Exam 2: Mechanical Ventilation (NCLEX) (2025)
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The peak pressure alarm A
is sounding on the The client must always be assessed before attention
ventilator of the client is turned to equipment.
with a recent
tracheostomy. What
intervention should be
done first?
A. Assess the client's
respiratory status
B. Decrease the
sensitivity of the alarm
C. Ensure that the
connecting tubing is not
kinked
D. Suction the client
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The client with C
respiratory failure has High levels of oxygen delivery can result in
been intubated and collapsed alveoli and absorption atelectasis. PEEP
placed on a ventilator can help alveoli remain properly inflated.
and is requiring 100%
oxygen delivery to
maintain adequate
oxygenation. Twenty-four
hours later, the nurse
notes new-onset crackles
and decreased breath
sounds, and the most
recent ABGs show a
PaO2 level of 95 mm Hg.
The ventilator is not set
to provide positive end-
expiratory pressure
(PEEP). Why is the nurse
concerned?
A. The low PaO2 level
may result in oxygen
toxicity
B. The 100% oxygen
delivery requirement
indicates immediate
extubation
C. Lung sounds may
indicate absorption
atelectasis
D. The level of oxygen
delivery may indicate
absorption atelectasis
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The medical nurse is D
creating the care plan of
an adult patient requiring
mechanical ventilation.
What nursing action is
most appropriate?
A) Keep the patient in a
low Fowlers position.
B) Perform tracheostomy
care at least once per
day.
C) Maintain continuous
bedrest.
D) Monitor cuff pressure
every 8 hours.
The acute medical nurse B
is preparing to wean a
patient from the
ventilator. Which
assessment parameter is
most important for the
nurse to assess?
A) Fluid intake for the last
24 hours
B) Baseline arterial blood
gas (ABG) levels
C) Prior outcomes of
weaning
D) Electrocardiogram
(ECG) results
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A patient recovering D
from thoracic surgery is
on long-term mechanical
ventilation and becomes
very frustrated when he
tries to communicate.
What intervention should
the nurse perform to
assist the patient?
A) Assure the patient that
everything will be all
right and that remaining
calm is the best strategy.
B) Ask a family member
to interpret what the
patient is trying to
communicate.
C) Ask the physician to
wean the patient off the
mechanical ventilator to
allow the patient to
speak freely.
D) Express empathy and
then encourage the
patient to write, use a
picture board, or spell
words with an alphabet
board.
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