lOMoAR cPSD| 11700591
Test Bank for Sole's Introduction
̦̣ to Critical Care Nursing
̦̣ 9th Edition by Mary Beth Flynn
Makic and Lauren
̦̣ T. Morata
, lOMoAR cPSD| 11700591
Chapter 01: Overview of Critical Care Nursing
̦̣
Sole: Introduction
̦̣ to Critical Care Nursing,
̦̣ 9th Edition
MULTIPLE CHOICE
1. Which of the following professional organizations best supports ̦̣ critical care nursing̦̣ 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 Organization that supports ̦̣ and represents
critical care nurses. ̦̣ The American Heart Association su pports
̦̣ cardiovascu lar̦̣ initiatives. The American
Nurses
̦̣ Association supports ̦̣ all nurses.̦̣ The Society of Critical Care Medicine represents the multi ̦̣
professional critical care team under ̦̣ the direction of an
DIF: Cognitive Level: Knowledge
OBJ: Discuss ̦̣ the purposes ̦̣ and functions
̦̣ of the professional Orgnization that support ̦̣ critical care
practice. TOP: Nursing ̦̣ Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
2. A nurse
̦̣ has been working as a staff nurse ̦̣ in the surgical ̦̣ inabteirbn.scoivme/tecsat re unit ̦̣ for 2
years and is interested in certification. Which credential would ̦̣ be most applicable for her to seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C
The CCRN certification is appropriate for nurses ̦̣ in bedside practice who care for critically ill patients.
The ACNPC certification is for acute ̦̣ care nurse ̦̣ practitioners. The CCNS certification is for critical
care clinical nurse ̦̣ specialists. The PCCN certification is for staff nurses ̦̣ working in progressive care,
intermediate care, or satbeiprb-.cdoomw/tenstunit ̦̣ settings.
DIF: Cognitive Level: Application
OBJ: Explain certification options for critical care nurses. ̦̣ TOP: Nursing ̦̣ Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
3. What is the main purpose ̦̣ of certification for critical care nursing? ̦̣
a. To assure ̦̣ the consu mer
̦̣ that critical nu rses
̦̣ will not maakbeirba.commi/tsetsatke.
b. To help prepare the critical care nurse ̦̣ for graduate ̦̣ school.
c. To assist in promoting magnet statuș̣ for a facility.
d. To validate a nurse’s ̦̣ 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 nu rse
̦̣ has a minimu mablirebv.ceolmo/tefskt
̦̣ nowledge; 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: Analysis
OBJ: Explain certification options for critical care nurses. ̦̣ MSC: NCLEX: Safe and Effective Care
Environment
4. What is the focuș̣ of the synergy model of practice?
a. Allowing unrestricted ̦̣ visiting for the patient 24 hours ̦̣ aebaircbh.codma/tyes.t
b. Providing holistic and alternative therapies.
, lOMoAR cPSD| 11700591
c. Considering the needs of patients and their families, which drives nursing ̦̣
competency.
d. Addressing the patients’ needs for energy and support. ̦̣
ANS: C
The synergy model of practice states that the needs of patiaebnirtbs.caomnd/tefsat milies influence ̦̣ and
drive competencies of nurses. ̦̣ Nu rsing
̦̣ practice based on the synergy model wou ld
̦̣ involve tailored
visiting to meet the patient’s and family’s needs and application of alternative therapies if desired by
the patient, buț̣ that is not the primary focuș̣ of the model.
DIF: Cognitive Level: Application
OBJ: Describe standards of professional practice for critical care nursing. ̦̣
TOP: Nursing ̦̣ Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
5. The family of your̦̣ critically ill patient tells you ̦̣ that they have not spoken with the physician in
over 24 hours ̦̣ and they have some questions ̦̣ that they want clarified. During ̦̣ morning rounds, ̦̣ you ̦̣
convey this concern to the attending intensivisatbiarbn.cdoma/rtersatnge for her to meet with the family
at 4:00 PM in the conference room. 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: Analysis
OBJ: Describe standards of professional practice for critical care nursing. ̦̣
TOP: Nursing ̦̣ Process Step: N/A MSC: NCLEX: Saafbeirba.ncodmE/teffset ctive Care
Environment
6. The AACN Standards for Acute ̦̣ and Critical Care Nursing ̦̣ Practice uses ̦̣ what framework to
guide
̦̣ critical care nu rsing
̦̣ 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, detaebrirmb.cionme/tdesiat gnoses, identify expected
outcomes,
̦̣ develop a plan of care, implement interventions, and evaluate ̦̣ care. AACN promotes a
healthy work environment, buț̣ this is not included ̦̣ in the Standards. The Joint Commission has
established National Patient Safety Goals, buț̣ these are not the AACN
Standards.
