MS3, Exam 3, Ch. 65 & 67: Ventilation,
ARDS, ARF, ABGs Quiz Answered
2022/23
Which statement indicates to the nurse the client diagnosed with sleep apnea needs
further teaching?
1. “If I lose weight I may not need treatment for sleep apnea.”
2. “The CPAP machine holds my airway open with pressure.”
3. “The CPAP will help me stay awake during the day while I am at work.”
4. “It is all right to have a couple of beers because I have this CPAP machine.”
4. "It is all right to have a couple of beers because I have this CPAP machine."
Drinking alcohol before sleep sedates the client, causing the muscles to relax, which, in turn,
causes an obstruction of the client's airway. Drinking alcohol should be avoided even if the
client uses a CPAP machine.
The client diagnosed with ARDS is transferred to the intensive care department and placed on
a ventilator. Which intervention should the nurse implement first?
1. Confirm that the ventilator settings are correct.
2. Verify that the ventilator alarms are functioning properly.
3. Assess the respiratory status and pulse oximeter reading.
4. Monitor the client's arterial blood gas results.
3. Assess the respiratory status and pulse oximeter reading.
Assessment is the first part of the nursing process and is the first intervention the nurse should
implement when caring for a client on a ventilator.
, Which assessment data indicate to the nurse the client diagnosed with ARDS has experienced
a complication secondary to the ventilator?
1. The client's urine output is 100 mL in four (4) hours.
2. The pulse oximeter reading is greater than 95%.
3. The client has asymmetrical chest expansion.
4. The telemetry reading shows sinus tachycardia.
3. The client has asymmetrical chest expansion.
Asymmetrical chest expansion indicates the client has had a pneumothorax, which is a
complication of mechanical ventilation.
The client with ARDS is on a mechanical ventilator. Which intervention should be included in
the nursing care plan addressing the endotracheal tube (ET) care?
1. Do not move or touch the ET tube.
2. Obtain a chest x-ray daily.
3. Determine if the ET cuff is deflated.
4. Ensure that the ET tube is secure.
4. Ensure that the ET tube is secure.
The ET tube should be secure to ensure it does not enter the right main bronchus. The ET tube
should be one (1) inch above the bifurcation of the bronchi.
The client diagnosed with ARDS is in respiratory distress and the ventilator is malfunctioning.
Which intervention should the nurse implement first?
1. Notify the respiratory therapist immediately.
2. Ventilate with a manual resuscitation bag.
3. Request STAT arterial blood gases.
4. Auscultate the client’s lung sounds.
ARDS, ARF, ABGs Quiz Answered
2022/23
Which statement indicates to the nurse the client diagnosed with sleep apnea needs
further teaching?
1. “If I lose weight I may not need treatment for sleep apnea.”
2. “The CPAP machine holds my airway open with pressure.”
3. “The CPAP will help me stay awake during the day while I am at work.”
4. “It is all right to have a couple of beers because I have this CPAP machine.”
4. "It is all right to have a couple of beers because I have this CPAP machine."
Drinking alcohol before sleep sedates the client, causing the muscles to relax, which, in turn,
causes an obstruction of the client's airway. Drinking alcohol should be avoided even if the
client uses a CPAP machine.
The client diagnosed with ARDS is transferred to the intensive care department and placed on
a ventilator. Which intervention should the nurse implement first?
1. Confirm that the ventilator settings are correct.
2. Verify that the ventilator alarms are functioning properly.
3. Assess the respiratory status and pulse oximeter reading.
4. Monitor the client's arterial blood gas results.
3. Assess the respiratory status and pulse oximeter reading.
Assessment is the first part of the nursing process and is the first intervention the nurse should
implement when caring for a client on a ventilator.
, Which assessment data indicate to the nurse the client diagnosed with ARDS has experienced
a complication secondary to the ventilator?
1. The client's urine output is 100 mL in four (4) hours.
2. The pulse oximeter reading is greater than 95%.
3. The client has asymmetrical chest expansion.
4. The telemetry reading shows sinus tachycardia.
3. The client has asymmetrical chest expansion.
Asymmetrical chest expansion indicates the client has had a pneumothorax, which is a
complication of mechanical ventilation.
The client with ARDS is on a mechanical ventilator. Which intervention should be included in
the nursing care plan addressing the endotracheal tube (ET) care?
1. Do not move or touch the ET tube.
2. Obtain a chest x-ray daily.
3. Determine if the ET cuff is deflated.
4. Ensure that the ET tube is secure.
4. Ensure that the ET tube is secure.
The ET tube should be secure to ensure it does not enter the right main bronchus. The ET tube
should be one (1) inch above the bifurcation of the bronchi.
The client diagnosed with ARDS is in respiratory distress and the ventilator is malfunctioning.
Which intervention should the nurse implement first?
1. Notify the respiratory therapist immediately.
2. Ventilate with a manual resuscitation bag.
3. Request STAT arterial blood gases.
4. Auscultate the client’s lung sounds.
