ATI TRACHEOSTOMY CARE AIRWAY
MANAGEMENT EXAM 2026- 2027
QUESTIONS AND CORRECT ANSWERS |
A+ GRADE VERIFIED ANSWERS
How can the nurse best minimize a patient's risk for
infection during tracheostomy care?
a. Adhere to sterile technique when appropriate.
b. Frequently assess for signs of local or systemic
infection.
c. Monitor for indications that tracheostomy care is
needed.
d. Instruct nursing assistive personnel (NAP) to report any
changes in color or odor of tracheal drainage.Correct
Answer a. Adhere to sterile technique when appropriate.
Adherence to sterile technique is the most important factor
in minimizing the patient's risk for infection during
tracheostomy care.
Which nursing action shows the most effective planning
for emergency care of a patient with a tracheostomy?
a. Having a spare oxygen mask at the patient's bedside
b. Keeping an obturator and a tracheostomy tube at the
patient's bedside
c. Reviewing the agency's policy regarding tracheostomy
care
d. Instructing the family to call immediately if the patient
has difficulty breathingCorrect Answer b. Keeping an
obturator and a tracheostomy tube at the patient's bedside
,Keeping an obturator and a tracheostomy tube of the
correct size at the patient's bedside is the best way to plan
for an emergency involving a tracheostomy, such as tube
dislodgement.
Which intervention reduces the risk for skin breakdown in
a patient with a new tracheostomy?
a. Cleaning the stoma with hydrogen peroxide and drying
thoroughly
b. Cleaning and assessing the skin around the stoma
c. Assessing temperature and reporting skin breakdown
immediately
d. Allowing the patient to re-oxygenate after each tracheal
suctioningCorrect Answer b. Cleaning and assessing the
skin around the stoma
Frequently cleaning and assessing the skin in the
tracheostomy area will reduce the patient's risk for skin
breakdown.
Which action may be delegated to nursing assistive
personnel (NAP) regarding the care of a patient with a
tracheostomy?
a. Performing tracheostomy care for a patient whose
tracheostomy was placed 1 week ago
b. Removing the outer cannula and placing the obturator
c. Holding the tracheostomy tube while the nurse changes
the neck ties
d. Monitoring oxygen saturation levels and placing oxygen
if neededCorrect Answer c. Holding the tracheostomy tube
while the nurse changes the neck ties
,Which technique would the nurse use to change a
patient's tracheostomy ties?
a. Use a slipknot.
b. Ensure that two fingers fit snugly under the tie.
c. Knot the ends of the tie in the eyelets on the faceplate.
d. Ask the patient to hold his or her breath while the ties
are changed.Correct Answer b. Ensure that two fingers fit
snugly under the tie.
Which action is part of the preparation for nasotracheal
suctioning?
a. Place the patient in a supine position.
b. Preoxygenate the patient with 100% oxygen.
c. Suction 100 mL of warm tap water to flush the suction
catheter.
d. Place water-soluble lubricant onto the open sterile
catheter package.Correct Answer d. Place water-soluble
lubricant onto the open sterile catheter package.
Which response would the nurse report immediately if it
occurred in association with nasotracheal suctioning?
a. Patient complains of discomfort during the procedure
b. Patient has a severe bout of nonproductive coughing
and complains of sore throat
c. After oxygen delivery device has been reapplied on
completion of the procedure, patient's pulse oximetry
reading falls to 88%
d. Patient's pulse rate increases by 10 beats/minCorrect
Answer c. After oxygen delivery device has been reapplied
on completion of the procedure, patient's pulse oximetry
reading falls to 88%
, This decline in peripheral blood oxygen saturation must be
reported. It represents a decline in the patient's condition
following a procedure that should have improved his or her
SpO2 reading.
While suctioning the nasotracheal airway, the nurse notes
that a patient's pulse rate has fallen from 102 beats/min to
80 beats/min. What is the best course of action?
a. Encourage the patient to take several deep breaths.
b. Interrupt suction to the catheter for at least 10 seconds.
c. Discontinue suctioning by removing the suction
catheter.
d. Assess the patient's pulse oximetry reading to see if
oxygenation is adequate.Correct Answer c. Discontinue
suctioning by removing the suction catheter.
A drop in pulse of 20 beats/min or more necessitates
discontinuation of suctioning and removal of the catheter.
As a nasotracheal catheter is inserted to suction the
airway, a patient begins to gag and says, "I feel like I'm
going to throw up." What is the nurse's best response?
a. Complete the catheter insertion in 5 seconds or less.
b. Remove the catheter.
c. Encourage the patient to take several deep breaths to
minimize the nausea.
d. Stop advancing the catheter, and allow the patient to
rest for several minutes.Correct Answer b. Remove the
catheter.
Gagging and nausea indicate that the catheter has
probably entered the esophagus and must be removed.
