NRNP6540 WEEK 3 KNOWLEDGE CHECK FULL
SOLUTION 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ The patient has decided to use the voice rehabilitation that offers
the best speech quality even though it must be cleaned regularly.
The nurse knows that this is what kind of voice rehabilitation?
A. Electromyography
B. Intraoral electrolarynx
C. Neck type electrolarynx
D. Transesophageal puncture Answer: D. Transesophageal puncture
Rationale:
The transesophageal puncture provides a fistula between the
esophagus and trachea with a one-way valved prosthesis to prevent
aspiration from the esophagus to the trachea. Air moves from the
lungs and vibrates against the esophagus, and words are formed
with the tongue and lips as the air moves out the mouth. The
electromyography and both electrolarynx methods produce low-
pitched mechanical sounds.
◉ Which task can the registered nurse (RN) delegate to unlicensed
assistive personnel (UAP) in the care of a stable patient who has a
tracheostomy?
A. Assessing the need for suctioning
,B. Suctioning the patient's oropharynx
C. Assessing the patient's swallowing ability
D. Maintaining appropriate cuff inflation pressure Answer: B.
Suctioning the patient's oropharynx
Rationale:
Providing the person has been trained in correct technique, the UAP
may suction the patient's oropharynx. Assessing the need for
suctioning should be performed by an RN or licensed practical
nurse. An RN should perform a swallowing assessment and maintain
cuff inflation pressure.
◉ A school nurse is providing information to high school students
about influenza prevention. What should the nurse emphasize in
teaching to prevent the transmission of the virus? (Select all that
apply.)
A. Cover the nose when coughing.
B. Obtain an influenza vaccination.
C. Stay at home when symptomatic.
D. Drink noncaffeinated fluids daily.
E. Obtain antibiotic therapy promptly. Answer: A. Cover the nose
when coughing.
B. Obtain an influenza vaccination.
C. Stay at home when symptomatic.
rationale:
,Covering the nose and mouth when coughing is an effective way to
prevent the spread of the virus. Obtaining an influenza vaccination
helps prevent the flu. Staying at home helps prevent direct exposure
of others to the virus. Drinking fluids helps liquefy secretions but
does not prevent influenza. Antibiotic therapy is not used unless the
patient develops a secondary bacterial infection.
◉ The nurse is caring for a patient with a tracheostomy. What is the
priority nursing assessment for this patient?
A. Electrolyte levels and daily weights
B. Assessment of speech and swallowing
C. Respiratory rate and oxygen saturation
D. Pain assessment and assessment of mobility Answer: C.
Respiratory rate and oxygen saturation
Rationale:
The priority assessment in the care of a patient with a tracheostomy
focuses on airway and breathing. These assessments supersede the
nurse's assessments that may also be necessary, such as nutritional
status, speech, pain, and swallowing ability.
◉ A patient is admitted for joint replacement surgery and has a
permanent tracheostomy. Which task is appropriate for the nurse to
delegate to unlicensed assistive personnel (UAP)?
A. Suction the tracheostomy.
B. Check stoma site for skin breakdown.
, C. Complete tracheostomy care using sterile technique.
D. Provide oral care with a toothbrush and tonsil suction tube.
Answer: D. Provide oral care with a toothbrush and tonsil suction
tube.
rationale:
Oral care (for a stable patient with a tracheostomy) can be delegated
to UAP. A registered nurse would be responsible for assessments
(e.g., checking the stoma for skin breakdown) and tracheostomy
suctioning and care.
◉ When caring for a patient who is 3 hours postoperative
laryngectomy, what is the nurse's highest priority assessment?
A. Patient comfort
B. Airway patency
C. Incisional drainage
D. Blood pressure and heart rate Answer: B. Airway patency
rationale:
Remember the ABCs with prioritization. Airway patency is always
the highest priority and is essential for a patient undergoing surgery
surrounding the upper respiratory system. Comfort, drainage, and
vital signs follow the ABCs in priority.
