CRITICAL CARE NURSING MULTIPLE CHOICE
QUESTIONS AND ACCURATE ANSWERS 100%
VERIFIED.
The nurse is assessing the exhaled tidal volume (EVT) in a mechanically
ventilated patient. The rationale for this assessment is to
a. assess for tension pneumothorax.
b. assess the level of positive end-expiratory pressure.
c. compare the tidal volume delivered with the tidal volume prescribed.
d. determine the patient's work of breathing.
Verified Answer -c. compare the tidal volume delivered with the tidal
volume prescribed.
The nurse is caring for a mechanically ventilated patient and responds to a
high inspiratory pressure alarm. Recognizing possible causes for the
alarm, the nurse assesses for which of the following? (Select all that
apply.)
a. Coughing or attempting to talk
b. Disconnection from the ventilator
c. Kinks in the ventilator tubing
d. Need for suctioning
e. Spontaneous breathing
Verified Answer -a. Coughing or attempting to talk
c. Kinks in the ventilator tubing
d. Need for suctioning
Select all of the factors that may predispose the patient to respiratory
acidosis. (Select all that apply.)
,a. Anxiety and fear
b. Central nervous system depression
c. Diabetic ketoacidosis
d. Nasogastric suctioning
e. Overdose of sedatives
Verified Answer -b. Central nervous system depression
e. Overdose of sedatives
The nurse is assisting with endotracheal intubation and understands that
correct placement of the endotracheal tube in the trachea would be
identified by which of the following? (Select all that apply.)
a. Auscultation of air over the epigastrium
b. Equal bilateral breath sounds upon auscultation
c. Position above the carina verified by chest x-ray
d. Positive detection of carbon dioxide (CO2) through CO2 detector devices
e. Fogging of the endotracheal tube
Verified Answer -b. Equal bilateral breath sounds upon auscultation
c. Position above the carina verified by chest x-ray
d. Positive detection of carbon dioxide (CO2) through CO2 detector devices
The nurse is caring for a mechanically ventilated patient and is charting
outside the patient's room when the ventilator alarm sounds. What is the
priority order for the nurse to complete these actions: _______________,
_______________, _______________, _______________?
a. check quickly for possible causes of the alarm that can be fixed
b. after troubleshooting, connect back to mechanical ventilator and
reassess patient
,c. go to patient's bedside
d. manually ventilate the patient while getting a respiratory therapist
Verified Answer -c. go to patient's bedside
a. check quickly for possible causes of the alarm that can be fixed
d. manually ventilate the patient while getting a respiratory therapist
b. after troubleshooting, connect back to mechanical ventilator and
reassess patient
The nurse is assisting with endotracheal intubation of the patient and
recognizes that the procedure will be done in what order:
_______________, _______________, _______________,
_______________, _______________?
a. assess balloon on endotracheal tube for symmetry and leaks
b. assess lung fields for bilateral expansion
c. inflate balloon of endotracheal tube
d. insert endotracheal tube with laryngoscope and blade
e. suction oropharynx
Verified Answer -a. assess balloon on endotracheal tube for symmetry
and leaks.
e. suction oropharynx
d. insert endotracheal tube with laryngoscope and blade
c. inflate balloon of endotracheal tube
b. assess lung fields for bilateral expansion
The nurse is caring for a patient with acute respiratory failure and
identifies "Risk for Ineffective Airway Clearance" as a nursing diagnosis.
A nursing intervention relevant to this diagnosis is to
, a. elevate the head of the bed to 30 degrees.
b. obtain an order for venous thromboembolism prophylaxis.
c. provide adequate sedation.
d. reposition the patient every 2 hours.
Verified Answer -d. . reposition the patient every 2 hours.
The patient with acute respiratory distress syndrome (ARDS) would exhibit
which of the following symptoms?
a. Decreasing PaO2 levels despite increased FiO2 administration
b. Elevated alveolar surfactant levels
c. Increased lung compliance with increased FiO2 administration
d. Respiratory acidosis associated with hyperventilation
Verified Answer -a. Decreasing PaO2 levels despite increased FiO2
administration
The nurse assesses a patient who is admitted for an overdose of sedatives.
The nurse expects to find which acid-base alteration?
a. Hyperventilation and respiratory acidosis
b. Hypoventilation and respiratory acidosis
c. Hypoventilation and respiratory alkalosis
d. Respiratory acidosis and normal oxygen levels
Verified Answer -b. Hypoventilation and respiratory acidosis
Intrapulmonary shunting refers to
a. alveoli that are not perfused.
b. blood that is shunted from the left side of the heart to the right and
causes heart failure.
