ARDS NCLEX Quiz Questions And Answers

12 Questions | By Rnpedia | Updated: Jun 19, 2022 | Attempts: 18891

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Here we have prepared an amazing ARDS NCLEX quiz questions for you to test your knowledge on the subject. ARDS stands for Acute Respiratory Distress Syndrome. So, do you think you have enough understanding of this subject, and you can pass this test with a good score? Well, we will see as you answer these questions and get a score in the end. Best of luck to you with the test!

Questions and Answers

1.

A male client suffers acute respiratory distress syndrome as a consequence of shock. The client’s condition deteriorates rapidly, and endotracheal (ET) intubation and mechanical ventilation are initiated when the high-pressure alarm on the mechanical ventilator sounds, the nurse starts to check for the cause. Which condition triggers the high-pressure alarm?
- A.
  
  Kinking of the ventilator tubing
- B.
  
  A disconnected ventilator tube
- C.
  
  An ET cuff leak
- D.
  
  A change in the oxygen concentration without resetting the oxygen level alarm
2.

A nurse is assessing a female client with multiple trauma who is at risk of developing acute respiratory distress syndrome. The nurse assesses for which earliest sign of acute respiratory distress syndrome?
- A.
  
  Bilateral wheezing
- B.
  
  Inspiratory crackles
- C.
  
  Intercostal retractions
- D.
  
  Increased respiratory rate
3.

A nurse is taking pulmonary artery catheter measurements of a male client with acute respiratory distress syndrome. The pulmonary capillary wedge pressure reading is 12mm Hg. The nurse interprets that this reading is:
- A.
  
  High and expected
- B.
  
  Low and unexpected
- C.
  
  Normal and expected
- D.
  
  Uncertain and unexpected
4.

Which of the following would lead the nurse to suspect that a client with a fracture of the right femur may be developing a fat embolus?
- A.
  
  Acute respiratory distress syndrome
- B.
  
  Migraine like headaches
- C.
  
  Numbness in the right leg
- D.
  
  Muscle spasms in the right thigh
5.

A black male client with asthma seeks emergency care for acute respiratory distress. Because of this client’s dark skin, the nurse should assess for cyanosis by inspecting the:
- A.
  
  Lips
- B.
  
  Mucous membranes
- C.
  
  Nail beds
- D.
  
  Earlobes.
6.

Management of ARDS is usually only supportive. There is little we can do to reverse the process.
- A.
  
  True
- B.
  
  False
7.

CHECK ALL THAT APPLY: Which of the following are early s/sx of ARDS?
- A.
  
  Retractions - not always (tissues between ribs and above sternum pull in)
- B.
  
  Dyspneic
- C.
  
  Non-productive cough
- D.
  
  Accessory muscle used
- E.
  
  Pallor or cyanosis
- F.
  
  Significant CXR changes; pulmonary infiltrates
- G.
  
  Restlessness
- H.
  
  CXR clear
- I.
  
  Respiratory alkalosis
- J.
  
  Respiratory acidosis
8.

During the Fibrotic Phase of ARDS, ____________________ .
- A.
  
  Fluids shift into the alveoli, the alveoli, and bronchial collapse, and they lose lung compliance.
- B.
  
  The lung starts to repair itself; this is when the patient starts to get better or the condition deteriorates.
- C.
  
  Fibrous tissue forms, and the lungs don't expand well; the effort to breathe increases O2 demand, which causes more effort to breathe.
- D.
  
  None of these
9.

During the Proliferative Phase of ARDS, ____________________ .
- A.
  
  Fluids shift into the alveoli, the alveoli, and bronchial collapse, and they lose lung compliance.
- B.
  
  The lung starts to repair itself; this is when the patient starts to get better or the condition deteriorates.
- C.
  
  Fibrous tissue forms, and the lungs don't expand well; the effort to breathe increases O2 demand, which causes more effort to breathe.
- D.
  
  None of these
10.

CHECK ALL THAT APPLY: Which of the following are the 5 characteristics of ARDS?
- A.
  
  Dyspnea
- B.
  
  Myasthenia Gravis
- C.
  
  Refractory hypoxemia
- D.
  
  Cyanosis
- E.
  
  Dense pulmonary infiltrates on CXR.
- F.
  
  Decreased pulmonary compliance
- G.
  
  Non-cardiac pulmonary edema
- H.
  
  Chest pain
11.

Acute Respiratory Distress Syndrome (ARDS) can be defined as _____________________________.
- A.
  
  Sudden life-threatening deterioration of gas exchange in the lungs
- B.
  
  Non-cardiac pulmonary edema with increasing hypoxemia despite treatment with O2
- C.
  
  Sudden life-threatening pulmonary edema that causes a deterioration of gas exchange despite treatment with O2
- D.
  
  None of these
12.

CHECK ALL THAT APPLY: Which of the following are advanced s/sx of ARDS?
- A.
  
  Retractions - though not always (tissues between ribs and above sternum pull in)
- B.
  
  Dyspneic
- C.
  
  Non-productive cough
- D.
  
  Accessory muscle used
- E.
  
  Pallor or cyanosis
- F.
  
  Significant CXR changes; pulmonary infiltrates
- G.
  
  Restlessness
- H.
  
  CXR clear
- I.
  
  Respiratory alkalosis
- J.
  
  Respiratory acidosis