NCLEX MECHANICAL VENTILATION
ACTUAL EXAM EXAM STUDY SHEET
EXAM Q&A 2026 GRADED A+.
⫸ The decision has been made to discharge a ventilator-dependent
patient home. The nurse is developing a teaching plan for this patient
and his family. What would be most important to include in this
teaching plan?
A) Administration of inhaled corticosteroids
B) Assessment of neurologic status
C) Turning and coughing
D) Signs of pulmonary infection Answer: D
⫸ The RN is supervising a nursing student who will suction a patient
on a mechanical ventilator. Which actions indicate that the student has
a correct understanding of this procedure? Select all that apply.
1.) The student nurse uses a sterile catheter and glove.
2.)The student nurse applies suction while inserting the catheter.
3.)The student nurse applies suction during catheter removal.
4.) The student nurses uses a twirling motion when withdrawing the
catheter.
5.)The student nurse uses a no. 12 French catheter.
,6.)The student nurse applies suction for at least 20 seconds. Answer:
1345
The standard size catheter for an adult is a no. 12 or 14 French.
Infection is possible because each catheter pass can introduce bacteria
into the trachea. In the hospital, use sterile technique for suctioning
and for all suctioning equipment (e.g., suction catheters, gloves, saline
or water). Apply suction only during catheter withdrawal and use a
twirling motion to prevent the catheter from grabbing tracheal mucosa
and leading to damage to tracheal tissue. Apply suction for no more
than 10 seconds to minimize hypoxemia during suctioning.
⫸ The purpose of adding PEEP to positive pressure ventilation is to
a. increase functional residual capacity and improve oxygenation
b. increase FIO2 in an attempt to wean the patient and avoid O2
toxicity
c. determine if the patient is in synchrony with the ventilator or needs
to be paralyzed
d. determine is the patient is able to be weaned and avoid the risk of
pneumomediastinum Answer: A
⫸ 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 Answer: C
⫸ The nurses monitors the patient with positive pressure mechanical
ventilation for
a. paralytic ileus because pressure on the abdominal contents affects
bowel motility
b. diuresis and sodium depletion because of increased release of atrial
natriuretic peptide
c. signs of cardiovascular insufficiency because pressure in the chest
impedes venous return
d. respiratory acidosis in a patient with COPD because of alveolar
hyperventilation and increased PaO2 levels Answer: C
⫸ Although his oxygen saturation is above 92%, an orally intubated,
mechanically ventilated patient is restless and very anxious. What
interventions will most likely decrease the risk of accidental
extubation? Select all that apply
a. administer sedatives
b. have a caregiver stay with the patient
c. obtain an order and apply soft wrist restraints
d. remind the patient that he needs the tube inserted to breathe
e. move the patient to an area close to the nurse's station for closer
observation Answer: AB
ACTUAL EXAM EXAM STUDY SHEET
EXAM Q&A 2026 GRADED A+.
⫸ The decision has been made to discharge a ventilator-dependent
patient home. The nurse is developing a teaching plan for this patient
and his family. What would be most important to include in this
teaching plan?
A) Administration of inhaled corticosteroids
B) Assessment of neurologic status
C) Turning and coughing
D) Signs of pulmonary infection Answer: D
⫸ The RN is supervising a nursing student who will suction a patient
on a mechanical ventilator. Which actions indicate that the student has
a correct understanding of this procedure? Select all that apply.
1.) The student nurse uses a sterile catheter and glove.
2.)The student nurse applies suction while inserting the catheter.
3.)The student nurse applies suction during catheter removal.
4.) The student nurses uses a twirling motion when withdrawing the
catheter.
5.)The student nurse uses a no. 12 French catheter.
,6.)The student nurse applies suction for at least 20 seconds. Answer:
1345
The standard size catheter for an adult is a no. 12 or 14 French.
Infection is possible because each catheter pass can introduce bacteria
into the trachea. In the hospital, use sterile technique for suctioning
and for all suctioning equipment (e.g., suction catheters, gloves, saline
or water). Apply suction only during catheter withdrawal and use a
twirling motion to prevent the catheter from grabbing tracheal mucosa
and leading to damage to tracheal tissue. Apply suction for no more
than 10 seconds to minimize hypoxemia during suctioning.
⫸ The purpose of adding PEEP to positive pressure ventilation is to
a. increase functional residual capacity and improve oxygenation
b. increase FIO2 in an attempt to wean the patient and avoid O2
toxicity
c. determine if the patient is in synchrony with the ventilator or needs
to be paralyzed
d. determine is the patient is able to be weaned and avoid the risk of
pneumomediastinum Answer: A
⫸ 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 Answer: C
⫸ The nurses monitors the patient with positive pressure mechanical
ventilation for
a. paralytic ileus because pressure on the abdominal contents affects
bowel motility
b. diuresis and sodium depletion because of increased release of atrial
natriuretic peptide
c. signs of cardiovascular insufficiency because pressure in the chest
impedes venous return
d. respiratory acidosis in a patient with COPD because of alveolar
hyperventilation and increased PaO2 levels Answer: C
⫸ Although his oxygen saturation is above 92%, an orally intubated,
mechanically ventilated patient is restless and very anxious. What
interventions will most likely decrease the risk of accidental
extubation? Select all that apply
a. administer sedatives
b. have a caregiver stay with the patient
c. obtain an order and apply soft wrist restraints
d. remind the patient that he needs the tube inserted to breathe
e. move the patient to an area close to the nurse's station for closer
observation Answer: AB
