NCA - Exam #3 - Chap 22 questions
and answers graded A+
a) Bleeding - correct answer ✔✔After a tonsillectomy, a client is being prepared for discharge.
The nurse should instruct the client to report which sign or symptom immediately?
a) Bleeding
b) Difficulty talking
c) Throat pain
d) Difficulty swallowing
c) Partial laryngectomy - correct answer ✔✔A patient is diagnosed as being in the early stage of
laryngeal cancer of the glottis with only 1 vocal cord involved. For what type of surgical
intervention will the nurse plan to provide education?
a) Vocal cord stripping
b) Cordectomy
c) Partial laryngectomy
d) Total laryngectomy
a) Stands behind the worker, who has hands across the neck - correct answer ✔✔A nurse is in
the cafeteria at work. A fellow worker at another table suddenly stands up, leans forward with
hands crossed at the neck, and makes gasping noises. The nurse first
a) Stands behind the worker, who has hands across the neck
b) Exerts pressure against the worker's abdomen
,c) Makes a fist with one hand with the thumb outside the fist
d) Places both arms around the worker's waist
a) Drainage is <30 mL/day for 2 consecutive days. - correct answer ✔✔Wound drains, inserted
during the laryngectomy, stay in place until what criteria are met?
a) Drainage is <30 mL/day for 2 consecutive days.
b) The stoma is healed, about 6 weeks after surgery.
c) The patient is able to assist with his own suctioning.
d) The surgical site is dry with encrustations.
c) Partial laryngectomy - correct answer ✔✔A patient has had a laryngectomy and was able to
retain his airway, with no difficulty swallowing. There is no split of thyroid cartilage. The nurse
would record this type of laryngectomy as which of the following?
a) Total laryngectomy
b) Supraglottic laryngectomy
c) Partial laryngectomy
d) Hemilaryngectomy
a) An antiviral agent such as acyclovir - correct answer ✔✔A patient has herpes simplex
infection that developed after having the common cold. What medication does the nurse
anticipate will be administered for this infection?
a) An antiviral agent such as acyclovir
b) An antihistamine such as Benadryl
c) An antibiotic such as amoxicillin
d) An ointment such as bacitracin
, c) Auscultate lung sounds. - correct answer ✔✔The nurse is caring for the client in the intensive
care unit immediately after removal of the endotracheal tube. Which of the following nursing
actions is most important to complete every hour to ensure that the respiratory system is not
compromised?
a) Monitor heart rhythm.
b) Obtain vital signs.
c) Auscultate lung sounds.
d) Assess capillary refill.
d) "You should rest, increase your fluids, and take Ibuprofen." - correct answer ✔✔A college
student presents to the health clinical with signs and symptoms of viral rhinitis (common cold).
The patient states, "I've felt terrible all week; what can I do to feel better?" Which of the
following is the best response the nurse can give?
a) "Your symptoms should go away soon, just try to get some rest."
b) "Have you tried a topic nasal decongestant; they work well."
c) "Antibiotics will be prescribed, which will make you feel better."
d) "You should rest, increase your fluids, and take Ibuprofen."
b) Nuchal rigidity - correct answer ✔✔Stiffness of the neck or inability to bend the neck is
referred to as which of the following?
a) Dysphagia
b) Nuchal rigidity
c) Xerostomia
d) Aphonia
and answers graded A+
a) Bleeding - correct answer ✔✔After a tonsillectomy, a client is being prepared for discharge.
The nurse should instruct the client to report which sign or symptom immediately?
a) Bleeding
b) Difficulty talking
c) Throat pain
d) Difficulty swallowing
c) Partial laryngectomy - correct answer ✔✔A patient is diagnosed as being in the early stage of
laryngeal cancer of the glottis with only 1 vocal cord involved. For what type of surgical
intervention will the nurse plan to provide education?
a) Vocal cord stripping
b) Cordectomy
c) Partial laryngectomy
d) Total laryngectomy
a) Stands behind the worker, who has hands across the neck - correct answer ✔✔A nurse is in
the cafeteria at work. A fellow worker at another table suddenly stands up, leans forward with
hands crossed at the neck, and makes gasping noises. The nurse first
a) Stands behind the worker, who has hands across the neck
b) Exerts pressure against the worker's abdomen
,c) Makes a fist with one hand with the thumb outside the fist
d) Places both arms around the worker's waist
a) Drainage is <30 mL/day for 2 consecutive days. - correct answer ✔✔Wound drains, inserted
during the laryngectomy, stay in place until what criteria are met?
a) Drainage is <30 mL/day for 2 consecutive days.
b) The stoma is healed, about 6 weeks after surgery.
c) The patient is able to assist with his own suctioning.
d) The surgical site is dry with encrustations.
c) Partial laryngectomy - correct answer ✔✔A patient has had a laryngectomy and was able to
retain his airway, with no difficulty swallowing. There is no split of thyroid cartilage. The nurse
would record this type of laryngectomy as which of the following?
a) Total laryngectomy
b) Supraglottic laryngectomy
c) Partial laryngectomy
d) Hemilaryngectomy
a) An antiviral agent such as acyclovir - correct answer ✔✔A patient has herpes simplex
infection that developed after having the common cold. What medication does the nurse
anticipate will be administered for this infection?
a) An antiviral agent such as acyclovir
b) An antihistamine such as Benadryl
c) An antibiotic such as amoxicillin
d) An ointment such as bacitracin
, c) Auscultate lung sounds. - correct answer ✔✔The nurse is caring for the client in the intensive
care unit immediately after removal of the endotracheal tube. Which of the following nursing
actions is most important to complete every hour to ensure that the respiratory system is not
compromised?
a) Monitor heart rhythm.
b) Obtain vital signs.
c) Auscultate lung sounds.
d) Assess capillary refill.
d) "You should rest, increase your fluids, and take Ibuprofen." - correct answer ✔✔A college
student presents to the health clinical with signs and symptoms of viral rhinitis (common cold).
The patient states, "I've felt terrible all week; what can I do to feel better?" Which of the
following is the best response the nurse can give?
a) "Your symptoms should go away soon, just try to get some rest."
b) "Have you tried a topic nasal decongestant; they work well."
c) "Antibiotics will be prescribed, which will make you feel better."
d) "You should rest, increase your fluids, and take Ibuprofen."
b) Nuchal rigidity - correct answer ✔✔Stiffness of the neck or inability to bend the neck is
referred to as which of the following?
a) Dysphagia
b) Nuchal rigidity
c) Xerostomia
d) Aphonia
