True or false: Supplemental oxygen alone corrects inadequate ventilation.
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.
For many acutely or critically ill adults, AARC guidance suggests an SpO₂ target of .
Which arterial blood gas variable reflects ventilation?
A patient with COPD is drowsy and has an ABG of pH=7.28, PaCO2=68mm Hg, and HCO3−=31mEq/L. Which interpretation best fits these results?
- A
Metabolic acidosis with no evidence of compensation
- B
Acute respiratory acidosis with elevated bicarbonate suggesting pre-existing compensation
- C
Respiratory alkalosis with renal compensation
- D
Metabolic alkalosis with respiratory compensation
True or false: If a patient with COPD becomes drowsy while struggling to breathe, escalation should wait until another ABG is obtained.
- A
True
- B
False
For adults with ARDS, the recommended plateau pressure is below what numerical threshold?
A patient with pneumonia has pH=7.49, PaCO2=30mm Hg, PaO2=52mm Hg, and is receiving FiO2=0.60. Which interpretation is best?
- A
Metabolic alkalosis with adequate oxygenation
- B
Respiratory acidosis with mild hypoxemia
- C
Respiratory alkalosis with severe hypoxemia
- D
Metabolic acidosis with severe hypercapnia
When compensation for an acid–base disorder is not as expected, a disorder may be present.
A ventilated patient suddenly desaturates and becomes hypotensive as a high-pressure alarm sounds. What should the nurse prioritize first?
- A
Silence the alarm before assessing the patient
- B
Assess the patient immediately while calling for urgent assistance
- C
Change ventilator settings without checking the patient
- D
Wait to see whether the alarm resolves on its own
Which findings make noninvasive ventilation unsafe or inadequate for a patient with respiratory distress? Select all that apply.
- A
Inability to protect the airway
- B
Hemodynamic instability
- C
Ability to cooperate and protect the airway
- D
Failure to improve with support
- E
Stable condition with close monitoring
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.
A ventilated patient suddenly becomes hypotensive and desaturates, with markedly decreased breath sounds on the left. Which immediately life-threatening cause must be considered?
- A
Mild anxiety
- B
Tension pneumothorax
- C
Uncomplicated chronic CO₂ retention
- D
A low-pressure alarm caused by a circuit leak
A mechanically ventilated patient triggers a high-pressure alarm. The nurse should assess the patient before simply silencing the alarm or changing ventilator settings.
- A
True
- B
False
A patient with COPD becomes more drowsy while receiving supplemental oxygen. SpO₂ improves, but PaCO₂ remains elevated. Which interpretation best separates oxygenation from ventilation?
- A
The improved SpO₂ confirms that ventilation has also normalized.
- B
Oxygenation may improve while inadequate ventilation and CO₂ retention persist.
- C
A rising PaCO₂ is expected whenever supplemental oxygen improves SpO₂.
- D
Drowsiness is unrelated to respiratory status if SpO₂ improves.
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?
- A
88–98% for every patient, without adjustment
- B
94–98% for every patient, without adjustment
- C
88–92%, individualized to the patient and prescribed plan
- D
100% for every patient with breathlessness
A patient with pneumonia has pH 7.49, PaCO₂ 30 mm Hg, and HCO₃⁻ 22 mEq/L. What is the primary acid–base disorder?
A patient with pneumonia is tiring, breathing rapidly, and has SpO₂ 88% despite FiO₂ 0.60. PaCO₂ is low. Which conclusion best supports urgent escalation?
- A
The high oxygen requirement, low SpO₂, rapid breathing, and fatigue can signal impending respiratory failure.
- B
The low PaCO₂ rules out respiratory failure, so escalation can wait.
- C
Anxiety is the only urgent finding because the patient is not retaining CO₂.
- D
The PaO₂ is adequate because supplemental oxygen is being given.
A patient with COPD has pH 7.28, PaCO₂ 68 mm Hg, and HCO₃⁻ 31 mEq/L. What does the elevated bicarbonate most reasonably suggest?
- A
It proves the patient has only a chronic disorder and no acute worsening.
- B
It suggests chronic or prior compensation, while the acidemia may reflect acute worsening.
- C
It indicates primary metabolic alkalosis, regardless of the pH and PaCO₂.
- D
It rules out a respiratory acid–base disorder.
For adults with ARDS, below what plateau-pressure threshold should ventilation be maintained? Enter the value in cm H₂O.
An adult with ARDS has a predicted body weight of 60 kg. The team is using a lung-protective tidal-volume range of 4–8 mL/kg predicted body weight. Which proposed tidal volumes are within that range? Select all that apply.
- A
200 mL
- B
300 mL
- C
450 mL
- D
500 mL
Related study packs and tools
- Flashcards
02 Assessment and Safety in Mental Health Care
Review the purpose and components of mental health assessment, mental status and safety evaluation, and clear clinical documentation.
NCLEX Psychosocial IntegrityUpdated - Quiz
05 Trauma, Crisis, and Suicide Prevention
A medium-difficulty quiz on applying trauma-informed, crisis, suicide-prevention, and violence-response principles in care.
NCLEX Psychosocial IntegrityUpdated - Quiz
06 Anxiety and Related Disorders
A medium-difficulty quiz on recognizing anxiety-related conditions and applying respectful, safety-focused nursing care.
NCLEX Psychosocial IntegrityUpdated - Quiz
07 Mood Disorders
A medium-difficulty quiz on recognizing mood-disorder patterns and applying safe, person-centered nursing care.
NCLEX Psychosocial IntegrityUpdated - Flashcards
09 Personality and Eating Disorders
Review personality disorder assessment and supportive care, eating disorder features and assessment, and collaborative behavioral approaches to individualized care.
NCLEX Psychosocial IntegrityUpdated - Quiz
09 Personality and Eating Disorders
A medium-difficulty quiz on personality disorders, eating disorders, therapeutic communication, assessment, and individualized care.
NCLEX Psychosocial IntegrityUpdated - Quiz
10 Substance Use and Addictive Disorders
A medium-difficulty quiz on recognizing substance use disorder risks, assessment, withdrawal, overdose response, harm reduction, and treatment.
NCLEX Psychosocial IntegrityUpdated - Study guide
10 Substance Use and Addictive Disorders
Learn how substance use disorders are assessed and treated, how to recognize urgent risks, and how respectful, person-centered care can support safety and recovery.
NCLEX Psychosocial IntegrityUpdated - Quiz
11 Psychiatric Medications and Treatment
A quiz on choosing, monitoring, and using psychiatric medications safely, including recognizing important risks and applying medication-safety principles.
NCLEX Psychosocial IntegrityUpdated - Study guide
11 Psychiatric Medications and Treatment
Learn how major psychiatric medication groups are used, what adverse effects and urgent warning signs to recognize, and how monitoring and shared decision-making support safer treatment.
NCLEX Psychosocial IntegrityUpdated - Quiz
12 Planning and Coordinating Mental Health Care
A medium-difficulty quiz on person-centered mental health planning, collaboration, ethical responsibilities, and continuity of care.
NCLEX Psychosocial IntegrityUpdated - Study guide
12 Planning and Coordinating Mental Health Care
Learn how to build person-centered mental health plans, coordinate teams, protect rights and privacy, and support safe transitions between care settings.
NCLEX Psychosocial IntegrityUpdated