DIF: Cognitive Level: Understand
OBJ: Describe standards of professional practice for critical caarbeirbn.cuormsi/tnegst. ̦̣
TOP: Nursing ̦̣ Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
7. The charge nurse ̦̣ is responsible for making the patient assignments on the critical care unit. ̦̣ She
assigns the experienced, certified nurse ̦̣ to care for theaabicrbu .cteomly/teisltl
̦̣ patient diagnosed with
sepsis who also requires ̦̣ continuou ̦̣ ș̣ renal replacement therapy and mechanical ventilation. She assigns
the nurse̦̣ with less than 1 year of experience to two patients who are more stable. This assignment
reflects implementation of what guiding ̦̣ farbairmb.ceowm/oterskt ?
a. Crew resource ̦̣ management model
b. National Patient Safety Goals
c. Quality ̦̣ and Safety Education ̦̣ for Nurses ̦̣ (QSEN) model
d. Synergy model of practice
ANS: D
This assignment demonstrates nursing ̦̣ care to meet the needs of the patient. The synergy model notes
that the nurse ̦̣ competencies are matched to thaebiprba.ctoiemn/tet sct haracteristics. Crew resource ̦̣
, lOMoAR cPSD| 11700591
management concepts related to team training, National Patient Safety Goals are specified by The Joint
Commission to promote safe care buț̣ do not incorporate the synergy model. The Quality ̦̣ and Safety
Education
̦̣ for Nurses ̦̣ initiaatbivirbe.cionmv/toeslvt es targeted education ̦̣ to undergradu
̦̣ ate
̦̣ and
graduate ̦̣ nu rsing
̦̣ stu dents
̦̣ to learn qu ality
̦̣ and safety concepts.
DIF: Cognitive Level: Analysis
OBJ: Describe standards of professional practice for critical caarbeirbn.cuormsi/tnegst. ̦̣
TOP: Nursing ̦̣ Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
8. The vision of the American Association of Critical-Care Nurses ̦̣ is a healthcare system driven
by achieving what goal?
a. Maintaining a healthy work environment.
b. Providing care from a multiprofessional ̦̣ team under ̦̣ the direction of a critical care
physician.
c. Effectively meeting the needs of critically ill patients and families.
d. Creating respectful,̦̣ healing, and humane ̦̣ environments.
ANS: C
The AACN vision is a healthcare system driven by the needs of critically ill patients and families where
critical care nurses ̦̣ make their optimum ̦̣ contributions. ̦̣ AACN promotes initiatives to support ̦̣ a healthy
work environment as well aasbirrbe.csopme/ctetsftul̦̣ and healing environments, buț̣ that is not the
organization’s vision. The SCCM promotes care from a multiprofessional ̦̣ team under ̦̣ the direction of a
critical care physician.
DIF: Cognitive Level: Knowledge
OBJ: Discuss ̦̣ the purposes ̦̣ and functions ̦̣ of the professional organizations that support ̦̣ critical care
practice. TOP: Nursing ̦̣ Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
9. What is the most important outcome ̦̣ of effective communication? ̦̣
a. Demonstrating caring practices to family members.
b. Ensuring ̦̣ that patient teaching is provided
c. Meeting the diversity needs of patients.
ANS: D
Many errors are directly attributed ̦̣ to faulty ̦̣ communication. ̦̣ Effective communication ̦̣ has been
identified as an essential strategy to reduce ̦̣ patient errors and resolve issu es
̦̣ related to patient care
delivery. Communication ̦̣ may demonstrate caarbiinrbg.copmra/tecsttices, be used ̦̣ for
patient/family teaching, and address diversity needs; however, the main outcome ̦̣ of effective
communication ̦̣ is patient safety.
