ARDS and Mechanical Ventilation Practice Exam

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• What action should the nurse anticipate following a diagnosis of a right pneumothorax in a patient on mechanical ventilation?
• Which patient assessment should the nurse prioritize upon receiving a change-of-shift report?
• Which of the following describes the primary objective in treating hypoxemic respiratory failure?
• Which condition is often the cause of hypoxemic respiratory failure?
• What assessment finding in a patient on mechanical ventilation indicates a potential need for changing ventilator settings?
• For a patient with pneumonia and a SpO2 of 90%, what action should the nurse prioritize?
• What is the significance of a patient's BUN level of 32 mg/dL in the context of acute respiratory conditions?
• Which of the following statements about hypoxemic respiratory failure is true?
• During observation of a 22-year-old drowning accident survivor who is breathing spontaneously, which assessment is most important?
• What is the most appropriate plan for weaning a patient off mechanical ventilation?
• What can be done to minimize the risk of ventilator-associated pneumonia in intubated patients?
• A patient with poor airway clearance due to thick secretions should be encouraged to do which of the following?
• What intervention is most likely to decrease the risk of accidental extubation in a restless intubated patient?
• What is a major risk associated with hypoxemic respiratory failure?
• During weaning from mechanical ventilation, which finding would indicate the need to stop the protocol?
• What should the nurse anticipate giving to a 19-year-old patient with no prior tetanus vaccinations and multiple lacerations?
• What effect does high intrathoracic pressure from PEEP have on a patient’s circulatory system?
• Which therapy should be expected to best respond for a patient with an intrapulmonary shunt and low PaO2 levels?
• What technique does the nurse use to minimize the risk of tracheal damage when inflating the cuff on an ET tube?
• Which of the following describes hypoxemic respiratory failure?
• What is the primary goal of fluid management in patients with ARDS?
• What does ARDS stand for?
• Which action should the nurse take first for a patient with suspected ARDS based on vital signs?
• What are the potential complications of mechanical ventilation in ARDS?
• What assessment information should the nurse report immediately when admitting a patient with possible respiratory failure?
• What is a significant risk factor for developing ventilator-associated pneumonia (VAP) in ARDS patients?
• Why is nutritional support critical in managing ARDS?
• What can be a consequence of high tidal volumes in patients with ARDS?
• When should the nurse suction a patient's ET tube?
• What physiological change occurs after an aspiration injury that can trigger ARDS?
• In patients with subarachnoid hemorrhage on mechanical ventilation, which change would necessitate immediate notification of the health care provider?
• Which of the following represents the categories of ARDS severity?
• In ARDS, what does the term 'recruitability' refer to?
• Which imaging feature is characteristic of ARDS?
• What defines moderate ARDS?
• What is the role of corticosteroids in the management of ARDS?
• Which ventilation strategy reduces driving pressures in ARDS?
• What is the expected effect of supplemental oxygen on a patient with hypoxemic respiratory failure?
• What is a key purpose of using PEEP in mechanical ventilation?
• What factor is contributing to a patient’s prolonged recovery while on mechanical ventilation?
• What is a common radiological finding in ARDS patients?
• What position will best aid gas exchange for a patient with right lower lobe pneumonia who is obese?
• Why is lower tidal volume ventilation used in ARDS?
• What aspect of care is essential for an intubated patient who is on a ventilator?
• Which airway type must the nurse reposition every 8 hours to prevent mucosal necrosis?
• What intervention will the nurse anticipate for a patient with respiratory failure and low SpO2?
• Which of the following factors is NOT a characteristic of hypoxemic respiratory failure?
• What is the goal of tidal volume management in ARDS?
• What is the initial priority when managing a patient with suspected ARDS?
• For a patient on mechanical ventilation, which complication should the nurse monitor for during long-term ventilation?
• What requires nursing action when a patient is receiving cisatracurium (Nimbex) and has no sedative ordered?
• Why might a patient on mechanical ventilation need the cuff of an ET tube to be properly inflated?
• What does the "ARDSnet protocol" entail?
• What is the most critical information to communicate to the health care provider for a patient hospitalized with community-acquired pneumonia?
• What does a high tidal volume setting indicate about the patient's respiratory status?
• Which is an expected intervention for a patient experiencing severe agitation while on mechanical ventilation?
• What is the recommended tidal volume in ARDS patients on mechanical ventilation?
