Final Exam: NR224 / NR 224 (Latest
Update 2025 / 2026) Fundamentals:
Skills | Questions and Answers | Grade A | 100% Correct – Chamberlain
Question:
Reasons for tracheostomy placement
Answer:
Trauma to upper airway, laryngectomy, long-term ventilator use
Question:
How often do you perform routine trach care?
Answer:
Every shift
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Question:
The nurse is preparing to perform tracheostomy care on a client who is receiving 50% oxygen via a trach collar and coughing. The nurse notes that the client's oxygen saturation levels have decreased over the last hour. What is the priority action the nurse should take first?
Answer:
Suction through the trach tube
Question:
When changing the tracheostomy ties and no assistance is available, which is the proper sequence to follow?
Answer:
Apply the new ties while the old ties are still intact, ensuring a double knot is used to secure the ties to the neck plate with the twill traveling around the back of the neck, then remove the old ties.
Question:
Which procedure is the proper way to perform open tracheal suctioning?
Answer:
Insert the tube without suctioning, then begin intermittent suctioning with the catheter completely inserted and continue while withdrawing the catheter.
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Question:
What is the maximum amount of time that suction can be applied while suctioning a tracheostomy?
Answer:
10 seconds
Question:
What should suction be set to for tracheostomy suctioning?
Answer:
80-150 mmHG
Question:
As the nurse advances the suction catheter to the carina, the client begins to cough. What action should the nurse take?
Answer:
Apply intermittent suction as the catheter is withdrawn from the tube.
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