Mechanical Ventilation (NCLEX)
Questions and Answers Latest Version
Already Passed
What is the primary purpose of PEEP in mechanical ventilation?
a) Increase oxygen concentration
✔✔b) Prevent alveolar collapse at end-expiration
c) Reduce heart rate
d) Improve kidney function
Which ventilator mode allows the patient to trigger every breath?
a) Controlled ventilation
✔✔b) Assist-Control ventilation
c) Pressure support only
d) SIMV without rate
What is the most common complication of prolonged mechanical ventilation?
a) Skin breakdown
✔✔b) Ventilator-associated pneumonia
1
,c) Hair loss
d) Improved liver function
Which parameter should be monitored most closely for a patient on volume-controlled
ventilation?
a) Urine output
✔✔b) Peak airway pressure
c) Body temperature
d) Blood glucose levels
What does a high-pressure alarm on the ventilator typically indicate?
a) Patient is breathing too slowly
✔✔b) Airway obstruction or secretions
c) Oxygen tank is empty
d) Circuit disconnect
Which condition would most likely require inverse ratio ventilation?
✔✔a) Severe ARDS
2
,b) Uncomplicated asthma
c) Diabetic ketoacidosis
d) Stable COPD
What is the purpose of a spontaneous breathing trial?
a) Test kidney function
✔✔b) Assess readiness for extubation
c) Measure blood pressure
d) Check vision
Which finding would suggest auto-PEEP?
a) Low respiratory rate
✔✔b) Difficulty triggering breaths
c) Sudden hypertension
d) Cold extremities
What is the first intervention for ventilator dyssynchrony?
a) Increase FiO2 to 100%
3
, ✔✔b) Assess patient-ventilator interaction
c) Administer diuretics
d) Turn patient prone
Which parameter is most important when setting up NIV for COPD?
a) Tidal volume
✔✔b) IPAP/EPAP settings
c) Blood glucose
d) Hemoglobin level
What does flow triggering do compared to pressure triggering?
✔✔a) Reduces work of breathing
b) Increases sedation needs
c) Prolongs ventilation time
d) Decreases oxygen use
Which condition is an absolute contraindication for non-invasive ventilation?
a) Mild pneumonia
4
Questions and Answers Latest Version
Already Passed
What is the primary purpose of PEEP in mechanical ventilation?
a) Increase oxygen concentration
✔✔b) Prevent alveolar collapse at end-expiration
c) Reduce heart rate
d) Improve kidney function
Which ventilator mode allows the patient to trigger every breath?
a) Controlled ventilation
✔✔b) Assist-Control ventilation
c) Pressure support only
d) SIMV without rate
What is the most common complication of prolonged mechanical ventilation?
a) Skin breakdown
✔✔b) Ventilator-associated pneumonia
1
,c) Hair loss
d) Improved liver function
Which parameter should be monitored most closely for a patient on volume-controlled
ventilation?
a) Urine output
✔✔b) Peak airway pressure
c) Body temperature
d) Blood glucose levels
What does a high-pressure alarm on the ventilator typically indicate?
a) Patient is breathing too slowly
✔✔b) Airway obstruction or secretions
c) Oxygen tank is empty
d) Circuit disconnect
Which condition would most likely require inverse ratio ventilation?
✔✔a) Severe ARDS
2
,b) Uncomplicated asthma
c) Diabetic ketoacidosis
d) Stable COPD
What is the purpose of a spontaneous breathing trial?
a) Test kidney function
✔✔b) Assess readiness for extubation
c) Measure blood pressure
d) Check vision
Which finding would suggest auto-PEEP?
a) Low respiratory rate
✔✔b) Difficulty triggering breaths
c) Sudden hypertension
d) Cold extremities
What is the first intervention for ventilator dyssynchrony?
a) Increase FiO2 to 100%
3
, ✔✔b) Assess patient-ventilator interaction
c) Administer diuretics
d) Turn patient prone
Which parameter is most important when setting up NIV for COPD?
a) Tidal volume
✔✔b) IPAP/EPAP settings
c) Blood glucose
d) Hemoglobin level
What does flow triggering do compared to pressure triggering?
✔✔a) Reduces work of breathing
b) Increases sedation needs
c) Prolongs ventilation time
d) Decreases oxygen use
Which condition is an absolute contraindication for non-invasive ventilation?
a) Mild pneumonia
4
