Introduction to critical care nursing
7th edition by sole
Chapter 1 to 21
TEST BANK
TABLE OF CONTENT
,1. Overview of Critical Care Nursing
2. Patient and Family Response to the Critical Care Experience
3. Ethical and Legal Issues in Critical Care Nursing
4. Palliative and End-of-Life Care
5. Comfort and Sedation
6. Nutritional Therapy
7. Dysrhythmia Interpretation and Management
8. Hemodynamic Monitoring
9. Ventilatory Assistance
10. Rapid Response Teams and Code Management
11. Organ Donation
12. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
13. Cardiovascular Alterations
14. Nervous System Alterations
15. Acute Respiratory Failure
16. Acute Kidney Injury
17. Hematological and Immune Disorders
18. Gastrointestinal Alterations
19. Endocrine Alterations
20. Trauma and Surgical Management
21. Burns
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: Remember/Knowledge REF: p. 5
OBJ: Discuss the purposes and functions of the professional organizations that support
critical care practice. TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: 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 the nurse to seek?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS: C
The CCRN certification is appropriate for nurses in bedside practice who care for
critically ill patients. The ACNPC-AG certification is for acute care nurse
practitioners. The CNML is for critical care nurse managers or leaders. The PCCN
certification is for staff nurses working in progressive care, intermediate care, or
step-down unit settings.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step:
N/A MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
3. The main purpose of certification is to
a. assure the consumer that you will not make a
mistake.
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: Remember/Knowledge REF: p. 6
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step:
N/A MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
4. The synergy model of practice focuses on
a. allowing unrestricted visiting for the patient 24 hours a day.
b. holistic and alternative therapies.
c. the needs of patients and their families, which drive 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 patient’s and family’s
needs and the application of alternative therapies if desired by the patient, but
that is not the primary focus of the model.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
OBJ: Describe standards of professional practice for critical care
nursing.
TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: 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 that they have some questions they want
clarified. During morning rounds, you convey this concern to the attending
intensivist and arrange a meeting with the family at 4:00 PM. 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
d. Facilitation of learning for patients, families, and team
members
ANS: C
Although one might consider that all of these competencies are being addressed,
communication and collaboration with the family and physician best exemplify the
competency of collaboration.
DIF: Cognitive Level: Analyze/Analysis REF: p. 6 | Fig 1-3 | Box
1-1 OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice use what
framework to guide critical care nursing practice?
a. Evidence-based
practice
b. Healthy work
environment
c. National Patient Safety
Goals
d. Nursing process
ANS: D
The AACN Standards for Acute and Critical Care Nursing Practice delineate the
nursing process as applied to critically ill patients: collect data, determine
diagnoses, identify expected outcomes, develop a plan of care, implement
interventions, and evaluate care. AACN promotes a healthy work environment,
but this is not included in its standards. The Joint Commission has established
National Patient Safety Goals, but these are not the AACN standards.
7th edition by sole
Chapter 1 to 21
TEST BANK
TABLE OF CONTENT
,1. Overview of Critical Care Nursing
2. Patient and Family Response to the Critical Care Experience
3. Ethical and Legal Issues in Critical Care Nursing
4. Palliative and End-of-Life Care
5. Comfort and Sedation
6. Nutritional Therapy
7. Dysrhythmia Interpretation and Management
8. Hemodynamic Monitoring
9. Ventilatory Assistance
10. Rapid Response Teams and Code Management
11. Organ Donation
12. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
13. Cardiovascular Alterations
14. Nervous System Alterations
15. Acute Respiratory Failure
16. Acute Kidney Injury
17. Hematological and Immune Disorders
18. Gastrointestinal Alterations
19. Endocrine Alterations
20. Trauma and Surgical Management
21. Burns
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: Remember/Knowledge REF: p. 5
OBJ: Discuss the purposes and functions of the professional organizations that support
critical care practice. TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: 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 the nurse to seek?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS: C
The CCRN certification is appropriate for nurses in bedside practice who care for
critically ill patients. The ACNPC-AG certification is for acute care nurse
practitioners. The CNML is for critical care nurse managers or leaders. The PCCN
certification is for staff nurses working in progressive care, intermediate care, or
step-down unit settings.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step:
N/A MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
3. The main purpose of certification is to
a. assure the consumer that you will not make a
mistake.
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: Remember/Knowledge REF: p. 6
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step:
N/A MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
4. The synergy model of practice focuses on
a. allowing unrestricted visiting for the patient 24 hours a day.
b. holistic and alternative therapies.
c. the needs of patients and their families, which drive 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 patient’s and family’s
needs and the application of alternative therapies if desired by the patient, but
that is not the primary focus of the model.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
OBJ: Describe standards of professional practice for critical care
nursing.
TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: 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 that they have some questions they want
clarified. During morning rounds, you convey this concern to the attending
intensivist and arrange a meeting with the family at 4:00 PM. 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
d. Facilitation of learning for patients, families, and team
members
ANS: C
Although one might consider that all of these competencies are being addressed,
communication and collaboration with the family and physician best exemplify the
competency of collaboration.
DIF: Cognitive Level: Analyze/Analysis REF: p. 6 | Fig 1-3 | Box
1-1 OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice use what
framework to guide critical care nursing practice?
a. Evidence-based
practice
b. Healthy work
environment
c. National Patient Safety
Goals
d. Nursing process
ANS: D
The AACN Standards for Acute and Critical Care Nursing Practice delineate the
nursing process as applied to critically ill patients: collect data, determine
diagnoses, identify expected outcomes, develop a plan of care, implement
interventions, and evaluate care. AACN promotes a healthy work environment,
but this is not included in its standards. The Joint Commission has established
National Patient Safety Goals, but these are not the AACN standards.