MANAGEMENT EXAM 2026- 2027
QUESTIONS AND CORRECT ANSWERS |
A+ GRADE VERIFIED ANSWERS
How can the nurse best minimize a patient's risk for
infection during tracheostomy care?
a. Adhere to sterile technique when appropriate.
b. Frequently assess for signs of local or systemic
infection.
c. Monitor for indications that tracheostomy care is
needed.
d. Instruct nursing assistive personnel (NAP) to report any
changes in color or odor of tracheal drainage.Correct
Answer a. Adhere to sterile technique when appropriate.
Adherence to sterile technique is the most important factor
in minimizing the patient's risk for infection during
tracheostomy care.
Which nursing action shows the most effective planning
for emergency care of a patient with a tracheostomy?
a. Having a spare oxygen mask at the patient's bedside
b. Keeping an obturator and a tracheostomy tube at the
patient's bedside
c. Reviewing the agency's policy regarding tracheostomy
care
d. Instructing the family to call immediately if the patient
has difficulty breathingCorrect Answer b. Keeping an
obturator and a tracheostomy tube at the patient's bedside
,Keeping an obturator and a tracheostomy tube of the
correct size at the patient's bedside is the best way to plan
for an emergency involving a tracheostomy, such as tube
dislodgement.
Which intervention reduces the risk for skin breakdown in
a patient with a new tracheostomy?
a. Cleaning the stoma with hydrogen peroxide and drying
thoroughly
b. Cleaning and assessing the skin around the stoma
c. Assessing temperature and reporting skin breakdown
immediately
d. Allowing the patient to re-oxygenate after each tracheal
suctioningCorrect Answer b. Cleaning and assessing the
skin around the stoma
Frequently cleaning and assessing the skin in the
tracheostomy area will reduce the patient's risk for skin
breakdown.
Which action may be delegated to nursing assistive
personnel (NAP) regarding the care of a patient with a
tracheostomy?
a. Performing tracheostomy care for a patient whose
tracheostomy was placed 1 week ago
b. Removing the outer cannula and placing the obturator
c. Holding the tracheostomy tube while the nurse changes
the neck ties
d. Monitoring oxygen saturation levels and placing oxygen
if neededCorrect Answer c. Holding the tracheostomy tube
while the nurse changes the neck ties
,Which technique would the nurse use to change a
patient's tracheostomy ties?
a. Use a slipknot.
b. Ensure that two fingers fit snugly under the tie.
c. Knot the ends of the tie in the eyelets on the faceplate.
d. Ask the patient to hold his or her breath while the ties
are changed.Correct Answer b. Ensure that two fingers fit
snugly under the tie.
Which action is part of the preparation for nasotracheal
suctioning?
a. Place the patient in a supine position.
b. Preoxygenate the patient with 100% oxygen.
c. Suction 100 mL of warm tap water to flush the suction
catheter.
d. Place water-soluble lubricant onto the open sterile
catheter package.Correct Answer d. Place water-soluble
lubricant onto the open sterile catheter package.
Which response would the nurse report immediately if it
occurred in association with nasotracheal suctioning?
a. Patient complains of discomfort during the procedure
b. Patient has a severe bout of nonproductive coughing
and complains of sore throat
c. After oxygen delivery device has been reapplied on
completion of the procedure, patient's pulse oximetry
reading falls to 88%
d. Patient's pulse rate increases by 10 beats/minCorrect
Answer c. After oxygen delivery device has been reapplied
on completion of the procedure, patient's pulse oximetry
reading falls to 88%
, This decline in peripheral blood oxygen saturation must be
reported. It represents a decline in the patient's condition
following a procedure that should have improved his or her
SpO2 reading.
While suctioning the nasotracheal airway, the nurse notes
that a patient's pulse rate has fallen from 102 beats/min to
80 beats/min. What is the best course of action?
a. Encourage the patient to take several deep breaths.
b. Interrupt suction to the catheter for at least 10 seconds.
c. Discontinue suctioning by removing the suction
catheter.
d. Assess the patient's pulse oximetry reading to see if
oxygenation is adequate.Correct Answer c. Discontinue
suctioning by removing the suction catheter.
A drop in pulse of 20 beats/min or more necessitates
discontinuation of suctioning and removal of the catheter.
As a nasotracheal catheter is inserted to suction the
airway, a patient begins to gag and says, "I feel like I'm
going to throw up." What is the nurse's best response?
a. Complete the catheter insertion in 5 seconds or less.
b. Remove the catheter.
c. Encourage the patient to take several deep breaths to
minimize the nausea.
d. Stop advancing the catheter, and allow the patient to
rest for several minutes.Correct Answer b. Remove the
catheter.
Gagging and nausea indicate that the catheter has
probably entered the esophagus and must be removed.
