. Notify the health care provider
C. Determine whether the patient is breathing spontaneously
D. Medicate the patient for pain and assess for tissue damage - Answer✔C. Determine whether
the patient is breathing spontaneously
What is the purpose of having a fenestrated tube in an artificial airway?
A. To decrease the likelihood of aspiration of stomach contents
B. To allow a patient to talk
C. To prevent dislodgment
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D. To prevent trauma to the trachea - Answer✔B. To allow a patient to talk
The nurse is preparing to perform tracheal suctioning on a patient. Which of the following
would be an appropriate nursing action? Select all that apply.
A. To effectively suction the left main stem bronchus, turn the patient's head to the left
B. When suctioning artificial airways, apply suction during insertion
C. Hyperoxygenate patient with artificial airway before suctioning
D. Allow at least 1 full minute between suction passes
E. For open nasotracheal suctioning, clean gloves are appropriate - Answer✔C. Hyperoxygenate
patient with artificial airway before suctioning
D. Allow at least 1 full minute between suction passes
The patient's wife asks why the nurse turns the oxygen all the way up before suctioning the
patient. What is the nurse's best response?
A. "It is necessary in order to create the pressure needed to make the suction machine work
effectively."
B. "Because suctioning will remove oxygen, the flow rate is increased to prevent a decrease in
oxygen available to tissues."
C. "As secretions are removed, they need to be replaced with oxygen."
D. "A high concentration of oxygen stimulates the respiratory center so the patient will
continue breathing during the suctioning procedure." - Answer✔B. "Because suctioning will
remove oxygen, the flow rate is increased to prevent a decrease in oxygen available to tissues."
The nurse is performing endotracheal tube care. Which step is an appropriate nursing action for
performing this skill?
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A. Fold the tape that holds the endotracheal tube in place lengthwise to prevent it from sticking
to the patient's head or hair.
B. Use the tongue blades to inspect the patient's oral cavity for sores.
C. Rotate the endotracheal tube to the opposite side of the mouth only if a lesion has
developed under the tube.
D. Use two people to carry out the procedure. - Answer✔D. Use two people to carry out the
procedure.
Which task(s) could be delegated to trained nursing assistive personnel (NAP)? Select all that
apply.
A. Nasotracheal suctioning
B. Tracheostomy care of a well-established tracheostomy
C. Closed inline suctioning if a patient is on a mechanical ventilator
D. Endotracheal tube care
E. Oropharyngeal suctioning - Answer✔B. Tracheostomy care of a well-established
tracheostomy
E. Oropharyngeal suctioning
After the NAP performs routine vital signs on the patient, the NAP reports to the nurse that the
patient is restless, and it sounds like the patient is gurgling. Vital sign readings indicate a pulse
of 72, respiratory rate of 20 breaths per minute, and a pulse oximetry of 89%. What is the most
appropriate action at this time?
A. Document the normal findings
B. Consult with the health care provider regarding need for a bronchodilator
C. Suction the patient's airway
D. Have the patient take a deep breath and reassess pulse oximetry - Answer✔C. Suction the
patient's airway
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Practice Lab 2 - Test 2 Exam Questions And
Answers |Latest 2025 | Guaranteed Pass.
A nurse is trying to determine whether or not a patient's artificial airway should be suctioned.
Which of the following is not an indication for suctioning?
A. Pulse oximetry 89%
B. Pulmonary secretions
C. Two hours have elapsed since patient was last suctioned
D. Patient has audible gurgling and appears restless. - Answer✔A. Pulse oximetry 89%
The student nurse is observing the staff nurse perform routine tracheostomy care. Which of the
following actions, if made by the staff nurse, would be inappropriate?
A. The nurse removes the soiled tracheostomy ties, cleans the flange, and applies new
tracheostomy ties, securing them tightly behind the patient's neck.
B. The nurse oxygenates the patient, suctions the tracheostomy tube, and removes the soiled
tracheostomy dressing before removing gloves.
C. The nurse cleans around the tracheostomy faceplate and stoma with normal saline-saturated
sterile cotton-tipped applicators and sterile gauze.
D. The nurse removes the inner cannula and places it in a sterile basin of normal saline. -
Answer✔A. The nurse removes the soiled tracheostomy ties, cleans the flange, and applies new
tracheostomy ties, securing them tightly behind the patient's neck.
