Test ssBank s s - ssIntroduction ssto ssCritical ssCare ssNursing 1
7e (Sole
Table s s of s s Contents
1
Chapter s s 01: s s Overview s s of s s Critical s s Care s s Nursing 2
Chapter ss02: ssPatient ssand ssFamily ssResponse ssto ssthe ssCritical ssCare 14
ssExperience ssChapter ss03: ssEthical ssand ssLegal ssIssues ssin ssCritical 30
ssCare ssNursing 42
Chapter ss04: ssPalliative ssand ssEnd-of- 56
Life ssCare ssChapter ss05: Comfort 69
and ssSedation 83
Chapter ss06: ssNutritional 117
ssTherapy 137
Chapter ss07: ssDysrhythmia ssInterpretation ssand 156
ssManagement ssChapter ss08: ssHemodynamic ssMonitoring 171
Chapter s s 09: s s Ventilatory s s Assistance 189
Chapter ss10: ssRapid ssResponse ssTeams ssand ssCode ssManagement 207
ssChapter ss11: ssOrgan ssDonation 225
Chapter ss12: ssShock, ssSepsis, ssand ssMultiple ssOrgan ssDysfunction 243
ssSyndrome ssChapter ss13: ssCardiovascular ssAlterations 260
Chapter ss14: ssNervous ssSystem 285
s s Alterations ssChapter ss15: ssAcute 312
ssRespiratory ssFailure ssChapter ss16: 341
Acute ssKidney Injury 361
ssChapter ss17: ssGastrointestinal 377
ssAlterations
Chapter ss17: ssHematological ssand ssImmune ssDisorders
ssChapter ss19: ssEndocrine ssAlterations
Chapter ss20: ssTrauma ssand ssSurgical ssManagement
ssChapter ss21: ssBurns
,Test ssBank s s - ssIntroduction ssto ssCritical ssCare ssNursing 2
7e (Sole
Chapter 01: Overview ss s s s s of Critical Care Nursing
s s s s s s
MULTIPLE s s CHOICE
1. Which s s of s s the s s following s s professional s s organizations ss best s s supports s s critical s s care s s nursing
s s practice?
a. American ss Association s s of s s Critical-Care s s Nurses
b. American s s Heart s s Association
c. American s s Nurses s s Association
d. Society s s of s s Critical s s Care
Medicine s s ANS: s s A
The s s American s s Association s s of s s Critical-Care s s Nurses s s is s s the s s specialty s s organization s s that
s s supports s s and s s represents sscritical sscare ssnurses. ssThe ssAmerican ssHeart ssAssociation sssupports
sscardiovascular ssinitiatives. ssThe ssAmerican ssNurses ssAssociation sssupports ssall ssnurses. ssThe ssSociety ssof ssCritical
ssCare ssMedicine ssrepresents ssthe ssmultiprofessional s s critical s s care s s team s s under s s the s s direction s s of s s an
s s intensivist.
DIF: ss Cognitive s s Level: s s Knowledge s s REF: s s p. s s 4
OBJ: ssDiscuss ssthe sspurposes ssand ssfunctions ssof ssthe ssprofessional ssorganizations ssthat sssupport sscritical sscare
s s practice. s s TOP: s s Nursing s s Process s s Step: s s N/A
MSC: s s NCLEX: ss Safe s s and s s Effective ss Care s s Environment
2. A ssnurse sshas ssbeen ssworking ssas ssa staff ssnurse ssin ssthe sssurgical ssintensive sscare ssunit for ss2 ssyears ssand ssis
oo oo
ssinterested ssin sscertification. s s Which sscredential s s would ssbe s s most ssapplicable s s for s s her ssto s s seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: s s C
The s s CCRN s s certification s s is s s appropriate s s for s s nurses s s in s s bedside s s practice s s who s s care s s for
s s critically s s ill s s patients. ssThe s s ACNPC s s certification s s is s s for s s acute s s care s s nurse s s practitioners. s s The
s s CCNS s s certification s s is s s for s s critical s s care ssclinical s s nurse ssspecialists. s s The ssPCCN s s certification s s is
ssfor ssstaff ssnurses ssworking ssin ssprogressive sscare, ssintermediate sscare, ssor ssstep-down s s unit s s settings.
