ACCS Practice Exam 2026 – Complete Test Preparation Guide

Monitoring for adequacy of exhalation is essential when using a tracheal speaking device because the device relies on airflow to allow the patient to generate sounds and communicate effectively. Adequate exhalation is necessary to provide the pressure and airflow needed to vibrate vocal cords and produce voice. If the exhalation is insufficient, the ability to speak will be compromised and the effectiveness of the device will be reduced.

Suctioning through the center of the device is not typically recommended as this may disrupt airflow and create difficulties in speech. Initiating use of the device immediately after tracheostomy is not ideal; typically, some recovery time is necessary before introducing speech devices. Ensuring the cuff is inflated is also not relevant when using a speaking valve, as the cuff should be deflated to allow airflow through the speaking device for vocalization. Hence, monitoring exhalation adequacy is a critical step in effectively utilizing a tracheal speaking device.