ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) /
RESPIRATORY FAILURE QUESTIONS WITH DETAILED
VERIFIED AND 100% ACCURATE ANSWERS BRAND NEW
EXAM ALREADY GRADED A+
1.) You're providing care to a patient who is being treated for aspiration
pneumonia. The patient is on a 100% non-rebreather mask. Which
finding below is a HALLMARK sign and symptom that the patient is
developing acute respiratory distress syndrome (ARDS)?*
A. The patient is experiencing bradypnea.
B. The patient is tired and confused.
C. The patient's PaO2 remains at 45 mmHg.
D. The patient's blood pressure is 180/96. Correct Answers The answer
is C.
A hallmark sign and symptom found in ARDS is refractory hypoxemia.
This is where that although the patient is receiving a high amount of
oxygen (here a 100% non-rebreather mask) the patient is STILL
hypoxic. Option C is the answer because it states the patient's arterial
oxygen level is remaining at 45 mmHg (a normal is 80 mmHg but when
treating patients with ARDS a goal is at least 60 mmHg). Yes, the
patient can be tired and confused from a low oxygen level BUT this
question wants to know the HALLMARK sign and symptom.
2. You're teaching a class on critical care concepts to a group of new
nurses. You're discussing the topic of acute respiratory distress
syndrome (ARDS). At the beginning of the lecture, you assess the new
nurses understanding about this condition. Which statement by a new
nurse demonstrates he understands the condition?*
,A. "This condition develops because the exocrine glands start to work
incorrectly leading to thick, copious mucous to collect in the alveoli
sacs."
B. "ARDS is a pulmonary disease that gradually causes chronic
obstruction of airflow from the lungs."
C. "Acute respiratory distress syndrome occurs due to the collapsing of
a lung because air has accumulated in the pleural space."
D. "This condition develops because alveolar capillary membrane
permeability has changed leading to fluid collecting in the alveoli sacs."
Correct Answers The answer is D.
ARDS is a type of respiratory failure that occurs when the capillary
membrane that surrounds the alveoli sac becomes damaged, which
causes fluid to leak into the alveoli sac. Option A describes cystic
fibrosis, option B describes COPD, and option C describes a
pneumothorax.
3. During the exudative phase of acute respiratory distress syndrome
(ARDS), the patient's lung cells that produce surfactant have become
damaged. As the nurse you know this will lead to?*
A. bronchoconstriction
B. atelectasis
C. upper airway blockage
D. pulmonary edema Correct Answers The answer is B.
Surfactant decreases surface tension in the lungs. Therefore, the alveoli
sacs will stay stable when a person exhales (hence the sac won't
collapse). If there is a decrease in surfactant production this creates an
unpredictable alveoli sac that can easily collapse, hence a condition
, called ATELETASIS will occur (collapse of the lung tissue) when there
is a decrease production in surfactant.
4. A patient has been hospitalized in the ICU for a near drowning event.
The patient's respiratory function has been deteriorating over the last 24
hours. The physician suspects acute respiratory distress syndrome. A
STAT chest x-ray is ordered. What finding on the chest x-ray is
indicative of ARDS?*
A. infiltrates only on the upper lobes
B. enlargement of the heart with bilateral lower lobe infiltrates
C. white-out infiltrates bilaterally
D. normal chest x-ray Correct Answers The answer is C.
This is a finding found in ARDS....pronounce white-out infiltrates
bilaterally.
5. You're providing care to a patient who was just transferred to your
unit for the treatment of ARDS. The patient is in the exudative phase.
The patient is ordered arterial blood gases. The results are back. Which
results are expected during this early phase of acute respiratory distress
syndrome that correlates with this diagnosis?*
A. PaO2 40, pH 7.59, PaCO2 30, HCO3 23
B. PaO2 85, pH 7.42, PaCO2 37, HCO3 26
C. PaO2 50, pH 7.20, PaCO2 48, HCO3 29
D. PaO2 55, pH 7.26, PaCO2 58, HCO3 19 Correct Answers The
answer is A.
