Updated Comprehensive Test Bank for Introduction to Critical Care Nursing 7th Edition Sole Complete Exam Questions and Answers with Detailed Rationales, Intensive Care Clinical Scenarios, Hemodynamic Monitoring Applications, Respiratory and Cardiac Critic

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NURS 440 TEST BANK CRITACA CARE EXAM QUESTIONS AND ANSWERS 100%CORRECTLY/VRIFIED RATED
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Table of Contents

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Table of Contents



Chapter 01: Overview of Critica Care NursingF 2
Chapter 02: Patient and Family Response to the Critica Care Experience
F 14
Chapter 03: Ethica and Lega Issues in Critica Care Nursing
F F F 30
Chapter 04: Palliative and End-of-Life Care 42
Chapter 05: Comfort and Sedation 56
Chapter 06: Nutritiona Therapy
F
69
Chapter 07: Dysrhythmia Interpretation and Management 83
Chapter 08: Hemodynamic Monitoring 117
Chapter 09: Ventilatory Assistance 137
Chapter 10: Rapid Response Teams and Code Management 156
Chapter 11: Organ Donation 171
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 189
Chapter 13: Cardiovascular Alterations 207
Chapter 14: Nervous System Alterations 225
Chapter 15: Acute Respiratory Failure 243
Chapter 16: Acute Kidney Injury 260
Chapter 17: Gastrointestina Alterations
F

285
Chapter 17: Hematologica and Immune DisordersChapter
312
F




19: Endocrine Alterations
341
Chapter 20: Trauma and Surgica Management F


361
Chapter 21: Burns
377




NURS 440 TEST BANK CRITACA CARE EXAM QUESTIONS AND F




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Chapterj l 01:j l Overviewj l ofj l Criticalj l Carej l Nursing

MULTIPLEj l CHOICE
 Thejlfamily members of a critically ill, 90-year-old patient bring ina copy of the
F F F F F F F F F F F F F F




patients living will to the hospital, which identifies the patients wishesregarding health
F F F F F F F F F F F F F




care. You discusscontents of the living will withthe patients physician. Thisisan
F F F F F F F F F F F F F F F




example of implementation of which of the AACN Standards of Professional
F F F F F F F F F F F




Performance?


a. Acquires and maintainscurrent knowledge of practice F F F F F F




b. Acts ethically onthe behalf of the patient and family
F F F F F F F F F




c. Considers factorsrelated to safe patient care F F F F F F




d. Usesclinical inquiry and integratesresearch
F F F F F F




findingsin practiceANS: B F F F F




Discussing end-of-life issuesisanexample of a nurse acting ethically on behalf of the
F F F F F F F F F F F F F F F




patient and family. Theexample does not relate to acquiring knowledge, promoting
F F F F F F F F F F F F




patient safety, or using research in practice.
F F F F F F




DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
F F F F F F F F F




OBJ: Describe standardsof care and performance for critical
F F F F F F F F F




care nursing.TOP: Nursing Process Step: Implementation
F F F F F F




MSC: NCLEX: Safe and Effective Care Environment
F F F F F F




 Which of the following assists the critical care nurse inensuring that care is
F F F F F F F F F F F F F F




appropriate and based onresearch? F F F F




a. Clinical practice guidelines F F




NURS 440 TEST BANK CRITACA CARE EXAM QUESTIONS AND F




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b. Computerized physician order entry F F F




c. Consulting with advanced practice nurses F F F F




d. Implementing Joint Commission National F F F F




Patient Safety GoalsANS: A F F F F




Clinical practice guidelines are being implemented to ensure that care is appropriate
F F F F F F F F F F F F




and based on research.Some physician order entry pathways, but not all, are based on
F F F F F F F F F F F F F F F




research recommendations. Some advancedpractice nurses, but not all, are well versed
F F F F F F F F F F F F




inevidence-based practices. The National Patient Safety Goalsarerecommendations
F F F F F F F F F F




to reduce errors using evidence-based practices.
F F F F F




DIF: Cognitive Level: Analysis REF: p. 7
F F F F F F




OBJ: Describe standardsof professional practice for critical care nursing.
F F F F F F F F F




TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
F F F F F F F F F F F




 Comparing the patients current (home) medications with those ordered during
F F F F F F F F F F




hospitalization and communicating a completelist of medications tothe next
F F F F F F F F F F F




provider when the patient is transferred within anorganization or to another setting
F F F F F F F F F F F F F




are strategies to:
F F




a. improve accuracy of patient identification. F F F F




b. prevent errorsrelated tolook-alike and sound-alike medications.
F F F F F F F




c. reconcile medications acrossthe continuum of care. F F F F F F




d. reduce harmsassociated with administration of anticoagulants.
F F F F F F




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ANS: C F




These are steps recommended in the National Patient Safety Goals to reconcile
F F F F F F F F F F F F




medications across the continuum of care. Improving accuracy of patient F F F F F F F F F F




identification is another National Patient Safety Goal. Preventing errors related to F F F F F F F F F F F




look-alike and sound-alike medications is done to improve medication safety, not
F F F F F F F F F F F




medication reconciliation. Reducing harms associated with administration of F F F F F F F F




anticoagulants is another Nationa Patient Safety Goal. F F F F F F




DIF: Cognitive Level: Comprehension REF: p. 6 | Box 1-3
F F F F F F F F F




OBJ: Describe quality and safety initiatives related tocritical care nursing.
F F F F F F F F F F




TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
F F F F F F F F F F F




 As part of nursing management of a critically ill patient, orders are written to keep
F F F F F F F F F F F F F F F




the head of the bed elevated at 30 degrees, awaken the patient from sedation each
F F F F F F F F F F F F F F F




morning to assess readiness to wean frommechanical ventilation, and implement
F F F F F F F F F F F




oral care protocols every 4 hours. These interventions are done asagroup to reduce
F F F F F F F F F F F F F F F




the risk of ventilator-associated pneumonia. This group of evidence-based
F F F F F F F F F




interventions is often called a: F F F F




a. bundle of care. F F




b. clinicalpractice guideline. F F




c. patient safety goal. F F




d. quality improvement initiative. F F




ANS: A F




A group of evidence-based interventions done as a whole to improve outcomes is
F F F F F F F F F F F F F




termed abundle of care. This isan example ofthe ventilator bundle. Oftentimes these
F F F F F F F F F F F F F F F




bundles are derived from clinical practice guidelines and are monitored for compliance
F F F F F F F F F F F F




aspart of quality improvement initiatives. At some point, these may becomepart of
F F F F F F F F F F F F F F




patient safety goals. F F




NURS 440 TEST BANK CRITACA CARE EXAM QUESTIONS AND F




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