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, ©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 1:26 PM A+
The nurse is going to perform inline tracheostomy suctioning followed by tracheostomy tube
care (using a disposable inner cannula). Which of the following is an incorrect step in the
sequence for these procedures?
A. Perform hand hygiene. Connect suctioning tubing to suction machine. Set on low.
Hyperoxygenate patient. Unlock suction catheter. Insert catheter during inspiration.
B. Apply suction. Withdraw catheter to the point indicated. Lock suction catheter. Turn off
suction machine. Provide oral care.
C. Remove existing tracheostomy dressing and discard gloves. Perform hand hygiene. Using
sterile technique, open tracheostomy kit. Prepare supplies: open 4- ✕ 4-inch gauze, saline; pour
saline solution over cotton swabs. Open tracheostomy dressing package, prepare fixation
device, open new inner cannula.
D. Apply clean gloves. Remove existing inner cannula. Clean around stoma and flange with
brush in outward circle - Answer✔D. Apply clean gloves. Remove existing inner cannula. Clean
around stoma and flange with brush in outward circle moving toward stoma. Insert new inner
cannula. Have assistant hold tracheostomy tube.
For the patient who extubated himself, what priority action should the nurse take?
A. Apply a sterile dressing to the site
B. Notify the health care provider
C. Determine whether the patient is breathing spontaneously
D. Medicate the patient for pain and assess for tissue damage - Answer✔C. Determine whether
the patient is breathing spontaneously
What is the purpose of having a fenestrated tube in an artificial airway?
A. To decrease the likelihood of aspiration of stomach contents
B. To allow a patient to talk
C. To prevent dislodgment
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, ©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 1:26 PM A+
D. To prevent trauma to the trachea - Answer✔B. To allow a patient to talk
The nurse is preparing to perform tracheal suctioning on a patient. Which of the following
would be an appropriate nursing action? Select all that apply.
A. To effectively suction the left main stem bronchus, turn the patient's head to the left
B. When suctioning artificial airways, apply suction during insertion
C. Hyperoxygenate patient with artificial airway before suctioning
D. Allow at least 1 full minute between suction passes
E. For open nasotracheal suctioning, clean gloves are appropriate - Answer✔C. Hyperoxygenate
patient with artificial airway before suctioning
D. Allow at least 1 full minute between suction passes
The patient's wife asks why the nurse turns the oxygen all the way up before suctioning the
patient. What is the nurse's best response?
A. "It is necessary in order to create the pressure needed to make the suction machine work
effectively."
B. "Because suctioning will remove oxygen, the flow rate is increased to prevent a decrease in
oxygen available to tissues."
C. "As secretions are removed, they need to be replaced with oxygen."
D. "A high concentration of oxygen stimulates the respiratory center so the patient will
continue breathing during the suctioning procedure." - Answer✔B. "Because suctioning will
remove oxygen, the flow rate is increased to prevent a decrease in oxygen available to tissues."
The nurse is performing endotracheal tube care. Which step is an appropriate nursing action for
performing this skill?
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, ©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 1:26 PM A+
A. Fold the tape that holds the endotracheal tube in place lengthwise to prevent it from sticking
to the patient's head or hair.
B. Use the tongue blades to inspect the patient's oral cavity for sores.
C. Rotate the endotracheal tube to the opposite side of the mouth only if a lesion has
developed under the tube.
D. Use two people to carry out the procedure. - Answer✔D. Use two people to carry out the
procedure.
Which task(s) could be delegated to trained nursing assistive personnel (NAP)? Select all that
apply.
A. Nasotracheal suctioning
B. Tracheostomy care of a well-established tracheostomy
C. Closed inline suctioning if a patient is on a mechanical ventilator
D. Endotracheal tube care
E. Oropharyngeal suctioning - Answer✔B. Tracheostomy care of a well-established
tracheostomy
E. Oropharyngeal suctioning
After the NAP performs routine vital signs on the patient, the NAP reports to the nurse that the
patient is restless, and it sounds like the patient is gurgling. Vital sign readings indicate a pulse
of 72, respiratory rate of 20 breaths per minute, and a pulse oximetry of 89%. What is the most
appropriate action at this time?
A. Document the normal findings
B. Consult with the health care provider regarding need for a bronchodilator
C. Suction the patient's airway
D. Have the patient take a deep breath and reassess pulse oximetry - Answer✔C. Suction the
patient's airway
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