TEST BANK COMPLETE FOR
Introduction To Critical Care
Nursing 7th Edition
By Mary Lou Sole, Deborah Goldenberg Klein,
Marthe J. Moseley
1|Page
, TABLE OF CONTENTS
PART I: FUNDAMENTAL CONCEPTS .............................................................................................................. 3
Chapter 01: Overview Of Critical Care Nursing......................................................................................... 3
Chapter 02: Patient And Family Response To The Critical Care Experience ........................................... 14
Chapter 03: Ethical And Legal Issues In Critical Care Nursing ................................................................. 29
Chapter 04: Palliative And End-Of-Life Care ........................................................................................... 39
PART II: TOOLS FOR THE CRITICAL CARE NURSE ......................................................................................... 52
Chapter 05: Comfort And Sedation......................................................................................................... 52
Chapter 06: Nutritional Therapy ............................................................................................................. 63
Chapter 07: Dysrhythmia Interpretation And Management .................................................................. 74
Chapter 08: Hemodynamic Monitoring ................................................................................................ 105
Chapter 09: Ventilatory Assistance ....................................................................................................... 123
Chapter 10: Rapid Response Teams And Code Management .............................................................. 140
Chapter 11: Organ Donation ................................................................................................................. 152
PART III: NURSING CARE DURING CRITICAL ILLNESS................................................................................. 168
Chapter 12: Shock, Sepsis, And Multiple Organ Dysfunction Syndrome .............................................. 168
Chapter 13: Cardiovascular Alterations ................................................................................................ 185
Chapter 14: Nervous System Alterations .............................................................................................. 201
Chapter 15: Acute Respiratory Failure .................................................................................................. 217
Chapter 16: Acute Kidney Injury ........................................................................................................... 232
Chapter 17: Gastrointestinal Alterations .............................................................................................. 255
Chapter 18: Hematological And Immune Disorders ............................................................................. 280
Chapter 19: Endocrine Alterations........................................................................................................ 308
Chapter 20: Trauma And Surgical Management................................................................................... 326
Chapter 21: Burns ................................................................................................................................. 340
2|Page
,PART I: FUNDAMENTAL CONCEPTS
Chapter 01: Overview Of Critical Care Nursing
MULTIPLE CHOICE
1. Which Of The Following Professional Organizations Best Supports Critical Care Nursing Practice?
A. American Association Of Critical-Care Nurses
B. American Heart Association
C. American Nurses Association
D. Society Of Critical Care Medicine
ANS: A
The American Association Of Critical-Care Nurses Is The Specialty Organization That Supports And
Represents Critical Care Nurses. The American Heart Association Supports Cardiovascular Initiatives. The
American Nurses Association Supports All Nurses. The Society Of Critical Care Medicine Represents The
Multiprofessional Critical Care Team Under The Direction Of An Intensivist.
DIF: Cognitive Level: Knowledge REF: P. 4
OBJ: Discuss The Purposes And Functions Of The Professional Organizations That Support Critical Care
Practice. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe And Effective Care Environment
2. A Nurse Has Been Working As A Staff Nurse In The Surgical Intensive Care Unit For 2 Years And Is
Interested In Certification. Which Credential Would Be Most Applicable For Her To Seek?
A. ACNPC
B. CCNS
C. CCRN
D. PCCN
ANS: C
The CCRN Certification Is Appropriate For Nurses In Bedside Practice Who Care For Critically Ill Patients.
The ACNPC Certification Is For Acute Care Nurse Practitioners. The CCNS Certification Is For Critical Care
Clinical Nurse Specialists. The PCCN Certification Is For Staff Nurses Working In Progressive Care,
Intermediate Care, Or Step-Down Unit Settings.
DIF: Cognitive Level: Application REF: P. 5
OBJ: Explain Certification Options For Critical Care Nurses. TOP: Nursing Process Step: N/A MSC: NCLEX:
Safe And Effective Care Environment
3. The Main Purpose Of Certification Is To:
A. Assure The Consumer That You Will Not Make A Mistake.
3|Page
, B. Prepare For Graduate School.