• What is the "Hamburger sign" associated with in ARDS?
• Which assessment finding might indicate the need to reduce PEEP in a patient with ARDS on mechanical ventilation?
• What is the primary goal of mechanical ventilation in ARDS patients?
• What is the mechanism of hypoxemia in ARDS?
• Which medication should the nurse discuss with the healthcare provider before administering to a patient with ARDS?
• Which factor is commonly responsible for sodium and fluid retention in a patient on mechanical ventilation?
• What is the first action a nurse should take for a patient with aspiration pneumonia who has become increasingly agitated?
• What is the primary mode of mechanical ventilation used in ARDS?
• Which of the following is a common sign of inadequate oxygenation in a mechanically ventilated patient?
• How does prone positioning benefit patients with ARDS?
• Which of the following strategies is useful in determining the underlying cause of hypoxemic respiratory failure?
• What is the ideal intubation position for a patient with ARDS?
• What nursing care is included for the patient with an ET tube?
• What action should the nurse take for a patient with pulmonary embolism and dropping oxygen saturation?
• What does PEEP stand for?
• Which action by a new registered nurse indicates a need for further education regarding mechanical ventilation?
• Which assessment finding suggests that a patient requires suctioning while on mechanical ventilation?
• In a patient with ARDS, the nurse should expect which typical symptom?
• What should a nurse do first when discovering a patient in respiratory distress with the endotracheal tube on the floor?
• When should corticosteroids be administered for ARDS?
• What is the significance of the "open lung approach" in ARDS?
• A comatose patient with a possible cervical spine injury is intubated with a nasal ET tube. What is a disadvantage of a nasal ET tube compared to an oral ET tube?
• What is a common weaning method from mechanical ventilation?
• Which ARDS severity category has the highest PaO2/FiO2 ratio?
• After change-of-shift report on a ventilator weaning unit, which patient should the nurse assess first?
• Which condition is NOT typically associated with ARDS?
• When does hypoxemic respiratory failure occur in relation to PaO2 levels?
• In a patient with ARDS, what factor can lead to a decrease in FIO2?
• When suctioning an ET tube, the nurse should use a suction pressure of how many mmHg?
• Which medication class is often used in ARDS for sedation?
• How does ARDS differ from Acute Respiratory Failure?
• In preparing an ICU patient for oral ET intubation, what should the nurse do that is the most important for intubation?
• Which non-invasive ventilation technique may be utilized in ARDS?
• Which nursing intervention can be delegated to the LPN while caring for a patient on mechanical ventilation?
• What is a characteristic of pressure support ventilation?
• What is the best practice for sedation during mechanical ventilation in ARDS?
• What is the most appropriate intervention when a patient receiving mechanical ventilation has thick, white secretions in the endotracheal tube?
• Which assessment finding indicates potential hypoxemia in a patient being mechanically ventilated?
• What is the most accurate description of respiratory failure?
• What is the importance of neuromuscular blockade in early ARDS?
• In a patient with mechanical ventilation, what blood gas result indicates respiratory alkalosis?
• What is an advantage of using high frequency oscillatory ventilation (HFOV) in ARDS?
• Which nursing intervention for a mechanically ventilated patient can be delegated to an experienced licensed practical/vocational nurse (LPN/VN)?
• Which characteristic accurately describes positive pressure ventilation?
• When a patient's endotracheal tube measurement changes, and they exhibit anxiety, what is the most critical action for the nurse?
• What is the PaO2/FiO2 ratio indicative of mild ARDS?
• How is ARDS diagnosed clinically?
• What is the primary purpose of PEEP in mechanical ventilation?
• What precaution is essential to prevent and detect tube dislodgement during mouth care of an oral ET tube?
• Why might high levels of PEEP be contraindicated?
• What should the nurse do first for a patient who is agitated and breathing asynchronously with the ventilator?
• How does ARDS impact compliance during mechanical ventilation?
• In managing a mechanically ventilated patient, what is an essential staff role in reducing pneumonia risk?
• In which scenario might noninvasive positive pressure ventilation be indicated for a patient?
• In a patient with ARDS, which indicator would show that prone positioning is effective?
• What is an important intervention for a mechanically ventilated patient to ensure airway management?
• What lung mechanics are typically affected in ARDS?
• What considerations are important for determining extubation readiness in ARDS patients?
• Which technique is considered safest when suctioning a patient with high levels of PEEP?
