Tracheostomy Care Quiz: Airway Safety Concepts

1. Question 1
   • To deliver medication directly into the bloodstream
   • To prevent all respiratory secretions from forming
   • To maintain airway patency and improve oxygenation
   • To permanently replace the patient's cough
2. Question 2
   • Through the chest wall into the bronchi
   • Through the nose into the stomach
   • Through the mouth into the esophagus
   • Through a surgical opening in the neck into the trachea
3. Question 3
   • A catheter used to remove secretions from the stomach
   • A temporary opening used only for oral hydration
   • A device that filters blood before it reaches the lungs
   • A tube that provides an airway through a surgical neck opening
4. Question 4
   • To ensure that secretions always remain in the airway
   • To help prevent infection and obstruction
   • To convert the tracheostomy into an oral airway
   • To eliminate the need for respiratory assessment
5. Question 5
   • Each discipline works separately without sharing findings
   • Only the nurse is involved in all airway-related decisions
   • Nurses and respiratory therapists perform care collaboratively
   • Only the respiratory therapist documents airway observations
6. Question 6
   • Decreased urinary elimination
   • Potential airway obstruction from retained material
   • Reduced gastric absorption
   • Loss of peripheral circulation
7. Question 7
   • Development of a new airway obstruction
   • Improved oxygenation after removal of obstructing secretions
   • Increased accumulation of mucus in the airway
   • Reduced ability to clear secretions independently
8. Question 8
   • Urine from the bladder
   • Subcutaneous tissue
   • Vomitus or gastric secretions
   • Bone marrow
9. Question 9
   • A tracheostomy provides an artificial airway through the neck
   • A tracheostomy is placed through the nose into the nasopharynx
   • A tracheostomy removes only secretions from the mouth
   • A tracheostomy is used only to collect respiratory specimens
10. Question 10
    • Avoid collaboration with respiratory therapy
    • Clear material that threatens airway patency while supporting oxygenation
    • Remove every secretion regardless of airway status
    • Replace assessment with a routine predetermined schedule
11. Question 11
    • They should communicate only when a procedure is complete
    • They should document separate, conflicting airway assessments
    • They share responsibility through collaborative care
    • They have unrelated responsibilities that should not overlap
12. Question 12
    • A sterile soft, flexible catheter
    • A urinary catheter
    • An enteral feeding tube
    • A rigid plastic suction catheter
13. Question 13
    • Large-bore and designed for gastric feeding
    • Nonsterile and intended for wound drainage
    • Sterile, soft, and flexible
    • Rigid, metallic, and reusable
14. Question 14
    • The goal is to remove material from the urinary tract
    • Secretions remain in the nasopharyngeal area despite spontaneous coughing
    • The patient has no secretions and a clear airway
    • The purpose is to replace routine airway assessment
15. Question 15
    • Urine retained in the bladder
    • Bile stored in the gallbladder
    • Accumulated saliva, blood, or vomitus
    • Synovial fluid from a joint
16. Question 16
    • The catheter passes through the skin into the pleural space
    • The catheter passes through the tracheostomy tube into the trachea
    • The catheter passes through the mouth only
    • The catheter passes through the nose into the stomach
17. Question 17
    • Oral suctioning — rigid plastic catheter
    • Nasopharyngeal suctioning — rigid metallic catheter
    • Oral suctioning — urinary catheter
    • Tracheostomy suctioning — nonsterile feeding tube
18. Question 18
    • Gastric decompression
    • Nasopharyngeal suctioning
    • Peripheral venous access
    • Urinary catheterization
19. Question 19
    • Ignore airway observations if secretions are removed
    • Maintain the sterile nature of the catheter used for the tracheostomy route
    • Use any available catheter regardless of its intended route
    • Treat the tracheostomy tube as an oral suctioning pathway
20. Question 20
    • It is intended to enter the urinary bladder
    • It is the specified catheter type for these airway routes
    • It is used because nasal suctioning is a digestive procedure
    • It eliminates the need for sterile technique
21. Question 21
    • Neither route is intended to help maintain airway patency
    • Oral suctioning enters the trachea, whereas tracheostomy suctioning remains in the mouth
    • Both routes require a urinary catheter because both remove liquid
    • Oral suctioning typically uses a rigid plastic catheter, whereas tracheostomy suctioning uses a sterile catheter through the tracheostomy tube
22. Question 22
    • It is already completely cleared by coughing
    • It has no potential relationship to airway patency
    • The patient cannot clear it with a spontaneous cough or less invasive measure
    • It is located outside the respiratory system
23. Question 23
    • Use oral equipment because the tracheostomy is outside the airway
    • Assume that secretion removal makes further observation unnecessary
    • Protect airway patency while using the route-appropriate sterile catheter
    • Focus only on documenting the amount of equipment used
24. Question 24
    • The airway is no longer assessed
    • Oxygenation status is better than before the intervention
    • Secretions are no longer documented
    • The patient requires more obstruction to be removed
25. Question 25
    • Record only that equipment was present
    • Assume improvement without reassessment
    • Compare the patient's respiratory and oxygenation status with the baseline
    • Assess unrelated body systems instead of the airway
26. Question 26
    • A routine airway assessment finding consistent with baseline
    • Removal of retained respiratory secretions
    • A significant deterioration from the patient's established respiratory baseline
    • A documented comparison showing improved oxygenation
27. Question 27
    • It replaces communication with the care team
    • It eliminates the need to document the intervention
    • It helps determine whether the patient's condition improved or deviated from normal
    • It proves that all airway secretions have been removed
28. Question 28
    • This finding can be omitted if secretions were removed
    • This is a significant deviation that should be recognized and reported
    • This is automatically an expected outcome
    • This confirms that airway patency has improved
29. Question 29
    • The color of unrelated personal belongings
    • The patient's preferred method of transportation
    • The patient's oxygenation status before and after airway clearance
    • The time of the next meal only
30. Question 30
    • An unexpected deviation is important only if secretions are absent
    • An expected observation is consistent with baseline, whereas a significant deviation differs meaningfully from it
    • Baseline has no role in interpreting airway findings
    • An expected observation is any finding that occurs after suctioning

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