NURC 324 WEEK 1 & 2 Test Questions
and All Correct Answers 2025-2026
Updated.
Which action describes the purpose of a fenestrated tracheostomy tube?
Reduces the risk of infection
Keeps the stoma from closing
Allows air to circulate around the tube
Allows easier suctioning technique - Answer Allows air to circulate around the tube
A fenestrated tracheostomy tube allows air to circulate around the tube and up to the vocal
cords. The patient can breathe normally, cough, and speak with a fenestrated tube.
Which factor indicates the placement of a tracheostomy is more advantageous than an
endotracheal tube (ET)?
Long-term airway is needed.
Patient is at a high risk for aspiration.
Patient is unable to clear secretions.
Tracheostomy is longer in length. - Answer Long-term airway is needed.
A tracheostomy tube is indicated when the need for an artificial airway is expected to be long-
term.
Which parameter indicates when the endotracheal tube can be removed following the
tracheostomy procedure?
Immediately following the insertion of the tracheostomy tube
Just prior to auscultating the lungs for air flow
When attaching the patient to the ventilator
After confirming placement of the tracheostomy tube - Answer After confirming placement
of the tracheostomy tube
Placement of the tracheostomy tube should be confirmed prior to removing the ET tube.
Methods to confirm placement include auscultation of the chest for air flow, EtCO2
capnography, video-assisted confirmation, or passage of a suction catheter through a
tracheostomy tube.
, Which health care team member collaborates closely with nursing in the care of the patient
with a new tracheostomy?
Discharge planner
Social worker
Respiratory therapist
Physical therapy - Answer Respiratory therapist
A respiratory therapist, in collaboration with nursing staff, will assist in providing tracheostomy
care to the patient with a new tracheostomy. A respiratory therapist can assist with suctioning,
maintaining cuff pressures, changing the tracheostomy tube, and decannulation procedures.
Which action would the nurse perform when providing tracheostomy care?
Perform sterile dressing changes every 4 hours.
Assess the tracheostomy tube site every shift.
Cleanse the stoma with hydrogen peroxide.
Position the patient in the prone position. - Answer Assess the tracheostomy tube site every
shift.
The tracheostomy stoma site should be checked every shift. The stoma site can also be assessed
as needed.
What equipment would be present at the bedside of the patient with a tracheostomy? Select all
that apply. One, some, or all responses may be correct.
Oral airway
Obturator
Lidocaine
Continuous positive airway pressure machine (CPAP)
Hemostat - Answer Obturator
In case of dislodgement, an obturator should be kept at the bedside of the patient with a
tracheostomy. The obturator will be used to insert the replacement tracheostomy tube.
Hemostat
In case of accidental dislodgement, hemostats should be kept at the bedside of the patient with
a tracheostomy. They will be used to spread the tracheal stoma to maintain airway patency.
Which complication is associated with a tracheostomy procedure?
Bleeding
and All Correct Answers 2025-2026
Updated.
Which action describes the purpose of a fenestrated tracheostomy tube?
Reduces the risk of infection
Keeps the stoma from closing
Allows air to circulate around the tube
Allows easier suctioning technique - Answer Allows air to circulate around the tube
A fenestrated tracheostomy tube allows air to circulate around the tube and up to the vocal
cords. The patient can breathe normally, cough, and speak with a fenestrated tube.
Which factor indicates the placement of a tracheostomy is more advantageous than an
endotracheal tube (ET)?
Long-term airway is needed.
Patient is at a high risk for aspiration.
Patient is unable to clear secretions.
Tracheostomy is longer in length. - Answer Long-term airway is needed.
A tracheostomy tube is indicated when the need for an artificial airway is expected to be long-
term.
Which parameter indicates when the endotracheal tube can be removed following the
tracheostomy procedure?
Immediately following the insertion of the tracheostomy tube
Just prior to auscultating the lungs for air flow
When attaching the patient to the ventilator
After confirming placement of the tracheostomy tube - Answer After confirming placement
of the tracheostomy tube
Placement of the tracheostomy tube should be confirmed prior to removing the ET tube.
Methods to confirm placement include auscultation of the chest for air flow, EtCO2
capnography, video-assisted confirmation, or passage of a suction catheter through a
tracheostomy tube.
, Which health care team member collaborates closely with nursing in the care of the patient
with a new tracheostomy?
Discharge planner
Social worker
Respiratory therapist
Physical therapy - Answer Respiratory therapist
A respiratory therapist, in collaboration with nursing staff, will assist in providing tracheostomy
care to the patient with a new tracheostomy. A respiratory therapist can assist with suctioning,
maintaining cuff pressures, changing the tracheostomy tube, and decannulation procedures.
Which action would the nurse perform when providing tracheostomy care?
Perform sterile dressing changes every 4 hours.
Assess the tracheostomy tube site every shift.
Cleanse the stoma with hydrogen peroxide.
Position the patient in the prone position. - Answer Assess the tracheostomy tube site every
shift.
The tracheostomy stoma site should be checked every shift. The stoma site can also be assessed
as needed.
What equipment would be present at the bedside of the patient with a tracheostomy? Select all
that apply. One, some, or all responses may be correct.
Oral airway
Obturator
Lidocaine
Continuous positive airway pressure machine (CPAP)
Hemostat - Answer Obturator
In case of dislodgement, an obturator should be kept at the bedside of the patient with a
tracheostomy. The obturator will be used to insert the replacement tracheostomy tube.
Hemostat
In case of accidental dislodgement, hemostats should be kept at the bedside of the patient with
a tracheostomy. They will be used to spread the tracheal stoma to maintain airway patency.
Which complication is associated with a tracheostomy procedure?
Bleeding