DIF: Cognitive Level: Analysis
OBJ: Describe quality ̦̣ and safety initiatives related to critical care nursing. ̦̣
TOP: Nursing ̦̣ Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
10. The nurse ̦̣ is caring for a critically ill patient whose urine ̦̣ oaubitrpb.u ̦̣ cotmh/atesstbeen
̦̣ low for 2
consecutive ̦̣ hou rs.
̦̣ After a thorou gh
̦̣ patient assessment, you ̦̣ call the primary care provider with the
following report.
Dr. Smith, I’m calling abouț̣ Mrs. P., your̦̣ 65-year-old pataibeirnbt.cionm/CteCst U 10. Her urine ̦̣
outpu
̦̣ ț̣ for the past 2 hours ̦̣ totaled only 40 mL. She arrived from surgery ̦̣ to repair an aortic aneurysm ̦̣ 4
hourș̣ ago and remains on mechanical ventilation. In the past 2 hours, ̦̣ her heart rate has increased from
80 to 100 beats per minute ̦̣ and her blood pressu re
̦̣ has decreased from 128/82 to 100/70 mm Hg. She is
being given an infusaiboirnb.coofmn/toesrtmal ̦̣ saline at 100 mL per hour.̦̣ Her right atrial pressure ̦̣
through ̦̣ the su bclavian
̦̣ central line is low at 3 mm Hg. Her u rine
̦̣ is concentrated. Her BUN and
creatinine levels have been stable and in normal range. Her abdominal dressing is dry with no
indication of bleedainbigrb..cMomy/teasstsessment suggests ̦̣ that Mrs. P. is hypovolemic and I would ̦̣
like you ̦̣ to consider increasing her fluids ̦̣ or giving her a fluid ̦̣ challenge. Using the SBAR model for
communication, ̦̣ the information the nurse ̦̣ gives abouț̣ the patient’s history and vital signs is appropriate
for what part of the model?
a. Situation ̦̣
b. Background ̦̣
c. Assessment
Test Bank for Sole's Introduction
̦̣ to Critical Care Nursing
̦̣ 9th Edition by Mary Beth Flynn
Makic and Lauren
̦̣ T. Morata
, lOMoAR cPSD| 11700591
Chapter 01: Overview of Critical Care Nursing
̦̣
Sole: Introduction
̦̣ to Critical Care Nursing,
̦̣ 9th Edition
MULTIPLE CHOICE
1. Which of the following professional organizations best supports ̦̣ critical care nursing̦̣ 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 Organization that supports ̦̣ and represents
critical care nurses. ̦̣ The American Heart Association su pports
̦̣ cardiovascu lar̦̣ initiatives. The American
Nurses
̦̣ Association supports ̦̣ all nurses.̦̣ The Society of Critical Care Medicine represents the multi ̦̣
professional critical care team under ̦̣ the direction of an
DIF: Cognitive Level: Knowledge
OBJ: Discuss ̦̣ the purposes ̦̣ and functions
̦̣ of the professional Orgnization that support ̦̣ critical care
practice. TOP: Nursing ̦̣ Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
2. A nurse
̦̣ has been working as a staff nurse ̦̣ in the surgical ̦̣ inabteirbn.scoivme/tecsat re unit ̦̣ for 2
years and is interested in certification. Which credential would ̦̣ be most applicable for her to seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C
The CCRN certification is appropriate for nurses ̦̣ in bedside practice who care for critically ill patients.
The ACNPC certification is for acute ̦̣ care nurse ̦̣ practitioners. The CCNS certification is for critical
care clinical nurse ̦̣ specialists. The PCCN certification is for staff nurses ̦̣ working in progressive care,
intermediate care, or satbeiprb-.cdoomw/tenstunit ̦̣ settings.
