Mechanical Ventilation (NCLEX) Exam 2
Questions And Answers Verified 100%
Correct
Although his oxygen saturation is above 92%, an orally intubated,
mechanically ventilated patient is restless and very anxious. What
interventions will most likely decrease the risk of accidental
extubation? Select all that apply
a. administer sedatives
b. have a caregiver stay with the patient
c. obtain an order and apply soft wrist restraints
d. remind the patient that he needs the tube inserted to breathe
e. move the patient to an area close to the nurse's station for closer
observation - ANSWER -AB
Which patient's medical diagnoses should the nurse know are most
likely to need mechanical ventilation? Select all that apply
a. sleep apnea
b. cystic fibrosis
c. acute kidney injury
d. type 2 DM
e. acute respiratory distress syndrome (ARDS) - ANSWER -BE
,What characteristics describe positive pressure ventilators? Select all
that apply
a. require an artificial airway
b. applied to outside of body
c. most similar to physiologic ventilation
d. most frequently used with critically ill patients
e. frequently used in the home for neuromuscular or nervous system
disorders - ANSWER -AD
What is included in the description of positive pressure ventilation?
Select all that apply
a. peak inspiratory pressure predetermined
b. consistent volume delivered with each breath
c. increased risk for hyperventilation and hypoventilation
d. preset volume of gas delivered with variable pressure based on
compliance
e. volume delivered varies based on selected pressure and patient
lung compliance - ANSWER -ACE
A patient in acute respiratory failure is receiving ACV with a positive
end-expiratory pressure (PEEP) of 10 cm H20. What sign alerts the
nurse to undesirable effects of increased airway and thoracic
pressure?
a. decreased BP
, b. decreased PaO2
c. increased crackles
d. decreased spontaneous respirations - ANSWER -A
What should the nurse recognize as a factor commonly responsible
for sodium and fluid retention in the patient on mechanical
ventilation?
a. increased release of ADH
b. increased release of atrial natriuretic factor
c. increased insensible water loss via the airway
d. decreased renal perfusion with release of renin - ANSWER -D
A patient receiving mechanical ventilation is very anxious and
agitated, and neuromuscular blocking agents are used to promote
vasodilation. What should the nurse recognize about the care of this
patient?
a. the patient will be too sedated to be aware of the details of care
b. caregivers should be encouraged to provide stimulation and
diversion
c. the patient should always be addressed and explanations of care
given
d. communication will not be possible with the use of neuromuscular
blocking agents - ANSWER -C
Questions And Answers Verified 100%
Correct
Although his oxygen saturation is above 92%, an orally intubated,
mechanically ventilated patient is restless and very anxious. What
interventions will most likely decrease the risk of accidental
extubation? Select all that apply
a. administer sedatives
b. have a caregiver stay with the patient
c. obtain an order and apply soft wrist restraints
d. remind the patient that he needs the tube inserted to breathe
e. move the patient to an area close to the nurse's station for closer
observation - ANSWER -AB
Which patient's medical diagnoses should the nurse know are most
likely to need mechanical ventilation? Select all that apply
a. sleep apnea
b. cystic fibrosis
c. acute kidney injury
d. type 2 DM
e. acute respiratory distress syndrome (ARDS) - ANSWER -BE
,What characteristics describe positive pressure ventilators? Select all
that apply
a. require an artificial airway
b. applied to outside of body
c. most similar to physiologic ventilation
d. most frequently used with critically ill patients
e. frequently used in the home for neuromuscular or nervous system
disorders - ANSWER -AD
What is included in the description of positive pressure ventilation?
Select all that apply
a. peak inspiratory pressure predetermined
b. consistent volume delivered with each breath
c. increased risk for hyperventilation and hypoventilation
d. preset volume of gas delivered with variable pressure based on
compliance
e. volume delivered varies based on selected pressure and patient
lung compliance - ANSWER -ACE
A patient in acute respiratory failure is receiving ACV with a positive
end-expiratory pressure (PEEP) of 10 cm H20. What sign alerts the
nurse to undesirable effects of increased airway and thoracic
pressure?
a. decreased BP
, b. decreased PaO2
c. increased crackles
d. decreased spontaneous respirations - ANSWER -A
What should the nurse recognize as a factor commonly responsible
for sodium and fluid retention in the patient on mechanical
ventilation?
a. increased release of ADH
b. increased release of atrial natriuretic factor
c. increased insensible water loss via the airway
d. decreased renal perfusion with release of renin - ANSWER -D
A patient receiving mechanical ventilation is very anxious and
agitated, and neuromuscular blocking agents are used to promote
vasodilation. What should the nurse recognize about the care of this
patient?
a. the patient will be too sedated to be aware of the details of care
b. caregivers should be encouraged to provide stimulation and
diversion
c. the patient should always be addressed and explanations of care
given
d. communication will not be possible with the use of neuromuscular
blocking agents - ANSWER -C
