,UNIT ONE: FOUNDATIONS
y m y m y m IN CRITICAL CARE NURSING
y m y m y m
1. Caring forthe CriticallyIllPatient
ym vym
2. Ethical and LegalIssues Z#
3. Facilitating Care Transitions
ym ym
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
ym ym ym ym ym ym
4. Psychosocial and Spiritual Considerations
ym Z# ym
5. NutritionalAlterationsandManagement
6. The Older Adult
ym ym
7. PainandPainManagement
Z
#
8. Sedation and Delirium Management
ym ym ym
9. Palliative and End-of-Life Care
Z# ym Z#
UNIT THREE: CARDIOVASCULAR ALTERATIONS
ym ym vy m
10. Cardiovascular Clinical Assessment and Diagnostic Procedures
ym ym ym ym ym
11. Cardiovascular Disorders ym
12. Cardiovascular Therapeutic Management ym Z#
UNIT FOUR: PULMONARY ALTERATIONS
ym y m y m
13. PulmonaryClinicalAssessmentand DiagnosticProcedures Z
# Z# Z
#
14. Pulmonary Disorders ym
15. Pulmonary Therapeutic Management ym ym
UNIT FIVE: NEUROLOGICAL ALTERATIONS
ym ym ym
16. Neurological Clinical Assessment and Diagnostic Procedures
ym ym ym vy m ym
17. NeurologicDisorders and TherapeuticManagement Z# Z#
UNIT SIX: KIDNEY ALTERATIONS
y m y m y m
18. KidneyClinicalAssessment and Diagnostic Procedures ym v vb
19. KidneyDisorders andTherapeutic Management Z# vb
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
y m y m y m
20. Gastrointestinal Clinical Assessment and Diagnostic Procedures
ym ym ym vym ym
21. Gastrointestinal Disordersand TherapeuticManagement Z# Z#
UNIT EIGHT: ENDOCRINE ALTERATIONS
ym ym ym
22. Endocrine Clinical Assessment and Diagnostic Procedures
ym Z# Z# ym Z#
23. Endocrine Disorders and Therapeutic Management
ym ym ym Z#
UNIT NINE: MULTISYSTEM ALTERATIONS
y m y m y m
24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
ym ym ym ym ym ym
27. HematologicalandOncologicalEmergencies
,Chapter01: Critical Care Nursing Practice Urd e
ym ym Z# Z# ym ym y
n: Critical Care Nursing, 10th
m ym ym ym ym
MULTIPLE
CHOIC
ym
E
1. During World WarII,what type of wards were developed to careforcriticallyin j
Z# Z# ym Z# Z# ym ym ym ym ym y
m u red patients?
ym ym
a. Intensive care ym
b. Triage
c. Shock
d. Postoperative
ANS: C Z#
During World War II, shock wardswereestablished to careforcriticallyinjured patients.Tr i
Z# Z# ym ym Z# ym Z# ym ym y m
a ge wards establish the order in which a patient is seen or treated upon arrival to a
ym ym ym ym ym ym ym ym ym ym ym ym ym ym Z# ym ym ym
hospital
. Postoperative wards were developed in 1900 and later evolved into intensive care units.
ym ym ym ym ym ym ym ym ym ym ym ym ym
PTS: DIF: 1
Cognitive Level: Remembering y m y m y m ym ym
REF: p. 1 OBJ: Nursing Process Step: N/A y m y m y m y m Z# ym ym
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe ym ym ym Z# ym ym ym Z#
a nd Effective Care Environment
ym ym ym ym
2. What type of practitioner has a broad depth of specialty knowledge and expertise
ym ym Z# ym ym ym ym ym ym ym ym Z# ym
and manages complex clinical and system issues?
ym ym ym ym ym ym
a. Registered nurses ym
b. Advanced practice nurses vb ym
c. Clinical nurseleaders ym
d. Intensivists
ANS: B Z#
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in t
ym ym ym ym ym ym vy m ym ym ym ym ym Z#
heirs pecialty area and manage complex clinical and systems issues. Intensivists are medical
ym ym vb vb ym ym ym ym Z# ym ym ym y
pract i t ionerswho managethe criticalillpatient.Registered nurses(RNs)are generallydire
m ym ym ym vym Z
# Z# Z
# Z#
ct car e pro viders. Clinical nurse leaders (CNLs) generally do not manage system iss
Z# ym ym ym ym ym ym ym ym ym ym ym ym ym
ues.
