MECHANICAL VENTILATION NCLEX EXAM
2 EXAM SCRIPT 2026 QUESTIONS AND
ANSWERS COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
⩥ Perform the Valsalva maneuver. Answer: The nurse is assisting a
health care provider with the removal of a chest tube. The nurse should
instruct the client to take which action?
⩥ Grasp the retention sutures to spread the opening.. Answer: While
changing the tapes on a tracheostomy tube, the client coughs and the
tube is dislodged. Which is the initial nursing action?
⩥ Stridor. Answer: The nurse is caring for a client immediately after
removal of the endotracheal tube. The nurse should report which sign
immediately if experienced by the client?
⩥ flushing, HA, ↓visual activity, ↓cerebral functioning, & slight
breathlessness. Answer: Carbon monoxide levels between 11% and 20%
result in
⩥ N/V, dizziness, tinnitus, vertigo, confusion, drowsiness, pale to
reddish-purple skin, tachycardia. Answer: Carbon monoxide levels
between 21% to 40% result in
,⩥ seizure & coma. Answer: Carbon monoxide levels between levels of
41% to 60% result in
⩥ Diminished breath sounds. Answer: The emergency department nurse
is assessing a client who has sustained a blunt injury to the chest wall.
Which finding would indicate the presence of a pneumothorax in this
client?
⩥ a hyperinflated chest and a flattened diaphragm if the disease is
advanced. Answer: Chest x-rays for a patient with COPD will reveal
⩥ Promote carbon dioxide elimination. Answer: The nurse instructs a
client to use the pursed-lip method of breathing and the client asks the
nurse about the purpose of this type of breathing. The nurse responds,
knowing that the primary purpose of pursed-lip breathing is to
⩥ 2 to 4 weeks once medication therapy is initiated.. Answer: For a
client who has been hospitalized and treated for tuberculosis, the RN
should advise that a sputum culture is needed every
⩥ Bronchospasm. Answer: The nurse is caring for a client after a
bronchoscopy and biopsy. Which finding, if noted in the client, should
be reported immediately to the health care provider?
, ⩥ 10 seconds. Answer: The nurse is preparing to suction a client via a
tracheostomy tube. The nurse should plan to limit the suctioning time to
a maximum of which time period?
⩥ Pain, especially with inspiration. Answer: The nurse is assessing the
respiratory status of a client who has suffered a fractured rib. The nurse
should expect to note which finding?
⩥ Paradoxical chest movement. Answer: A client with a chest injury has
suffered flail chest. The nurse assesses the client for which most
distinctive sign of flail chest?
⩥ ↑Respiratory Rate. Answer: The nurse is assessing a client with
multiple trauma who is at risk for developing acute respiratory distress
syndrome. The nurse should assess for which earliest sign of acute
respiratory distress syndrome?
⩥ Percussion and vibration. Answer: The RN is discussing the
techniques of chest physiotherapy and postural drainage to a pt having
expectoration problems because of chronic thick, tenacious mucus
production in the lower airway. The RN explains that after the pt is
positioned for postural drainage the RN will perform which action to
help loosen secretions?
⩥ after 2 to 3 weeks of medication therapy. Answer: The client
diagnosed with TB generally is considered noncontagious
2 EXAM SCRIPT 2026 QUESTIONS AND
ANSWERS COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
⩥ Perform the Valsalva maneuver. Answer: The nurse is assisting a
health care provider with the removal of a chest tube. The nurse should
instruct the client to take which action?
⩥ Grasp the retention sutures to spread the opening.. Answer: While
changing the tapes on a tracheostomy tube, the client coughs and the
tube is dislodged. Which is the initial nursing action?
⩥ Stridor. Answer: The nurse is caring for a client immediately after
removal of the endotracheal tube. The nurse should report which sign
immediately if experienced by the client?
⩥ flushing, HA, ↓visual activity, ↓cerebral functioning, & slight
breathlessness. Answer: Carbon monoxide levels between 11% and 20%
result in
⩥ N/V, dizziness, tinnitus, vertigo, confusion, drowsiness, pale to
reddish-purple skin, tachycardia. Answer: Carbon monoxide levels
between 21% to 40% result in
,⩥ seizure & coma. Answer: Carbon monoxide levels between levels of
41% to 60% result in
⩥ Diminished breath sounds. Answer: The emergency department nurse
is assessing a client who has sustained a blunt injury to the chest wall.
Which finding would indicate the presence of a pneumothorax in this
client?
⩥ a hyperinflated chest and a flattened diaphragm if the disease is
advanced. Answer: Chest x-rays for a patient with COPD will reveal
⩥ Promote carbon dioxide elimination. Answer: The nurse instructs a
client to use the pursed-lip method of breathing and the client asks the
nurse about the purpose of this type of breathing. The nurse responds,
knowing that the primary purpose of pursed-lip breathing is to
⩥ 2 to 4 weeks once medication therapy is initiated.. Answer: For a
client who has been hospitalized and treated for tuberculosis, the RN
should advise that a sputum culture is needed every
⩥ Bronchospasm. Answer: The nurse is caring for a client after a
bronchoscopy and biopsy. Which finding, if noted in the client, should
be reported immediately to the health care provider?
, ⩥ 10 seconds. Answer: The nurse is preparing to suction a client via a
tracheostomy tube. The nurse should plan to limit the suctioning time to
a maximum of which time period?
⩥ Pain, especially with inspiration. Answer: The nurse is assessing the
respiratory status of a client who has suffered a fractured rib. The nurse
should expect to note which finding?
⩥ Paradoxical chest movement. Answer: A client with a chest injury has
suffered flail chest. The nurse assesses the client for which most
distinctive sign of flail chest?
⩥ ↑Respiratory Rate. Answer: The nurse is assessing a client with
multiple trauma who is at risk for developing acute respiratory distress
syndrome. The nurse should assess for which earliest sign of acute
respiratory distress syndrome?
⩥ Percussion and vibration. Answer: The RN is discussing the
techniques of chest physiotherapy and postural drainage to a pt having
expectoration problems because of chronic thick, tenacious mucus
production in the lower airway. The RN explains that after the pt is
positioned for postural drainage the RN will perform which action to
help loosen secretions?
⩥ after 2 to 3 weeks of medication therapy. Answer: The client
diagnosed with TB generally is considered noncontagious
