Week 6 Airway
Management - Lesson 4 &
5 Post-test questions A+
A patient has an endotracheal tube inserted orally. When should the nurse expect to perform
endotracheal tube care?
A. Whenever the patient begins to cough.
B. On a routine schedule according to agency policy to reposition the tube.
C. Only when the depth of the tube has changed from its original position (as indicated by a
marking at the lip or gum line).
D. According to health care provider orders. - ANSWERSB. On a routine schedule according to
agency policy to reposition the tube.
If endotracheal tube is inserted orally, the tube is often repositioned on the opposite side of the
mouth or center of mouth according to agency protocol to prevent prolonged pressure and
ulceration. Endotracheal tube care is usually performed on a routine schedule. Coughing,
especially continued coughing, usually indicates a need for more frequent suctioning.
Endotracheal tube care is indicated if the depth of the tube has changed.
Which situation can be delegated to nursing assistive personnel (NAP) in regard to endotracheal
tube care?
A. Endotracheal care may be delegated to NAP only if the patient is on a ventilator.
B. Assisting the nurse during a tape change by holding the endotracheal tube.
C. Performing respiratory assessments before and after endotracheal tube care.
D. If the tapes are soiled, the NAP may change the tapes. - ANSWERSB. Assisting the nurse
during a tape change by holding the endotracheal tube.
NAP can help with reporting signs that the tube is loose, the tapes are soiled, or the patient is
uncomfortable and assisting in holding the tube during a tape change. Assessment requires the
skill and knowledge of the nurse and should not be delegated to NAP.
, Which of the following is an unexpected outcome during or after endotracheal suctioning and
endotracheal tube care?
A. A sudden drop in oxygen saturation.
B. Depth of tube is the same as when started or as ordered (same centimeter marking at gums
or lips).
C. Clean tape is firmly secured to cheeks, upper lip, top of nose, and tube only.
D. Bilateral breath sounds are equal. - ANSWERSA. A sudden drop in oxygen saturation.
The nurse should stop suctioning and administer oxygen. The other items are expected
outcomes of performing endotracheal tube care.
Which of the following is an inaccurate statement in regard to performing endotracheal tube
care?
A. Cut first piece of tape approximately 1 to 2 feet (24 to 48 cm) in length; lay adhesive-side up
on table.
B. When rotating the endotracheal tube from one side of the mouth to the other, deflate the
cuff.
C. Have assistant hold tube in place and note the markings on the tube indicating depth of tube
insertion before removing old tape or tube holder.
D. To secure the tapes around the tube, place the top side of the torn tape across the patient's
upper lip and tightly wrap the lower side around the tube. - ANSWERSB. When rotating the
endotracheal tube from one side of the mouth to the other, deflate the cuff.
Never deflate the cuff during tube rotation. This could potentially dislodge the tube.
The nurse is caring for a patient who has an endotracheal tube inserted orally. The nurse
instructs the NAP to report if the patient indicates signs of pain. Because the patient cannot
communicate verbally, what signs of pain should the NAP report?
A. Coughing or audible gurgling.
B. Foul-smelling breath or remaining secretions in the mouth.
C. Increased restlessness or a sudden change in vital signs.
Management - Lesson 4 &
5 Post-test questions A+
A patient has an endotracheal tube inserted orally. When should the nurse expect to perform
endotracheal tube care?
A. Whenever the patient begins to cough.
B. On a routine schedule according to agency policy to reposition the tube.
C. Only when the depth of the tube has changed from its original position (as indicated by a
marking at the lip or gum line).
D. According to health care provider orders. - ANSWERSB. On a routine schedule according to
agency policy to reposition the tube.
If endotracheal tube is inserted orally, the tube is often repositioned on the opposite side of the
mouth or center of mouth according to agency protocol to prevent prolonged pressure and
ulceration. Endotracheal tube care is usually performed on a routine schedule. Coughing,
especially continued coughing, usually indicates a need for more frequent suctioning.
Endotracheal tube care is indicated if the depth of the tube has changed.
Which situation can be delegated to nursing assistive personnel (NAP) in regard to endotracheal
tube care?
A. Endotracheal care may be delegated to NAP only if the patient is on a ventilator.
B. Assisting the nurse during a tape change by holding the endotracheal tube.
C. Performing respiratory assessments before and after endotracheal tube care.
D. If the tapes are soiled, the NAP may change the tapes. - ANSWERSB. Assisting the nurse
during a tape change by holding the endotracheal tube.
NAP can help with reporting signs that the tube is loose, the tapes are soiled, or the patient is
uncomfortable and assisting in holding the tube during a tape change. Assessment requires the
skill and knowledge of the nurse and should not be delegated to NAP.
, Which of the following is an unexpected outcome during or after endotracheal suctioning and
endotracheal tube care?
A. A sudden drop in oxygen saturation.
B. Depth of tube is the same as when started or as ordered (same centimeter marking at gums
or lips).
C. Clean tape is firmly secured to cheeks, upper lip, top of nose, and tube only.
D. Bilateral breath sounds are equal. - ANSWERSA. A sudden drop in oxygen saturation.
The nurse should stop suctioning and administer oxygen. The other items are expected
outcomes of performing endotracheal tube care.
Which of the following is an inaccurate statement in regard to performing endotracheal tube
care?
A. Cut first piece of tape approximately 1 to 2 feet (24 to 48 cm) in length; lay adhesive-side up
on table.
B. When rotating the endotracheal tube from one side of the mouth to the other, deflate the
cuff.
C. Have assistant hold tube in place and note the markings on the tube indicating depth of tube
insertion before removing old tape or tube holder.
D. To secure the tapes around the tube, place the top side of the torn tape across the patient's
upper lip and tightly wrap the lower side around the tube. - ANSWERSB. When rotating the
endotracheal tube from one side of the mouth to the other, deflate the cuff.
Never deflate the cuff during tube rotation. This could potentially dislodge the tube.
The nurse is caring for a patient who has an endotracheal tube inserted orally. The nurse
instructs the NAP to report if the patient indicates signs of pain. Because the patient cannot
communicate verbally, what signs of pain should the NAP report?
A. Coughing or audible gurgling.
B. Foul-smelling breath or remaining secretions in the mouth.
C. Increased restlessness or a sudden change in vital signs.