DIF: Cognitive Level: Application
OBJ: Explain certification options for critical care nurses. ̦̣ TOP: Nursing ̦̣ Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
3. What is the main purpose ̦̣ of certification for critical care nursing? ̦̣
a. To assure ̦̣ the consu mer
̦̣ that critical nu rses
̦̣ will not maakbeirba.commi/tsetsatke.
b. To help prepare the critical care nurse ̦̣ for graduate ̦̣ school.
c. To assist in promoting magnet statuș̣ for a facility.
d. To validate a nurse’s ̦̣ 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 nu rse
̦̣ has a minimu mablirebv.ceolmo/tefskt
̦̣ nowledge; 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: Analysis
OBJ: Explain certification options for critical care nurses. ̦̣ MSC: NCLEX: Safe and Effective Care
Environment
4. What is the focuș̣ of the synergy model of practice?
a. Allowing unrestricted ̦̣ visiting for the patient 24 hours ̦̣ aebaircbh.codma/tyes.t
b. Providing holistic and alternative therapies.
, lOMoAR cPSD| 11700591
c. Considering the needs of patients and their families, which drives nursing ̦̣
competency.
d. Addressing the patients’ needs for energy and support. ̦̣
ANS: C
The synergy model of practice states that the needs of patiaebnirtbs.caomnd/tefsat milies influence ̦̣ and
drive competencies of nurses. ̦̣ Nu rsing
̦̣ practice based on the synergy model wou ld
̦̣ involve tailored
visiting to meet the patient’s and family’s needs and application of alternative therapies if desired by
the patient, buț̣ that is not the primary focuș̣ of the model.
DIF: Cognitive Level: Application
OBJ: Describe standards of professional practice for critical care nursing. ̦̣
TOP: Nursing ̦̣ Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
5. The family of your̦̣ critically ill patient tells you ̦̣ that they have not spoken with the physician in
over 24 hours ̦̣ and they have some questions ̦̣ that they want clarified. During ̦̣ morning rounds, ̦̣ you ̦̣
convey this concern to the attending intensivisatbiarbn.cdoma/rtersatnge for her to meet with the family
at 4:00 PM in the conference room. 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: Analysis
OBJ: Describe standards of professional practice for critical care nursing. ̦̣
TOP: Nursing ̦̣ Process Step: N/A MSC: NCLEX: Saafbeirba.ncodmE/teffset ctive Care
Environment
6. The AACN Standards for Acute ̦̣ and Critical Care Nursing ̦̣ Practice uses ̦̣ what framework to
guide
̦̣ critical care nu rsing
̦̣ 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, detaebrirmb.cionme/tdesiat gnoses, identify expected
outcomes,
̦̣ develop a plan of care, implement interventions, and evaluate ̦̣ care. AACN promotes a
healthy work environment, buț̣ this is not included ̦̣ in the Standards. The Joint Commission has
established National Patient Safety Goals, buț̣ these are not the AACN
Standards.
DIF: Cognitive Level: Understand
OBJ: Describe standards of professional practice for critical caarbeirbn.cuormsi/tnegst. ̦̣
TOP: Nursing ̦̣ Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
7. The charge nurse ̦̣ is responsible for making the patient assignments on the critical care unit. ̦̣ She
assigns the experienced, certified nurse ̦̣ to care for theaabicrbu .cteomly/teisltl
̦̣ patient diagnosed with
sepsis who also requires ̦̣ continuou ̦̣ ș̣ renal replacement therapy and mechanical ventilation. She assigns
the nurse̦̣ with less than 1 year of experience to two patients who are more stable. This assignment
reflects implementation of what guiding ̦̣ farbairmb.ceowm/oterskt ?
a. Crew resource ̦̣ management model
b. National Patient Safety Goals
c. Quality ̦̣ and Safety Education ̦̣ for Nurses ̦̣ (QSEN) model
d. Synergy model of practice
ANS: D
This assignment demonstrates nursing ̦̣ care to meet the needs of the patient. The synergy model notes
that the nurse ̦̣ competencies are matched to thaebiprba.ctoiemn/tet sct haracteristics. Crew resource ̦̣
, lOMoAR cPSD| 11700591
management concepts related to team training, National Patient Safety Goals are specified by The Joint
Commission to promote safe care buț̣ do not incorporate the synergy model. The Quality ̦̣ and Safety
Education
̦̣ for Nurses ̦̣ initiaatbivirbe.cionmv/toeslvt es targeted education ̦̣ to undergradu
̦̣ ate
̦̣ and
graduate ̦̣ nu rsing
̦̣ stu dents
̦̣ to learn qu ality
̦̣ and safety concepts.
