1. The peak pressure alarm is sounding on A
the ventilator of the client with a recent tra- The client must always be assessed before
cheostomy. What intervention should be attention is turned to equipment.
done first?
A. Assess the client's respiratory status
B. Decrease the sensitivity of the alarm
C. Ensure that the connecting tubing is not
kinked
D. Suction the client
2. The acute medical nurse is preparing to B
wean a patient from the ventilator. Which
assessment parameter is most important
for the nurse to assess?
A) Fluid intake for the last 24 hours
B) Baseline arterial blood gas (ABG) levels
C) Prior outcomes of weaning
D) Electrocardiogram (ECG) results
3. The nursing management of a patient with C
an artificial airway includes
a. maintaining the ET tube cuff pressure at
30 cm H20
b. routine suctioning of the tube at least
every 2 hours
c. observing for cardiac dysrhythmias dur-
ing suctioning
d. preventing tube dislodgment by limiting
mouth care to lubrication of the lips
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, Mechanical Ventilation NCLEX questions with Answers Graded A+
4. Which patient's medical diagnoses should BE
the nurse know are most likely to need me-
chanical ventilation? Select all that apply
a. sleep apnea
b. cystic fibrosis
c. acute kidney injury
d. type 2 DM
e. acute respiratory distress syndrome
(ARDS)
5. When planning care for a patient on a me- C
chanical ventilator, the nurse understands
that the application of positive end-expira-
tory pressure (PEEP) to the ventilator set-
tings has which therapeutic effect?
a. Increased inflation of the lungs
b. Prevention of barotrauma to the lung
tissue
c. Prevention of alveolar collapse during
expiration
d. Increased fraction of inspired oxygen
concentration (FIO2) administration
6. Which assessment information obtained A
by the nurse when caring for a patient
receiving mechanical ventilation indicates
the need for suctioning?
a. The respiratory rate is 32 breaths/min.
b. The pulse oximeter shows a SpO2 of
93%.
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