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Test Bank for Sole's Introduction to Critical Care Nursing 9th Edition by Mary Beth Flynn Makic & Lauren T. Morata — Chapters 1–21 Questions with Rationalized Answers

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This Test Bank is a companion study resource for Sole's Introduction to Critical Care Nursing, 9th Edition, authored by Mary Beth Flynn Makic and Lauren T. Morata, as identified from the uploaded document. The file covers all 21 chapters of the text and is organized into three parts: Foundations of Critical Care Nursing, which includes overview of critical care nursing, patient and family response to the critical care experience, ethical and legal issues, palliative and end-of-life care, organ donation, and comfort and sedation; Tools for the Critical Care Nurse, which includes nutritional therapy, dysrhythmia interpretation and management, hemodynamic monitoring, ventilatory assistance, and rapid response teams and code management; and Nursing Care During Critical Illness, which includes shock, sepsis, and multiple organ dysfunction syndrome, cardiovascular alterations, nervous system alterations, acute respiratory failure, acute kidney injury, hematological and immune disorders, gastrointestinal alterations, endocrine alterations, trauma and surgical management, and burns. Each chapter contains multiple-choice and multiple-response questions with answer options, and every item is followed by a rationalized answer that explains why the correct choice is right and why the other options are incorrect, along with the cognitive level, page reference, learning objective, nursing process step, and NCLEX client needs category. The questions test core critical care nursing concepts such as professional organizations and certification for critical care nurses, the synergy model of practice, AACN standards of professional performance, quality and safety initiatives including National Patient Safety Goals and evidence-based bundles, family-centered care and visitation, ethical principles including autonomy and beneficence, advance directives and brain death criteria, organ donation and transplant management, pain and anxiety assessment tools including the Critical Care Pain Observation Tool and Richmond Agitation Sedation Scale, delirium and neuromuscular blockade, nutritional support including enteral and parenteral nutrition, dysrhythmia interpretation with ECG rhythm strips, hemodynamic monitoring including arterial lines and pulmonary artery catheters, mechanical ventilation modes and weaning, rapid response and code management, shock states and sepsis management, cardiovascular alterations including acute myocardial infarction and heart failure, neurological alterations including increased intracranial pressure and stroke, acute respiratory failure and acute respiratory distress syndrome, acute kidney injury and renal replacement therapy, hematological and immune disorders, gastrointestinal alterations including pancreatitis and liver failure, endocrine alterations including diabetic ketoacidosis and thyroid storm, trauma and surgical management, and burn assessment and management. This document can be used for exam preparation, chapter-by-chapter review, practice quizzing, and homework or self-study support in critical care nursing courses.

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TEST BANK
Sole’s Introduction to Critical Care Nursing

Mary Beth Flynn Makic

9th Edition

Chapters 1-21 (Questions with Rationalized Answers)

,Table of Contents

PART I: Fundamental Concepts

1. Overview of Critical Care Nursing

2. Patient and Family Response to the Critical Care Experience

3. Ethical and Legal Issues in Critical Care Nursing

4. Palliative and End-of-Life Care

5. Organ Donation

6. Comfort and Sedation

PART II: Tools for the Critical Care Nurse

7. Nutritional Therapy

8. Dysrhythmia Interpretation and Management

9. Hemodynamic Monitoring

10. Ventilatory Assistance

11. Rapid Response Teams and Code Management

PART III: Nursing Care During Critical Illness

12. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome

13. Cardiovascular Alterations

14. Nervous System Alterations

15. Acute Respiratory Failure

16. Acute Kidney Injury

17. Hematological and Immune Disorders

18. Gastrointestinal Alterations

19. Endocrine Alterations

20. Trauma and Surgical Management

21. Burns

,Chapter 01: Overview of Critical Care Nursing
MULTIPLE CHOICE

1. Which of the following professional organizations best supports critical care nursing 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 specialty organization that supports and represents
critical care nurses. The American Heart Association supports cardiovascular 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 intensivist.

DIF: Cognitive Level: Knowledge REF: p. 4

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

2. A nurse has been working as a staff nurse in the surgical intensive care 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
step-down unit settings.

DIF: Cognitive Level: Application REF: p. 5

OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A

MSC: NCLEX: Safe and Effective Care Environment

, 3. The main purpose of certification is to:


a. assure the consumer that you will not make a mistake.


b. prepare for graduate school.


c. promote magnet status for your facility.


d. validate 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
nurse has a minimum level of knowledge; 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 REF: pp. 4-5

OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A

MSC: NCLEX: Safe and Effective Care Environment

4. The synergy model of practice focuses on:


a. allowing unrestricted visiting for the patient 24 hours each day.


b. holistic and alternative therapies.


c. needs of patients and their families, which drives nursing competency.


d. patients needs for energy and support.


ANS: C

The synergy model of practice states that the needs of patients and families influence and drive competencies
of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the patients and
familys needs and application of alternative therapies if desired by the patient, but that is not the primary focus
of the model.

DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3

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 your 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 intensivist and arrange for her to meet with the family at 4:00 PM in the conference room.
Which competency of critical care nursing does this represent?

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