1
NSG 4100 (AH III) Exam 3 Questions &
Answers with rationale Latest Version
2026 Graded A+
The nurse is assessing a pt who has a chest tube in place for
the treatment of a pneumothorax. The nurse observes that
the water level in the water seal rises and falls in rhythm w/
the pt's respiration's. How should the nurse best respond to
this assessment finding?
a. gently reinsert the chest tube 1-2cm and observe if the
water level stabilizes
b. inform the physician property that there is an imminent
leak in the drainage system
c. encourage pt to do deep breathing and coughing exercises
d. document that the chest drainage is operating as it is
intended
D
The home care nurse is assessing the home environment of
a pt who will be discharged from the hospital shortly after his
laryngectomy. The nurse should inform the pt that he may
need to arrange for the installation of which system in his
home?
a. a humidification system
b. an air conditioning system
c. a water purification system
d. a radiant heating system
A
The nurse is caring for a pt whose recent unexplained weight
loss and hx of smoking have prompted diagnostic testing for
cancer. What sx is most closely associated w/ the early
stages of laryngeal caner?
a. hoarseness
,2
b. dyspnea
c. dysphagia
d. frequent nosebleeds
A
The nurse is conducting a presurgical interview for a pt w/
laryngeal cancer. The pt states that he drinks approx 6-8
shots of vodka per day. it is imperative that the nurse inform
the surgical team so the pt can be assessed for what?
a. increased risk for infection
b. delirium tremens
c. depression
d. non-adherence to postop care
B
The nurse is caring for a pt who is post-op day 2 following a
total laryngectomy for supraglottic cancer. The nurse should
prioritize what assessment?
a. assessment of body image
b. assessment of jugular venous pressure
c. assessment of carotid pulse
d. assessment of swallowing ability
D
The nurse is performing an assessment on a pt who has
been diagnosed w/ cancer of the larynx. Part of the nurses
assessment addresses the pt's general state of nutrition.
Which lab values would be assessed when determine the
nutritional status of the pt? Select all that apply.
a. WBC count
b. protein level
c. albumin level
d. platelet count
e. glucose level
B, C, E
The nurse recognizes that aspiration is a potential
complication of a laryngectomy. How should the nurse best
manage this risk?
,3
a. facilitate total parenteral nutrition (TPN)
b. keep a complete suction setup at the bedside
c. feed the pt several small meals daily
d. refer the pt for occupational therapy
B
The nurse is providing care for a pt who has just been
admitted to the post surgical unit following a laryngecotomy.
What assessment should the nurse prioritize?
a. the pt's swallowing ability
b. the pt's airway patency
c. the pt's carotid pulses
d. s/s of infection
B
The nurse has noted the emergency of a significant amount
of fresh blood at the drain site of a pt who is postoperative
day 1 following total laryngecomy. How should the nurse
respond to this development?
a. remove the pt's drain and apply pressure w/ a sterile gauze
b. assess the pt, reposition the pt supine, and apply wall
suction to the drain
c. rapidly assess the pt and notify the surgeon about the pt's
bleeding
d. administer a STAT dose of vitamin K to aid coagulation
C
The nurse is creating a care plan for a pt who is status post-
total laryngectomy. Much of the plan consists of a ling-term
postoperative communication plan for alaryngeal
communication. What form of alaryngeal communication will
likely be chosen?
a. esophageal speech
b. electric larynx
c. tracheoesophageal puncture
d. American sign language (ASL)
C
, 4
The nurse is performing preoperative teaching w/ a pt who
has cancer of the larynx. After completing the pt teaching,
what would be most important for the nurse to do?
a. give the pt his/her cell phone number
b. refer pt to a social worker or psychologist
c. provide the pt w/ audiovisual materials about the surgery
d. reassure the pt and family that everything will be alright
C
A pt's total laryngectomy has created a need for alaryngeal
speech which will be achieved through the use of
tracheoesophageal puncture. What action should the nurse
describe to the pt when teaching him about this process?
a. training on how to perform controlled bleeding
b. use of an electronically enhanced artificial pahrynx
c. insertion of a specialized nasogastric tube
d. fitting for a voice prosthesis
D
A preoperative nurse is caring for a postop pt. The pt has a
shallow respiratory pattern and is reluctant to cough or to
begin mobilizing. The nurse should address the pt's
increased risk for what complication?
a. Acute respiratory distress syndrome (ARDS)
b. atelectasis
c. aspiration
d. pulmonary embolism
B
A pt has been brought to the ED by the paramedics. The pt is
suspected of having ARDS. What intervention should the
nurse first anticipate?
