CCRN
A patient's family expresses anxiety regarding the meaning of numbers on the patient's monitor,
and asks the nurse for clarification. The nurse's most appropriate response would be:
A: "The numbers indicate when the patient is having problems."
B: "The numbers help us determine the best treatment."
C: "Which numbers on the monitor concern you?"
D: "What don't you understand about the monitor?" - ANS-C: "Which numbers on the monitor
concerns you?"
A patient transferring out of ICU says "Why can't I stay a few days longer? I don't feel strong
enough". Which of the following is the most appropriate response?
A: "There's a very sick patient who needs this bed."
B: "You sound concerned about leaving the ICU."
C: "Most people do just fine after transfer."
D: "Your insurance limits the time you can stay in the ICU." - ANS-"You sound concerned about
leaving the ICU".
A blind patient's to be transferred to the neuroscience unit after unsuccessful thrombolytic
therapy for a right middle cerebral artery stroke. The nurse would prepare the patient for
transition by: - ANS-Giving the patient a brief, factual introduction to the unit.
A patient recalls a near-death experience (NDE) that occurred during resuscitation and wishes
to tell the nurse about it. What is the response by the nurse? - ANS-Make time to listen actively
while the patient tells the story.
A patient in the ICU is confused about time and place , despite frequent reorientation. For the
patients safety, the nurse would initially?
A: Put a vest restraint on the patient.
B: Ask a family member to stay with the patient.
C: Administer a mild sedative.
D: Increase the frequency of observation of the patient. - ANS-Increase the frequency of
observation of the patient.
A physician instructs an orientee to level an ICP transducer to the Foramen of Magnum. The
critical care nurse should: - ANS-Help the orientee plan and carry out an appropriate response.
A Russian patient who does not speak or understand English has just undergone an aortic valve
replacement. The nurse notices he is increasingly restless and splinting his chest with both
hands. An effective means of communication with this patient would be by: - ANS-Touch and
gestures
, Six members of a trauma patients family arrive at the ICU asking questions about their loved
ones condition. The nurses most appropriate initial response would be to:
A: Ensure that the chaplain is available.
B: Include the family in patient care.
C: Offer the family a tour of the ICU.
D: Ask the family to identify a family spokesperson. - ANS-Ask the family to Identify a family
spokesperson
A patient has been waiting in the ICU for 2 months for a heart transplant. A family member
angrily tells the nurse, "This is hopeless!" The nurses actions should be based on the
knowledge that:
A: Expressions of frustration are normal and usually require no nursing intervention.
B: Since expressions of hopelessness may be harmful to the patient, the family member should
be encouraged to keep those statements out of the patients care area.
C: Helping maintain the integrity of the family system is crucial in the transplant process.
D: Encouraging discussion of negative emotions can impede their resolution. - ANS-Helping
maintain the integrity of the family system is crucial in the transplant process.
The daughter of a mechanically ventilated patient is to be taught how to suction. When
developing a teaching plan, the nurse must first:
A: Obtain written information about the procedure.
B: Determine a schedule for demonstrating the technique.
C: Asses the knowledge and skills the daughter needs to learn.
D: Encourage the daughter to observe the procedure on other patients. - ANS-Asses the
knowledge and skills the daughter needs to learn.
An AMI patient is in critical condition in the CCU. His significant other has been at the bedside
providing reassurance and support since his admission 12 hours ago. His estranged wife arrives
and demands that the significant other not be allowed to visit or be given condition updates. The
nurse should:
A; Ask the physician to write an order to allow the significant other to have visitation privileges.
B: Request a multidisciplinary care conference to discuss visitation and communication of the
patient status.
C: Contact the hospital's medical legal department and request that the hospital attorney speak
to the wife.
D: Encourage the patient to speak with his wife regarding his desire to spend time with his
significant other. - ANS-Request a multidisciplinary care conference to discuss visitation and
communication of patient status.
A patient has just been told by their physician that they have type 1 diabetes and will require
insulin injections for life. The patient asks you, "Why am I being punished? Was I a bad person?
Is God punishing me?" The most appropriate response would be: - ANS-"What are your biggest
concerns about being diagnosed with diabetes?"
