NRNP6540 WEEK 3 KNOWLEDGE CHECK
PRACTICE TEST 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉ A patient whose tracheostomy was inserted 30 minutes ago is
recovering in the postanesthesia recovery unit when the
tracheostomy tube is expelled by coughing. What is the priority
action by the nurse?
A. Suction the tracheostomy opening.
B. Maintain the airway with a sterile hemostat.
C. Use an Ambu bag and mask to ventilate the patient.
D. Insert the tracheostomy tube obturator into the stoma. Answer: B.
Maintain the airway with a sterile hemostat.
Rationale:
As long as the patient is not in acute respiratory distress after
dislodging the tracheostomy tube, the nurse should use a sterile
hemostat to maintain an open airway until a sterile tracheostomy
tube can be reinserted into the tracheal opening. The tracheostomy
is an open surgical wound that has not had time to mature into a
stoma. If the patient is in respiratory distress, the nurse will use an
Ambu bag and mask to ventilate the patient temporarily.
◉ The nurse is reviewing the health history of a patient with
laryngeal cancer. Which finding would the nurse expect?
,A. Family history of lung cancer
B. Recent inhalation of noxious fumes
C. Frequent straining of the vocal cords
D. Chronic use of alcohol and tobacco products Answer: D. Chronic
use of alcohol and tobacco products
rationale:
Tobacco use causes 85% of head and neck cancers. Excess alcohol
use is another major risk factor. Other risk factors include exposure
to the sun, asbestos, industrial carcinogens, marijuana use, radiation
therapy to the head and neck, and poor oral hygiene.
◉ A patient is being discharged from the emergency department
after being treated for epistaxis. In teaching first aid measures in the
event the epistaxis would recur, what measures should the nurse
suggest? (Select all that apply.)
A. Tilt patient's head backwards.
B. Apply ice compresses to the nose.
C. Tilt head forward while sitting upright.
D. Pinch the entire soft lower portion of the nose.
E. Lying down until 15 minutes after the bleeding ceases Answer: C.
Tilt head forward while sitting upright.
D. Pinch the entire soft lower portion of the nose.
rationale:
,Use simple first aid measures to control nosebleeds. These include:
(1) placing the patient in a sitting position, leaning slightly forward
with head tilted forward and (2) applying direct pressure by
squeezing the entire soft lower portion of the nose (nostrils)
together for 5 to 15 minutes. Tilting the head back does not stop the
bleeding but allows the blood to enter the nasopharynx, which could
result in aspiration or nausea or vomiting from swallowing blood.
Lying down also will not decrease the bleeding.
◉ The nurse observes clear nasal drainage in a patient newly
admitted with facial trauma with a nasal fracture. What is the
nurse's priority action?
A. Test the drainage for the presence of glucose.
B. Suction the nose to maintain airway clearance.
C. Document the findings and continue monitoring.
D. Apply a drip pad and reassure the patient this is normal. Answer:
A. Test the drainage for the presence of glucose.
Clear nasal drainage suggests leakage of cerebrospinal fluid (CSF).
The drainage should be tested for the presence of glucose, which
would indicate the presence of CSF. Suctioning should not be done.
Documenting the findings and monitoring are important after
notifying the health care provider. A drip pad may be applied, but
the patient should not be reassured that this is normal.
◉ A patient had an open reduction repair of a bilateral nasal
fracture. The nurse plans to implement an intervention that focuses
, on both nursing and medical goals for this patient. Which
intervention should the nurse implement?
A. Apply an external splint to the nose.
B. Insert plastic nasal implant surgically.
C. Humidify the air for mouth breathing.
D. Maintain surgical packing in the nose. Answer: D. Maintain
surgical packing in the nose.
Rationale:
A goal that is common to nursing and medical management of a
patient after rhinoplasty is to prevent the formation of a septal
hematoma and potential infections resulting from a septal
hematoma. Therefore, the nurse helps to keep the nasal packing in
the nose. The packing applies direct pressure to oozing blood vessels
to stop postoperative bleeding. A medical goal includes realigning
the fracture with an external or internal splint. The nurse helps
maintain the airway by humidifying inspired air because the nose is
unable to do so following surgery because it is swollen and packed
with gauze.
◉ The nurse is scheduled to administer seasonal influenza
vaccinations to the residents of a long-term care facility. What would
be a contraindication to the administration of the vaccine to a
resident?