a. preparing to assist w/ intubating the pt
b. setting up oxygen at 5L/min by nasal cannula
c. performing deep suctioning
d. setting up a nebulizer to administer corticosteroids
A
NSG 4100 (AH III) Exam 3 Questions &
Answers with rationale Latest Version
2026 Graded A+
The nurse is assessing a pt who has a chest tube in place for
the treatment of a pneumothorax. The nurse observes that
the water level in the water seal rises and falls in rhythm w/
the pt's respiration's. How should the nurse best respond to
this assessment finding?
a. gently reinsert the chest tube 1-2cm and observe if the
water level stabilizes
b. inform the physician property that there is an imminent
leak in the drainage system
c. encourage pt to do deep breathing and coughing exercises
d. document that the chest drainage is operating as it is
intended
D
The home care nurse is assessing the home environment of
a pt who will be discharged from the hospital shortly after his
laryngectomy. The nurse should inform the pt that he may
need to arrange for the installation of which system in his
home?
a. a humidification system
b. an air conditioning system
c. a water purification system
d. a radiant heating system
A
The nurse is caring for a pt whose recent unexplained weight
loss and hx of smoking have prompted diagnostic testing for
cancer. What sx is most closely associated w/ the early
stages of laryngeal caner?
a. hoarseness
,2
b. dyspnea
c. dysphagia
d. frequent nosebleeds
A
The nurse is conducting a presurgical interview for a pt w/
laryngeal cancer. The pt states that he drinks approx 6-8
shots of vodka per day. it is imperative that the nurse inform
the surgical team so the pt can be assessed for what?
a. increased risk for infection
b. delirium tremens
c. depression
d. non-adherence to postop care
B
The nurse is caring for a pt who is post-op day 2 following a
total laryngectomy for supraglottic cancer. The nurse should
prioritize what assessment?
a. assessment of body image
b. assessment of jugular venous pressure
c. assessment of carotid pulse
d. assessment of swallowing ability
D
The nurse is performing an assessment on a pt who has
been diagnosed w/ cancer of the larynx. Part of the nurses
assessment addresses the pt's general state of nutrition.
Which lab values would be assessed when determine the
nutritional status of the pt? Select all that apply.
a. WBC count
b. protein level
c. albumin level
d. platelet count
e. glucose level
B, C, E
The nurse recognizes that aspiration is a potential
complication of a laryngectomy. How should the nurse best
manage this risk?
,3
a. facilitate total parenteral nutrition (TPN)
b. keep a complete suction setup at the bedside
c. feed the pt several small meals daily
d. refer the pt for occupational therapy
B
The nurse is providing care for a pt who has just been
admitted to the post surgical unit following a laryngecotomy.
What assessment should the nurse prioritize?
a. the pt's swallowing ability
b. the pt's airway patency
c. the pt's carotid pulses
d. s/s of infection
B
The nurse has noted the emergency of a significant amount
of fresh blood at the drain site of a pt who is postoperative
day 1 following total laryngecomy. How should the nurse
respond to this development?
a. remove the pt's drain and apply pressure w/ a sterile gauze
b. assess the pt, reposition the pt supine, and apply wall
suction to the drain
c. rapidly assess the pt and notify the surgeon about the pt's
bleeding
d. administer a STAT dose of vitamin K to aid coagulation
C
The nurse is creating a care plan for a pt who is status post-
total laryngectomy. Much of the plan consists of a ling-term
postoperative communication plan for alaryngeal
communication. What form of alaryngeal communication will
likely be chosen?
a. esophageal speech
b. electric larynx
c. tracheoesophageal puncture
d. American sign language (ASL)
C
, 4
The nurse is performing preoperative teaching w/ a pt who
has cancer of the larynx. After completing the pt teaching,
what would be most important for the nurse to do?
a. give the pt his/her cell phone number
b. refer pt to a social worker or psychologist
c. provide the pt w/ audiovisual materials about the surgery
d. reassure the pt and family that everything will be alright
C
A pt's total laryngectomy has created a need for alaryngeal
speech which will be achieved through the use of
tracheoesophageal puncture. What action should the nurse
describe to the pt when teaching him about this process?
a. training on how to perform controlled bleeding
b. use of an electronically enhanced artificial pahrynx
c. insertion of a specialized nasogastric tube
d. fitting for a voice prosthesis
D
A preoperative nurse is caring for a postop pt. The pt has a
shallow respiratory pattern and is reluctant to cough or to
begin mobilizing. The nurse should address the pt's
increased risk for what complication?
a. Acute respiratory distress syndrome (ARDS)
b. atelectasis
c. aspiration
d. pulmonary embolism
B
A pt has been brought to the ED by the paramedics. The pt is
suspected of having ARDS. What intervention should the
nurse first anticipate?
a. preparing to assist w/ intubating the pt
b. setting up oxygen at 5L/min by nasal cannula
c. performing deep suctioning
d. setting up a nebulizer to administer corticosteroids
A
