NCLEX CRUSADE ACADEMY TEST - 7 RESPIRATORY AND URINARY TUBES

1. Which healthcare professional is primarily responsible for inserting an endotracheal (ET) tube?. Registered Nurse. Respiratory Therapist or Physician. Nursing Assistant. Radiology Technician.

2. What is the recommended cuff pressure for an endotracheal tube to prevent tracheal damage?. 510 mmHg. 1015 mmHg. Up to 20 mmHg. 4050 mmHg.

3. The tip of an endotracheal tube should be positioned approximately how far above the carina?. 0.5 cm. 12 cm. 5 cm. Directly at the carina.

4. What is considered the gold standard for verifying ET tube placement?. Auscultation. Pulse oximetry. Capnography (End tidal CO2). Chest percussion.

5. Which method provides definitive visual confirmation of ET tube placement?. Chest X ray. Pulse oximetry. Blood pressure monitoring. Respiratory rate.

6. During ET tube maintenance, what intervention helps prevent aspiration?. Oral airway bite block. NG tube decompression. Turning patient prone. Removing humidification.

7. Which symptom after extubation indicates a medical emergency?. Mild hoarseness. Temporary cough. Stridor or cyanosis. Slight throat discomfort.

8. A cricothyroidotomy is best described as which type of airway?. Long term surgical airway. Emergency temporary airway. Non invasive airway. Pediatric airway only.

9. A tracheostomy is usually indicated when intubation is expected to exceed: 24 hours. 3 days. 7 days. 14 days.

10. Which tracheostomy component protects the trachea during insertion?. Inner cannula. Faceplate. Obturator. Speaking valve.

11. What must be done with the obturator after tracheostomy tube placement?. Leave inside the tube. Remove immediately and keep at bedside. Dispose of it. Inflate it.

12. What is the purpose of the inner cannula in a tracheostomy tube?. Airway humidification. Mucus removal and cleaning. Ventilator control. Prevent aspiration.

13. Which tracheostomy tube type allows speech through airflow to vocal cords?. Cuffed tube. Fenestrated tube. Straight tube. Triple lumen tube.

14. Before using a Passy Muir speaking valve, what must occur?. Inflate cuff. Deflate cuff. Insert obturator. Increase oxygen.

15. Which item must always remain at the bedside for tracheostomy patients?. Oxygen mask. Nebulizer. Obturator. Nasal cannula.

16. If a tracheostomy tube is accidentally removed within the first 72 hours, what should be done?. Reinsert immediately. Call rapid response and maintain stoma opening. Cover stoma. Allow closure.

17. Which complication results from prolonged cuff pressure above safe limits?. Pneumothorax. Tracheomalacia. Pulmonary embolism. Pleural effusion.

18. A tracheostomy tube pulsating with the heartbeat suggests which emergency?. Tracheoesophageal fistula. Tracheo innominate artery fistula. Pneumonia. Lung collapse.

19. Which catheter is used for intermittent catheterization without a balloon?. Foley. Straight catheter. Triple lumen. Coude.

20. A Foley catheter is primarily used for: Temporary drainage. Continuous bladder irrigation. Long term indwelling drainage. Prostate surgery only.

21. Which catheter type is used for continuous bladder irrigation?. Straight. Foley. Triple lumen. Coude.

22. A Coude catheter is specifically designed for patients with: Kidney stones. Prostate enlargement. Bladder infection. Urinary trauma.

23. What is the most important measure to prevent CAUTI?. Frequent irrigation. Maintaining a closed drainage system. Daily catheter replacement. High bladder pressure.

24. Where should the urinary drainage bag always be positioned?. Above the bladder. At the same level. Below the bladder. On the bed.

25. Which action is contraindicated unless specifically ordered?. Urine measurement. Catheter irrigation. Hygiene care. Output monitoring.

26. Percutaneous nephrostomy tubes drain urine from: The bladder. The ureter. The kidney pelvis. The urethra.

27. What is the golden rule for nephrostomy tubes?. Always clamp before transport. Never clamp the tube. Flush every hour. Remove daily.

28. When should a physician be notified for nephrostomy drainage?. Drainage exceeds 200 mL. Drainage stops or <30 mL/hr. Urine becomes yellow. Patient drinks fluids.

29. Which feeding position reduces aspiration risk during enteral feeding?. Supine. Trendelenburg. High Fowlers. Prone.

30. Where is the safest IV insertion site according to clinical pearls?. Antecubital fossa. Forearm. Wrist. Shoulder.