PTS: DIF: 1
Cognitive Level: Remembering y m y m y m ym ym
REF: p. 2 OBJ: Nursing Process Step: N/A y m y m y m y m Z# ym ym
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe ym ym Z# ym ym ym ym ym
a nd Effective Care Environment
vy m ym ym ym
3. What type of practitioner is instrumental in ensuring care that is evidence based an
ym ym Z# ym Z# ym ym Z# ym ym Z# ym ym
d t hat safety programs are in place?
y m ym ym ym ym ym ym
a. Clinical nurse sp ym ym
e c ialist b. Advanced
ym ym vb ym
pr act ice nurse c.
ym ym ym ym ym
Registered nurses ym
d. Nurse practitioners
y m ym
ANS: A vb
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, res
ym ym ym ym ym ym ym ym ym ym ym ym ym
e arc h, leadership, and consultative abilities. They are instrumental in ensuring that care is
ym ym ym ym ym ym ym ym Z# ym ym ym ym ym y
mevi dence based and that safety programs are in place. Advanced practice nurses (AP
ym ym ym vy m ym ym ym ym ym ym ym ym ym
Ns)have
a broad depth of knowledge and expertise in their specialty area and manage complex
ym ym ym ym ym ym ym ym ym ym ym Z# ym ym
cli n ical and systems issues. Registered nurses are generally direct care providers. Nurs
ym ym ym Z# ym ym ym ym ym ym ym ym ym
epract iti oners (NPs) manage direct clinical care of groups of patients.
y m ym ym ym ym ym ym ym ym ym ym
PTS: DIF: 1
Cognitive Level: Remembering y m y m y m ym ym
REF: p. 2 OBJ: Nursing Process Step: N/A y m y m y m y m Z# ym ym
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe ym ym Z# ym ym ym ym ym
a nd Effective Care Environment
vy m ym ym ym
4. Which professional organization administers critical care certification exams forr
Z# ym ym ym ym ym vb vb
e gistered nurses?
ym ym
a. State Board of Registered Nurses
Z# ym ym vb
b. National Association of Clinical NurseSpecialistym ym ym ym
c. SocietyofCritical Care Medicine ym Z#
d. American Association of Critical-CareNurses ym ym ym
ANS: D vb
American Association of Critical- Z# ym ym
Care Nurses (AACN) administers certification exams for registered nurses. The State B
ym Z# ym ym vym ym ym ym ym ym ym
oa r d of Registered Nurses (SBON) does not administercertification exams. National
ym ym ym ym ym ym ym ym ym ym ym ym
Associa t ion of Clinical Nurse Specialists (NACNS) does not administer certification e
ym ym ym ym ym ym ym ym ym ym ym vb
xams. Socie t y of Critical Care Medicine (SCCM) does notadminister nursing certifica
ym ym ym ym ym ym ym ym ym ym ym ym
tion exams for r e g istered nurses.
ym ym ym y m ym Z# ym
PTS: DIF: 1
Cognitive Level: Remembering y m y m y m ym ym
REF: p. 3 OBJ: Nursing Process Step: N/A y m y m y m y m ym ym ym
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe ym ym Z# ym ym ym ym ym
a nd Effective Care Environment
vy m ym ym ym
5. Emphasis ison human integrity and stresses the theory that the body,mind, and spirit
ym vym ym ym ym ym ym ym ym ym Z# ym y
m ar e interdependent and inseparable. This statement describes which methodology of
ym ym ym ym ym Z# Z# ym ym ym y
mc a re
Z# ym
?
a. Holistic care Z#
b. Individualized care ym
c. Cultural care ym
d. Interdisciplinary care ym
ANS: A vb
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte rdep
ym ym ym ym ym ym ym ym ym ym ym ym Z# ym ym ym
en dent and inseparable. Individualized care recognizes the uniqueness of each patient’s preferen
ym ym ym ym ym ym Z# ym ym ym Z# y m
ces, c ondition, and physiologic and psychosocial status. Cultural diversityin
ym ym ym ym ym ym ym ym ym
health care is not a new topic, but it is gaining emphasis and importance as the world
ym ym ym ym ym ym ym ym ym ym ym ym ym ym ym ym ym
beco mes more accessible to all as the result of increasing technologies and interfaces wit
ym ym ym ym ym ym ym ym Z# ym ym ym Z# ym
h places and peoples. Interdisciplinary care is care among avariety of health care professio
ym ym Z# ym ym ym ym ym ym ym Z# ym vb
nals with t he patient’s health as the common goal.