DIF: s s Cognitive s s Level: s s Application s s REF: s s p. ss 5
OBJ: ssExplain sscertification ssoptions ssfor sscritical sscare ssnurses. ssTOP: ssNursing ssProcess ssStep:
N/A
ss ss MSC: ss NCLEX: ss Safe ss and ss Effective ss Care ss Environment
,Test ssBank s s - ssIntroduction ssto ssCritical ssCare ssNursing 3
7e (Sole
3. The s s main s s purpose ss of ss certification s s is ss to:
a. assure s s the ss consumer ss that ss you s s will ss not s s make ss a s s mistake.
b. prepare s s for s s graduate s s school.
c. promote s s magnet s s status ss for s s your ss facility.
d. validate s s knowledge ss of s s critical s s care s s nursing.
ANS: s s D
Certification s s assists s s in s s validating s s knowledge s s of s s the s s field, s s promotes s s excellence s s in s s the
s s profession, s s and sshelps s s nurses s s to s s maintain s s their s s knowledge s s of s s critical s s care s s nursing.
s s Certification s s helps s s to s s assure s s the ssconsumer s s that s s the s s nurse s s has s s a s s minimum s s level s s of
s s knowledge; s s however, s s it s s does s s not s s ensure s s that s s care s s will ssbe ssmistake-free.
Certification s s does s s not s s prepare s s one s s for s s graduate s s school; s s however, s s achieving
s s certification s s demonstrates ssmotivation ssfor ssachievement ssand ssprofessionalism. ssMagnet ssfacilities ssare
ssrated sson ssthe ssnumber ssof sscertified s s nurses; s s however, s s that s s is s s not s s the s s purpose s s of
s s certification.
DIF: ss Cognitive s s Level: s s Analysis s s REF: s s pp. s s 4-5
OBJ: ssExplain sscertification ssoptions ssfor sscritical sscare ssnurses. ssTOP: ssNursing ssProcess ssStep:
N/A
ss ss MSC: ss NCLEX: ss Safe ss and ss Effective ss Care ss Environment
4. The ss synergy s s model s s of ss practice s s focuses s s on:
a. allowing ss unrestricted s s visiting s s for s s the s s patient s s 24 s s hours s s each s s day.
b. holistic ss and s s alternative s s therapies.
c. needs s s of s s patients s s and s s their s s families, ss which s s drives s s nursing ss competency.
d. patients ss needs ss for s s energy s s and s s support.
ANS: s s C
The s s synergy s s model s s of s s practice s s states s s that s s the s s needs s s of s s patients s s and s s families s s influence
s s and s s drive sscompetencies s s of s s nurses. s s Nursing s s practice s s based s s on s s the s s synergy s s model s s would
s s involve s s tailored s s visiting s s to ssmeet s s the s s patients s s and s s familys s s needs s s and s s application s s of
s s alternative s s therapies s s if s s desired s s by s s the s s patient, s s but ssthat s s is s s not s s the s s primary s s focus s s of
s s the s s model.
DIF: s s Cognitive s s Level: s s Application s s REF: ss p. s s 5 s s | s s Fig. s s 1-3
OBJ: s s Describe ss standards ss of s s professional s s practice s s for s s critical s s care s s nursing.
TOP: s s Nursing s s Process s s Step: s s N/A s s MSC: s s NCLEX: s s Safe s s and s s Effective s s Care s s Environment
5. The s s family s s of s s your s s critically s s ill s s patient s s tells s s you s s that s s they s s have s s not s s spoken s s with
s s the s s physician s s in s s over s s 24 s s hours s s and s s they s s have s s some s s questions s s that s s they s s want s s clarified.
s s During s s morning s s rounds, s s you s s convey ssthis ssconcern to s s the s s attending s s intensivist s s and
s s arrange s s for s s her s s to s s meet s s with s s the s s family s s at s s 4:00 s s PM s s in ssthe s s conference s s room.
s s Which s s competency s s of s s critical s s care s s nursing s s does s s this s s represent?
, Test ssBank s s - ssIntroduction ssto ssCritical ssCare ssNursing 4
7e (Sole
a. Advocacy s s and s s moral s s agency s s in s s solving s s ethical ss issues
b. Clinical s s judgment s s and s s clinical s s reasoning s s skills
c. Collaboration s s with s s patients, s s families, ss and s s team s s members
d. Facilitation s s of s s learning s s for s s patients, s s families, s s and s s team
members s s ANS: s s C
Although ssone ssmight ssconsider ssthat ssall ssof ssthese sscompetencies ssare ssbeing ssaddressed, sscommunication
ssand s s collaboration s s with s s the s s family s s and s s physician s s best s s exemplify s s the s s competency
s s of s s collaboration.
DIF: s s Cognitive s s Level: s s Analysis s s REF: ss p. s s 9
OBJ: s s Describe ss standards ss of s s professional s s practice s s for s s critical s s care s s nursing.
