ARDS Management & Respiratory Failure Nursing Quiz

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2. What is the mortality rate range for moderate to severe ARDS despite optimal management?

30–40%

5–10%

50–70%

80–90%

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4. Which imaging finding is classic for ARDS?

Bilateral infiltrates not fully explained by effusions or collapse

Unilateral upper lobe consolidation

Hyperinflation with flattened diaphragms

Mediastinal widening

5. True or False: Corticosteroids are routinely recommended in the early phase of ARDS.

True

False

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7. Which nursing intervention is essential for preventing ventilator-associated pneumonia in ARDS patients?

Elevate head of bed 30–45 degrees and perform oral care

Keep patient supine to maximize lung expansion

Use high-frequency ventilation only

Administer prophylactic antibiotics to all ARDS patients

8. What is the role of neuromuscular blocking agents in ARDS?

Reduce oxygen consumption and improve synchronization with ventilator

Cure the underlying lung injury

Replace the need for sedation

Directly improve gas exchange

9. True or False: Fluid restriction is the primary treatment for ARDS-related pulmonary edema.

True

False

10. Which laboratory finding is associated with poor prognosis in ARDS?

Elevated lactate and low pH

Low potassium and high sodium

High hemoglobin and high hematocrit

Low platelet count only

11. What is the primary pathophysiologic mechanism in ARDS?

Increased capillary permeability leading to pulmonary edema

Airway obstruction from mucus plugging

Decreased surfactant production only

Pneumothorax development

12. What is the primary goal of prone positioning in ARDS?

Improve ventilation-perfusion matching and oxygenation

Reduce intracranial pressure

Prevent deep vein thrombosis

Decrease metabolic rate

13. True or False: High PEEP (positive end-expiratory pressure) is always beneficial in ARDS.

True

False

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15. What is the target tidal volume for lung-protective ventilation in ARDS?

6–8 mL/kg of predicted body weight

10–12 mL/kg of actual body weight

15–20 mL/kg of predicted body weight

20–25 mL/kg of actual body weight

16. True or False: ARDS is characterized by cardiogenic pulmonary edema.

True

False

17. Which of the following is NOT a common trigger for ARDS?

Sepsis

Aspiration pneumonia

Chronic obstructive pulmonary disease

Severe pancreatitis

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19. Which diagnostic criterion is part of the Berlin definition of ARDS?

PaO2/FiO2 ratio less than 300

Chest X-ray showing hyperinflation

Blood glucose greater than 200 mg/dL

Heart rate exceeding 120 bpm

ARDS Quiz: Can You Manage Respiratory Failure?

1. PEEP should be set based on the ____ curve to optimize oxygenation.

2.

What first name or nickname would you like us to use?

2. What is the mortality rate range for moderate to severe ARDS despite optimal management?

3. ECMO (extracorporeal membrane oxygenation) is considered for ARDS when conventional ventilation ____ adequately oxygenate the patient.

4. Which imaging finding is classic for ARDS?

5. True or False: Corticosteroids are routinely recommended in the early phase of ARDS.

6. The exudative phase of ARDS is characterized by damage to the ____.

7. Which nursing intervention is essential for preventing ventilator-associated pneumonia in ARDS patients?

8. What is the role of neuromuscular blocking agents in ARDS?

9. True or False: Fluid restriction is the primary treatment for ARDS-related pulmonary edema.

10. Which laboratory finding is associated with poor prognosis in ARDS?

11. What is the primary pathophysiologic mechanism in ARDS?

12. What is the primary goal of prone positioning in ARDS?

13. True or False: High PEEP (positive end-expiratory pressure) is always beneficial in ARDS.

14. Which ventilation strategy is recommended as first-line for ARDS management?

15. What is the target tidal volume for lung-protective ventilation in ARDS?

16. True or False: ARDS is characterized by cardiogenic pulmonary edema.

17. Which of the following is NOT a common trigger for ARDS?

18. ARDS typically develops within ____ hours of the initial insult.

19. Which diagnostic criterion is part of the Berlin definition of ARDS?