Acute Care Exam 1 Practice Questions and Answers Updated 2026

Acute Care
Exam 1
Practice
Questions and
Answers
Updated 2026
TheBbestBmethodBforBtheBnurseBtoBuseBinBorderBtoBadministerBoxygenBtoBaBCOPDBp
atientB-
BAnswerBTheBVENTURIBmaskBisBusedBprimarilyBforBpatientsBw/COPDBb/cBitBcanBaccur
atelyBprovideBappropriateBlevelsBofBsupplementalBoxygenB(avoidingBtheBriskBofBsuppre
ssingBtheBhypoxicBdrive).



ABnurseBisBadmittingBaBnewBpatientBwhoBhasBbeenBadmittedBw/aBdxBofBCOPDBexace
rbation.BHowBcanBtheBnurseBbestBhelpBtheBpatientBachieveBtheBgoalBofBmaintainingB
effectiveBoxygenation?




A)BTeachBtheBpatientBstrategiesBforBpromotingBdiaphragmaticBbreathing.

B)BAdministerBsupplementaryBoxygenBbyBsimpleBfaceBmask.

C)BTeachBtheBpatientBtoBperformBairwayBsuctioning.

D)BAssistBtheBpatientBinBdevelopingBanBappropriateBexerciseBprogram.B-
BAnswerBA)BTeachBtheBpatientBstrategiesBforBpromotingBdiaphragmaticBbreathing.

,ABpatientBw/anBacuteBexacerbationBofBchronicBobstructiveBpulmonaryBdiseaseB(COPD)
BneedsBtoBreceiveBpreciseBamountsBofBoxygen.BWhichBequipmentBshouldBtheBnurseBp
repareBtoBuse?




A)BOxygenBtent

B)BVenturiBmask

C)BNasalBcannula

D)BOxygen-conservingBcannulaB-BAnswerBB)BVenturiBmask



ABnurseBisBcaringBforBaBcriticallyBillBpatientBw/COPDBwhoBrequiresBdeliveryBofBaBprec
iseBconcentrationBofBoxygen.BWhichBofBtheBfollowingBtypesBofBoxygen-
deliveryBdeviceBisBindicatedBforBthisBpatient?



A)BSimpleBfaceBmask

B)BNasalBcannula

C)BVenturiBmask

D)BFaceBtentB-BAnswerBC)BVenturiBmask



TheBstructuresBlocatedBinBtheBlowerBrespiratoryBtract.B-
BAnswerBTheBlowerBrespiratoryBtractBconsistsBofBtheBlungsBwhichBcontain:



bronchialB+BalveolarBstructuresBneededBforBgasBexchange.BLungs,Bpleura,Bmediastinum
,BbronchiB+Bbronchioles,B+Balveoli.



TheBnurseBisBcaringBforBaBpatientBw/aBlowerBrespiratoryBtractBinfection.BWhenBplanni
ngBaBfocusedBrespiratoryBassessment,BtheBnurseBshouldBknowBthatBthisBtypeBofBinfec
tionBmostBoftenBcausesBwhat?



A)BImpairedBgasBexchange

,B)BCollapsedBbronchialBstructures

C)BNecrosisBofBtheBalveoli

D)BClosedBbronchialBtreeB-BAnswerBA)BImpairedBgasBexchange



TheBbestBmethodBtoBtreatBARDSB-
BAnswerBTheBprimaryBfocusBinBtheBmanagementBofBARDSBincludesBidentificationB+Btx
BofBtheBunderlyingBcondition.BTherapyBalmostBalwaysBincludesBETBintubationB+Bmecha
nicalBventilation.BInBaddition,BcirculatoryBsupport,BadequateBfluidBvolume,B+Bnutritiona
lBsupportBareBimportant.BSupplementalBoxygenBisBusedBasBtheBpatientBbeginsBtheBinit
ialBspiralBofBhypoxemia.BAsBtheBhypoxemiaBprogresses,BintubationB+BmechanicalBventil
ationBareBinstituted.