A. Age older than 80 years
B. History of upper respiratory infections
PRACTICE TEST 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉ A patient whose tracheostomy was inserted 30 minutes ago is
recovering in the postanesthesia recovery unit when the
tracheostomy tube is expelled by coughing. What is the priority
action by the nurse?
A. Suction the tracheostomy opening.
B. Maintain the airway with a sterile hemostat.
C. Use an Ambu bag and mask to ventilate the patient.
D. Insert the tracheostomy tube obturator into the stoma. Answer: B.
Maintain the airway with a sterile hemostat.
Rationale:
As long as the patient is not in acute respiratory distress after
dislodging the tracheostomy tube, the nurse should use a sterile
hemostat to maintain an open airway until a sterile tracheostomy
tube can be reinserted into the tracheal opening. The tracheostomy
is an open surgical wound that has not had time to mature into a
stoma. If the patient is in respiratory distress, the nurse will use an
Ambu bag and mask to ventilate the patient temporarily.
◉ The nurse is reviewing the health history of a patient with
laryngeal cancer. Which finding would the nurse expect?
,A. Family history of lung cancer
B. Recent inhalation of noxious fumes
C. Frequent straining of the vocal cords
D. Chronic use of alcohol and tobacco products Answer: D. Chronic
use of alcohol and tobacco products
rationale:
Tobacco use causes 85% of head and neck cancers. Excess alcohol
use is another major risk factor. Other risk factors include exposure
to the sun, asbestos, industrial carcinogens, marijuana use, radiation
therapy to the head and neck, and poor oral hygiene.
◉ A patient is being discharged from the emergency department
after being treated for epistaxis. In teaching first aid measures in the
event the epistaxis would recur, what measures should the nurse
suggest? (Select all that apply.)
A. Tilt patient's head backwards.
B. Apply ice compresses to the nose.
C. Tilt head forward while sitting upright.
D. Pinch the entire soft lower portion of the nose.
E. Lying down until 15 minutes after the bleeding ceases Answer: C.
Tilt head forward while sitting upright.
D. Pinch the entire soft lower portion of the nose.
rationale:
,Use simple first aid measures to control nosebleeds. These include:
(1) placing the patient in a sitting position, leaning slightly forward
with head tilted forward and (2) applying direct pressure by
squeezing the entire soft lower portion of the nose (nostrils)
together for 5 to 15 minutes. Tilting the head back does not stop the
bleeding but allows the blood to enter the nasopharynx, which could
result in aspiration or nausea or vomiting from swallowing blood.
Lying down also will not decrease the bleeding.
◉ The nurse observes clear nasal drainage in a patient newly
admitted with facial trauma with a nasal fracture. What is the
nurse's priority action?
A. Test the drainage for the presence of glucose.
B. Suction the nose to maintain airway clearance.
C. Document the findings and continue monitoring.
D. Apply a drip pad and reassure the patient this is normal. Answer:
A. Test the drainage for the presence of glucose.
Clear nasal drainage suggests leakage of cerebrospinal fluid (CSF).
The drainage should be tested for the presence of glucose, which
would indicate the presence of CSF. Suctioning should not be done.
Documenting the findings and monitoring are important after
notifying the health care provider. A drip pad may be applied, but
the patient should not be reassured that this is normal.
◉ A patient had an open reduction repair of a bilateral nasal
fracture. The nurse plans to implement an intervention that focuses
, on both nursing and medical goals for this patient. Which
intervention should the nurse implement?
A. Apply an external splint to the nose.
B. Insert plastic nasal implant surgically.
C. Humidify the air for mouth breathing.
D. Maintain surgical packing in the nose. Answer: D. Maintain
surgical packing in the nose.
Rationale:
A goal that is common to nursing and medical management of a
patient after rhinoplasty is to prevent the formation of a septal
hematoma and potential infections resulting from a septal
hematoma. Therefore, the nurse helps to keep the nasal packing in
the nose. The packing applies direct pressure to oozing blood vessels
to stop postoperative bleeding. A medical goal includes realigning
the fracture with an external or internal splint. The nurse helps
maintain the airway by humidifying inspired air because the nose is
unable to do so following surgery because it is swollen and packed
with gauze.
◉ The nurse is scheduled to administer seasonal influenza
vaccinations to the residents of a long-term care facility. What would
be a contraindication to the administration of the vaccine to a
resident?
A. Age older than 80 years
B. History of upper respiratory infections