TOP: s s Nursing s s Process s s Step: s s N/A s s MSC: s s NCLEX: s s Safe s s and s s Effective s s Care s s Environment
6. The ssAACN ssStandards ssfor ssAcute s s and ssCritical ssCare ssNursing ssPractice s s use s s what ssframework
s s to ssguide sscritical sscare ssnursing sspractice?
a. Evidence-based ss practice
b. Healthy s s work s s environment
c. National s s Patient s s Safety s s Goals
d. Nursing ssprocess
ANS: s s D
The s s AACN s s Standards s s for s s Acute s s and s s Critical s s Care s s Nursing s s Practice s s delineate s s the s s nursing
s s process s s as s s applied ssto s s critically s s ill s s patients: s s collect s s data, s s determine s s diagnoses, s s identify
s s expected s s outcomes, s s develop s s a s s plan s s of sscare, s s implement s s interventions, s s and s s evaluate s s care.
s s AACN s s promotes s s a s s healthy s s work s s environment, s s but s s this ssis s s not s s included ssin ssthe
s s Standards. ssThe ssJoint s s Commission s s has ssestablished s s National s s Patient s s Safety s s Goals, s s but ssthese ssare
s s not s s the s s AACN s s Standards.
DIF: ss Cognitive s s Level: s s Analysis s s REF: s s p. s s 5 s s | s s Box ss 1-2
OBJ: s s Describe ss standards ss of s s professional s s practice s s for s s critical s s care s s nursing.
TOP: s s Nursing s s Process s s Step: s s N/A s s MSC: s s NCLEX: s s Safe s s and s s Effective s s Care s s Environment
7. The s s charge s s nurse s s is s s responsible s s for s s making s s the s s patient s s assignments s s on s s the s s critical s s care
s s unit. s s She s s assigns ssthe s s experienced, s s certified s s nurse s s to s s care s s for s s the s s acutely s s ill s s patient
s s with s s sepsis s s who s s also s s requires sscontinuous s s renal s s replacement s s therapy s s and s s mechanical
s s ventilation. s s She s s assigns s s the s s nurse s s with s s less s s than s s 1 ssyear s s of ss experience s s to s s two s s patients
s s who s s are s s more s s stable. s s This s s assignment s s reflects s s implementation s s of s s the:
a. crew s s resource s s management s s model
7e (Sole
Table s s of s s Contents
1
Chapter s s 01: s s Overview s s of s s Critical s s Care s s Nursing 2
Chapter ss02: ssPatient ssand ssFamily ssResponse ssto ssthe ssCritical ssCare 14
ssExperience ssChapter ss03: ssEthical ssand ssLegal ssIssues ssin ssCritical 30
ssCare ssNursing 42
Chapter ss04: ssPalliative ssand ssEnd-of- 56
Life ssCare ssChapter ss05: Comfort 69
and ssSedation 83
Chapter ss06: ssNutritional 117
ssTherapy 137
Chapter ss07: ssDysrhythmia ssInterpretation ssand 156
ssManagement ssChapter ss08: ssHemodynamic ssMonitoring 171
Chapter s s 09: s s Ventilatory s s Assistance 189
Chapter ss10: ssRapid ssResponse ssTeams ssand ssCode ssManagement 207
ssChapter ss11: ssOrgan ssDonation 225
Chapter ss12: ssShock, ssSepsis, ssand ssMultiple ssOrgan ssDysfunction 243
ssSyndrome ssChapter ss13: ssCardiovascular ssAlterations 260
Chapter ss14: ssNervous ssSystem 285
s s Alterations ssChapter ss15: ssAcute 312
ssRespiratory ssFailure ssChapter ss16: 341
Acute ssKidney Injury 361
ssChapter ss17: ssGastrointestinal 377
ssAlterations
Chapter ss17: ssHematological ssand ssImmune ssDisorders
ssChapter ss19: ssEndocrine ssAlterations
Chapter ss20: ssTrauma ssand ssSurgical ssManagement
ssChapter ss21: ssBurns
,Test ssBank s s - ssIntroduction ssto ssCritical ssCare ssNursing 2
7e (Sole
Chapter 01: Overview ss s s s s of Critical Care Nursing
s s s s s s
MULTIPLE s s CHOICE
1. Which s s of s s the s s following s s professional s s organizations ss best s s supports s s critical s s care s s nursing
s s practice?
a. American ss Association s s of s s Critical-Care s s Nurses
b. American s s Heart s s Association
c. American s s Nurses s s Association
d. Society s s of s s Critical s s Care
Medicine s s ANS: s s A
The s s American s s Association s s of s s Critical-Care s s Nurses s s is s s the s s specialty s s organization s s that
s s supports s s and s s represents sscritical sscare ssnurses. ssThe ssAmerican ssHeart ssAssociation sssupports
sscardiovascular ssinitiatives. ssThe ssAmerican ssNurses ssAssociation sssupports ssall ssnurses. ssThe ssSociety ssof ssCritical
ssCare ssMedicine ssrepresents ssthe ssmultiprofessional s s critical s s care s s team s s under s s the s s direction s s of s s an
s s intensivist.
