NUR 504 Exam 2 – Acute Respiratory Failure, ARDS &
Mechanical Ventilation|Verified Questions with A+ Graded
Rationales Latest Updated 2026
Which medical intervention would the nurse anticipate will be included in the management of a
client with acute respiratory distress syndrome (ARDS)?
Chest tube insertion
Aggressive diuretic therapy
Administration of beta-blockers
Positive end-expiratory pressure (PEEP)
Positive end-expiratory pressure (PEEP)
When caring for a client who has acute respiratory distress syndrome (ARDS), the nurse would
implement which measure to promote effective airway clearance?
Administer sedatives as frequently as possible.
Turn the client every 4 hours.
Increase ventilator settings every 2 hours.
Suction as needed.
Suction as needed.
When the oxygen saturation of a client with pneumonia is at 89% to 90% while using a
nonrebreather mask, which collaborative action would the nurse anticipate?
Administration of oxygen using a simple face mask
Use of a Venturi mask for administration of high-flow oxygen
Continued oxygen administration with the nonrebreather mask
Oxygen administration with bi-level positive airway pressure (BiPAP)
Oxygen administration with bi-level positive airway pressure (BiPAP)
When caring for a sedated client who is being mechanically ventilated, which action will the
nurse take first when the low flow alarm is persistently sounding?
Adjust the alarm settings.
Notify the respiratory therapist.
Ventilate manually and call for assistance.
Check all connections and ventilator tubing.
Ventilate manually and call for assistance.
, Which response will the nurse provide when a family member asks why a client who is
intubated and receiving mechanical ventilation has restraints in place?
"The restraints will be removed once the client is extubated."
"We are required to restrain all clients with breathing tubes."
"Restraints are a last resort to prevent accidental extubation."
"It is routine procedure for us to restrain all intubated clients."
"Restraints are a last resort to prevent accidental extubation."
A client develops bacterial pneumonia and is admitted to the emergency department. The
clients initial PaO 2 is 80 mm Hg. When the arterial blood gases are drawn again, the level is 65
mm Hg. Which action would the nurse take first?
Ensure that intubation equipment is available.
Increase the oxygen flow rate per facility protocol.
Notify the health care provider to request a chest x-ray.
Recheck the arterial blood gases to verify accuracy.
Increase the oxygen flow rate per facility protocol.
Endotracheal intubation and positive-pressure ventilation are instituted because of a client's
deteriorating respiratory status. Which is an important nursing intervention?
Facilitate verbal communication.
Prepare the client for emergency surgery.
Maintain sterility of the ventilation system.
Assess the clients response to the mechanical ventilation.
Assess the clients response to the mechanical ventilation.
Which action would the nurse take first after noting stridor in a client who just arrived in the
postanesthesia care unit (PACU) after receiving a general anesthetic?
Have the client cough.
Check respiratory rate.
Auscultate breath sounds.
X Notify the health care provider.
Check respiratory rate.
Which action by the nurse is a priority when caring for a client who reports sudden onset of
dyspnea and has stridor on the first postoperative day after a pneumonectomy?
Activate the rapid response team
Check the chest tube drainage.
Mechanical Ventilation|Verified Questions with A+ Graded
Rationales Latest Updated 2026
Which medical intervention would the nurse anticipate will be included in the management of a
client with acute respiratory distress syndrome (ARDS)?
Chest tube insertion
Aggressive diuretic therapy
Administration of beta-blockers
Positive end-expiratory pressure (PEEP)
Positive end-expiratory pressure (PEEP)
When caring for a client who has acute respiratory distress syndrome (ARDS), the nurse would
implement which measure to promote effective airway clearance?
Administer sedatives as frequently as possible.
Turn the client every 4 hours.
Increase ventilator settings every 2 hours.
Suction as needed.
Suction as needed.
When the oxygen saturation of a client with pneumonia is at 89% to 90% while using a
nonrebreather mask, which collaborative action would the nurse anticipate?
Administration of oxygen using a simple face mask
Use of a Venturi mask for administration of high-flow oxygen
Continued oxygen administration with the nonrebreather mask
Oxygen administration with bi-level positive airway pressure (BiPAP)
Oxygen administration with bi-level positive airway pressure (BiPAP)
When caring for a sedated client who is being mechanically ventilated, which action will the
nurse take first when the low flow alarm is persistently sounding?
Adjust the alarm settings.
Notify the respiratory therapist.
Ventilate manually and call for assistance.
Check all connections and ventilator tubing.
Ventilate manually and call for assistance.
, Which response will the nurse provide when a family member asks why a client who is
intubated and receiving mechanical ventilation has restraints in place?
"The restraints will be removed once the client is extubated."
"We are required to restrain all clients with breathing tubes."
"Restraints are a last resort to prevent accidental extubation."
"It is routine procedure for us to restrain all intubated clients."
"Restraints are a last resort to prevent accidental extubation."
A client develops bacterial pneumonia and is admitted to the emergency department. The
clients initial PaO 2 is 80 mm Hg. When the arterial blood gases are drawn again, the level is 65
mm Hg. Which action would the nurse take first?
Ensure that intubation equipment is available.
Increase the oxygen flow rate per facility protocol.
Notify the health care provider to request a chest x-ray.
Recheck the arterial blood gases to verify accuracy.
Increase the oxygen flow rate per facility protocol.
Endotracheal intubation and positive-pressure ventilation are instituted because of a client's
deteriorating respiratory status. Which is an important nursing intervention?
Facilitate verbal communication.
Prepare the client for emergency surgery.
Maintain sterility of the ventilation system.
Assess the clients response to the mechanical ventilation.
Assess the clients response to the mechanical ventilation.
Which action would the nurse take first after noting stridor in a client who just arrived in the
postanesthesia care unit (PACU) after receiving a general anesthetic?
Have the client cough.
Check respiratory rate.
Auscultate breath sounds.
X Notify the health care provider.
Check respiratory rate.
Which action by the nurse is a priority when caring for a client who reports sudden onset of
dyspnea and has stridor on the first postoperative day after a pneumonectomy?
Activate the rapid response team
Check the chest tube drainage.
