Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
x x x x x x x x x x 1
Table of Contents x x
1
Chapter 01: Overview of Critical Care Nursing
x x x x x x 2
Chapter 02: Patient and Family Response to the Critical Care Experience
x x x x x x x x x x 14
Chapter 03: Ethical and Legal Issues in Critical Care Nursing
x x x x x x x x x x 30
Chapter 04: Palliative and End-of-Life Care
x x x x x 42
Chapter 05: Comfort and Sedation
x x x x x 56
Chapter 06: Nutritional Therapy
x x x x 69
Chapter 07: Dysrhythmia Interpretation and Management
x x x x x 83
Chapter 08: Hemodynamic Monitoring
x x x x 117
Chapter 09: Ventilatory Assistance
x x x 137
Chapter 10: Rapid Response Teams and Code Management
x x x x x x x 156
Chapter 11: Organ Donation
x x x x 171
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
x x x x x x x x 189
Chapter 13: Cardiovascular Alterations
x x x x 207
Chapter 14: Nervous System Alterations
x x x x 225
Chapter 15: Acute Respiratory Failure
x x x x x 243
Chapter 16: Acute Kidney Injury
x x x x x 260
Chapter 17: Gastrointestinal Alterations
x x x x 285
Chapter 17: Hematological and Immune Disorders
x x x x x 312
Chapter 19: Endocrine Alterations
x x x x 341
Chapter 20: Trauma and Surgical Management
x x x x x 361
Chapter 21: Burns
x x x 377
,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
x x x x x x x x x x 2
Chapter 01: Overview of Critical Care Nursing
x x x x x x
MULTIPLE CHOICE x
1. Which of the following professional organizations best supports critical care nursing practice?
x x x x x x x x x x x
a. American Association of Critical-Care Nurses x x x x
b. American Heart Association x x
c. American Nurses Association x x
d. Society of Critical Care Medicine x x x x
ANS: A x
The American Association of Critical-Care Nurses is the specialty organization that supports and
x x x x x x x x x x x x
represents critical care nurses. The American Heart Association supports cardiovascular initiatives. The
x x x x x x x x x x x x
American Nurses Association supports all nurses. The Society of Critical Care Medicine represents the
x x x x x x x x x x x x x x
multiprofessional critical care team under the direction of an intensivist.
x x x x x x x x x x
DIF: Cognitive Level: Knowledge REF: p. 4
x x x x x x
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice.
x x x x x x x x x x x x x x
TOP: Nursing Process Step: N/A
x x x x x
MSC: NCLEX: Safe and Effective Care Environment
x x x x x x
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in
x x x x x x x x x x x x x x x x x x x x x
certification. Which credential would be most applicable for her to seek?
x x x x x x x x x x x
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C x
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The
x x x x x x x x x x x x x x x x
ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical
x x x x x x x x x x x x x x x x
nurse specialists. The PCCN certification is for staff nurses working in progressive care, intermediate care, or
x x x x x x x x x x x x x x x x
step-down unit settings.
x x x
DIF: Cognitive Level: Application REF: p. 5
x x x x x x
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
x x x x x x x x x x x x
x MSC: NCLEX: Safe and Effective Care Environment
x x x x x x
,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
x x x x x x x x x x 3
3. The main purpose of certification is to:
x x x x x x
a. assure the consumer that you will not make a mistake.
x x x x x x x x x
b. prepare for graduate school. x x x
c. promote magnet status for your facility. x x x x x
d. validate knowledge of critical care nursing. x x x x x
ANS: D x
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps
x x x x x x x x x x x x x x
nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer that the
x x x x x x x x x x x x x x x x x
nurse has a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
x x x x x x x x x x x x x x x x x
Certification does not prepare one for graduate school; however, achieving certification demonstrates
x x x x x x x x x x x
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nurses;
x x x x x x x x x x x x x x x
however, that is not the purpose of certification.
x x x x x x x x
DIF: Cognitive Level: Analysis REF: pp. 4-5
x x x x x x
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
x x x x x x x x x x x x
x MSC: NCLEX: Safe and Effective Care Environment
x x x x x x
4. The synergy model of practice focuses on:
x x x x x x
a. allowing unrestricted visiting for the patient 24 hours each day.
x x x x x x x x x
b. holistic and alternative therapies. x x x
c. needs of patients and their families, which drives nursing competency.
x x x x x x x x x
d. patients needs for energy and support. x x x x x
ANS: C x
The synergy model of practice states that the needs of patients and families influence and drive competencies
x x x x x x x x x x x x x x x x
of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the patients and
x x x x x x x x x x x x x x x x x x
familys needs and application of alternative therapies if desired by the patient, but that is not the primary
x x x x x x x x x x x x x x x x x x
focus of the model.
x x x x
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
x x x x x x x x x
OBJ: Describe standards of professional practice for critical care nursing.
