NUR 185 Exam 1 .Final Test Paper 2026\2027.
What are the nursing interventions for Tracheostomy?
Provide oxygen following trach suctioning.
In what order do you suction a tracheostomy?
1. Wash hands, wear a face shield, use sterile technique.
2. Use lubricant.
3. Oxygenate patient before suctioning.
4. Apply suction intermittently while rotating catheter
back & forth as it is
withdrawn.
5. Suction should be no more than 10-15 seconds.
6. Rinse the catheter by suctioning normal saline through
it
7. Oxygenate patient again after suctioning.
How do you care for a tracheostomy?
1. Use Standard Precautions
2. Suction the tracheostomy before removing the old
dressings.
3. Don sterile gloves to remove and clean the inner
cannula. (Note that the nurse does not remove the outer
cannula.)
4 Use a sterile solution of normal saline or other solution
per agency procedure to clean the inner cannula.
,NUR 185 Exam 1 .Final Test Paper 2026\2027.
5. Reinsert inner cannula in outer cannula.
6. Change tracheostomy ties & dressings
What are the nursing interventions for a ventilator?
1. Provide the patient with a communication board.
2. Provide suctioning PRN to prevent airway obstruction.
3. Provide alternative means of nutrition via TPN or G-
tube feeds per orders to meet patients' nutritional needs.
4. Provide IV antibiotics to prevent ventilator associated
pneumonia (VAP).
5. Check patient's ventilator settings against orders.
Timed-Cycled Ventilators
Terminate or Control Inspriation after a present time---
Volume of air regulated by length of inspiration and flow
rate of air---Pure time cycled rarely used in adults, mostly
in Newborns or Infants
Volume cycled ventilator
ventilator forces air into the lungs until a preset volume is
delivered (Tidal volume is delivered regardless of
compliance).
Pressure cycled ventilators
Pushes air into the lungs until a preset pressure is reached
Oral Airway
Inserted into the MOUTH ONLY
, NUR 185 Exam 1 .Final Test Paper 2026\2027.
Nasal Airway
Inserted into the MOUTH, extend to the base of the
TONGUE.
Endotracheal
Inserted through MOUTH or NOSE into the TRACHEA
Tracheostomy Tube
A tracheostomy tube is a surgically created opening
through the
neck into the trachea.
CPAP (continuous positive airway pressure)
Requires a mask during sleep. Maintains airway during &
prevent
apnea during sleep.
Ventilator
A Machine that delivers predetermine parentage of
oxygen to assist for breathing.
Chest Tube
Drain inserted into chest cavity to re-expand the lung or
for
draining.
Non-Rebreather Mask
Delivers 100% oxygen to the patient. Set oxygen between
10-15 liters.
What are the nursing interventions for Tracheostomy?
Provide oxygen following trach suctioning.
In what order do you suction a tracheostomy?
1. Wash hands, wear a face shield, use sterile technique.
2. Use lubricant.
3. Oxygenate patient before suctioning.
4. Apply suction intermittently while rotating catheter
back & forth as it is
withdrawn.
5. Suction should be no more than 10-15 seconds.
6. Rinse the catheter by suctioning normal saline through
it
7. Oxygenate patient again after suctioning.
How do you care for a tracheostomy?
1. Use Standard Precautions
2. Suction the tracheostomy before removing the old
dressings.
3. Don sterile gloves to remove and clean the inner
cannula. (Note that the nurse does not remove the outer
cannula.)
4 Use a sterile solution of normal saline or other solution
per agency procedure to clean the inner cannula.
,NUR 185 Exam 1 .Final Test Paper 2026\2027.
5. Reinsert inner cannula in outer cannula.
6. Change tracheostomy ties & dressings
What are the nursing interventions for a ventilator?
1. Provide the patient with a communication board.
2. Provide suctioning PRN to prevent airway obstruction.
3. Provide alternative means of nutrition via TPN or G-
tube feeds per orders to meet patients' nutritional needs.
4. Provide IV antibiotics to prevent ventilator associated
pneumonia (VAP).
5. Check patient's ventilator settings against orders.
Timed-Cycled Ventilators
Terminate or Control Inspriation after a present time---
Volume of air regulated by length of inspiration and flow
rate of air---Pure time cycled rarely used in adults, mostly
in Newborns or Infants
Volume cycled ventilator
ventilator forces air into the lungs until a preset volume is
delivered (Tidal volume is delivered regardless of
compliance).
Pressure cycled ventilators
Pushes air into the lungs until a preset pressure is reached
Oral Airway
Inserted into the MOUTH ONLY
, NUR 185 Exam 1 .Final Test Paper 2026\2027.
Nasal Airway
Inserted into the MOUTH, extend to the base of the
TONGUE.
Endotracheal
Inserted through MOUTH or NOSE into the TRACHEA
Tracheostomy Tube
A tracheostomy tube is a surgically created opening
through the
neck into the trachea.
CPAP (continuous positive airway pressure)
Requires a mask during sleep. Maintains airway during &
prevent
apnea during sleep.
Ventilator
A Machine that delivers predetermine parentage of
oxygen to assist for breathing.
Chest Tube
Drain inserted into chest cavity to re-expand the lung or
for
draining.
Non-Rebreather Mask
Delivers 100% oxygen to the patient. Set oxygen between
10-15 liters.
