MECHANICAL VENTILATION (NCLEX)
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ ETT placement verification.
Answer: Chest X-ray
◍ What characteristics describe positive pressure ventilators? Select all that
applya. require an artificial airwayb. applied to outside of bodyc. most
similar to physiologic ventilationd. most frequently used with critically ill
patientse. frequently used in the home for neuromuscular or nervous system
disorders.
Answer: AD
◍ A nurse is caring for an agitated and anxious patient who was intubated 6
hours ago and is now on mechanical ventilation. Communication efforts to
calm the patient have failed, and the nurse is now turning to
pharmacological intervention. Which medication does the nurse anticipate
administering?1) Lorazepam2) Morphine sulfate3) Pancuronium4) Fentanyl.
Answer: 1Although Pancuronium (a neuromuscular blocking agent) CAN be
used, it is best to try a sedative first. If satisfactory oxygen levels still cannot
be maintained, then a neuromuscular blocking agent (WITH PAIN
MEDICATION AND SEDATION!) can be used.
◍ Primary nursing priority for ventilated client.
Answer: Airway and oxygenation
◍ A client being mechanically ventilated after experiencing a fat embolism is
visibly anxious. What is the best nursing action?1.Ask a family member to
stay with the client at all times.2.Ask the health care provider for a
prescription for succinylcholine.3.Encourage the client to sleep until arterial
, blood gas results improve.4.Provide reassurance to the client and give small
doses of morphine sulfate intravenously as prescribed..
Answer: 4
◍ Oxygen delivery device for severe hypoxia.
Answer: Nonrebreather mask
◍ Why suction time is limited.
Answer: Prevent hypoxia and vagal stimulation
◍ Sterile technique required for.
Answer: Tracheostomy suctioning
◍ Routine tracheostomy care includes.
Answer: Clean inner cannula and stoma care
◍ Oxygen delivery device for mild hypoxia.
Answer: Nasal cannula
◍ Although his oxygen saturation is above 92%, an orally intubated,
mechanically ventilated patient is restless and very anxious. What
interventions will most likely decrease the risk of accidental extubation?
Select all that applya. administer sedativesb. have a caregiver stay with the
patientc. obtain an order and apply soft wrist restraintsd. remind the patient
that he needs the tube inserted to breathee. move the patient to an area close
to the nurse's station for closer observation.
Answer: AB
◍ Normal oxygen saturation goal.
Answer: 93%-100%
◍ Ventilator alarm meaning: low pressure.
Answer: Disconnection or leak
◍ Emergency sign in ventilated client.
Answer: Sudden respiratory distress
◍ Maximum suction time.
Answer: 10-15 seconds
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ ETT placement verification.
Answer: Chest X-ray
◍ What characteristics describe positive pressure ventilators? Select all that
applya. require an artificial airwayb. applied to outside of bodyc. most
similar to physiologic ventilationd. most frequently used with critically ill
patientse. frequently used in the home for neuromuscular or nervous system
disorders.
Answer: AD
◍ A nurse is caring for an agitated and anxious patient who was intubated 6
hours ago and is now on mechanical ventilation. Communication efforts to
calm the patient have failed, and the nurse is now turning to
pharmacological intervention. Which medication does the nurse anticipate
administering?1) Lorazepam2) Morphine sulfate3) Pancuronium4) Fentanyl.
Answer: 1Although Pancuronium (a neuromuscular blocking agent) CAN be
used, it is best to try a sedative first. If satisfactory oxygen levels still cannot
be maintained, then a neuromuscular blocking agent (WITH PAIN
MEDICATION AND SEDATION!) can be used.
◍ Primary nursing priority for ventilated client.
Answer: Airway and oxygenation
◍ A client being mechanically ventilated after experiencing a fat embolism is
visibly anxious. What is the best nursing action?1.Ask a family member to
stay with the client at all times.2.Ask the health care provider for a
prescription for succinylcholine.3.Encourage the client to sleep until arterial
, blood gas results improve.4.Provide reassurance to the client and give small
doses of morphine sulfate intravenously as prescribed..
Answer: 4
◍ Oxygen delivery device for severe hypoxia.
Answer: Nonrebreather mask
◍ Why suction time is limited.
Answer: Prevent hypoxia and vagal stimulation
◍ Sterile technique required for.
Answer: Tracheostomy suctioning
◍ Routine tracheostomy care includes.
Answer: Clean inner cannula and stoma care
◍ Oxygen delivery device for mild hypoxia.
Answer: Nasal cannula
◍ Although his oxygen saturation is above 92%, an orally intubated,
mechanically ventilated patient is restless and very anxious. What
interventions will most likely decrease the risk of accidental extubation?
Select all that applya. administer sedativesb. have a caregiver stay with the
patientc. obtain an order and apply soft wrist restraintsd. remind the patient
that he needs the tube inserted to breathee. move the patient to an area close
to the nurse's station for closer observation.
Answer: AB
◍ Normal oxygen saturation goal.
Answer: 93%-100%
◍ Ventilator alarm meaning: low pressure.
Answer: Disconnection or leak
◍ Emergency sign in ventilated client.
Answer: Sudden respiratory distress
◍ Maximum suction time.
Answer: 10-15 seconds