ym y m ym ym ym ym ym ym ym
PTS: DIF: 1
Cognitive Level: Remembering ym ym
REF: p. 4 OBJ: Nursing Process Step: N/A y m y m y m y m Z# ym ym
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe ym ym Z# ym ym ym ym ym
a nd Effective Care Environment
vy m ym ym ym
y m y m y m IN CRITICAL CARE NURSING
y m y m y m
1. Caring forthe CriticallyIllPatient
ym vym
2. Ethical and LegalIssues Z#
3. Facilitating Care Transitions
ym ym
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
ym ym ym ym ym ym
4. Psychosocial and Spiritual Considerations
ym Z# ym
5. NutritionalAlterationsandManagement
6. The Older Adult
ym ym
7. PainandPainManagement
Z
#
8. Sedation and Delirium Management
ym ym ym
9. Palliative and End-of-Life Care
Z# ym Z#
UNIT THREE: CARDIOVASCULAR ALTERATIONS
ym ym vy m
10. Cardiovascular Clinical Assessment and Diagnostic Procedures
ym ym ym ym ym
11. Cardiovascular Disorders ym
12. Cardiovascular Therapeutic Management ym Z#
UNIT FOUR: PULMONARY ALTERATIONS
ym y m y m
13. PulmonaryClinicalAssessmentand DiagnosticProcedures Z
# Z# Z
#
14. Pulmonary Disorders ym
15. Pulmonary Therapeutic Management ym ym
UNIT FIVE: NEUROLOGICAL ALTERATIONS
ym ym ym
16. Neurological Clinical Assessment and Diagnostic Procedures
ym ym ym vy m ym
17. NeurologicDisorders and TherapeuticManagement Z# Z#
UNIT SIX: KIDNEY ALTERATIONS
y m y m y m
18. KidneyClinicalAssessment and Diagnostic Procedures ym v vb
19. KidneyDisorders andTherapeutic Management Z# vb
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
y m y m y m
20. Gastrointestinal Clinical Assessment and Diagnostic Procedures
ym ym ym vym ym
21. Gastrointestinal Disordersand TherapeuticManagement Z# Z#
UNIT EIGHT: ENDOCRINE ALTERATIONS
ym ym ym
22. Endocrine Clinical Assessment and Diagnostic Procedures
ym Z# Z# ym Z#
23. Endocrine Disorders and Therapeutic Management
ym ym ym Z#
UNIT NINE: MULTISYSTEM ALTERATIONS
y m y m y m
24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
ym ym ym ym ym ym
27. HematologicalandOncologicalEmergencies
,Chapter01: Critical Care Nursing Practice Urd e
ym ym Z# Z# ym ym y
n: Critical Care Nursing, 10th
m ym ym ym ym
MULTIPLE
CHOIC
ym
E
1. During World WarII,what type of wards were developed to careforcriticallyin j
Z# Z# ym Z# Z# ym ym ym ym ym y
m u red patients?
ym ym
a. Intensive care ym
b. Triage
c. Shock
d. Postoperative
ANS: C Z#
During World War II, shock wardswereestablished to careforcriticallyinjured patients.Tr i
Z# Z# ym ym Z# ym Z# ym ym y m
a ge wards establish the order in which a patient is seen or treated upon arrival to a
ym ym ym ym ym ym ym ym ym ym ym ym ym ym Z# ym ym ym
hospital
. Postoperative wards were developed in 1900 and later evolved into intensive care units.
ym ym ym ym ym ym ym ym ym ym ym ym ym
PTS: DIF: 1
Cognitive Level: Remembering y m y m y m ym ym
REF: p. 1 OBJ: Nursing Process Step: N/A y m y m y m y m Z# ym ym
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe ym ym ym Z# ym ym ym Z#
a nd Effective Care Environment
ym ym ym ym
2. What type of practitioner has a broad depth of specialty knowledge and expertise
ym ym Z# ym ym ym ym ym ym ym ym Z# ym
and manages complex clinical and system issues?
ym ym ym ym ym ym
a. Registered nurses ym
b. Advanced practice nurses vb ym
c. Clinical nurseleaders ym
d. Intensivists
ANS: B Z#
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in t
ym ym ym ym ym ym vy m ym ym ym ym ym Z#
heirs pecialty area and manage complex clinical and systems issues. Intensivists are medical
ym ym vb vb ym ym ym ym Z# ym ym ym y
pract i t ionerswho managethe criticalillpatient.Registered nurses(RNs)are generallydire
m ym ym ym vym Z
# Z# Z
# Z#
ct car e pro viders. Clinical nurse leaders (CNLs) generally do not manage system iss
Z# ym ym ym ym ym ym ym ym ym ym ym ym ym
ues.
