Final Exam: NR224 NR 224 Latest

Final Exam: NR224 / NR 224 (Latest

Update 2025 / 2026) Fundamentals:

Skills | Questions and Answers | Grade A | 100% Correct – Chamberlain

Question:

Reasons for tracheostomy placement

Answer:

Trauma to upper airway, laryngectomy, long-term ventilator use

Question:

How often do you perform routine trach care?

Answer:

Every shift

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Question:

The nurse is preparing to perform tracheostomy care on a client who is receiving 50% oxygen via a trach collar and coughing. The nurse notes that the client's oxygen saturation levels have decreased over the last hour. What is the priority action the nurse should take first?

Answer:

Suction through the trach tube

Question:

When changing the tracheostomy ties and no assistance is available, which is the proper sequence to follow?

Answer:

Apply the new ties while the old ties are still intact, ensuring a double knot is used to secure the ties to the neck plate with the twill traveling around the back of the neck, then remove the old ties.

Question:

Which procedure is the proper way to perform open tracheal suctioning?

Answer:

Insert the tube without suctioning, then begin intermittent suctioning with the catheter completely inserted and continue while withdrawing the catheter.

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Question:

What is the maximum amount of time that suction can be applied while suctioning a tracheostomy?

Answer:

10 seconds

Question:

What should suction be set to for tracheostomy suctioning?

Answer:

80-150 mmHG

Question:

As the nurse advances the suction catheter to the carina, the client begins to cough. What action should the nurse take?

Answer:

Apply intermittent suction as the catheter is withdrawn from the tube.

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