x x x x x x x x x
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x x x
5. The family of your critically ill patient tells you that they have not spoken with the physician in over
x x x x x x x x x x x x x x x x x x
24 hours and they have some questions that they want clarified. During morning rounds, you convey this
x x x x x x x x x x x x x x x x x
concern to the attending intensivist and arrange for her to meet with the family at 4:00 PM in the
x x x x x x x x x x x x x x x x x x x
conference room. Which competency of critical care nursing does this represent?
x x x x x x x x x x x
, Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
x x x x x x x x x x 4
a. Advocacy and moral agency in solving ethical issues
x x x x x x x
b. Clinical judgment and clinical reasoning skills
x x x x x
c. Collaboration with patients, families, and team members x x x x x x
d. Facilitation of learning for patients, families, and team members
x x x x x x x x
ANS: C x
Although one might consider that all of these competencies are being addressed, communication and
x x x x x x x x x x x x x
collaboration with the family and physician best exemplify the competency of collaboration.
x x x x x x x x x x x x
DIF: Cognitive Level: Analysis REF: p. 9
x x x x x x
OBJ: Describe standards of professional practice for critical care nursing.
x x x x x x x x x
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x x x
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical
x x x x x x x x x x x x x x x
care nursing practice?
x x x
a. Evidence-based practice x
b. Healthy work environment x x
c. National Patient Safety Goals x x x
d. Nursing process x
ANS: D x
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied to
x x x x x x x x x x x x x x x x
critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of care,
x x x x x x x x x x x x x x x
implement interventions, and evaluate care. AACN promotes a healthy work environment, but this is not
x x x x x x x x x x x x x x x
included in the Standards. The Joint Commission has established National Patient Safety Goals, but these are
x x x x x x x x x x x x x x x x
not the AACN Standards.
x x x x
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
x x x x x x x x x
OBJ: Describe standards of professional practice for critical care nursing.
x x x x x x x x x
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x x x
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns the
x x x x x x x x x x x x x x x x x
experienced, certified nurse to care for the acutely ill patient with sepsis who also requires continuous
x x x x x x x x x x x x x x x x
renal replacement therapy and mechanical ventilation. She assigns the nurse with less than 1 year of
x x x x x x x x x x x x x x x x
experience to two patients who are more stable. This assignment reflects implementation of the:
x x x x x x x x x x x x x x
a. crew resource management model
x x x
x x x x x x x x x x 1
Table of Contents x x
1
Chapter 01: Overview of Critical Care Nursing
x x x x x x 2
Chapter 02: Patient and Family Response to the Critical Care Experience
x x x x x x x x x x 14
Chapter 03: Ethical and Legal Issues in Critical Care Nursing
x x x x x x x x x x 30
Chapter 04: Palliative and End-of-Life Care
x x x x x 42
Chapter 05: Comfort and Sedation
x x x x x 56
Chapter 06: Nutritional Therapy
x x x x 69
Chapter 07: Dysrhythmia Interpretation and Management
x x x x x 83
Chapter 08: Hemodynamic Monitoring
x x x x 117
Chapter 09: Ventilatory Assistance
x x x 137
Chapter 10: Rapid Response Teams and Code Management
x x x x x x x 156
Chapter 11: Organ Donation
x x x x 171
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
x x x x x x x x 189
Chapter 13: Cardiovascular Alterations
x x x x 207
Chapter 14: Nervous System Alterations
x x x x 225
Chapter 15: Acute Respiratory Failure
x x x x x 243
Chapter 16: Acute Kidney Injury
x x x x x 260
Chapter 17: Gastrointestinal Alterations
x x x x 285
Chapter 17: Hematological and Immune Disorders
x x x x x 312
Chapter 19: Endocrine Alterations
x x x x 341
Chapter 20: Trauma and Surgical Management
x x x x x 361
Chapter 21: Burns
x x x 377
,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
x x x x x x x x x x 2
Chapter 01: Overview of Critical Care Nursing
x x x x x x
MULTIPLE CHOICE x
1. Which of the following professional organizations best supports critical care nursing practice?
x x x x x x x x x x x
a. American Association of Critical-Care Nurses x x x x
b. American Heart Association x x
c. American Nurses Association x x
d. Society of Critical Care Medicine x x x x
ANS: A x
The American Association of Critical-Care Nurses is the specialty organization that supports and
x x x x x x x x x x x x
represents critical care nurses. The American Heart Association supports cardiovascular initiatives. The
x x x x x x x x x x x x
American Nurses Association supports all nurses. The Society of Critical Care Medicine represents the
x x x x x x x x x x x x x x
multiprofessional critical care team under the direction of an intensivist.
x x x x x x x x x x
DIF: Cognitive Level: Knowledge REF: p. 4
x x x x x x
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice.
