MED SURG NUR 240: SUPPORTING
VENTILATION QUIZ 1 (LATEST 2025/2026
UPDATE) DENVER COLLEGE OF NURSING
DOCUMENT CONTAINS
✓ 35 COMPREHENSIVE ACTUAL QUIZZES AND ANS- PAGE --1-11
✓ ANSWERS & RATIONALES AT THE BOTTOM PAGES --12 -18
1. A patient has just been intubated with an endotracheal tube. What
is the nurse's priority action immediately after the procedure?
A. Begin chest physiotherapy
B. Attach the pulse oximeter
C. Confirm tube placement by auscultation and end-tidal CO₂
D. Start enteral feedings
2. A patient on mechanical ventilation with AC mode (RR 14, TV 450
mL, FiO₂ 50%, PEEP 5) becomes increasingly agitated and is
hyperventilating. What is the patient most at risk for?
1
, A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Hypercapnia
3. A nurse is caring for a ventilated patient in SIMV mode. What key
advantage does SIMV offer compared to AC mode?
A. It prevents the need for sedation
B. It ensures a constant tidal volume for all breaths
C. It allows spontaneous breathing with varied tidal volumes
D. It does not require monitoring
4. A patient on mechanical ventilation has new settings: RR 16, TV 450
mL, FiO₂ 100%, PEEP 15 cm H₂O. O₂ saturation remains 85%. What is
the nurse’s concern?
A. Normal progression of ventilator therapy
B. Likely improvement of oxygenation
C. Possible development of ARDS
D. Ready for extubation
5. Which action is most effective in preventing ventilator-associated
pneumonia (VAP)?
A. Keeping the patient flat in bed
2
, B. Deep suctioning every 2 hours
C. Performing oral care with chlorhexidine every 4 hours
D. Changing ventilator tubing daily
6. What is the primary reason for inserting an oropharyngeal airway
(OPA)?
A. To prevent aspiration in conscious patients
B. To maintain airway patency in unconscious patients
C. To assist with endotracheal intubation
D. To deliver humidified oxygen
7. What is a major contraindication for nasopharyngeal airway (NPA)
insertion?
A. Apnea
B. Basilar skull fracture
C. Upper airway obstruction
D. Trismus
8. Which of the following is an indication for intubation?
A. Bradycardia
B. High fever
C. Apnea
D. Mild hypoxia
3
VENTILATION QUIZ 1 (LATEST 2025/2026
UPDATE) DENVER COLLEGE OF NURSING
DOCUMENT CONTAINS
✓ 35 COMPREHENSIVE ACTUAL QUIZZES AND ANS- PAGE --1-11
✓ ANSWERS & RATIONALES AT THE BOTTOM PAGES --12 -18
1. A patient has just been intubated with an endotracheal tube. What
is the nurse's priority action immediately after the procedure?
A. Begin chest physiotherapy
B. Attach the pulse oximeter
C. Confirm tube placement by auscultation and end-tidal CO₂
D. Start enteral feedings
2. A patient on mechanical ventilation with AC mode (RR 14, TV 450
mL, FiO₂ 50%, PEEP 5) becomes increasingly agitated and is
hyperventilating. What is the patient most at risk for?
1
, A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Hypercapnia
3. A nurse is caring for a ventilated patient in SIMV mode. What key
advantage does SIMV offer compared to AC mode?
A. It prevents the need for sedation
B. It ensures a constant tidal volume for all breaths
C. It allows spontaneous breathing with varied tidal volumes
D. It does not require monitoring
4. A patient on mechanical ventilation has new settings: RR 16, TV 450
mL, FiO₂ 100%, PEEP 15 cm H₂O. O₂ saturation remains 85%. What is
the nurse’s concern?
A. Normal progression of ventilator therapy
B. Likely improvement of oxygenation
C. Possible development of ARDS
D. Ready for extubation
5. Which action is most effective in preventing ventilator-associated
pneumonia (VAP)?
A. Keeping the patient flat in bed
2
, B. Deep suctioning every 2 hours
C. Performing oral care with chlorhexidine every 4 hours
D. Changing ventilator tubing daily
6. What is the primary reason for inserting an oropharyngeal airway
(OPA)?
A. To prevent aspiration in conscious patients
B. To maintain airway patency in unconscious patients
C. To assist with endotracheal intubation
D. To deliver humidified oxygen
7. What is a major contraindication for nasopharyngeal airway (NPA)
insertion?
A. Apnea
B. Basilar skull fracture
C. Upper airway obstruction
D. Trismus
8. Which of the following is an indication for intubation?
A. Bradycardia
B. High fever
C. Apnea
D. Mild hypoxia
3
