Tracheostomy: Basic Knowledge Test - Health System Services

Welcome to your Tracheostomy: Basic Knowledge Test

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What is tracheostomy?

A feeding tube inserted into the stomach

A catheter inserted into the bladder

A surgically created opening into the trachea to assist with breathing

A nasal airway support device

What is the purpose of a tracheostomy tube?

To drain stomach fluids

To deliver nutrition

To provide an airway and remove secretions from the lungs

To monitor heart activity

Which of the following is a common type of tracheostomy tube?

Nasogastric tube

Cuffed and uncuffed tracheostomy tubes

Foley catheter

Suction canister

A cuffed tracheostomy tube is typically used when:

The patient is able to speak clearly

There is a need to prevent aspiration and provide positive pressure ventilation

The patient is being weaned from the trach

The stoma is healing

An uncuffed tracheostomy tube is typically used when:

The patient requires mechanical ventilation

There is concern for aspiration

The patient can breathe and protect their airway independently

The patient has excessive secretions

What is the purpose of an inner cannula in a tracheostomy tube?

To keep the trach tube from collapsing

To reduce noise during breathing

To provide a clean, removable airway insert for hygiene and safety

To secure the trach to the skin

What is a speaking valve in tracheostomy care?

A type of suction catheter

A one-way valve that allows air in through the trach but forces exhalation through the vocal cords, enabling speech

A valve used for oxygen administration

A noise-reducing cap

What is a suction catheter used for in tracheostomy care?

To deliver oxygen

To administer medications

To remove secretions from the airway

To irrigate the wound

What is a tracheostomy cleaning tray used for?

To clean the inner cannula and site using sterile tools and solutions

To store medication

To change oxygen settings

To irrigate the blatter

What are trach holders?

Devices used to clean the inner cannula

Special dressings applied to the stoma

Straps or securement devices that hold the tracheostomy tube in place

Suction catheters for clearing secretions

How often can inner cannulas be changed under a Medicare Part B stay?

Once every 30 days

Up to 2 per day if medically necessary

Once per week

Only when visibly soiled

How many trach holders are typically allowed per month under Medicare Part B?

1 per week (up to 4 per month)

1 per day (up to 30 per month)

2 per month

Unlimited, as needed

How often can you replace a tracheostomy tube under a Medicare Part B stay (in long-term care facility)?

Once every 3 months

Once every week

Only when broken

Unlimited, as needed

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