C. Promote Magnet Status For Your Facility.
D. Validate Knowledge Of Critical Care Nursing.
ANS: D
Certification Assists In Validating Knowledge Of The Field, Promotes Excellence In The Profession, And
Helps Nurses To Maintain Their Knowledge Of Critical Care Nursing. Certification Helps To Assure The
Consumer That The Nurse Has A Minimum Level Of Knowledge; However, It Does Not Ensure That Care
Will Be Mistake-Free.
Certification Does Not Prepare One For Graduate School; However, Achieving Certification
Demonstrates Motivation For Achievement And Professionalism. Magnet Facilities Are Rated On The
Number Of Certified Nurses; However, That Is Not The Purpose Of Certification.
DIF: Cognitive Level: Analysis REF: Pp. 4-5
OBJ: Explain Certification Options For Critical Care Nurses. TOP: Nursing Process Step: N/A MSC: NCLEX:
Safe And Effective Care Environment
4. The Synergy Model Of Practice Focuses On:
A. Allowing Unrestricted Visiting For The Patient 24 Hours Each Day.
B. Holistic And Alternative Therapies.
C. Needs Of Patients And Their Families, Which Drives Nursing Competency.
D. Patients Needs For Energy And Support.
ANS: C
The Synergy Model Of Practice States That The Needs Of Patients And Families Influence And Drive
Competencies Of Nurses. Nursing Practice Based On The Synergy Model Would Involve Tailored Visiting
To Meet The Patients And Familys Needs And Application Of Alternative Therapies If Desired By The
Patient, But That Is Not The Primary Focus Of The Model.
DIF: Cognitive Level: Application REF: P. 5 | Fig. 1-3
OBJ: Describe Standards Of Professional Practice For Critical Care Nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe And Effective Care Environment
5. The Family Of Your Critically Ill Patient Tells You That They Have Not Spoken With The Physician
In Over 24 Hours And They Have Some Questions That They Want Clarified. During Morning Rounds, You
Convey This Concern To The Attending Intensivist And Arrange For Her To Meet With The Family At 4:00
PM In The Conference Room. Which Competency Of Critical Care Nursing Does This Represent?
A. Advocacy And Moral Agency In Solving Ethical Issues
B. Clinical Judgment And Clinical Reasoning Skills
C. Collaboration With Patients, Families, And Team Members
4|Page
Introduction To Critical Care
Nursing 7th Edition
By Mary Lou Sole, Deborah Goldenberg Klein,
Marthe J. Moseley
1|Page
, TABLE OF CONTENTS
PART I: FUNDAMENTAL CONCEPTS .............................................................................................................. 3
Chapter 01: Overview Of Critical Care Nursing......................................................................................... 3
Chapter 02: Patient And Family Response To The Critical Care Experience ........................................... 14
Chapter 03: Ethical And Legal Issues In Critical Care Nursing ................................................................. 29
Chapter 04: Palliative And End-Of-Life Care ........................................................................................... 39
PART II: TOOLS FOR THE CRITICAL CARE NURSE ......................................................................................... 52
Chapter 05: Comfort And Sedation......................................................................................................... 52
Chapter 06: Nutritional Therapy ............................................................................................................. 63
Chapter 07: Dysrhythmia Interpretation And Management .................................................................. 74
Chapter 08: Hemodynamic Monitoring ................................................................................................ 105
Chapter 09: Ventilatory Assistance ....................................................................................................... 123
Chapter 10: Rapid Response Teams And Code Management .............................................................. 140
Chapter 11: Organ Donation ................................................................................................................. 152
PART III: NURSING CARE DURING CRITICAL ILLNESS................................................................................. 168
Chapter 12: Shock, Sepsis, And Multiple Organ Dysfunction Syndrome .............................................. 168
Chapter 13: Cardiovascular Alterations ................................................................................................ 185
Chapter 14: Nervous System Alterations .............................................................................................. 201
Chapter 15: Acute Respiratory Failure .................................................................................................. 217
Chapter 16: Acute Kidney Injury ........................................................................................................... 232
Chapter 17: Gastrointestinal Alterations .............................................................................................. 255
Chapter 18: Hematological And Immune Disorders ............................................................................. 280
Chapter 19: Endocrine Alterations........................................................................................................ 308
Chapter 20: Trauma And Surgical Management................................................................................... 326
Chapter 21: Burns ................................................................................................................................. 340