QUESTIONS AND ACCURATE ANSWERS 100%
VERIFIED.
The nurse is assessing the exhaled tidal volume (EVT) in a mechanically
ventilated patient. The rationale for this assessment is to
a. assess for tension pneumothorax.
b. assess the level of positive end-expiratory pressure.
c. compare the tidal volume delivered with the tidal volume prescribed.
d. determine the patient's work of breathing.
Verified Answer -c. compare the tidal volume delivered with the tidal
volume prescribed.
The nurse is caring for a mechanically ventilated patient and responds to a
high inspiratory pressure alarm. Recognizing possible causes for the
alarm, the nurse assesses for which of the following? (Select all that
apply.)
a. Coughing or attempting to talk
b. Disconnection from the ventilator
c. Kinks in the ventilator tubing
d. Need for suctioning
e. Spontaneous breathing
Verified Answer -a. Coughing or attempting to talk
c. Kinks in the ventilator tubing
d. Need for suctioning
Select all of the factors that may predispose the patient to respiratory
acidosis. (Select all that apply.)
,a. Anxiety and fear
b. Central nervous system depression
c. Diabetic ketoacidosis
d. Nasogastric suctioning
e. Overdose of sedatives
Verified Answer -b. Central nervous system depression
e. Overdose of sedatives
The nurse is assisting with endotracheal intubation and understands that
correct placement of the endotracheal tube in the trachea would be
identified by which of the following? (Select all that apply.)
a. Auscultation of air over the epigastrium
b. Equal bilateral breath sounds upon auscultation
c. Position above the carina verified by chest x-ray
d. Positive detection of carbon dioxide (CO2) through CO2 detector devices
e. Fogging of the endotracheal tube
Verified Answer -b. Equal bilateral breath sounds upon auscultation
c. Position above the carina verified by chest x-ray
d. Positive detection of carbon dioxide (CO2) through CO2 detector devices
The nurse is caring for a mechanically ventilated patient and is charting
outside the patient's room when the ventilator alarm sounds. What is the
priority order for the nurse to complete these actions: _______________,
_______________, _______________, _______________?
a. check quickly for possible causes of the alarm that can be fixed
b. after troubleshooting, connect back to mechanical ventilator and
reassess patient
,c. go to patient's bedside
d. manually ventilate the patient while getting a respiratory therapist
Verified Answer -c. go to patient's bedside
a. check quickly for possible causes of the alarm that can be fixed
d. manually ventilate the patient while getting a respiratory therapist
b. after troubleshooting, connect back to mechanical ventilator and
reassess patient
The nurse is assisting with endotracheal intubation of the patient and
recognizes that the procedure will be done in what order:
_______________, _______________, _______________,
_______________, _______________?
a. assess balloon on endotracheal tube for symmetry and leaks
b. assess lung fields for bilateral expansion
c. inflate balloon of endotracheal tube
d. insert endotracheal tube with laryngoscope and blade
e. suction oropharynx
Verified Answer -a. assess balloon on endotracheal tube for symmetry
and leaks.
e. suction oropharynx
d. insert endotracheal tube with laryngoscope and blade
c. inflate balloon of endotracheal tube
b. assess lung fields for bilateral expansion
The nurse is caring for a patient with acute respiratory failure and
identifies "Risk for Ineffective Airway Clearance" as a nursing diagnosis.
A nursing intervention relevant to this diagnosis is to
, a. elevate the head of the bed to 30 degrees.
b. obtain an order for venous thromboembolism prophylaxis.
c. provide adequate sedation.
d. reposition the patient every 2 hours.
Verified Answer -d. . reposition the patient every 2 hours.
The patient with acute respiratory distress syndrome (ARDS) would exhibit
which of the following symptoms?
a. Decreasing PaO2 levels despite increased FiO2 administration
b. Elevated alveolar surfactant levels
c. Increased lung compliance with increased FiO2 administration
d. Respiratory acidosis associated with hyperventilation
Verified Answer -a. Decreasing PaO2 levels despite increased FiO2
administration
The nurse assesses a patient who is admitted for an overdose of sedatives.
The nurse expects to find which acid-base alteration?
a. Hyperventilation and respiratory acidosis
b. Hypoventilation and respiratory acidosis
c. Hypoventilation and respiratory alkalosis
d. Respiratory acidosis and normal oxygen levels
Verified Answer -b. Hypoventilation and respiratory acidosis
Intrapulmonary shunting refers to
a. alveoli that are not perfused.
b. blood that is shunted from the left side of the heart to the right and
causes heart failure.
