Respiratory ICU Nursing ACTUAL
UPDATED QUESTIONS AND CORRECT
ANSWERS
1. What is the primary role of a nurse in a respiratory ICU?
CORRECT ANSWERS✅✅ Respiratory ICU nurses provide continuous monitoring of
patients with acute or chronic respiratory failure, ventilator support, and airway management.
They identify early signs of respiratory distress, hypoxia, and deterioration. Nurses
collaborate with pulmonologists, respiratory therapists, and multidisciplinary teams for
timely interventions. Supportive care includes oxygen therapy, suctioning, medication
administration, and infection prevention. Patient education involves explaining procedures,
ventilator use, and respiratory exercises. Early recognition of changes prevents respiratory
arrest and complications. Continuous documentation ensures accurate records for decision-
making and patient safety.
2. How is oxygenation monitored in respiratory ICU patients?
CORRECT ANSWERS✅✅ Oxygenation is monitored using pulse oximetry, arterial blood
gases (ABGs), and continuous SpO₂ monitoring. Nurses assess oxygen saturation trends,
respiratory rate, and work of breathing. Monitoring guides oxygen therapy, ventilator
settings, and interventions for hypoxia. Patient education includes explaining monitoring and
ensuring cooperation. Supportive care includes positioning, airway clearance, and prevention
of desaturation episodes. Early detection prevents hypoxia, organ dysfunction, and
respiratory failure. Continuous monitoring ensures safe and effective oxygen delivery.
3. How are ventilator settings monitored and adjusted in ICU patients?
CORRECT ANSWERS✅✅ Ventilator settings are monitored using ventilator parameters,
ABGs, and patient response. Nurses assess tidal volume, respiratory rate, oxygenation, and
CO₂ elimination. Adjustments are made to optimize oxygenation and ventilation while
preventing barotrauma or volutrauma. Patient education includes explaining ventilator
therapy and safety measures. Supportive care includes sedation management, airway
suctioning, and infection prevention. Early recognition of abnormal values prevents
respiratory complications. Continuous monitoring ensures effective mechanical ventilation
and patient safety.
4. How is weaning from mechanical ventilation monitored?
CORRECT ANSWERS✅✅ Weaning is monitored using respiratory rate, tidal volume, vital
signs, ABGs, and work of breathing. Nurses assess patient readiness, oxygenation, and
tolerance to spontaneous breathing trials. Management includes gradual reduction of
, ventilator support and close observation for distress. Patient education includes encouraging
participation in breathing exercises and communication. Supportive care includes oxygen
supplementation, airway clearance, and emotional support. Early detection of fatigue or
distress prevents respiratory failure and reintubation. Continuous monitoring ensures safe and
effective weaning.
5. How is airway patency monitored in respiratory ICU patients?
CORRECT ANSWERS✅✅ Airway patency is monitored using respiratory assessment,
oxygen saturation, breath sounds, and suctioning requirements. Nurses assess stridor,
wheezing, secretions, and airway obstruction. Management includes suctioning,
bronchodilators, and maintaining proper endotracheal or tracheostomy tube care. Patient
education includes explaining airway interventions and importance of coughing exercises.
Supportive care includes hydration, humidification, and positioning. Early detection prevents
airway obstruction, hypoxia, and respiratory arrest. Continuous monitoring ensures patient
safety and effective airway management.
6. How is acute respiratory distress syndrome (ARDS) monitored in ICU?
CORRECT ANSWERS✅✅ Monitoring includes ABGs, SpO₂, respiratory rate, lung
compliance, and ventilator parameters. Nurses assess dyspnea, cyanosis, crackles, and
oxygenation trends. Management includes low tidal volume ventilation, PEEP optimization,
oxygen therapy, and fluid management. Patient education includes explaining therapy,
positioning, and monitoring importance. Supportive care includes sedation, nutrition, and
infection prevention. Early recognition prevents hypoxia, multi-organ failure, and mortality.
Continuous monitoring ensures safe and effective ARDS management.
7. How is pulmonary embolism monitored in respiratory ICU patients?
CORRECT ANSWERS✅✅ Monitoring includes vital signs, oxygen saturation, ECG,
ABGs, and imaging results. Nurses assess sudden dyspnea, chest pain, tachycardia,
hypotension, and cyanosis. Early recognition guides anticoagulation, thrombolytic therapy, or
surgical intervention. Patient education includes symptom reporting and medication
adherence. Supportive care includes oxygen therapy, hemodynamic support, and
psychological reassurance. Early detection prevents right heart failure, hypoxia, and death.
Continuous monitoring ensures timely intervention and patient safety.
8. How is COPD exacerbation monitored in ICU?
CORRECT ANSWERS✅✅ Monitoring includes respiratory rate, SpO₂, ABGs, lung sounds,
and vital signs. Nurses assess dyspnea, accessory muscle use, wheezing, and fatigue.
