Question 1

When providing tracheostomy care,the nurse should:

Accepted Answer

A)  Wash and rinse the inner cannula in tap water and then dry it. 
B)  Use a sterile solution of peroxide and sterile water to wash the inner cannula and then rinse with sterile water. 
C)  Clean the area around the stoma with tap water and a gentle soap. 
D)  Remove the inner cannula, wash both hands with a bactericidal soap, and then don sterile gloves to clean the inner cannula. 
A)  Wash and rinse the inner cannula in tap water and then dry it. 
B)  Use a sterile solution of peroxide and sterile water to wash the inner cannula and then rinse with sterile water. 
C)  Clean the area around the stoma with tap water and a gentle soap. 
D)  Remove the inner cannula, wash both hands with a bactericidal soap, and then don sterile gloves to clean the inner cannula.

Question 2

The nurse is aware that the age-related relaxation of the esophageal sphincter in the 70-year-old patient will cause:

Accepted Answer

A)  Excessive belching 
B)  Dumping syndrome 
C)  Tickling sensation, requiring frequent coughing 
D)  Burning in the throat when lying down 
A)  Excessive belching 
B)  Dumping syndrome 
C)  Tickling sensation, requiring frequent coughing 
D)  Burning in the throat when lying down

Question 3

The nurse recognizes the candidate for a tonsillectomy as the:

Accepted Answer

A)  52-year-old patient with a hearing deficit, related to otitis media from tonsillitis 
B)  23-year-old patient with a peritonsillar abscess 
C)  34-year-old patient with enlarged tonsils and adenoids 
D)  15-year-old patient with one bout of tonsillitis in the previous 12 months 
A)  52-year-old patient with a hearing deficit, related to otitis media from tonsillitis 
B)  23-year-old patient with a peritonsillar abscess 
C)  34-year-old patient with enlarged tonsils and adenoids 
D)  15-year-old patient with one bout of tonsillitis in the previous 12 months

Question 4

The nurse explains to the parents of a toddler that the function of the tonsils and adenoids in small children is to:

Accepted Answer

A)  Help promote antibody formation. 
B)  Assist in some digestive processes. 
C)  Protect against bacterial infections of the throat. 
D)  Support blood cell production. 
A)  Help promote antibody formation. 
B)  Assist in some digestive processes. 
C)  Protect against bacterial infections of the throat. 
D)  Support blood cell production.

Question 5

To encourage a new patient after a tonsillectomy to increase fluids,the nurse would offer:

Accepted Answer

A)  Chilled citrus juices 
B)  Tap water sipped through a straw 
C)  Flavored popsicles to suck 
D)  Ice cubes 
A)  Chilled citrus juices 
B)  Tap water sipped through a straw 
C)  Flavored popsicles to suck 
D)  Ice cubes

Question 6

The patient has had anterior nasal packing placed for severe epistaxis.The nurse notes that he is swallowing frequently and suspects that the:

Accepted Answer

A)  Patient's throat is dry. 
B)  Posterior packing is uncomfortable. 
C)  Patient is bleeding. 
D)  Patient's saliva production is excessive. 
A)  Patient's throat is dry. 
B)  Posterior packing is uncomfortable. 
C)  Patient is bleeding. 
D)  Patient's saliva production is excessive.

Question 7

The nurse taking a specimen from a throat culture would: (Choose the appropriate actions and place them in the correct sequence.)

Accepted Answer

A)  Depress the tongue with a tongue blade. 
B)  Place the applicator in a culture tube. 
C)  Ask the patient to cough deeply. 
D)  Ask the patient to tilt the head back. 
E)  Swab the back of the throat and tonsils. 
A)  Depress the tongue with a tongue blade. 
B)  Place the applicator in a culture tube. 
C)  Ask the patient to cough deeply. 
D)  Ask the patient to tilt the head back. 
E)  Swab the back of the throat and tonsils.

Question 8

The patient comes into the clinic complaining of waking up with a dry mouth and nose and asks if the dryness has caused the colds she has had in the last few months.The nurse suggests that the patient:

Accepted Answer

A)  Use a humidifier at home. 
B)  Get a throat culture. 
C)  Get a nose culture. 
D)  Request an antibiotic. 
A)  Use a humidifier at home. 
B)  Get a throat culture. 
C)  Get a nose culture. 
D)  Request an antibiotic.

Question 9

The nurse points out that the most common causes of laryngitis are:

Accepted Answer

A)  Smoking and highly seasoned foods 
B)  Alcohol and voice strain 
C)  Nasal congestion and frequent coughing 
D)  Respiratory infections and voice strain 
A)  Smoking and highly seasoned foods 
B)  Alcohol and voice strain 
C)  Nasal congestion and frequent coughing 
D)  Respiratory infections and voice strain

Exam 53: Nose, sinus, and Throat Disorders

When providing tracheostomy care,the nurse should:

The nurse is aware that the age-related relaxation of the esophageal sphincter in the 70-year-old patient will cause:

The nurse recognizes the candidate for a tonsillectomy as the:

The nurse explains to the parents of a toddler that the function of the tonsils and adenoids in small children is to:

To encourage a new patient after a tonsillectomy to increase fluids,the nurse would offer:

The patient has had anterior nasal packing placed for severe epistaxis.The nurse notes that he is swallowing frequently and suspects that the:

The nurse taking a specimen from a throat culture would: (Choose the appropriate actions and place them in the correct sequence.)

The patient comes into the clinic complaining of waking up with a dry mouth and nose and asks if the dryness has caused the colds she has had in the last few months.The nurse suggests that the patient:

The nurse points out that the most common causes of laryngitis are:

The Health Care System

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, infection, and Immunity

Fluids and Electrolytes

Pain Management

First Aid, emergency Care, and Disaster Management

Surgical Care

Intravenous Therapy

Shock

Falls

Immobility

Confusion

Incontinence

Loss, death, and End-Of-Life Care

The Patient With Cancer

The Patient With an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Chronic Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive Tract Disorders

Disorders of the Liver, gallbladder, and Pancreas

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes Mellitus and Hypoglycemia

Female Reproductive Disorders

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Psychologic Responses to Illness

Psychiatric Disorders

Substance-Related Disorders

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