DIF: ss Cognitive s s Level: s s Knowledge s s REF: s s p. s s 4
OBJ: ssDiscuss ssthe sspurposes ssand ssfunctions ssof ssthe ssprofessional ssorganizations ssthat sssupport sscritical sscare
s s practice. s s TOP: s s Nursing s s Process s s Step: s s N/A
MSC: s s NCLEX: ss Safe s s and s s Effective ss Care s s Environment
2. A ssnurse sshas ssbeen ssworking ssas ssa staff ssnurse ssin ssthe sssurgical ssintensive sscare ssunit for ss2 ssyears ssand ssis
oo oo
ssinterested ssin sscertification. s s Which sscredential s s would ssbe s s most ssapplicable s s for s s her ssto s s seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: s s C
The s s CCRN s s certification s s is s s appropriate s s for s s nurses s s in s s bedside s s practice s s who s s care s s for
s s critically s s ill s s patients. ssThe s s ACNPC s s certification s s is s s for s s acute s s care s s nurse s s practitioners. s s The
s s CCNS s s certification s s is s s for s s critical s s care ssclinical s s nurse ssspecialists. s s The ssPCCN s s certification s s is
ssfor ssstaff ssnurses ssworking ssin ssprogressive sscare, ssintermediate sscare, ssor ssstep-down s s unit s s settings.
DIF: s s Cognitive s s Level: s s Application s s REF: s s p. ss 5
OBJ: ssExplain sscertification ssoptions ssfor sscritical sscare ssnurses. ssTOP: ssNursing ssProcess ssStep:
N/A
ss ss MSC: ss NCLEX: ss Safe ss and ss Effective ss Care ss Environment
,Test ssBank s s - ssIntroduction ssto ssCritical ssCare ssNursing 3
7e (Sole
3. The s s main s s purpose ss of ss certification s s is ss to:
a. assure s s the ss consumer ss that ss you s s will ss not s s make ss a s s mistake.
b. prepare s s for s s graduate s s school.
c. promote s s magnet s s status ss for s s your ss facility.
d. validate s s knowledge ss of s s critical s s care s s nursing.
ANS: s s D
Certification s s assists s s in s s validating s s knowledge s s of s s the s s field, s s promotes s s excellence s s in s s the
s s profession, s s and sshelps s s nurses s s to s s maintain s s their s s knowledge s s of s s critical s s care s s nursing.
s s Certification s s helps s s to s s assure s s the ssconsumer s s that s s the s s nurse s s has s s a s s minimum s s level s s of
s s knowledge; s s however, s s it s s does s s not s s ensure s s that s s care s s will ssbe ssmistake-free.
Certification s s does s s not s s prepare s s one s s for s s graduate s s school; s s however, s s achieving
s s certification s s demonstrates ssmotivation ssfor ssachievement ssand ssprofessionalism. ssMagnet ssfacilities ssare
ssrated sson ssthe ssnumber ssof sscertified s s nurses; s s however, s s that s s is s s not s s the s s purpose s s of
s s certification.
DIF: ss Cognitive s s Level: s s Analysis s s REF: s s pp. s s 4-5
OBJ: ssExplain sscertification ssoptions ssfor sscritical sscare ssnurses. ssTOP: ssNursing ssProcess ssStep:
N/A
ss ss MSC: ss NCLEX: ss Safe ss and ss Effective ss Care ss Environment
4. The ss synergy s s model s s of ss practice s s focuses s s on:
a. allowing ss unrestricted s s visiting s s for s s the s s patient s s 24 s s hours s s each s s day.
b. holistic ss and s s alternative s s therapies.
c. needs s s of s s patients s s and s s their s s families, ss which s s drives s s nursing ss competency.
d. patients ss needs ss for s s energy s s and s s support.
