Mechanical Ventilation NCLEX
questions and Answers
The peak pressure alarm is sounding on the ventilator of the client with a recent tracheostomy. What
intervention should be 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
A
The client must always be assessed before attention is turned to equipment.
The acute medical nurse is preparing to 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
B
, The nursing management of a patient with 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 during suctioning
d. preventing tube dislodgment by limiting mouth care to lubrication of the lips
C
Which patient's medical diagnoses should the nurse know are most likely to need mechanical
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)
BE
When planning care for a patient on a mechanical ventilator, the nurse understands that the application
of positive end-expiratory pressure (PEEP) to the ventilator settings 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
C
questions and Answers
The peak pressure alarm is sounding on the ventilator of the client with a recent tracheostomy. What
intervention should be 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
A
The client must always be assessed before attention is turned to equipment.
The acute medical nurse is preparing to 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
B
, The nursing management of a patient with 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 during suctioning
d. preventing tube dislodgment by limiting mouth care to lubrication of the lips
C
Which patient's medical diagnoses should the nurse know are most likely to need mechanical
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)
BE
When planning care for a patient on a mechanical ventilator, the nurse understands that the application
of positive end-expiratory pressure (PEEP) to the ventilator settings 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
C
