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ADN210 TRACH NCLEX PRACTICE
QUESTIONS Questions and Correct
Answers/ Latest Update / Already Graded
The nurse is caring for a client with a new tracheostomy. Which
assessment finding requires the nurse's immediate action:
A-Cuff pressure readings consistently between 14 and 20 mm Hg.
B-Need to change Velcro tube holders three times in 1 day.
C-Checking sensation around the neck when skin is palpated.
D-Small amount of bleeding around the incision for the first few days.
Ans: C
A client has a new tracheostomy and is receiving 60% oxygen via
tracheostomy collar. Which assessment finding requires immediate
action by the nurse?
A-Constant, nonproductive coughing
B-Blood-tinged sputum
C-Rhonchi in upper lobes
D-Dry mucous membranes.
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Ans: A
A client has been placed on 6 L of humidified oxygen via nasal cannula.
Which action by the nurse is most appropriate?
A-Drain condensation back into the humidifier, maintaining a closed
system.
B-Keep the water sterile by draining it from the water trap back into
the humidifier, maintaining a closed system.
C-Turn down the humidity when condensation begins to collect in the
tubing.
D-Remove condensation in the tubing by disconnecting and emptying
it appropriately.
Ans: D
A client is being discharged with a tracheostomy and voices concern
about his appearance. What discharge teaching will assist the client
with maintaining a positive body image?
A-"Tell people how sick you were when they ask about the
tracheostomy."
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B-"Your clothing can help hide the tracheostomy so it is not as
noticeable."
C-"You can put a bandage around your tracheostomy so no one will see
it."
D-"You have to ignore comments that people make about your
appearance."
Ans: B
A client is becoming frustrated because of an inability to communicate
with a tracheostomy. Which intervention by the nurse most effectively
enhances communication?
A-Explain to the client that speech will be clear and distinct with a
fenestrated tube.
B-Reassure the client that in time he or she will get used to the speech
difficulties.
C-Place a sign above the client's bed indicating that the client cannot s
peak.
D-Provide the client with a communication board and call light within
easy reach.
Ans: D
All rights reserved © 2025/ 2026 |
ADN210 TRACH NCLEX PRACTICE
QUESTIONS Questions and Correct
Answers/ Latest Update / Already Graded
The nurse is caring for a client with a new tracheostomy. Which
assessment finding requires the nurse's immediate action:
A-Cuff pressure readings consistently between 14 and 20 mm Hg.
B-Need to change Velcro tube holders three times in 1 day.
C-Checking sensation around the neck when skin is palpated.
D-Small amount of bleeding around the incision for the first few days.
Ans: C
A client has a new tracheostomy and is receiving 60% oxygen via
tracheostomy collar. Which assessment finding requires immediate
action by the nurse?
A-Constant, nonproductive coughing
B-Blood-tinged sputum
C-Rhonchi in upper lobes
D-Dry mucous membranes.
All rights reserved © 2025/ 2026 |
, Page |2
Ans: A
A client has been placed on 6 L of humidified oxygen via nasal cannula.
Which action by the nurse is most appropriate?
A-Drain condensation back into the humidifier, maintaining a closed
system.
B-Keep the water sterile by draining it from the water trap back into
the humidifier, maintaining a closed system.
C-Turn down the humidity when condensation begins to collect in the
tubing.
D-Remove condensation in the tubing by disconnecting and emptying
it appropriately.
Ans: D
A client is being discharged with a tracheostomy and voices concern
about his appearance. What discharge teaching will assist the client
with maintaining a positive body image?
A-"Tell people how sick you were when they ask about the
tracheostomy."
All rights reserved © 2025/ 2026 |
, Page |3
B-"Your clothing can help hide the tracheostomy so it is not as
noticeable."
C-"You can put a bandage around your tracheostomy so no one will see
it."
D-"You have to ignore comments that people make about your
appearance."
Ans: B
A client is becoming frustrated because of an inability to communicate
with a tracheostomy. Which intervention by the nurse most effectively
enhances communication?
A-Explain to the client that speech will be clear and distinct with a
fenestrated tube.
B-Reassure the client that in time he or she will get used to the speech
difficulties.
C-Place a sign above the client's bed indicating that the client cannot s
peak.
D-Provide the client with a communication board and call light within
easy reach.
Ans: D
All rights reserved © 2025/ 2026 |