ANS: s s C
The s s synergy s s model s s of s s practice s s states s s that s s the s s needs s s of s s patients s s and s s families s s influence
s s and s s drive sscompetencies s s of s s nurses. s s Nursing s s practice s s based s s on s s the s s synergy s s model s s would
s s involve s s tailored s s visiting s s to ssmeet s s the s s patients s s and s s familys s s needs s s and s s application s s of
s s alternative s s therapies s s if s s desired s s by s s the s s patient, s s but ssthat s s is s s not s s the s s primary s s focus s s of
s s the s s model.
DIF: s s Cognitive s s Level: s s Application s s REF: ss p. s s 5 s s | s s Fig. s s 1-3
OBJ: s s Describe ss standards ss of s s professional s s practice s s for s s critical s s care s s nursing.
TOP: s s Nursing s s Process s s Step: s s N/A s s MSC: s s NCLEX: s s Safe s s and s s Effective s s Care s s Environment
5. The s s family s s of s s your s s critically s s ill s s patient s s tells s s you s s that s s they s s have s s not s s spoken s s with
s s the s s physician s s in s s over s s 24 s s hours s s and s s they s s have s s some s s questions s s that s s they s s want s s clarified.
s s During s s morning s s rounds, s s you s s convey ssthis ssconcern to s s the s s attending s s intensivist s s and
s s arrange s s for s s her s s to s s meet s s with s s the s s family s s at s s 4:00 s s PM s s in ssthe s s conference s s room.
s s Which s s competency s s of s s critical s s care s s nursing s s does s s this s s represent?
, Test ssBank s s - ssIntroduction ssto ssCritical ssCare ssNursing 4
7e (Sole
a. Advocacy s s and s s moral s s agency s s in s s solving s s ethical ss issues
b. Clinical s s judgment s s and s s clinical s s reasoning s s skills
c. Collaboration s s with s s patients, s s families, ss and s s team s s members
d. Facilitation s s of s s learning s s for s s patients, s s families, s s and s s team
members s s ANS: s s C
Although ssone ssmight ssconsider ssthat ssall ssof ssthese sscompetencies ssare ssbeing ssaddressed, sscommunication
ssand s s collaboration s s with s s the s s family s s and s s physician s s best s s exemplify s s the s s competency
s s of s s collaboration.
DIF: s s Cognitive s s Level: s s Analysis s s REF: ss p. s s 9
OBJ: s s Describe ss standards ss of s s professional s s practice s s for s s critical s s care s s nursing.
TOP: s s Nursing s s Process s s Step: s s N/A s s MSC: s s NCLEX: s s Safe s s and s s Effective s s Care s s Environment
6. The ssAACN ssStandards ssfor ssAcute s s and ssCritical ssCare ssNursing ssPractice s s use s s what ssframework
s s to ssguide sscritical sscare ssnursing sspractice?
a. Evidence-based ss practice
b. Healthy s s work s s environment
c. National s s Patient s s Safety s s Goals
d. Nursing ssprocess
ANS: s s D
The s s AACN s s Standards s s for s s Acute s s and s s Critical s s Care s s Nursing s s Practice s s delineate s s the s s nursing
s s process s s as s s applied ssto s s critically s s ill s s patients: s s collect s s data, s s determine s s diagnoses, s s identify
s s expected s s outcomes, s s develop s s a s s plan s s of sscare, s s implement s s interventions, s s and s s evaluate s s care.
s s AACN s s promotes s s a s s healthy s s work s s environment, s s but s s this ssis s s not s s included ssin ssthe
s s Standards. ssThe ssJoint s s Commission s s has ssestablished s s National s s Patient s s Safety s s Goals, s s but ssthese ssare
s s not s s the s s AACN s s Standards.
DIF: ss Cognitive s s Level: s s Analysis s s REF: s s p. s s 5 s s | s s Box ss 1-2
OBJ: s s Describe ss standards ss of s s professional s s practice s s for s s critical s s care s s nursing.
TOP: s s Nursing s s Process s s Step: s s N/A s s MSC: s s NCLEX: s s Safe s s and s s Effective s s Care s s Environment
7. The s s charge s s nurse s s is s s responsible s s for s s making s s the s s patient s s assignments s s on s s the s s critical s s care
s s unit. s s She s s assigns ssthe s s experienced, s s certified s s nurse s s to s s care s s for s s the s s acutely s s ill s s patient
s s with s s sepsis s s who s s also s s requires sscontinuous s s renal s s replacement s s therapy s s and s s mechanical
s s ventilation. s s She s s assigns s s the s s nurse s s with s s less s s than s s 1 ssyear s s of ss experience s s to s s two s s patients
s s who s s are s s more s s stable. s s This s s assignment s s reflects s s implementation s s of s s the:
a. crew s s resource s s management s s model
