Nur 201 Exam 3 FortisNur 201 Medical-Surgical

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Nur 201 Exam 3 Fortis/Nur 201 Medical-Surgical Nursing I Exam 3 Newest 2025/2026 Complete Exam Questions And Correct Answers (Verified Answers) |Already Graded A+

A patient with a tracheostomy has a new order for a fenestrated tracheostomy tube. Which action should the nurse include in the plan of care in collaboration with the speech therapist?

• Leave the tracheostomy inner cannula inserted at all times.
• Place the decannulation cap in the tube before cuff deflation.
• Assess the ability to swallow before using the fenestrated tube.
• Inflate the tracheostomy cuff during use of the fenestrated tube. -

ANSWER-c

The nurse is caring for a mechanically ventilated patient with a cuffed tracheostomy tube. Which action by the nurse would determine if the cuff has been properly inflated?

• Use a hand-held manometer to measure cuff pressure.
• Review the health record for the prescribed cuff pressure.
• Suction the patient through a fenestrated inner cannula to clear

secretions.

• Insert the decannulation plug before removing the nonfenestrated

inner cannula. - ANSWER-a 1 / 4

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Which statement by the patient indicates that teaching has been effective for a patient scheduled for radiation therapy of the larynx?

• "I will need to buy a water bottle to carry with me."
• "I should not use any lotions on my neck and throat."
• "Until the radiation is complete, I may have diarrhea."
• "Alcohol-based mouthwashes will help clean my mouth." -

ANSWER-a

The nurse has just auscultated coarse crackles bilaterally on a patient with a tracheostomy tube in place. If the patient is unsuccessful in coughing up secretions, what action should the nurse take?

• Encourage increased incentive spirometer use.
• Encourage the patient to increase oral fluid intake.
• Put on sterile gloves and use a sterile catheter to suction.
• Preoxygenate the patient for 3 minutes before suctioning. -

ANSWER-c

The nurse discusses management of upper respiratory infections (URIs) with a patient who has acute sinusitis. Which statement by the patient indicates that additional teaching is needed?

• "I will drink lots of juices and other fluids to stay well hydrated."
• "I can use nasal decongestant spray until the congestion is gone."
• "I can take acetaminophen (Tylenol) to treat my sinus discomfort." 2 / 4

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• "I will watch for changes in nasal secretions or the sputum that I

cough up." - ANSWER-b

A nurse obtains a health history from a patient who has a 35 pack-year smoking history. The patient complains of hoarseness and tightness in the throat and difficulty swallowing. Which question is important for the nurse to ask?

• "How much alcohol do you drink in an average week?"
• "Do you have a family history of head or neck cancer?"
• "Have you had frequent streptococcal throat infections?"
• "Do you use antihistamines for upper airway congestion?" -

ANSWER-a

A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse, "Will I be able to talk normally after surgery?" What is the most accurate response by the nurse?

• "You will breathe through a permanent opening in your neck, but you

will not be able to communicate orally."

• "You won't be able to talk right after surgery, but you will be able to

speak again after the tracheostomy tube is removed."

• "You will have a permanent opening into your neck, and you will need

rehabilitation for some type of voice restoration."

• "You won't be able to speak as you used to, but there are artificial

voice devices that will give you the ability to speak normally." - ANSWER-c 3 / 4

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A patient who had a total laryngectomy has a nursing diagnosis of hopelessness related to loss of control of personal care. Which information obtained by the nurse indicates that this identified problem is resolving?

• The patient allows the nurse to suction the tracheostomy.
• The patient's spouse provides the daily tracheostomy care.
• The patient asks how to clean the tracheostomy stoma and tube.
• The patient uses a communication board to request "No Visitors." -

ANSWER-c

A patient diagnosed with active tuberculosis (TB) is homeless and has a history of alcohol abuse. Which intervention by the nurse will be most effective in ensuring adherence with the treatment regimen?

• Repeat warnings about the high risk for infecting others several times.
• Give the patient written instructions about how to take the

medications.

• Arrange for a daily meal and drug administration at a community

center.

• Arrange for the patient's friend to administer the medication on

schedule. - ANSWER-c

The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan?

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