Management includes bronchodilators, corticosteroids, oxygen therapy, and ventilatory
support if needed. Patient education includes smoking cessation, symptom recognition, and
UPDATED QUESTIONS AND CORRECT
ANSWERS
1. What is the primary role of a nurse in a respiratory ICU?
CORRECT ANSWERS✅✅ Respiratory ICU nurses provide continuous monitoring of
patients with acute or chronic respiratory failure, ventilator support, and airway management.
They identify early signs of respiratory distress, hypoxia, and deterioration. Nurses
collaborate with pulmonologists, respiratory therapists, and multidisciplinary teams for
timely interventions. Supportive care includes oxygen therapy, suctioning, medication
administration, and infection prevention. Patient education involves explaining procedures,
ventilator use, and respiratory exercises. Early recognition of changes prevents respiratory
arrest and complications. Continuous documentation ensures accurate records for decision-
making and patient safety.
2. How is oxygenation monitored in respiratory ICU patients?
CORRECT ANSWERS✅✅ Oxygenation is monitored using pulse oximetry, arterial blood
gases (ABGs), and continuous SpO₂ monitoring. Nurses assess oxygen saturation trends,
respiratory rate, and work of breathing. Monitoring guides oxygen therapy, ventilator
settings, and interventions for hypoxia. Patient education includes explaining monitoring and
ensuring cooperation. Supportive care includes positioning, airway clearance, and prevention
of desaturation episodes. Early detection prevents hypoxia, organ dysfunction, and
respiratory failure. Continuous monitoring ensures safe and effective oxygen delivery.
3. How are ventilator settings monitored and adjusted in ICU patients?
CORRECT ANSWERS✅✅ Ventilator settings are monitored using ventilator parameters,
ABGs, and patient response. Nurses assess tidal volume, respiratory rate, oxygenation, and
CO₂ elimination. Adjustments are made to optimize oxygenation and ventilation while
preventing barotrauma or volutrauma. Patient education includes explaining ventilator
therapy and safety measures. Supportive care includes sedation management, airway
suctioning, and infection prevention. Early recognition of abnormal values prevents
respiratory complications. Continuous monitoring ensures effective mechanical ventilation
and patient safety.
4. How is weaning from mechanical ventilation monitored?
CORRECT ANSWERS✅✅ Weaning is monitored using respiratory rate, tidal volume, vital
signs, ABGs, and work of breathing. Nurses assess patient readiness, oxygenation, and
tolerance to spontaneous breathing trials. Management includes gradual reduction of
, ventilator support and close observation for distress. Patient education includes encouraging
participation in breathing exercises and communication. Supportive care includes oxygen
supplementation, airway clearance, and emotional support. Early detection of fatigue or
distress prevents respiratory failure and reintubation. Continuous monitoring ensures safe and
effective weaning.
5. How is airway patency monitored in respiratory ICU patients?
CORRECT ANSWERS✅✅ Airway patency is monitored using respiratory assessment,
oxygen saturation, breath sounds, and suctioning requirements. Nurses assess stridor,
wheezing, secretions, and airway obstruction. Management includes suctioning,
bronchodilators, and maintaining proper endotracheal or tracheostomy tube care. Patient
education includes explaining airway interventions and importance of coughing exercises.
Supportive care includes hydration, humidification, and positioning. Early detection prevents
airway obstruction, hypoxia, and respiratory arrest. Continuous monitoring ensures patient
safety and effective airway management.
6. How is acute respiratory distress syndrome (ARDS) monitored in ICU?
CORRECT ANSWERS✅✅ Monitoring includes ABGs, SpO₂, respiratory rate, lung
compliance, and ventilator parameters. Nurses assess dyspnea, cyanosis, crackles, and
oxygenation trends. Management includes low tidal volume ventilation, PEEP optimization,
oxygen therapy, and fluid management. Patient education includes explaining therapy,
positioning, and monitoring importance. Supportive care includes sedation, nutrition, and
infection prevention. Early recognition prevents hypoxia, multi-organ failure, and mortality.
Continuous monitoring ensures safe and effective ARDS management.
7. How is pulmonary embolism monitored in respiratory ICU patients?
CORRECT ANSWERS✅✅ Monitoring includes vital signs, oxygen saturation, ECG,
ABGs, and imaging results. Nurses assess sudden dyspnea, chest pain, tachycardia,
hypotension, and cyanosis. Early recognition guides anticoagulation, thrombolytic therapy, or
surgical intervention. Patient education includes symptom reporting and medication
adherence. Supportive care includes oxygen therapy, hemodynamic support, and
psychological reassurance. Early detection prevents right heart failure, hypoxia, and death.
Continuous monitoring ensures timely intervention and patient safety.
8. How is COPD exacerbation monitored in ICU?
CORRECT ANSWERS✅✅ Monitoring includes respiratory rate, SpO₂, ABGs, lung sounds,
and vital signs. Nurses assess dyspnea, accessory muscle use, wheezing, and fatigue.
Management includes bronchodilators, corticosteroids, oxygen therapy, and ventilatory
support if needed. Patient education includes smoking cessation, symptom recognition, and