x x x x x x x x x x x x x x
TOP: Nursing Process Step: N/A
x x x x x
MSC: NCLEX: Safe and Effective Care Environment
x x x x x x
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in
x x x x x x x x x x x x x x x x x x x x x
certification. Which credential would be most applicable for her to seek?
x x x x x x x x x x x
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C x
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The
x x x x x x x x x x x x x x x x
ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical
x x x x x x x x x x x x x x x x
nurse specialists. The PCCN certification is for staff nurses working in progressive care, intermediate care, or
x x x x x x x x x x x x x x x x
step-down unit settings.
x x x
DIF: Cognitive Level: Application REF: p. 5
x x x x x x
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
x x x x x x x x x x x x
x MSC: NCLEX: Safe and Effective Care Environment
x x x x x x
,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
x x x x x x x x x x 3
3. The main purpose of certification is to:
x x x x x x
a. assure the consumer that you will not make a mistake.
x x x x x x x x x
b. prepare for graduate school. x x x
c. promote magnet status for your facility. x x x x x
d. validate knowledge of critical care nursing. x x x x x
ANS: D x
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps
x x x x x x x x x x x x x x
nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer that the
x x x x x x x x x x x x x x x x x
nurse has a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
x x x x x x x x x x x x x x x x x
Certification does not prepare one for graduate school; however, achieving certification demonstrates
x x x x x x x x x x x
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nurses;
x x x x x x x x x x x x x x x
however, that is not the purpose of certification.
x x x x x x x x
DIF: Cognitive Level: Analysis REF: pp. 4-5
x x x x x x
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
x x x x x x x x x x x x
x MSC: NCLEX: Safe and Effective Care Environment
x x x x x x
4. The synergy model of practice focuses on:
x x x x x x
a. allowing unrestricted visiting for the patient 24 hours each day.
x x x x x x x x x
b. holistic and alternative therapies. x x x
c. needs of patients and their families, which drives nursing competency.
x x x x x x x x x
d. patients needs for energy and support. x x x x x
ANS: C x
The synergy model of practice states that the needs of patients and families influence and drive competencies
x x x x x x x x x x x x x x x x
of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the patients and
x x x x x x x x x x x x x x x x x x
familys needs and application of alternative therapies if desired by the patient, but that is not the primary
x x x x x x x x x x x x x x x x x x
focus of the model.
x x x x
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
x x x x x x x x x
OBJ: Describe standards of professional practice for critical care nursing.
x x x x x x x x x
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x x x
5. The family of your critically ill patient tells you that they have not spoken with the physician in over
x x x x x x x x x x x x x x x x x x
24 hours and they have some questions that they want clarified. During morning rounds, you convey this
x x x x x x x x x x x x x x x x x
concern to the attending intensivist and arrange for her to meet with the family at 4:00 PM in the
x x x x x x x x x x x x x x x x x x x
conference room. Which competency of critical care nursing does this represent?
x x x x x x x x x x x
, Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
x x x x x x x x x x 4
a. Advocacy and moral agency in solving ethical issues
x x x x x x x
b. Clinical judgment and clinical reasoning skills
x x x x x
c. Collaboration with patients, families, and team members x x x x x x
d. Facilitation of learning for patients, families, and team members
x x x x x x x x
ANS: C x
Although one might consider that all of these competencies are being addressed, communication and
x x x x x x x x x x x x x
collaboration with the family and physician best exemplify the competency of collaboration.
x x x x x x x x x x x x
DIF: Cognitive Level: Analysis REF: p. 9
x x x x x x
OBJ: Describe standards of professional practice for critical care nursing.
x x x x x x x x x
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x x x
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical
x x x x x x x x x x x x x x x
care nursing practice?
x x x
a. Evidence-based practice x
b. Healthy work environment x x
c. National Patient Safety Goals x x x
d. Nursing process x
ANS: D x
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied to
x x x x x x x x x x x x x x x x
critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of care,
x x x x x x x x x x x x x x x
implement interventions, and evaluate care. AACN promotes a healthy work environment, but this is not
x x x x x x x x x x x x x x x
included in the Standards. The Joint Commission has established National Patient Safety Goals, but these are
x x x x x x x x x x x x x x x x
not the AACN Standards.
x x x x
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
x x x x x x x x x
OBJ: Describe standards of professional practice for critical care nursing.
x x x x x x x x x
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x x x
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns the
x x x x x x x x x x x x x x x x x
experienced, certified nurse to care for the acutely ill patient with sepsis who also requires continuous
x x x x x x x x x x x x x x x x
renal replacement therapy and mechanical ventilation. She assigns the nurse with less than 1 year of
x x x x x x x x x x x x x x x x
experience to two patients who are more stable. This assignment reflects implementation of the:
x x x x x x x x x x x x x x
a. crew resource management model
x x x
