ARDS NCLEX Practice Questions And Answers Most Reviewed
Edition Rationale.
A client is brought into the emergency department after aspirating on pureed foods at the long-
term care facility. The nurse knows that which physiologic change can trigger acute respiratory
distress syndrome?
Release of chemical mediators
Increased surfactant production
Destruction of extracellular platelets
Intracellular edema - ansRelease of chemical mediators
After the initial pulmonary injury, such as aspiration, chemical mediators are released, which
damage the alveolar-capillary membrane and trigger other changes associated with ARDS. This
damage can cause interstitial (not intracellular) edema and decreased (not increased) surfactant
production. Destruction of platelets is not associated with ARDS.
A client is diagnosed with acute respiratory distress syndrome (ARDS). The client's spouse asks
the nurse what caused ARDS. Which etiology of indirect injury to the lungs should the nurse
include in the response? (Select all that apply.)
Smoke inhalation
Systemic sepsis
Fat embolism
Multiple blood transfusions
Pancreatitis - ansSystemic sepsis
, ARDS NCLEX Practice Questions And Answers Most Reviewed
Edition Rationale.
Multiple blood transfusions
Pancreatitis
Pancreatitis, systemic sepsis, and multiple blood transfusions are causes of indirect injury to the
lungs. Smoke inhalation and fat embolisms are causes of direct injury to the lungs.
A client who is diagnosed with acute respiratory distress syndrome (ARDS) requires mechanical
ventilation. Which ventilator mode should the nurse expect to implement to promote pressure
throughout the respiratory cycle?
Sensitivity
Positive end-expiratory pressure (PEEP)
Flow rate
Tidal volume (TV) - ansPositive end-expiratory pressure (PEEP)
Positive end-expiratory pressure can be used with many different ventilator settings and
maintains positive pressure in between breaths and during exhalation, preventing collapse of the
alveoli. Flow rate, sensitivity, and tidal volume are settings that can be adjusted on the ventilator.
A pediatric client is not responding to treatment for acute respiratory distress syndrome (ARDS)
and requires intubation. The mother is anxious that the procedure will hurt. Which is the best
response by the nurse?
"We will administer medication to help him sleep through the intubation and as needed while he
is on the ventilator."
Edition Rationale.
A client is brought into the emergency department after aspirating on pureed foods at the long-
term care facility. The nurse knows that which physiologic change can trigger acute respiratory
distress syndrome?
Release of chemical mediators
Increased surfactant production
Destruction of extracellular platelets
Intracellular edema - ansRelease of chemical mediators
After the initial pulmonary injury, such as aspiration, chemical mediators are released, which
damage the alveolar-capillary membrane and trigger other changes associated with ARDS. This
damage can cause interstitial (not intracellular) edema and decreased (not increased) surfactant
production. Destruction of platelets is not associated with ARDS.
A client is diagnosed with acute respiratory distress syndrome (ARDS). The client's spouse asks
the nurse what caused ARDS. Which etiology of indirect injury to the lungs should the nurse
include in the response? (Select all that apply.)
Smoke inhalation
Systemic sepsis
Fat embolism
Multiple blood transfusions
Pancreatitis - ansSystemic sepsis
, ARDS NCLEX Practice Questions And Answers Most Reviewed
Edition Rationale.
Multiple blood transfusions
Pancreatitis
Pancreatitis, systemic sepsis, and multiple blood transfusions are causes of indirect injury to the
lungs. Smoke inhalation and fat embolisms are causes of direct injury to the lungs.
A client who is diagnosed with acute respiratory distress syndrome (ARDS) requires mechanical
ventilation. Which ventilator mode should the nurse expect to implement to promote pressure
throughout the respiratory cycle?
Sensitivity
Positive end-expiratory pressure (PEEP)
Flow rate
Tidal volume (TV) - ansPositive end-expiratory pressure (PEEP)
Positive end-expiratory pressure can be used with many different ventilator settings and
maintains positive pressure in between breaths and during exhalation, preventing collapse of the
alveoli. Flow rate, sensitivity, and tidal volume are settings that can be adjusted on the ventilator.
A pediatric client is not responding to treatment for acute respiratory distress syndrome (ARDS)
and requires intubation. The mother is anxious that the procedure will hurt. Which is the best
response by the nurse?
"We will administer medication to help him sleep through the intubation and as needed while he
is on the ventilator."
