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1. Which is true about mechanical ventilation and natural inhalation?
A. Both mechanical ventilation and natural inhalation use negative pressure.
B. Both mechanical ventilation and natural inhalation use positive pressure.
C. Mechanical ventilation uses positive pressure, while natural inhalation
uses negative pressure.
D. Natural inhalation uses positive pressure, while mechanical ventilation
uses negative pressure.
- ANSWER C
2. Which structure is closest to the lungs?
A. Intercostal nerve
B. Parietal pleura
C. Visceral pleura
D. Endothoracic fascia
- ANSWER C
3. Which needs to be intact for inhalation to be successful?
A. The endothoracic fascia
B. The rib cage
C. The intercostal muscles
D. The pleura
,- ANSWER D
4. How does natural inhalation start?
A. The pleural space widens.
B. The pleural space fills with air.
C, The diaphragm flattens.
D. The lungs contract.
- ANSWER C
5. Which client does the nurse know will require mechanical ventilation?
Select all that apply.
A. A client who was given a neuromuscular blocker for surgery.
B. A client with pneumonia.
C. A client with nerve damage to their diaphragm.
D. A client given a local anesthetic for an outpatient procedure.
E. A client with a spinal cord injury at T12.
- ANSWER A, C
6. In which situations are mechanical ventilators commonly used? Select all
that apply.
A. Mild upper respiratory infection
B. Pneumothorax
C. Spinal cord injury
D. Anaphylaxis
E. Surgery
- ANSWER C, D, E
7. What is true about the process of mechanical ventilation?
A. Mechanical ventilation delivers 100% oxygen directly to the lungs.
B. The airway is inserted in the client's mouth and stops before the uvula.
C. An endotracheal tube can be inserted through the client's nose or
mouth.
, D. All clients requiring mechanical ventilation are connected to the
ventilator through a tracheostomy.
- ANSWER C
8. The client has just been intubated and is connected to the ventilator. What
should the nurse do next after securing the device and listening for breath
sounds?
A. Recheck breath sounds in an hour.
B. Prepare the client for a chest x-ray.
C. Provide supplemental oxygen via nasal prongs until the client is
accustomed to the ventilator.
D. Deflate the endotracheal tube cuff.
- ANSWER B
9. How is an endotracheal tube secured? Select all that apply.
A. Through an inflatable balloon that sits in the client's airway.
B. Directly to the client's face using tape or other device.
C. Through the negative pressure initiated by the ventilator.
D. Through a small wire that sits in the airway and is tied to the external
ventilator tubing.
E. Through a small plastic cap that sits at the opening of the trachea.
- ANSWER A, B
10.The nurse cares for a client on a mechanical ventilator. The nurse knows
that a high-pressure alarm may sound for which potential reasons? Select
all that apply.
A. Coughing
B. Disconnected tubing
C. Pulmonary edema
D. Self-extubation
e. Kinked tubing
- ANSWER A, C, E
, 11.Which factors may cause a low-pressure alarm to sound on a client who is
on a ventilator? Select all that apply.
A. Decreased respiratory rate
B. Disconnected tubing
C. Coughing
D. Self-extubation
E. Pneumothorax
- ANSWER B, D
12.Which may cause a low-minute ventilation alarm to sound on a client who is
on a mechanical ventilator? Select all that apply.
A. Decreased tidal volume
B. Decreased respiratory rate
C. Coughing
D. Kinked tubing
E. Misplaced ET tube
- ANSWER A, B
13.The nurse responds to a high-pressure alarm for a ventilated client. The
client does not appear to be in acute distress. Which action should the
nurse take first?
A. Auscultate the client's lungs to rule out pneumothorax.
B. Check how many breaths per minute the ventilator is set at.
C. Request an order for an x-ray to check tube placement.
D. Check the ventilator tubing for kinks.
- ANSWER D
14.What percent of room air is oxygen?
5%
56%
21%
78%