Tracheostomy Care, ATI skills- airway
management Exam 2025 Questions and
Answers
Which of the following assessment data indicate that the patient's airway needs
suctioning? (Select all that apply.)
a. Drooling
b. Production of thin, watery sputum
c. Decreased coughing ability
d. Secretions that clear with coughing
e. Abnormal lung sounds only in the left lower lobe - --Answer --a, b, c
True/False: Cuff deflation trials assess the patient's ability to protect their airway
and clear secretions - --Answer --True
True/False: If a tracheostomy tube accidentally falls out, the stoma can be covered
with a gloved hand while attempting to ventilate with a bag and mask. - --
Answer --True
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,True/False: Patients with a cuffed tracheostomy tube can eat normally because the
tracheal cuff protects against aspiration - --Answer --False: Patients must
first be changed to a cuffless tracheostomy or have their cuff deflated before
attempting swallowing
The function of the emergency tracheostomy equipment bag is to:
a. Provide equipment for weaning procedures
b. Provide equipment for ventilation
c. Provide equipment for changing or reinserting a tracheostomy tube in an
emergency
d. Provide equipment for dilating the stoma when patient is having trouble
coughing - --Answer --c. Provide equipment for changing or reinserting a
tracheostomy tube in an emergency
Tracheostomy dressings should be changed:
a. Q8H and PRN
b. Q12H and PRN
c. Q24H and PRN
d. Q4HR and PRN - --Answer --a. Q8H and PRN
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,Tracheostomy tubes are preferred over Endotracheal tubes for long-term
ventilation. Which of the following describes why?
a. Endotracheal tubes impede oral hygiene.
b. Endotracheal tubes are not well tolerated by an awake patient.
c. Endotracheal tubes can cause pressure sores and mucosal damage to the lips
and mouth.
d. All of the above. - --Answer --d. All of the above
What is the function of an obturator?
a. Communicates with the tracheal cuff to provide an indication of pressure
b. Provides a smooth tip for easier insertion into the trachea
c. Prevents the tube from being advanced too far into the trachea
d. A removeable sleeve to facilitate cleaning - --Answer --b. Provides a
smooth tip for easier insertion into the trachea
Which of the following is true regarding using hydrogen peroxide for tracheostomy
dressing changes?
a. Hydrogen peroxide should be diluted half strength with sterile saline
b. Hydrogen peroxide should never be used
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, c. Hydrogen peroxide can be used full strength to clean hard encrustrations from
stoma
d. Hydrogen peroxide should be used with every dressing change - --
Answer --a. Hydrogen peroxide should be diluted half strength with sterile
saline
Which of the following is NOT an appropriate action when a tracheostomy tube is
blocked?
a. Remove inner cannula
b. Call a code blue
c. Insert plug and encourage coughing
d. Attempt to suction - --Answer --c. Insert plug and encourage coughing
Which of the following is NOT considered a sign of stomal infection?
a. Redness around the area
b. Thick mucosal discharge
c. Subcutaneous emphysema
d. Crusting around the stoma - --Answer --c. Subcutaneous emphysema
Which of the following patients does NOT have an indication for tracheostomy?
a. A stroke patient with a decreased of consciousness after several days
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management Exam 2025 Questions and
Answers
Which of the following assessment data indicate that the patient's airway needs
suctioning? (Select all that apply.)
a. Drooling
b. Production of thin, watery sputum
c. Decreased coughing ability
d. Secretions that clear with coughing
e. Abnormal lung sounds only in the left lower lobe - --Answer --a, b, c
True/False: Cuff deflation trials assess the patient's ability to protect their airway
and clear secretions - --Answer --True
True/False: If a tracheostomy tube accidentally falls out, the stoma can be covered
with a gloved hand while attempting to ventilate with a bag and mask. - --
Answer --True
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,True/False: Patients with a cuffed tracheostomy tube can eat normally because the
tracheal cuff protects against aspiration - --Answer --False: Patients must
first be changed to a cuffless tracheostomy or have their cuff deflated before
attempting swallowing
The function of the emergency tracheostomy equipment bag is to:
a. Provide equipment for weaning procedures
b. Provide equipment for ventilation
c. Provide equipment for changing or reinserting a tracheostomy tube in an
emergency
d. Provide equipment for dilating the stoma when patient is having trouble
coughing - --Answer --c. Provide equipment for changing or reinserting a
tracheostomy tube in an emergency
Tracheostomy dressings should be changed:
a. Q8H and PRN
b. Q12H and PRN
c. Q24H and PRN
d. Q4HR and PRN - --Answer --a. Q8H and PRN
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,Tracheostomy tubes are preferred over Endotracheal tubes for long-term
ventilation. Which of the following describes why?
a. Endotracheal tubes impede oral hygiene.
b. Endotracheal tubes are not well tolerated by an awake patient.
c. Endotracheal tubes can cause pressure sores and mucosal damage to the lips
and mouth.
d. All of the above. - --Answer --d. All of the above
What is the function of an obturator?
a. Communicates with the tracheal cuff to provide an indication of pressure
b. Provides a smooth tip for easier insertion into the trachea
c. Prevents the tube from being advanced too far into the trachea
d. A removeable sleeve to facilitate cleaning - --Answer --b. Provides a
smooth tip for easier insertion into the trachea
Which of the following is true regarding using hydrogen peroxide for tracheostomy
dressing changes?
a. Hydrogen peroxide should be diluted half strength with sterile saline
b. Hydrogen peroxide should never be used
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, c. Hydrogen peroxide can be used full strength to clean hard encrustrations from
stoma
d. Hydrogen peroxide should be used with every dressing change - --
Answer --a. Hydrogen peroxide should be diluted half strength with sterile
saline
Which of the following is NOT an appropriate action when a tracheostomy tube is
blocked?
a. Remove inner cannula
b. Call a code blue
c. Insert plug and encourage coughing
d. Attempt to suction - --Answer --c. Insert plug and encourage coughing
Which of the following is NOT considered a sign of stomal infection?
a. Redness around the area
b. Thick mucosal discharge
c. Subcutaneous emphysema
d. Crusting around the stoma - --Answer --c. Subcutaneous emphysema
Which of the following patients does NOT have an indication for tracheostomy?
a. A stroke patient with a decreased of consciousness after several days
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