ProvidingBventilatoryBPEEPBsupportBisBaBcriticalBpartBofBtheBtxBofBARDS.BPEEPBusually
BimprovesBoxygenation,BbutBitBdoesBnotBinfluenceBtheBnaturalBhxBofBtheBsyndrome.B
HelpsBincreaseBfunctionalBresidualBcapacityB+BreverseBalveolarBcollapseBbyBkeepingBth
eBalveoliBopen,BresultingBinBimprovedBarterialBoxygenationB+BaBreductionBinBtheBseve
rityBofBtheBV./Q.Bimbalance.BByBusingBPEEP,BaBlowerBFiO2BmayBbeBrequired.BTheBgoa
lBisBaBPaO2BgreaterBthanB60BmmBHgBorBanBoxygenBsaturationBlevelBofBgreaterBthan
B90%BatBtheBlowestBpossibleBFiO2.

SystemicBhypotensionBmayBoccurBinBARDSBasBaBresultBofBhypovolemiaBsecondaryBtoBl
eakageBofBfluidBintoBtheBinterstitialBspacesB+BdepressedBCOBfromBhighBlevelsBofBPEEP
Btherapy.BHypovolemiaBmustBbeBcarefullyBtreatedBw/outBcausingBfurtherBoverload.BIn
otropicBorBvasopressorBagentsBmayBbeBrequired.BAdditionalBsupportiveBtxBmayBinclud
eBproneBpositioning,Bsedation,Bparalysis,B+BnutritionalBsupport.

NoBspecificBpharmacologicBtxBofBARDS,BexceptBsupportiveBcare.BNeuromuscularBblocki
ngBagents,Bsedatives,B+BanalgesicsBmayBbeBusedBtoBimproveBpatient-
ventilatorBsynchronizationB+BhelpBtoBdecreaseBsevereBhypoxemia.BInhaledBnitricBoxide
B(anBendogenousBvasodilator)BwasBthoughtBtoBreduceBV./Q.BmismatchB+BimproveBoxy
genation;Bhowever,BfindingsBfromBclinicalBtrialsBhaveBnotBshownBanBimprovementBinB
mortalityBratesBbetweenBpatientsBwhoBdidB+BdidBnotBreceiveBnitricBoxide.

AdequateBnutritionalBsupportBis



ABpatientBhasBbeenBbroughtBtoBtheBEDBbyBtheBparamedics.BTheBpatientBisBsuspected
BofBhavingBARDS.BWhatBinterventionBshouldBtheBnurseBfirstBanticipate?



A)BPreparingBtoBassistBwithBintubatingBtheBpatient

, B)BSettingBupBoxygenBatB5BL/minuteBbyBnasalBcannula

C)BPerformingBdeepBsuctioning

D)BSettingBupBaBnebulizerBtoBadministerBcorticosteroidsB-
BAnswerBA)BPreparingBtoBassistBwithBintubatingBtheBpatient



TheBnurseBisBcaringBforBaBpatientBinBtheBICUBadmittedBw/ARDSBafterBexposureBtoBto
xicBfumesBfromBaBhazardousBspillBatBwork.BTheBpatientBhasBbecomeBhypotensive.BWh
atBisBtheBcauseBofBthisBcomplicationBtoBtheBARDSBtreatment?



A)BPulmonaryBhypotensionBdueBtoBdecreasedBcardiacBoutput.

B)BSevereB+BprogressiveBpulmonaryBHTN

C)BHypovolemiaBsecondaryBtoBleakageBofBfluidBintoBtheBinterstitialBspaces

D)BIncreasedBcardiacBoutputBfromBhighBlevelsBofBPEEPBtherapyB-
BAnswerBC)BHypovolemiaBsecondaryBtoBleakageBofBfluidBintoBtheBinterstitialBspaces



ABfirefighterBwasBtrappedBinBaBfireB+BisBadmittedBtoBtheBICUBforBsmokeBinhalation.B
AfterB12Bhours,BtheBfirefighterBisBexhibitingBsignsBofBARDSB+BisBnotBintubated.BWhat
BotherBsupportiveBmeasuresBareBinitiatedBinBaBpatientBw/ARDS?



A)BPsychologicalBcounseling

B)BNutritionalBsupport

C)BHigh-proteinBoralBdiet

D)BOccupationalBtherapyB-BAnswerBB)BNutritionalBsupport



ABnurseBisBcaringBforBaBclientBwhoBhasBacuteBrespiratoryBdistressBsyndromeB(ARDS),B
+BrequiresBmechanicalBventilation.BTheBclientBreceivesBaBprescriptionBforBpancuronium
.BTheBnurseBrecognizesBthatBthisBmedicationBisBforBwhichBofBtheBfollowingBpurposes?



A)BDecreaseBchestBwallBcompliance

B)BSuppressBrespiratoryBeffort