NCLEX MECHANICAL VENTILATION
EXAMINATION TEST FINAL PAPER FULL
SOLUTION 2026 GRADED A+.
⩥ Non-invasive ventilation (NIPPV) Answer: CPAP/BiPAP
⩥ Invasive Ventilation (IPPV) Answer: Full ventilatory supports
(FVS)
Partial ventilatory support (PVS)
⩥ CPAP (continuous positive airway pressure) Answer: Improves
oxygenation
Treat cariogenic pulmonary edema
May be used in *stable COPD (patients with increases resistance)
Enhances surface area - making gas exchange easier
⩥ BiPAP (bilevel positive airway pressure) Answer: Manage
disorders such as COPD, CF, MS, ALS
Reduces the need for intubation by 60-75%
Pressure triggered, pressure limited, flow cycled
⩥ Major Non-invasive ventilation advantage Answer: Preserve airway
defenses - avoid infection
,⩥ Once IPPV deemed necessary, select _______ Answer: Mode
⩥ FVS vent rates Answer: 8 or greater
To maintain tidal volume
⩥ Tidal volume is determined by? Answer: Patient's IBW and height
⩥ FVS mode Answer: Assist/control (AC)
⩥ AC Mode of Ventilation Answer: FVS vent
Pressure or volume pre-set
⩥ FVS always used in ____ patients to rest respiratory muscles
Answer: ARF
⩥ PVS vent rates Answer: Less than 6
⩥ PVS modes Answer: Intermittent mandatory (IMV)
Pressure or volume support (PSV)
Proportional assist (PAV)
Mandatory minute (MMV)
, ⩥ When should you paralyze and sedate ventilated patients? Answer:
Only when the ventilator is delivering true controlled breaths
⩥ Ventilator mode definition Answer: Breath type and pattern
delivery during mechanical ventilation
⩥ Mode is determined by 3 factors Answer: 1. Type of breath:
mandatory, spontaneous, assisted
2. Targeted control volume: volume or pressure
3. Timing of breath delivery: continuous (AC or CMV), intermittent
mandatory (IMV) or continuous spontaneous (CSV)
⩥ 3 types of breaths Answer: 1. Mandatory
2. Assisted - patients initiates breath all else controlled
3. Spontaneous - volume or pressure controlled
⩥ Goal of volume controlled ventilation Answer: Maintain a certain
level if PaCO2
⩥ Disadvantage of volume controlled ventilation Answer: Pressure
rises an overdistension may occur
greater than 30 cmH2O dangerous
⩥ Settings in volume controlled ventilation Answer: User sets:
Tidal volume (IBW)
EXAMINATION TEST FINAL PAPER FULL
SOLUTION 2026 GRADED A+.
⩥ Non-invasive ventilation (NIPPV) Answer: CPAP/BiPAP
⩥ Invasive Ventilation (IPPV) Answer: Full ventilatory supports
(FVS)
Partial ventilatory support (PVS)
⩥ CPAP (continuous positive airway pressure) Answer: Improves
oxygenation
Treat cariogenic pulmonary edema
May be used in *stable COPD (patients with increases resistance)
Enhances surface area - making gas exchange easier
⩥ BiPAP (bilevel positive airway pressure) Answer: Manage
disorders such as COPD, CF, MS, ALS
Reduces the need for intubation by 60-75%
Pressure triggered, pressure limited, flow cycled
⩥ Major Non-invasive ventilation advantage Answer: Preserve airway
defenses - avoid infection
,⩥ Once IPPV deemed necessary, select _______ Answer: Mode
⩥ FVS vent rates Answer: 8 or greater
To maintain tidal volume
⩥ Tidal volume is determined by? Answer: Patient's IBW and height
⩥ FVS mode Answer: Assist/control (AC)
⩥ AC Mode of Ventilation Answer: FVS vent
Pressure or volume pre-set
⩥ FVS always used in ____ patients to rest respiratory muscles
Answer: ARF
⩥ PVS vent rates Answer: Less than 6
⩥ PVS modes Answer: Intermittent mandatory (IMV)
Pressure or volume support (PSV)
Proportional assist (PAV)
Mandatory minute (MMV)
, ⩥ When should you paralyze and sedate ventilated patients? Answer:
Only when the ventilator is delivering true controlled breaths
⩥ Ventilator mode definition Answer: Breath type and pattern
delivery during mechanical ventilation
⩥ Mode is determined by 3 factors Answer: 1. Type of breath:
mandatory, spontaneous, assisted
2. Targeted control volume: volume or pressure
3. Timing of breath delivery: continuous (AC or CMV), intermittent
mandatory (IMV) or continuous spontaneous (CSV)
⩥ 3 types of breaths Answer: 1. Mandatory
2. Assisted - patients initiates breath all else controlled
3. Spontaneous - volume or pressure controlled
⩥ Goal of volume controlled ventilation Answer: Maintain a certain
level if PaCO2
⩥ Disadvantage of volume controlled ventilation Answer: Pressure
rises an overdistension may occur
greater than 30 cmH2O dangerous
⩥ Settings in volume controlled ventilation Answer: User sets:
Tidal volume (IBW)