◉ The patient seeks relief from the symptoms of an upper
respiratory infection (URI) lasting for 5 days. Which patient
SOLUTION 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ The patient has decided to use the voice rehabilitation that offers
the best speech quality even though it must be cleaned regularly.
The nurse knows that this is what kind of voice rehabilitation?
A. Electromyography
B. Intraoral electrolarynx
C. Neck type electrolarynx
D. Transesophageal puncture Answer: D. Transesophageal puncture
Rationale:
The transesophageal puncture provides a fistula between the
esophagus and trachea with a one-way valved prosthesis to prevent
aspiration from the esophagus to the trachea. Air moves from the
lungs and vibrates against the esophagus, and words are formed
with the tongue and lips as the air moves out the mouth. The
electromyography and both electrolarynx methods produce low-
pitched mechanical sounds.
◉ Which task can the registered nurse (RN) delegate to unlicensed
assistive personnel (UAP) in the care of a stable patient who has a
tracheostomy?
A. Assessing the need for suctioning
,B. Suctioning the patient's oropharynx
C. Assessing the patient's swallowing ability
D. Maintaining appropriate cuff inflation pressure Answer: B.
Suctioning the patient's oropharynx
Rationale:
Providing the person has been trained in correct technique, the UAP
may suction the patient's oropharynx. Assessing the need for
suctioning should be performed by an RN or licensed practical
nurse. An RN should perform a swallowing assessment and maintain
cuff inflation pressure.
◉ A school nurse is providing information to high school students
about influenza prevention. What should the nurse emphasize in
teaching to prevent the transmission of the virus? (Select all that
apply.)
A. Cover the nose when coughing.
B. Obtain an influenza vaccination.
C. Stay at home when symptomatic.
D. Drink noncaffeinated fluids daily.
E. Obtain antibiotic therapy promptly. Answer: A. Cover the nose
when coughing.
B. Obtain an influenza vaccination.
C. Stay at home when symptomatic.
rationale:
,Covering the nose and mouth when coughing is an effective way to
prevent the spread of the virus. Obtaining an influenza vaccination
helps prevent the flu. Staying at home helps prevent direct exposure
of others to the virus. Drinking fluids helps liquefy secretions but
does not prevent influenza. Antibiotic therapy is not used unless the
patient develops a secondary bacterial infection.
◉ The nurse is caring for a patient with a tracheostomy. What is the
priority nursing assessment for this patient?
A. Electrolyte levels and daily weights
B. Assessment of speech and swallowing
C. Respiratory rate and oxygen saturation
D. Pain assessment and assessment of mobility Answer: C.
Respiratory rate and oxygen saturation
Rationale:
The priority assessment in the care of a patient with a tracheostomy
focuses on airway and breathing. These assessments supersede the
nurse's assessments that may also be necessary, such as nutritional
status, speech, pain, and swallowing ability.
◉ A patient is admitted for joint replacement surgery and has a
permanent tracheostomy. Which task is appropriate for the nurse to
delegate to unlicensed assistive personnel (UAP)?
A. Suction the tracheostomy.
B. Check stoma site for skin breakdown.
, C. Complete tracheostomy care using sterile technique.
D. Provide oral care with a toothbrush and tonsil suction tube.
Answer: D. Provide oral care with a toothbrush and tonsil suction
tube.
rationale:
Oral care (for a stable patient with a tracheostomy) can be delegated
to UAP. A registered nurse would be responsible for assessments
(e.g., checking the stoma for skin breakdown) and tracheostomy
suctioning and care.
◉ When caring for a patient who is 3 hours postoperative
laryngectomy, what is the nurse's highest priority assessment?
A. Patient comfort
B. Airway patency
C. Incisional drainage
D. Blood pressure and heart rate Answer: B. Airway patency
rationale:
Remember the ABCs with prioritization. Airway patency is always
the highest priority and is essential for a patient undergoing surgery
surrounding the upper respiratory system. Comfort, drainage, and
vital signs follow the ABCs in priority.
◉ The patient seeks relief from the symptoms of an upper
respiratory infection (URI) lasting for 5 days. Which patient
