ANSWER A. ARDS (acute respiratory distress syndrome) NCLEX Questions. Which of the following interventions would be the highest priority for this client? Impaired gas exchange! The client’s FiO2 has been at 60% for the last 48 hours. RobotHero. With sepsis, the immune cells that are present with the inflammation travel to the lungs and damage the alveolar capillary membrane leading to fluid to leak in the alveolar sacs. Which nursing intervention should the nurse employ when using this type of oxygen delivery device? Many of the questions were created by our authors. “This pressure setting will help prevent a decrease in cardiac output and hyperinflation of the lungs.”, C. “This pressure setting helps prevent fluid from filling the alveoli sacs.”, D. “This pressure setting helps open the alveoli sacs that are collapsed during exhalation.”. What finding on the chest x-ray is indicative of ARDS? Learn More What will a Neonatal Respiratory Distress Syndrome chest x-ray show? 3. Which statement by a new nurse demonstrates he understands the condition? Term: 3. Cram.com makes it easy to … 3) A client who was admitted for a non-ST elevated MI (NSTEMI) with heparin infusing Find interesting Nursing Courses Notes, Nursing Diagnoses, Practice with our Free NCLEX Questions, and get different nursing care plans for different medical conditions. A patient is experiencing respiratory failure due to pulmonary edema. The answer is D. This setting of PEEP (it can range between 10 to 20 mmHg of water) and it helps to open the alveoli sacs that are collapsed, especially during exhalation. A 25-year-old client in the ICU is being treated for acute respiratory distress syndrome (ARDS). The patient's family members are anxious about the patient's condition and are continuously present at the hospital. The physician suspects acute respiratory distress syndrome. The student asks you why the PEEP setting is at 10 mmHg. ARDS stands for Acute Respiratory Distress Syndrome and this article provides an overview of the ARDS guidelines and most of the other important information regarding this topic. b. incomplete filling of the alveoli with air because of reduced respiratory ability. Select all that apply. Visit the course modules page for information on how to unlock this content. This is also true if the cause of the sepsis is a gram-negative bacterium (this also makes the infection harder to treat…hence poor prognosis). Dec 3, 2017 - Explore NURSING.com's board "Free NCLEX Questions! NCLEX Review on ARDS. In the early stages of ARDS (exudative) the patient will start to enter in respiratory alkalosis. 2. It helps improves perfusion and ventilation (hence correcting the V/Q mismatch). *Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes, this quiz/test is for educational and entertainment purposes only. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Therefore, sepsis (infection…as long as it is outside the lungs), blood transfusion, and pancreatitis are INDIRECT causes. Fever, chills, hemoptysis, dyspnea, cough, and pleuric chest pain are the common symptoms of pneumonia, but elderly clients may first appear with only an altered mental status and dehydration due to a blunted immune response. You’re providing care to a patient who was just transferred to your unit for the treatment of ARDS. All questions are shown, but the results will only be given after you’ve finished the quiz. 4. B. D. The patient’s blood pressure is 180/96. Answer: A. 2. The answer is B. Surfactant decreases surface tension in the lungs. 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. Health-Conditions.com is a useful source to nurses and people interested in health related topics. The patient is experiencing bradypnea. Which of the following is a benefit of using this position? Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Text Mode – Text version of the exam 1. NCLEX Exam: Respiratory Disorders (Sections 1) The nurse is teaching a male client with chronic bronchitis about breathing exercises. In the previous NCLEX review series, I explained about other respiratory disorders, so be sure to check those reviews out too. At the beginning of the lecture, you assess the new nurses understanding about this condition. Others were kindly provided by the Khan Academy under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States License. ... A 25-year-old client in the ICU is being treated for acute respiratory distress syndrome (ARDS). The answers are A and C. Prone positioning helps improve PaO2 (82 mmHg is a good finding) without actually giving the patient high concentrations of oxygen. Oxygenation: ARDS Discussion NCLEX-style Questions Dropbox This assignment is part of the module Grand Rounds Presentations and Learning Engagement Group assignments and hasn't been unlocked yet. A. You’re providing care to a patient who is being treated for aspiration pneumonia. The answer is C. Sepsis is the MOST common cause of ARDS because of systemic inflammation experienced. 1.) That Time I Dropped Out of Nursing School. This website provides entertainment value only, not medical advice or nursing protocols. IV Flow Rate Calculations. You can view your scores and the answers to all the questions by clicking on the SHOW RESULT red button at the end of the questions. What is the nurse’s immediate priority concern at this time? A. 7. The answer is B. When the high-pressure alarm on the mechanical ventilator sounds, the nurse starts to … The client is on a ventilator and requires 80 percent FiO2. 