2|Page
,PART I: FUNDAMENTAL CONCEPTS
Chapter 01: Overview Of Critical Care Nursing
MULTIPLE CHOICE
1. Which Of The Following Professional Organizations Best Supports Critical Care Nursing Practice?
A. American Association Of Critical-Care Nurses
B. American Heart Association
C. American Nurses Association
D. Society Of Critical Care Medicine
ANS: A
The American Association Of Critical-Care Nurses Is The Specialty Organization That Supports And
Represents Critical Care Nurses. The American Heart Association Supports Cardiovascular Initiatives. The
American Nurses Association Supports All Nurses. The Society Of Critical Care Medicine Represents The
Multiprofessional Critical Care Team Under The Direction Of An Intensivist.
DIF: Cognitive Level: Knowledge REF: P. 4
OBJ: Discuss The Purposes And Functions Of The Professional Organizations That Support Critical Care
Practice. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe And Effective Care Environment
2. A Nurse Has Been Working As A Staff Nurse In The Surgical Intensive Care Unit For 2 Years And Is
Interested In Certification. Which Credential Would Be Most Applicable For Her To Seek?
A. ACNPC
B. CCNS
C. CCRN
D. PCCN
ANS: C
The CCRN Certification Is Appropriate For Nurses In Bedside Practice Who Care For Critically Ill Patients.
The ACNPC Certification Is For Acute Care Nurse Practitioners. The CCNS Certification Is For Critical Care
Clinical Nurse Specialists. The PCCN Certification Is For Staff Nurses Working In Progressive Care,
Intermediate Care, Or Step-Down Unit Settings.
DIF: Cognitive Level: Application REF: P. 5
OBJ: Explain Certification Options For Critical Care Nurses. TOP: Nursing Process Step: N/A MSC: NCLEX:
Safe And Effective Care Environment
3. The Main Purpose Of Certification Is To:
A. Assure The Consumer That You Will Not Make A Mistake.
3|Page
, B. Prepare For Graduate School.
C. Promote Magnet Status For Your Facility.
D. Validate Knowledge Of Critical Care Nursing.
ANS: D
Certification Assists In Validating Knowledge Of The Field, Promotes Excellence In The Profession, And
Helps Nurses To Maintain Their Knowledge Of Critical Care Nursing. Certification Helps To Assure The
Consumer That The Nurse Has A Minimum Level Of Knowledge; However, It Does Not Ensure That Care
Will Be Mistake-Free.
Certification Does Not Prepare One For Graduate School; However, Achieving Certification
Demonstrates Motivation For Achievement And Professionalism. Magnet Facilities Are Rated On The
Number Of Certified Nurses; However, That Is Not The Purpose Of Certification.
DIF: Cognitive Level: Analysis REF: Pp. 4-5
OBJ: Explain Certification Options For Critical Care Nurses. TOP: Nursing Process Step: N/A MSC: NCLEX:
Safe And Effective Care Environment
4. The Synergy Model Of Practice Focuses On:
A. Allowing Unrestricted Visiting For The Patient 24 Hours Each Day.
B. Holistic And Alternative Therapies.
C. Needs Of Patients And Their Families, Which Drives Nursing Competency.
D. Patients Needs For Energy And Support.
ANS: C
The Synergy Model Of Practice States That The Needs Of Patients And Families Influence And Drive
Competencies Of Nurses. Nursing Practice Based On The Synergy Model Would Involve Tailored Visiting
To Meet The Patients And Familys Needs And Application Of Alternative Therapies If Desired By The
Patient, But That Is Not The Primary Focus Of The Model.
DIF: Cognitive Level: Application REF: P. 5 | Fig. 1-3
OBJ: Describe Standards Of Professional Practice For Critical Care Nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe And Effective Care Environment
5. The Family Of Your Critically Ill Patient Tells You That They Have Not Spoken With The Physician
In Over 24 Hours And They Have Some Questions That They Want Clarified. During Morning Rounds, You
Convey This Concern To The Attending Intensivist And Arrange For Her To Meet With The Family At 4:00
PM In The Conference Room. Which Competency Of Critical Care Nursing Does This Represent?
A. Advocacy And Moral Agency In Solving Ethical Issues
B. Clinical Judgment And Clinical Reasoning Skills
C. Collaboration With Patients, Families, And Team Members
4|Page