PTS: DIF: 1
Cognitive Level: Remembering y m y m y m ym ym
REF: p. 2 OBJ: Nursing Process Step: N/A y m y m y m y m Z# ym ym
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe ym ym Z# ym ym ym ym ym
a nd Effective Care Environment
vy m ym ym ym
3. What type of practitioner is instrumental in ensuring care that is evidence based an
ym ym Z# ym Z# ym ym Z# ym ym Z# ym ym
d t hat safety programs are in place?
y m ym ym ym ym ym ym
a. Clinical nurse sp ym ym
e c ialist b. Advanced
ym ym vb ym
pr act ice nurse c.
ym ym ym ym ym
Registered nurses ym
d. Nurse practitioners
y m ym
ANS: A vb
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, res
ym ym ym ym ym ym ym ym ym ym ym ym ym
e arc h, leadership, and consultative abilities. They are instrumental in ensuring that care is
ym ym ym ym ym ym ym ym Z# ym ym ym ym ym y
mevi dence based and that safety programs are in place. Advanced practice nurses (AP
ym ym ym vy m ym ym ym ym ym ym ym ym ym
Ns)have
a broad depth of knowledge and expertise in their specialty area and manage complex
ym ym ym ym ym ym ym ym ym ym ym Z# ym ym
cli n ical and systems issues. Registered nurses are generally direct care providers. Nurs
ym ym ym Z# ym ym ym ym ym ym ym ym ym
epract iti oners (NPs) manage direct clinical care of groups of patients.
y m ym ym ym ym ym ym ym ym ym ym
PTS: DIF: 1
Cognitive Level: Remembering y m y m y m ym ym
REF: p. 2 OBJ: Nursing Process Step: N/A y m y m y m y m Z# ym ym
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe ym ym Z# ym ym ym ym ym
a nd Effective Care Environment
vy m ym ym ym
4. Which professional organization administers critical care certification exams forr
Z# ym ym ym ym ym vb vb
e gistered nurses?
ym ym
a. State Board of Registered Nurses
Z# ym ym vb
b. National Association of Clinical NurseSpecialistym ym ym ym
c. SocietyofCritical Care Medicine ym Z#
d. American Association of Critical-CareNurses ym ym ym
ANS: D vb
American Association of Critical- Z# ym ym
Care Nurses (AACN) administers certification exams for registered nurses. The State B
ym Z# ym ym vym ym ym ym ym ym ym
oa r d of Registered Nurses (SBON) does not administercertification exams. National
ym ym ym ym ym ym ym ym ym ym ym ym
Associa t ion of Clinical Nurse Specialists (NACNS) does not administer certification e
ym ym ym ym ym ym ym ym ym ym ym vb
xams. Socie t y of Critical Care Medicine (SCCM) does notadminister nursing certifica
ym ym ym ym ym ym ym ym ym ym ym ym
tion exams for r e g istered nurses.
ym ym ym y m ym Z# ym
PTS: DIF: 1
Cognitive Level: Remembering y m y m y m ym ym
REF: p. 3 OBJ: Nursing Process Step: N/A y m y m y m y m ym ym ym
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe ym ym Z# ym ym ym ym ym
a nd Effective Care Environment
vy m ym ym ym
5. Emphasis ison human integrity and stresses the theory that the body,mind, and spirit
ym vym ym ym ym ym ym ym ym ym Z# ym y
m ar e interdependent and inseparable. This statement describes which methodology of
ym ym ym ym ym Z# Z# ym ym ym y
mc a re
Z# ym
?
a. Holistic care Z#
b. Individualized care ym
c. Cultural care ym
d. Interdisciplinary care ym
ANS: A vb
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte rdep
ym ym ym ym ym ym ym ym ym ym ym ym Z# ym ym ym
en dent and inseparable. Individualized care recognizes the uniqueness of each patient’s preferen
ym ym ym ym ym ym Z# ym ym ym Z# y m
ces, c ondition, and physiologic and psychosocial status. Cultural diversityin
ym ym ym ym ym ym ym ym ym
health care is not a new topic, but it is gaining emphasis and importance as the world
ym ym ym ym ym ym ym ym ym ym ym ym ym ym ym ym ym
beco mes more accessible to all as the result of increasing technologies and interfaces wit
ym ym ym ym ym ym ym ym Z# ym ym ym Z# ym
h places and peoples. Interdisciplinary care is care among avariety of health care professio
ym ym Z# ym ym ym ym ym ym ym Z# ym vb
nals with t he patient’s health as the common goal.
ym y m ym ym ym ym ym ym ym
PTS: DIF: 1
Cognitive Level: Remembering ym ym
REF: p. 4 OBJ: Nursing Process Step: N/A y m y m y m y m Z# ym ym
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe ym ym Z# ym ym ym ym ym
a nd Effective Care Environment
vy m ym ym ym
