QUESTIONS WITH SOLUTIONS GRADED A+
◉ Which symptom is most characteristic of laryngeal cancer?
Answer: Hoarseness lasting more than 2 weeks — persistent
hoarseness is an early red flag for malignancy.
◉ The nurse teaches a patient with seasonal allergic rhinitis to start
intranasal corticosteroids at which time? Answer: Several weeks
before pollen season — allows medication to reduce inflammation
before allergen exposure.
◉ In obstructive sleep apnea, which patient statement indicates a
need for further teaching? Answer: "I'll take a sedative before bed to
help me sleep" — sedatives worsen airway obstruction.
◉ A patient with epistaxis should be instructed to take which
immediate action? Answer: Lean forward and pinch the soft part of
the nose for 10-15 minutes — prevents aspiration and controls
bleeding.
◉ What is the priority nursing diagnosis for a patient with
postoperative total laryngectomy? Answer: Ineffective airway
clearance — airway is priority after neck surgery.
, ◉ Which patient with laryngeal trauma requires emergency airway
intervention? Answer: Patient with stridor and use of accessory
muscles — signs of impending airway obstruction.
◉ A patient with nasal fracture has clear drainage from one nostril.
What should the nurse suspect? Answer: Cerebrospinal fluid leak —
test with glucose or halo test.
◉ Which lifestyle factor is the greatest risk for laryngeal cancer?
Answer: Smoking tobacco — major cause of squamous cell
carcinoma in the larynx.
◉ What is the most effective method to confirm diagnosis of
laryngeal cancer? Answer: Direct laryngoscopy with biopsy —
provides definitive diagnosis.
◉ In teaching about CPAP for sleep apnea, which statement shows
correct understanding? Answer: "It keeps my airway open by
delivering constant air pressure while I sleep."
◉ What is the expected finding in a patient with untreated sleep
apnea? Answer: Daytime sleepiness — due to frequent nighttime
awakenings and hypoxia.