NR 341 EXAM 1 2026/2027 | COMPLETE NURSING EXAM
PREP | HIGH-YIELD PRACTICE QUESTIONS & VERIFIED
ANSWERS | COMPREHENSIVE STUDY GUIDE | LATEST
UPDATED VERSION
1. What is the primary goal of weaning a patient from a ventilator?
To reduce the patient's oxygen levels.
To restore the patient's ability to breathe independently.
To increase the ventilator settings.
To maintain mechanical ventilation indefinitely.
2. What is the primary medication used to treat acute asthma attacks?
Albuterol
Theophylline
Prednisone
Montelukast
3. Describe the process involved in weaning a patient from mechanical
ventilation.
The process requires immediate cessation of all ventilator support.
The process involves gradually reducing ventilator support while
assessing the patient's respiratory status.
The process does not require monitoring of the patient's vital signs.
The process is only successful if the patient is fully sedated.
4. In a clinical scenario, if a patient on SIMV is struggling to initiate breaths, how
might adjusting the pressure support settings affect their ventilation?
, Adjusting pressure support has no effect on the patient's ability to
initiate breaths.
Maintaining the same pressure support will reduce the patient's work
of breathing.
Increasing pressure support may help the patient initiate breaths
more easily.
Decreasing pressure support will improve the patient's ability to
breathe spontaneously.
5. Describe the potential risks involved with intubation and how they can impact
patient safety.
Intubation complications are limited to infection and bleeding.
Intubation can lead to complications such as esophageal intubation,
which can cause inadequate ventilation, and pneumothorax, which
can lead to respiratory distress.
Intubation is a safe procedure with no significant risks involved.
Intubation only poses risks if performed by inexperienced personnel.
6. Describe the significance of maintaining airway patency in patients with
artificial airways.
Maintaining airway patency is primarily for comfort rather than safety.
Maintaining airway patency is not necessary if the patient is on
mechanical ventilation.
Maintaining airway patency is crucial to ensure adequate ventilation
and prevent respiratory complications.
Maintaining airway patency is only important during intubation
procedures.
,7. One of the best interventions to prevent VAP is:
Do not raise the head of the bed up in order to prevent an increase in
gastric pressure and potential reflux
Perform oral care with chlorhexidine
Avoid suctioning the patient in order to reduce possible relocation of
bacteria
Keeping the patient NPO to prevent aspiration
8. The nurse is concerned a patient may be developing ARDS due to their initial
presentation of symptom including:
Increased alveolar edema, hypoxia-resistant supplemental oxygen
Rapid progress of severity of symptoms, cyanosis, patchy infiltrates,
dry cough
Hemodynamic instability, decreased lung volume, interstitial markings
Pulmonary fibrosis, systemic infection, increased airway pressures, and
pneumothoraces
9. If a patient shows signs of unplanned extubation, what immediate action
should the nurse take to ensure patient safety?
Increase the ventilator settings immediately.
Reassess the airway and provide supplemental oxygen as needed.
Notify the physician without taking any immediate action.
Administer sedatives to calm the patient.
10. Describe the significance of monitoring oxygenation in the context of airway
management.
, Monitoring oxygenation is primarily for assessing blood pressure.
Monitoring oxygenation is crucial for ensuring that the patient
receives sufficient oxygen, which is vital for cellular metabolism
and overall health.
Monitoring oxygenation is only necessary during intubation.
Monitoring oxygenation helps in diagnosing infections.
11. What is the common name for a bag-valve-mask device used in emergency
airway management?
Ventilator
Endotracheal tube
Oxygen mask
Ambu bag
12. After extubating client from a ventilator which assessment finding requires
IMMEDIATE attention?
stridor
hoarseness
difficulty speaking
copious oral secretions
13. If a patient with a tracheostomy experiences sudden respiratory distress,
which piece of equipment would be most critical to use immediately?
Nebulizer
Mechanical ventilator
Suction equipment
PREP | HIGH-YIELD PRACTICE QUESTIONS & VERIFIED
ANSWERS | COMPREHENSIVE STUDY GUIDE | LATEST
UPDATED VERSION
1. What is the primary goal of weaning a patient from a ventilator?
To reduce the patient's oxygen levels.
To restore the patient's ability to breathe independently.
To increase the ventilator settings.
To maintain mechanical ventilation indefinitely.
2. What is the primary medication used to treat acute asthma attacks?
Albuterol
Theophylline
Prednisone
Montelukast
3. Describe the process involved in weaning a patient from mechanical
ventilation.
The process requires immediate cessation of all ventilator support.
The process involves gradually reducing ventilator support while
assessing the patient's respiratory status.
The process does not require monitoring of the patient's vital signs.
The process is only successful if the patient is fully sedated.
4. In a clinical scenario, if a patient on SIMV is struggling to initiate breaths, how
might adjusting the pressure support settings affect their ventilation?
, Adjusting pressure support has no effect on the patient's ability to
initiate breaths.
Maintaining the same pressure support will reduce the patient's work
of breathing.
Increasing pressure support may help the patient initiate breaths
more easily.
Decreasing pressure support will improve the patient's ability to
breathe spontaneously.
5. Describe the potential risks involved with intubation and how they can impact
patient safety.
Intubation complications are limited to infection and bleeding.
Intubation can lead to complications such as esophageal intubation,
which can cause inadequate ventilation, and pneumothorax, which
can lead to respiratory distress.
Intubation is a safe procedure with no significant risks involved.
Intubation only poses risks if performed by inexperienced personnel.
6. Describe the significance of maintaining airway patency in patients with
artificial airways.
Maintaining airway patency is primarily for comfort rather than safety.
Maintaining airway patency is not necessary if the patient is on
mechanical ventilation.
Maintaining airway patency is crucial to ensure adequate ventilation
and prevent respiratory complications.
Maintaining airway patency is only important during intubation
procedures.
,7. One of the best interventions to prevent VAP is:
Do not raise the head of the bed up in order to prevent an increase in
gastric pressure and potential reflux
Perform oral care with chlorhexidine
Avoid suctioning the patient in order to reduce possible relocation of
bacteria
Keeping the patient NPO to prevent aspiration
8. The nurse is concerned a patient may be developing ARDS due to their initial
presentation of symptom including:
Increased alveolar edema, hypoxia-resistant supplemental oxygen
Rapid progress of severity of symptoms, cyanosis, patchy infiltrates,
dry cough
Hemodynamic instability, decreased lung volume, interstitial markings
Pulmonary fibrosis, systemic infection, increased airway pressures, and
pneumothoraces
9. If a patient shows signs of unplanned extubation, what immediate action
should the nurse take to ensure patient safety?
Increase the ventilator settings immediately.
Reassess the airway and provide supplemental oxygen as needed.
Notify the physician without taking any immediate action.
Administer sedatives to calm the patient.
10. Describe the significance of monitoring oxygenation in the context of airway
management.
, Monitoring oxygenation is primarily for assessing blood pressure.
Monitoring oxygenation is crucial for ensuring that the patient
receives sufficient oxygen, which is vital for cellular metabolism
and overall health.
Monitoring oxygenation is only necessary during intubation.
Monitoring oxygenation helps in diagnosing infections.
11. What is the common name for a bag-valve-mask device used in emergency
airway management?
Ventilator
Endotracheal tube
Oxygen mask
Ambu bag
12. After extubating client from a ventilator which assessment finding requires
IMMEDIATE attention?
stridor
hoarseness
difficulty speaking
copious oral secretions
13. If a patient with a tracheostomy experiences sudden respiratory distress,
which piece of equipment would be most critical to use immediately?
Nebulizer
Mechanical ventilator
Suction equipment
