#1
Which of the following is a common indication for tracheostomy?
Chronic obstructive pulmonary disease (COPD)
Gastric ulcer
Hepatitis C
Osteoarthritis
#2
What is the purpose of a tracheostomy tube cuff?
To facilitate speech
To prevent aspiration
To secure the tracheostomy tube in place
To maintain cuff pressure and seal the airway
#3
What is the recommended frequency for tracheostomy tube change in adult patients?
Every day
Every week
Every month
Every 2-3 months
#4
What is the primary purpose of suctioning the tracheostomy tube?
To clean the tube
To provide moisture to the airway
To remove secretions and maintain airway patency
To prevent infection
#5
What is the ideal positioning for a patient with a tracheostomy tube to prevent aspiration?
Supine position
Prone position
Semi-Fowler's position
Trendelenburg position
#6
Which of the following is a sign of tracheostomy tube displacement?
Decreased heart rate
Increased breath sounds
Decreased respiratory rate
Subcutaneous emphysema
#7
Which of the following actions should be avoided during tracheostomy care?
Using a cotton swab to clean around the stoma
Applying petroleum jelly to the skin around the stoma
Changing the tracheostomy ties daily
Regularly assessing the tracheostomy site for signs of infection
#8
Which of the following is NOT a component of tracheostomy care?
Oral hygiene
Suctioning
Steroid administration
Tube change
#9
What is the recommended method for cleaning a tracheostomy tube?
Boiling in water
Soaking in alcohol
Wiping with hydrogen peroxide
Using sterile saline solution
#10
Which of the following should be monitored closely in a patient with a tracheostomy tube?
Heart rate
Blood pressure
Respiratory rate
All of the above
#11
What should be done if the tracheostomy tube becomes dislodged accidentally?
Call the physician immediately
Reinsert the tube after cleaning
Leave the patient alone
Apply pressure to the stoma
#12
What is the purpose of a speaking valve in a tracheostomy tube?
To prevent aspiration
To facilitate communication
To humidify the airway
To secure the tube in place
#13
Which of the following actions should be included in tracheostomy care to prevent infection?
Using sterile technique during tube changes
Applying antibiotic ointment to the stoma
Avoiding hand hygiene before care
Using tap water for humidification
#14
What should be assessed before suctioning a patient with a tracheostomy tube?
Cuff pressure
Skin integrity around the stoma
Heart rate
Respiratory rate and oxygen saturation
#15
Which of the following is a sign of tracheostomy tube infection?
Increased appetite
Clear secretions
Redness and swelling around the stoma
Decreased respiratory rate
#16
What is the purpose of a heat and moisture exchanger (HME) in tracheostomy care?
To provide supplemental oxygen
To prevent mucus production
To improve speech clarity
To humidify and warm inspired air
#17
Which of the following complications is associated with long-term tracheostomy tube use?
Hypertension
Hyperthyroidism
Tracheal stenosis
Peripheral neuropathy
#18
What is a common complication of excessive cuff pressure in a tracheostomy tube?
Tracheal stenosis
Pneumothorax
Subcutaneous emphysema
Mucosal erosion
#19
What is a potential complication of not providing humidification to a patient with a tracheostomy tube?
Pneumonia
Hypertension
Hypoxia
Hypothermia
#20
What is a potential complication of inadequate humidification in tracheostomy care?
Dry skin
Acidosis
Mucosal edema
Bronchoconstriction
#21
Which of the following is a sign of tracheostomy tube obstruction?
Decreased oxygen saturation
Increased heart rate
Decreased breath sounds
Cyanosis
#22
Which of the following is a common complication of tracheostomy tube suctioning?
Bleeding
Bradycardia
Hyperventilation
Hypotension
#23
What is the primary purpose of assessing cuff pressure in a tracheostomy tube?
To prevent infection
To maintain speech
To prevent aspiration
To prevent tracheal damage
#24
Which of the following is a potential complication of excessive tracheostomy tube cuff inflation?
Aspiration
Tracheal erosion
Decreased risk of infection
Improved ventilation
#25
Which of the following is a potential complication of using metal tracheostomy tubes?
Decreased risk of infection
Allergic reaction
Increased comfort for the patient
Decreased risk of tube displacement