A patient's family expresses anxiety regarding the meaning of numbers on the patient's monitor,
and asks the nurse for clarification. The nurse's most appropriate response would be:
A: "The numbers indicate when the patient is having problems."
B: "The numbers help us determine the best treatment."
C: "Which numbers on the monitor concern you?"
D: "What don't you understand about the monitor?" - ANS-C: "Which numbers on the monitor
concerns you?"
A patient transferring out of ICU says "Why can't I stay a few days longer? I don't feel strong
enough". Which of the following is the most appropriate response?
A: "There's a very sick patient who needs this bed."
B: "You sound concerned about leaving the ICU."
C: "Most people do just fine after transfer."
D: "Your insurance limits the time you can stay in the ICU." - ANS-"You sound concerned about
leaving the ICU".
A blind patient's to be transferred to the neuroscience unit after unsuccessful thrombolytic
therapy for a right middle cerebral artery stroke. The nurse would prepare the patient for
transition by: - ANS-Giving the patient a brief, factual introduction to the unit.
A patient recalls a near-death experience (NDE) that occurred during resuscitation and wishes
to tell the nurse about it. What is the response by the nurse? - ANS-Make time to listen actively
while the patient tells the story.
A patient in the ICU is confused about time and place , despite frequent reorientation. For the
patients safety, the nurse would initially?
A: Put a vest restraint on the patient.
B: Ask a family member to stay with the patient.
C: Administer a mild sedative.
D: Increase the frequency of observation of the patient. - ANS-Increase the frequency of
observation of the patient.
A physician instructs an orientee to level an ICP transducer to the Foramen of Magnum. The
critical care nurse should: - ANS-Help the orientee plan and carry out an appropriate response.
A Russian patient who does not speak or understand English has just undergone an aortic valve
replacement. The nurse notices he is increasingly restless and splinting his chest with both
hands. An effective means of communication with this patient would be by: - ANS-Touch and
gestures
, Six members of a trauma patients family arrive at the ICU asking questions about their loved
ones condition. The nurses most appropriate initial response would be to:
A: Ensure that the chaplain is available.
B: Include the family in patient care.
C: Offer the family a tour of the ICU.
D: Ask the family to identify a family spokesperson. - ANS-Ask the family to Identify a family
spokesperson
A patient has been waiting in the ICU for 2 months for a heart transplant. A family member
angrily tells the nurse, "This is hopeless!" The nurses actions should be based on the
knowledge that:
A: Expressions of frustration are normal and usually require no nursing intervention.
B: Since expressions of hopelessness may be harmful to the patient, the family member should
be encouraged to keep those statements out of the patients care area.
C: Helping maintain the integrity of the family system is crucial in the transplant process.
D: Encouraging discussion of negative emotions can impede their resolution. - ANS-Helping
maintain the integrity of the family system is crucial in the transplant process.
The daughter of a mechanically ventilated patient is to be taught how to suction. When
developing a teaching plan, the nurse must first:
A: Obtain written information about the procedure.
B: Determine a schedule for demonstrating the technique.
C: Asses the knowledge and skills the daughter needs to learn.
D: Encourage the daughter to observe the procedure on other patients. - ANS-Asses the
knowledge and skills the daughter needs to learn.
An AMI patient is in critical condition in the CCU. His significant other has been at the bedside
providing reassurance and support since his admission 12 hours ago. His estranged wife arrives
and demands that the significant other not be allowed to visit or be given condition updates. The
nurse should:
A; Ask the physician to write an order to allow the significant other to have visitation privileges.
B: Request a multidisciplinary care conference to discuss visitation and communication of the
patient status.
C: Contact the hospital's medical legal department and request that the hospital attorney speak
to the wife.
D: Encourage the patient to speak with his wife regarding his desire to spend time with his
significant other. - ANS-Request a multidisciplinary care conference to discuss visitation and
communication of patient status.
A patient has just been told by their physician that they have type 1 diabetes and will require
insulin injections for life. The patient asks you, "Why am I being punished? Was I a bad person?
Is God punishing me?" The most appropriate response would be: - ANS-"What are your biggest
concerns about being diagnosed with diabetes?"