• Which lung mechanics are primarily assessed in ARDS patients?
• What pulmonary function changes are expected in ARDS patients?
• When assessing a patient with ARDS, which cardiac finding may indicate distress?
• In the presence of ARDS, what assessment finding typically indicates the need for immediate intervention?
• What is the best initial action if a patient on mechanical ventilation is anxious and fighting the ventilator?
• What is generally recommended regarding sedation protocols for patients with ARDS on mechanical ventilation?
• Which category of medications should the RN administer that must not be delegated to LPNs when caring for a patient on mechanical ventilation?
• What is a common clinical manifestation of hypoxemic respiratory failure?
• Which ventilator setting is most commonly used for weaning a patient from mechanical ventilation?
• What is the hallmark of severe ARDS?
• What is a common expected outcome when using sedation in a mechanically ventilated patient?
• What is the common hemodynamic abnormality in ARDS?
• Which symptom of acute respiratory distress syndrome (ARDS) typically appears within 24 to 48 hours after the initial insult?
• What type of monitoring is essential in patients with ARDS on mechanical ventilation?
• What is the appropriate method to ensure correct cuff pressure of an endotracheal tube?
• Which of the following is a common cause of ARDS?
• What increases the risk for respiratory complications after a total hip replacement in an elderly patient with recent weight loss?
• Which finding by the nurse should result in postponing the spontaneous breathing trial for a patient receiving positive pressure ventilation?
• Which of the following is a contraindication to supplemental oxygen therapy in severe hypoxemic failure?
• What does the term 'barotrauma' refer to?
• During mechanical ventilation, what indicates that a patient may be experiencing hypoventilation?
• How does ARDS typically present in terms of oxygenation?
• What does maintaining appropriate cuff inflation on the endotracheal tube primarily prevent?
• What would be an early indicator of worsening condition in a patient with ARDS?
• In managing a patient with hypoxemic respiratory failure, which intervention is most critical?
• For a patient with acute respiratory distress, which finding requires the most rapid intervention?
• Which statement accurately describes positive end-expiratory pressure (PEEP)?
• Which diagnostic test provides the most specific information to evaluate ventilatory failure interventions?
• To verify proper inflation of a cuffed tracheostomy tube, which method is recommended?
• What sign indicates undesirable effects of increased airway pressure in a patient receiving ACV with PEEP?
• Which ventilation mode allows patients to self-regulate rate and depth of breaths while delivering preset volumes?
• Which respiratory rate in a COPD patient warrants immediate concern?
• Which patient's medical diagnosis is most likely to require mechanical ventilation?
• What is the significance of the FIO2 setting in mechanical ventilation?
• To decrease the risk for ventilator-associated pneumonia, which practice should the nurse implement?
• Which factor substantially contributes to effective oxygenation in a patient positioned prone?
• In patients requiring mechanical ventilation, which consideration may prevent stress ulcers?
• What procedure should the nurse anticipate to distinguish ARDS from pulmonary edema post-heart surgery?
• For a patient on mechanical ventilation, what is an important consideration for care during weaning?
• Which therapy has been shown to improve outcomes in severe ARDS?
• In a situation where a patient is on ACV and shows signs of increased thoracic pressure, what is the immediate concern?
• What is the main reason to avoid high tidal volumes in ARDS?
• What is the primary purpose of mechanical ventilation in patients with ARDS?
• When discussing the complications of prolonged mechanical ventilation, which should the nurse include?
• In discussing the risks of intubation with the family of an older adult client, what should the nurse communicate?
• What is the role of PEEP in mechanical ventilation for ARDS?
• What effect does proning have on patients with severe ARDS?
• What should the nurse do first if a patient develops bradycardia with PVCs while suctioning the ET tube?
• Which ventilatory parameters are closely monitored during the management of ARDS?
• What should the nurse recognize about care for a patient who is anxious and has neuromuscular blocking agents administered?
• When speaking to the mother of a pediatric client requiring intubation, what should the nurse emphasize?
• What is a potential complication of mechanical ventilation in ARDS patients?
• Which of the following is the most accurate description of respiratory failure?
• What reasons are older adults at greater risk for developing ARDS?
• What is the initial action the nurse should take for a COPD patient exhibiting agitation and confusion?
• What lab finding would confirm hypoxemic respiratory failure?
• What indicates that alveolar hypoventilation is occurring in a patient on a ventilator?