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Med Surg: Upper airway practice questions, 32 min

Total questions: 21

Worksheet time: 32mins

Name
Class
Date
1.

A patient presents with anterior epistaxis. Which intervention should the nurse perform first?

a)

Insert nasal packing

b)

Tilt head forward and pinch nostrils

c)

Apply ice to the posterior neck

d)

Administer IV fluids

2.

The nurse teaches a patient how to prevent future nosebleeds. Which statement indicates the need for further teaching?

a)

I will use a humidifier at home.

b)

I will avoid picking or blowing my nose forcefully.

c)

I will take ibuprofen for headaches.

d)

I will apply water-soluble gel inside my nostrils.

3.

Which finding in a patient with severe epistaxis requires immediate intervention?

a)

Blood pressure 150/88 mmHg

b)

Frequent swallowing

c)

Dry mucous membranes

d)

Headache rated 7/10

4.

A nurse should question which patient order for oral diphenhydramine?

a)

26-year-old with seasonal allergies

b)

65-year-old with benign prostatic hyperplasia

c)

40-year-old with eczema

d)

19-year-old with hay fever

5.

Which patient with allergic rhinitis should the nurse assess first?

a)

Reports watery eyes and sneezing

b)

Has itchy throat and mild congestion

c)

Reports tongue swelling and itching

d)

Complains of nasal congestion at night

6.

A patient with obstructive sleep apnea states, "I’ll only wear my CPAP when I feel really tired." What is the best response?

a)

That’s fine, just use it when you need it.

b)

Using CPAP daily prevents complications such as hypertension.

c)

You can switch between CPAP and oxygen therapy.

d)

It’s safe to stop CPAP if you lose weight.

7.

A patient with Obstructive sleep apnea undergoes outpatient colonoscopy with sedation. What is the nurse’s priority in recovery?

a)

Encourage early ambulation

b)

Place patient in high-Fowler’s position

c)

Provide clear liquids once awake

d)

Monitor airway and oxygenation closely

8.

Which patient statement about managing Obstructive Sleep Apnea requires further teaching?

a)

I will avoid alcohol and sedatives before bedtime.

b)

I can sleep on my back.

c)

I will work on losing weight.

d)

I will use my CPAP every night.

9.

Which patient statement indicates correct understanding of strep throat treatment?

a)

I can stop antibiotics once I feel better.

b)

I should replace my toothbrush.

c)

I can save leftover antibiotics for future sore throats.

d)

I should avoid all dairy while on antibiotics.

10.

Which fluid is best for a patient with painful swallowing due to strep throat and tonsillar swelling?

a)

Hot tea with honey

b)

Cold orange juice

c)

Cold ice chips

d)

Carbonated soda

11.

Which statement from a patient with chronic sinusitis requires correction?

a)

I will use saline irrigation as directed.

b)

I will avoid smoking and secondhand smoke.

c)

I can use decongestant spray daily for several weeks.

d)

I will elevate my head when sleeping.

12.

A patient is 8 hours post-total laryngectomy. Which assessment is the nurse’s priority?

a)

Pain level

b)

Airway patency

c)

Incision site drainage

d)

Nutritional status

13.

Which communication aid is most appropriate for a patient immediately after total laryngectomy?

a)

Voice prosthesis

b)

Electrolarynx

c)

Writing pad and pen

d)

Esophageal speech training

14.

What is the correct nursing action when suctioning a laryngectomy stoma?

a)

Use clean technique with sterile catheter

b)

Insert catheter until resistance is met

c)

Apply suction for 15 seconds continuously

d)

Pre-oxygenate the patient before suctioning

15.

After a total laryngectomy, the patient will breathe only through the stoma. Choose the correct option.

a)

True

b)

False

16.

Match the surgery to the appropriate patient teaching.

a)

Sinus surgery

1.

Avoid nose blowing

b)

Laryngectomy

2.

Avoid swimming permanently

c)

Tonsillectomy

3.

Report frequent throat clearing

d)

Septoplasty

4.

Sleep with head elevated

17.

Match each symptom to the condition it most commonly indicates.

a)

Sneezing and itchy eyes

1.

Allergic rhinitis

b)

Purulent nasal drainage

2.

Sinusitis

c)

Facial pressure

3.

Sinusitis

d)

Clear watery discharge

4.

Allergic rhinitis

18.

A patient is seen for epistaxis, what action needs to be taken first?

a)

Position patient leaning forward

b)

Pinch nostrils continuously for 10–15 minutes

c)

Apply cold compress to nose bridge

d)

Prepare for packing

19.

The next 3 questions are on the same patient:

A 12-year-old child presents with sore throat, fever of 102.2°F (39°C), swollen tonsils with white patches, severe pain when swallowing for 3 days, and dark-colored urine. Which condition is most likely?

a)

Acute streptococcal pharyngitis

b)

Allergic rhinitis

c)

Viral pharyngitis

d)

Bronchitis

20.

A 12-year-old child presents with sore throat, fever of 102.2°F (39°C), swollen tonsils with white patches, severe pain when swallowing for 3 days, and dark-colored urine. Select two parameters to monitor.

a)

Fever

b)

Urine output

c)

Lung sounds

d)

Bowel sounds

21.

A 12-year-old child presents with sore throat, fever of 102.2°F (39°C), swollen tonsils with white patches, severe pain when swallowing for 3 days, and dark-colored urine. Select two actions to take.

a)

Administer antibiotics

b)

Restrict fluids

c)

Replace toothbrush

d)

Administer diuretics