TEST BANK
Introduction to Critical Care Nursing
Mary Lou Sole, Deborah Goldenberg Klein, and Marthe J. Moseley
8th Edition
,Table of Contents
Chapter 01: Overview of Critical Care Nursing 1
Chapter 02: Patient and Family Response to the Critical Care Experience 11
Chapter 03: Ethical and Legal Issues in Critical Care Nursing 25
Chapter 04: Palliative and End-of-Life Care 35
Chapter 05: Organ Donation 46
Chapter 06: Comfort and Sedation 50
Chapter 07: Nutritional Therapy 62
Chapter 08: Dysrhythmia Interpretation and Management 70
Chapter 09: Hemodynamic Monitoring 100
Chapter 10: Ventilatory Assistance 114
Chapter 11: Rapid Response Teams and Code Management 129
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 140
Chapter 13: Cardiovascular Alterations 154
Chapter 14: Nervous System Alterations 166
Chapter 15: Acute Respiratory Failure 180
Chapter 16: Acute Kidney Injury 193
Chapter 17: Hematological and Immune Disorders 211
Chapter 18: Gastrointestinal Alterations 233
Chapter 19: Endocrine Alterations 254
Chapter 20: Trauma and Surgical Management 270
Chapter 21: Burns 281
,______________________________________________________________________________________________
Test Bank - Introduction to Critical Care Nursing, 8th Edition (Sole, 2021)
Chapter 01: Overview of Critical Care Nursing
Sole: Introduction to Critical Care Nursing, 8th Edition
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 multiprofessional critical care team under the direction of an
intensivist.
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
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 WWW.TBSM.WS
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
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 consumer that critical nurses will not make a mistake.
b. To help prepare the critical care nurse for graduate school.
c. To assist in promoting magnet status for a facility.
d. To validate a nurse’s knowledge of critical care nursing.
ANS: D
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1|Page
, ______________________________________________________________________________________________
Test Bank - Introduction to Critical Care Nursing, 8th Edition (Sole, 2021)
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
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
4. What is the focus of the synergy model of practice?
a. Allowing unrestricted visiting for the patient 24 hours each day.
b. Providing holistic and alternative therapies.
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 patients and families influence and
drive competencies of nurses. Nursing practice based on the synergy model would involve
tailored visiting to meet the patient’s and family’s 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
OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A WWW.TBSM.WSMSC: 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?
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: Safe and Effective Care Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice uses what framework to
guide critical care nursing practice?
a. Evidence-based practice
______________________________________________________________________________________________
2|Page
Introduction to Critical Care Nursing
Mary Lou Sole, Deborah Goldenberg Klein, and Marthe J. Moseley
8th Edition
,Table of Contents
Chapter 01: Overview of Critical Care Nursing 1
Chapter 02: Patient and Family Response to the Critical Care Experience 11
Chapter 03: Ethical and Legal Issues in Critical Care Nursing 25
Chapter 04: Palliative and End-of-Life Care 35
Chapter 05: Organ Donation 46
Chapter 06: Comfort and Sedation 50
Chapter 07: Nutritional Therapy 62
Chapter 08: Dysrhythmia Interpretation and Management 70
Chapter 09: Hemodynamic Monitoring 100
Chapter 10: Ventilatory Assistance 114
Chapter 11: Rapid Response Teams and Code Management 129
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 140
Chapter 13: Cardiovascular Alterations 154
Chapter 14: Nervous System Alterations 166
Chapter 15: Acute Respiratory Failure 180
Chapter 16: Acute Kidney Injury 193
Chapter 17: Hematological and Immune Disorders 211
Chapter 18: Gastrointestinal Alterations 233
Chapter 19: Endocrine Alterations 254
Chapter 20: Trauma and Surgical Management 270
Chapter 21: Burns 281
,______________________________________________________________________________________________
Test Bank - Introduction to Critical Care Nursing, 8th Edition (Sole, 2021)
Chapter 01: Overview of Critical Care Nursing
Sole: Introduction to Critical Care Nursing, 8th Edition
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 multiprofessional critical care team under the direction of an
intensivist.
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
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 WWW.TBSM.WS
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
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 consumer that critical nurses will not make a mistake.
b. To help prepare the critical care nurse for graduate school.
c. To assist in promoting magnet status for a facility.
d. To validate a nurse’s knowledge of critical care nursing.
ANS: D
______________________________________________________________________________________________
1|Page
, ______________________________________________________________________________________________
Test Bank - Introduction to Critical Care Nursing, 8th Edition (Sole, 2021)
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
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
4. What is the focus of the synergy model of practice?
a. Allowing unrestricted visiting for the patient 24 hours each day.
b. Providing holistic and alternative therapies.
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 patients and families influence and
drive competencies of nurses. Nursing practice based on the synergy model would involve
tailored visiting to meet the patient’s and family’s 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
OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A WWW.TBSM.WSMSC: 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?
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: Safe and Effective Care Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice uses what framework to
guide critical care nursing practice?
a. Evidence-based practice
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2|Page