10. #1. Acute Respiratory Distress Syndrome (ARDS) is a form of lung failure. See more ideas about Nclex questions, Nclex, This or that questions. FOR THE NCLEX, IT IS IMPORTANT TO KNOW THE … C. PaO2 increased from 59 mmHg to 82 mmHg, D. PEEP needs to be  titrated to 15 mmHg of water. This lung failure can result from several problems such as infection, shock and trauma. The patient is on a 100% non-rebreather mask. c. decreased transfer of oxygen into the blood because of thickening of the alveoli. “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.”. You’re providing care to a patient who is being treated for aspiration pneumonia. NCLEX-PN Practice Questions. 1.) D. A 30-year-old female with cystic fibrosis. The major causes for ARDS is VIRAL PNEUMONIA, FAT EMBOLI, SEPSIS, DECREASED SURFACTANT PRODUCTION, FLUID OVERLOAD AND SHOCK. This option demonstrates respiratory alkalosis. A patient with acute respiratory distress syndrome (ARDS) has progressed to the fibrotic phase. What is the cause of Neonatal Respiratory Distress Syndrome? A 48-year-old male being treated for diabetic ketoacidosis. As the nurse you know that what measurement reading obtained indicates that this type of respiratory failure is NOT cardiac related? American Journal of Respiratory and Critical Care Medicine, 195(9), 1253-1263. doi: 10.1164/rccm.201703-0548ST Newborn Care & Assessment. The answer is A. Congratulations - you have completed NCLEX Practice Exam for Respiratory System 2 (PM)*. Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. A pulmonary artery wedge pressure is obtained. All Rights Reserved. A patient has been hospitalized in the ICU for a near drowning event. Study Flashcards On Acute Respiratory Distress Syndrome - HESI - NCLEX Review at Cram.com. In this position, the heart is no longer laying against the posterior part of the lungs (improves air flow…hence improvement of lung sounds) and it helps move secretions from other areas that were fluid filled and couldn’t move in the supine position, hence helping improve atelectasis. The nurse just received reports on the following four clients. 1. Drug Dosage Calculations. Oncology Nursing Quiz. The patient starts to have tachypnea (the body’s way of trying to increase the oxygen level but it can’t). ARDS (acute respiratory distress syndrome) is a type of respiratory failure that occurs when the alveolar capillary membrane leaks fluid into the alveolar sac. Growth and Development Quiz. Quickly memorize the terms, phrases and much more. Welcome to our collection of free NCLEX practice questions to help you achieve success on your NCLEX-RN exam! Emergency Nursing & Triage. Which client should the nurse see first? Take Free Practice NCLEX Nursing Practice Questions on Specific Nursing Subjects to Get You Ready for the NCLEX ... ARDS NCLEX® Questions Want 6,000+ NCLEX® Style Practice Questions? You’re teaching a class on critical care concepts to a group of new nurses. In the late stage, the patient can enter into respiratory acidosis. A. Scroll down to see your results.). Included in this updated guide for 2021 are 1,000+ practice questions, a primer on what is the NCLEX-RN exam, frequently asked questions about the NCLEX, question types, the NCLEX-RN test plan, and test-taking tips and strategies. Platelets and fluid enter the alveoli due to permeability instability. 11. ARDS NCLEX Review. Below are recent practice questions under UNIT 1 -Medical-Surgical Nursing for Respiratory Disorders. Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others. The NCLEX Exam: Respiratory Disorders includes 60 multiple choice questions in 2 sections. NCLEX Questions Acute Respiratory Disorders NCLEX Practice Questions. 5 Steps to Writing a (kick ass) Nursing Care Plan, Dear Other Guys, Stop Scamming Nursing Students, The S.O.C.K. ARDS (acute respiratory distress syndrome) NCLEX Questions. 2) A client who was admitted for respiratory distress with normal saline infusing and a respiratory rate of 20 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). Drowning, aspiration, and pneumonia are issues that arise in the lungs (therefore, they are DIRECT causes of lung injury). Which finding below indicates the patient is developing a complication related to their therapy and requires immediate treatment? The client’s condition deteriorates rapidly, and endotracheal (ET) intubation and mechanical ventilation are initiated. Which information would the nurse most likely need to report about the client to the respiratory therapist assigned to this case? B. enlargement of the heart with bilateral lower lobe infiltrates. NCLEX Practice Exam for Respiratory System 2 - RNpedia. Some problems linked with ARDS are: • Pneumonia • Fractures • Burns • Head injuries • Blood transfusions • Organ transplants • Trauma In ARDS, the lungs become “leaky”. A pulmonary catheter is “wedged” with a balloon in the pulmonary arterial branch to measure the pressure. Most people who almost drown end up developing ARDS 2. Your lungs are filling up with fluid, causing breathing problems 4. You can also take more fun nursing quizzes. 19. This is the part 1 of the NCLEX practice questions: OB/GYN – Newborn quiz series. This quiz is copyright RegisteredNurseRn.com. A nurse is caring for a client who is in respiratory distress because of ARDS. Result? We designed them to simulate the real exam provided by the National Council of State Boards of Nursing (NCSBN). Join the nursing revolution. “This condition develops because the exocrine glands start to work incorrectly leading to thick, copious mucous to collect in the alveoli sacs.”, B. 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