DIF: Cognitive Level: Analysis
OBJ: Describe standards of professional practice for critical caarbeirbn.cuormsi/tnegst. ̦̣
TOP: Nursing ̦̣ Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
8. The vision of the American Association of Critical-Care Nurses ̦̣ is a healthcare system driven
by achieving what goal?
a. Maintaining a healthy work environment.
b. Providing care from a multiprofessional ̦̣ team under ̦̣ the direction of a critical care
physician.
c. Effectively meeting the needs of critically ill patients and families.
d. Creating respectful,̦̣ healing, and humane ̦̣ environments.
ANS: C
The AACN vision is a healthcare system driven by the needs of critically ill patients and families where
critical care nurses ̦̣ make their optimum ̦̣ contributions. ̦̣ AACN promotes initiatives to support ̦̣ a healthy
work environment as well aasbirrbe.csopme/ctetsftul̦̣ and healing environments, buț̣ that is not the
organization’s vision. The SCCM promotes care from a multiprofessional ̦̣ team under ̦̣ the direction of a
critical care physician.
DIF: Cognitive Level: Knowledge
OBJ: Discuss ̦̣ the purposes ̦̣ and functions ̦̣ of the professional organizations that support ̦̣ critical care
practice. TOP: Nursing ̦̣ Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
9. What is the most important outcome ̦̣ of effective communication? ̦̣
a. Demonstrating caring practices to family members.
b. Ensuring ̦̣ that patient teaching is provided
c. Meeting the diversity needs of patients.
ANS: D
Many errors are directly attributed ̦̣ to faulty ̦̣ communication. ̦̣ Effective communication ̦̣ has been
identified as an essential strategy to reduce ̦̣ patient errors and resolve issu es
̦̣ related to patient care
delivery. Communication ̦̣ may demonstrate caarbiinrbg.copmra/tecsttices, be used ̦̣ for
patient/family teaching, and address diversity needs; however, the main outcome ̦̣ of effective
communication ̦̣ is patient safety.
DIF: Cognitive Level: Analysis
OBJ: Describe quality ̦̣ and safety initiatives related to critical care nursing. ̦̣
TOP: Nursing ̦̣ Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
10. The nurse ̦̣ is caring for a critically ill patient whose urine ̦̣ oaubitrpb.u ̦̣ cotmh/atesstbeen
̦̣ low for 2
consecutive ̦̣ hou rs.
̦̣ After a thorou gh
̦̣ patient assessment, you ̦̣ call the primary care provider with the
following report.
Dr. Smith, I’m calling abouț̣ Mrs. P., your̦̣ 65-year-old pataibeirnbt.cionm/CteCst U 10. Her urine ̦̣
outpu
̦̣ ț̣ for the past 2 hours ̦̣ totaled only 40 mL. She arrived from surgery ̦̣ to repair an aortic aneurysm ̦̣ 4
hourș̣ ago and remains on mechanical ventilation. In the past 2 hours, ̦̣ her heart rate has increased from
80 to 100 beats per minute ̦̣ and her blood pressu re
̦̣ has decreased from 128/82 to 100/70 mm Hg. She is
being given an infusaiboirnb.coofmn/toesrtmal ̦̣ saline at 100 mL per hour.̦̣ Her right atrial pressure ̦̣
through ̦̣ the su bclavian
̦̣ central line is low at 3 mm Hg. Her u rine
̦̣ is concentrated. Her BUN and
creatinine levels have been stable and in normal range. Her abdominal dressing is dry with no
indication of bleedainbigrb..cMomy/teasstsessment suggests ̦̣ that Mrs. P. is hypovolemic and I would ̦̣
like you ̦̣ to consider increasing her fluids ̦̣ or giving her a fluid ̦̣ challenge. Using the SBAR model for
communication, ̦̣ the information the nurse ̦̣ gives abouț̣ the patient’s history and vital signs is appropriate
for what part of the model?
a. Situation ̦̣
b. Background ̦̣
c. Assessment