RESPIRATORY FAILURE QUESTIONS WITH DETAILED
VERIFIED AND 100% ACCURATE ANSWERS BRAND NEW
EXAM ALREADY GRADED A+
1.) You're providing care to a patient who is being treated for aspiration
pneumonia. The patient is on a 100% non-rebreather mask. Which
finding below is a HALLMARK sign and symptom that the patient is
developing acute respiratory distress syndrome (ARDS)?*
A. The patient is experiencing bradypnea.
B. The patient is tired and confused.
C. The patient's PaO2 remains at 45 mmHg.
D. The patient's blood pressure is 180/96. Correct Answers The answer
is C.
A hallmark sign and symptom found in ARDS is refractory hypoxemia.
This is where that although the patient is receiving a high amount of
oxygen (here a 100% non-rebreather mask) the patient is STILL
hypoxic. Option C is the answer because it states the patient's arterial
oxygen level is remaining at 45 mmHg (a normal is 80 mmHg but when
treating patients with ARDS a goal is at least 60 mmHg). Yes, the
patient can be tired and confused from a low oxygen level BUT this
question wants to know the HALLMARK sign and symptom.
2. You're teaching a class on critical care concepts to a group of new
nurses. You're discussing the topic of acute respiratory distress
syndrome (ARDS). At the beginning of the lecture, you assess the new
nurses understanding about this condition. Which statement by a new
nurse demonstrates he understands the condition?*
,A. "This condition develops because the exocrine glands start to work
incorrectly leading to thick, copious mucous to collect in the alveoli
sacs."
B. "ARDS is a pulmonary disease that gradually causes chronic
obstruction of airflow from the lungs."
C. "Acute respiratory distress syndrome occurs due to the collapsing of
a lung because air has accumulated in the pleural space."
D. "This condition develops because alveolar capillary membrane
permeability has changed leading to fluid collecting in the alveoli sacs."
Correct Answers The answer is D.
ARDS is a type of respiratory failure that occurs when the capillary
membrane that surrounds the alveoli sac becomes damaged, which
causes fluid to leak into the alveoli sac. Option A describes cystic
fibrosis, option B describes COPD, and option C describes a
pneumothorax.
3. During the exudative phase of acute respiratory distress syndrome
(ARDS), the patient's lung cells that produce surfactant have become
damaged. As the nurse you know this will lead to?*
A. bronchoconstriction
B. atelectasis
C. upper airway blockage
D. pulmonary edema Correct Answers The answer is B.
Surfactant decreases surface tension in the lungs. Therefore, the alveoli
sacs will stay stable when a person exhales (hence the sac won't
collapse). If there is a decrease in surfactant production this creates an
unpredictable alveoli sac that can easily collapse, hence a condition
, called ATELETASIS will occur (collapse of the lung tissue) when there
is a decrease production in surfactant.
4. A patient has been hospitalized in the ICU for a near drowning event.
The patient's respiratory function has been deteriorating over the last 24
hours. The physician suspects acute respiratory distress syndrome. A
STAT chest x-ray is ordered. What finding on the chest x-ray is
indicative of ARDS?*
A. infiltrates only on the upper lobes
B. enlargement of the heart with bilateral lower lobe infiltrates
C. white-out infiltrates bilaterally
D. normal chest x-ray Correct Answers The answer is C.
This is a finding found in ARDS....pronounce white-out infiltrates
bilaterally.
5. You're providing care to a patient who was just transferred to your
unit for the treatment of ARDS. The patient is in the exudative phase.
The patient is ordered arterial blood gases. The results are back. Which
results are expected during this early phase of acute respiratory distress
syndrome that correlates with this diagnosis?*
A. PaO2 40, pH 7.59, PaCO2 30, HCO3 23
B. PaO2 85, pH 7.42, PaCO2 37, HCO3 26
C. PaO2 50, pH 7.20, PaCO2 48, HCO3 29
D. PaO2 55, pH 7.26, PaCO2 58, HCO3 19 Correct Answers The
answer is A.
