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Free Practice Quiz Question List

7 Integrated Respiratory Care Practice Online Quiz Questions

Use this free practice quiz with 20 questions to review 7 Integrated Respiratory Care Practice, test your knowledge, and prepare for your next test or exam.

20 questions
01
True or false
1 point

True or false: Supplemental oxygen alone corrects inadequate ventilation.

  1. A

    True

  2. B

    False

02
Fill in the blank
1 point

For many acutely or critically ill adults, AARC guidance suggests an SpO₂ target of .

03
Written response
1 point

Which arterial blood gas variable reflects ventilation?

04
Choose one
1 point

A patient with COPD is drowsy and has an ABG of pH=7.28\mathrm{pH}=7.28, PaCO2=68 mm Hg\mathrm{PaCO_2}=68\,\mathrm{mm\ Hg}, and HCO3−=31 mEq/L\mathrm{HCO_3^-}=31\,\mathrm{mEq/L}. Which interpretation best fits these results?

  1. A

    Metabolic acidosis with no evidence of compensation

  2. B

    Acute respiratory acidosis with elevated bicarbonate suggesting pre-existing compensation

  3. C

    Respiratory alkalosis with renal compensation

  4. D

    Metabolic alkalosis with respiratory compensation

05
True or false
1 point

True or false: If a patient with COPD becomes drowsy while struggling to breathe, escalation should wait until another ABG is obtained.

  1. A

    True

  2. B

    False

06
Written response
1 point

For adults with ARDS, the recommended plateau pressure is below what numerical threshold?

07
Choose one
1 point

A patient with pneumonia has pH=7.49\mathrm{pH}=7.49, PaCO2=30 mm Hg\mathrm{PaCO_2}=30\,\mathrm{mm\ Hg}, PaO2=52 mm Hg\mathrm{PaO_2}=52\,\mathrm{mm\ Hg}, and is receiving FiO2=0.60\mathrm{FiO_2}=0.60. Which interpretation is best?

  1. A

    Metabolic alkalosis with adequate oxygenation

  2. B

    Respiratory acidosis with mild hypoxemia

  3. C

    Respiratory alkalosis with severe hypoxemia

  4. D

    Metabolic acidosis with severe hypercapnia

08
Fill in the blank
1 point

When compensation for an acid–base disorder is not as expected, a disorder may be present.

09
Choose one
1 point

A ventilated patient suddenly desaturates and becomes hypotensive as a high-pressure alarm sounds. What should the nurse prioritize first?

  1. A

    Silence the alarm before assessing the patient

  2. B

    Assess the patient immediately while calling for urgent assistance

  3. C

    Change ventilator settings without checking the patient

  4. D

    Wait to see whether the alarm resolves on its own

10
Choose all
1 point

Which findings make noninvasive ventilation unsafe or inadequate for a patient with respiratory distress? Select all that apply.

  1. A

    Inability to protect the airway

  2. B

    Hemodynamic instability

  3. C

    Ability to cooperate and protect the airway

  4. D

    Failure to improve with support

  5. E

    Stable condition with close monitoring

11
Open ended
1 point

A patient with COPD is increasingly drowsy, tachypneic, and using accessory muscles. Describe the immediate nursing priorities and explain when NIV may be unsafe or inadequate.

12
Choose one
1 point

A ventilated patient suddenly becomes hypotensive and desaturates, with markedly decreased breath sounds on the left. Which immediately life-threatening cause must be considered?

  1. A

    Mild anxiety

  2. B

    Tension pneumothorax

  3. C

    Uncomplicated chronic CO₂ retention

  4. D

    A low-pressure alarm caused by a circuit leak

13
True or false
1 point

A mechanically ventilated patient triggers a high-pressure alarm. The nurse should assess the patient before simply silencing the alarm or changing ventilator settings.

  1. A

    True

  2. B

    False

14
Choose one
1 point

A patient with COPD becomes more drowsy while receiving supplemental oxygen. SpO₂ improves, but PaCO₂ remains elevated. Which interpretation best separates oxygenation from ventilation?

  1. A

    The improved SpO₂ confirms that ventilation has also normalized.

  2. B

    Oxygenation may improve while inadequate ventilation and CO₂ retention persist.

  3. C

    A rising PaCO₂ is expected whenever supplemental oxygen improves SpO₂.

  4. D

    Drowsiness is unrelated to respiratory status if SpO₂ improves.

15
Choose one
1 point

A patient with COPD and CO₂ retention needs supplemental oxygen. Which SpO₂ target is often used, while still individualizing care to the patient and prescribed plan?

  1. A

    88–98% for every patient, without adjustment

  2. B

    94–98% for every patient, without adjustment

  3. C

    88–92%, individualized to the patient and prescribed plan

  4. D

    100% for every patient with breathlessness

16
Written response
1 point

A patient with pneumonia has pH 7.497.49, PaCO₂ 3030 mm Hg, and HCO₃⁻ 2222 mEq/L. What is the primary acid–base disorder?

17
Choose one
1 point

A patient with pneumonia is tiring, breathing rapidly, and has SpO₂ 88%88\% despite FiO₂ 0.600.60. PaCO₂ is low. Which conclusion best supports urgent escalation?

  1. A

    The high oxygen requirement, low SpO₂, rapid breathing, and fatigue can signal impending respiratory failure.

  2. B

    The low PaCO₂ rules out respiratory failure, so escalation can wait.

  3. C

    Anxiety is the only urgent finding because the patient is not retaining CO₂.

  4. D

    The PaO₂ is adequate because supplemental oxygen is being given.

18
Choose one
1 point

A patient with COPD has pH 7.287.28, PaCO₂ 6868 mm Hg, and HCO₃⁻ 3131 mEq/L. What does the elevated bicarbonate most reasonably suggest?

  1. A

    It proves the patient has only a chronic disorder and no acute worsening.

  2. B

    It suggests chronic or prior compensation, while the acidemia may reflect acute worsening.

  3. C

    It indicates primary metabolic alkalosis, regardless of the pH and PaCO₂.

  4. D

    It rules out a respiratory acid–base disorder.

19
Written response
1 point

For adults with ARDS, below what plateau-pressure threshold should ventilation be maintained? Enter the value in cm H₂O.

20
Choose all
1 point

An adult with ARDS has a predicted body weight of 6060 kg. The team is using a lung-protective tidal-volume range of 44–88 mL/kg predicted body weight. Which proposed tidal volumes are within that range? Select all that apply.

  1. A

    200 mL

  2. B

    300 mL

  3. C

    450 mL

  4. D

    500 mL