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Mechanical
with Rationales,
Ventilation
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NCLEX Mechanical Ventilation
Questions and Answers with
Rationales
The low tidal volume alarm on a client's ventilator keeps sounding. What is the nurse's first action?
A) Manually ventilate the client.
B) Put air into the endotracheal tube cuff.
C) Check ventilator connections.
D) Call the physician.
Answer: C- Check ventilator connections
Rationale: Ventilator connections should be check initially and loose connections or disconnections
should be fixed. If there is no immediate problem found, the client should be manually ventilated and
another person should check the ventilator connections. Test Plan: Management of care
A client has just been intubated for placement on a mechanical ventilator. What is the first assessment
of the tube placement?
A) Chest X-Ray
B) Auscultation of breath sounds
C) Pulse oximetry reading of 95%
D) End tidal CO2 monitoring
Answer: D- End tidal CO2 monitoring
Rationale: End tidal CO2 monitoring is the first intervention to determine if the endotracheal tube is in
place, but a chest x-ray is still needed to confirm proper placement.
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Mechanical
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