Test Bank For Critical Care Nursing- A Holistic Approach 12th
Edition Morton Fontaine
of Contents
,Part 1 The Concept of Holism Applied to Critical Care Nursing Practice
Chapter 1. Critical Care Nursing Practice: Promoting Excellence Through Caring, Collaboration, and Evidence
Chapter 2. The Patient’s Experience With Critical Illness
Chapter 3. The Family’s Experience With Critical Illness
Chapter 4. Patient and Family Education in Critical Care
Chapter 5. Relieving Pain and Providing Comfort
Chapter 6. Palliative Care and End-of-Life Issues in Critical Care
Part 2 Professional Practice Issues in Critical Care
Chapter 7. Ethical Issues in Critical Care Nursing
Chapter 8. Legal Issues in Critical Care Nursing
Chapter 9. Building a Professional Practice Model for Excellence in Critical Care Nursing
Part 3 Special Populations in Critical Care
Chapter 10. The Critically Ill Pediatric Patient
Chapter 11. The Critically Ill Pregnant Woman
Chapter 12. The Critically Ill Older Patient
Chapter 13. The Postanesthesia Patient
Part 4 Special Situations in Critical Care
Chapter 14. Rapid Response Teams and Transport of the Critically Ill Patient
Chapter 15. Disaster Management: Implications for the Critical Care Nurse
Part 5 Cardiovascular System
Chapter 16. Anatomy and Physiology of the Cardiovascular System
Chapter 17. Patient Assessment: Cardiovascular System
Chapter 18. Patient Management: Cardiovascular System
Chapter 19. Common Cardiovascular Disorders
Chapter 20. Heart Failure
Chapter 21. Acute Myocardial Infarction
Chapter 22. Cardiac Surgery
Part 6 Respiratory System
Chapter 23. Anatomy and Physiology of the Respiratory System
Chapter 24. Patient Assessment: Respiratory System
Chapter 25. Patient Management: Respiratory System
,Chapter 26. Common Respiratory Disorders
Chapter 27. Acute Respiratory Distress Syndrome
Part 7 Renal System
Chapter 28. Anatomy and Physiology of the Renal System
Chapter 29. Patient Assessment: Renal System
Chapter 30. Patient Management: Renal System
Chapter 31. Acute Kidney Injury and Chronic Kidney Disease
Part 8 Nervous System
Chapter 32. Anatomy and Physiology of the Nervous System
Chapter 33. Patient Assessment: Nervous System
Chapter 34. Patient Management: Nervous System
Chapter 35. Common Neurosurgical and Neurological Disorders
Chapter 36. Traumatic Brain Injury
Chapter 37. Spinal Cord Injury
Part 9 Gastrointestinal System
Chapter 38. Anatomy and Physiology of the Gastrointestinal System
Chapter 39. Patient Assessment: Gastrointestinal System
Chapter 40. Patient Management: Gastrointestinal System
Chapter 41. Common Gastrointestinal Disorders
Part 10 Endocrine System
Chapter 42. Anatomy and Physiology of the Endocrine System
Chapter 43. Patient Assessment: Endocrine System
Chapter 44. Common Endocrine Disorders
Part 11 Hematological and Immune Systems
Chapter 45. Anatomy and Physiology of the Hematological and Immune Systems
Chapter 46. Patient Assessment: Hematological and Immune Systems
Chapter 47. Organ and Hematopoietic Stem Cell Transplantation
Chapter 48. Common Immunological Disorders
Chapter 49. Common Hematological Disorders
Part 12 Integumentary System
Chapter 50. Anatomy and Physiology of the Integumentary System
,Chapter 51. Patient Assessment: Integumentary System
Chapter 52. Patient Management: Integumentary System
Chapter 53. Burns and Common Integumentary Disorders
Part 13 Multisystem Dysfunction
Chapter 54. Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome
Chapter 55. Trauma
Chapter 56. Drug Overdose and Poisoning
Chapter 1 Critical Care Nursing Practice: Promoting Excellence-Caring,Collaboration
Evidence
Multiple Choice
1. A nurse is the only one in the ICU who has not achieved certification in critical care
nursing. She often will ask her fellow nurses what to do in caring for a patient
becauseshe doubts the accuracy of her knowledge and her intuition. She loves her
work but wishes she could do it with a greater level of competence. What is the
most importanteffect that obtaining certification would likely have on the nurses
practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
2. A hospital interviews two different candidates for a position in the ICU. Both
candidateshave around 10 years of experience working in the ICU. Both have excellent
interpersonal skills and highly positive references. One, however, has certification in
critical care nursing. Which of the following is the most compelling and accurate
reasonfor the hospital to hire the candidate with certification?
A) The certified nurse will have more knowledge and expertise.
B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward patients.
D) The certified nurse will work more collaboratively with other nurses.
3. A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She
assesses his cognitive function using a new cognitive assessment test she learned about
ina recent article in a nursing journal. She then brings a cup of water and a straw to the
patient because she observes that his lips are dry. Later, she has the patient sit in a
wheelchair and takes him to have some blood tests performed. He objects at first,
saying that he can walk on his own, but the nurse explains that it is hospital policy to
, use the wheelchair. That evening, she recognizes signs of an imminent stroke in the
patient and immediately pages the physician. Which action taken by the nurse is the
best example of evidence-based practice?
A) Giving the patient a cup of water
B) Transferring the patient in a wheelchair
C) Using the cognitive assessment test
4. A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired
infections in the ICU. Her role is to conduct research to find which interventions have
been shown to be most effective in reducing these infections. She consults many
differentsources and finds conflicting information. Which of the following sources
should she consider the most authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
5. A nurse who has been recently hired to manage the nursing staff of the ICU is
concernedat the lack of evidence-based practice she sees among the staff. Which of
the following would be the best step for her to take to promote incorporating evidence
into clinical practice?
A) Only hire nurses certified in critical care nursing.
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in Google
orYahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to
researchon it.
6. A physician visits a patient in the ICU while the nurse is out. The patient complains that
the pain medication is not effective and that he would like to receive an increased
dose. The physician has the nurse paged and consults with him in the hallway
regarding the patients request for stronger pain medication. The nurse explains that
patient was startedon a morphine drip only 20 minutes ago and that the drug has not
had time to take effectyet. The physician agrees and tells the patient to give it just a
bit more time. Which component of a healthy work environment is most evident in
this scenario?
D) Recognizing signs of imminent stroke and paging the physician
, A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
B) Appropriate staffing
C) Authentic leadership
D) Meaningful recognition
8. An ICU nurse has provided excellent care for a 6-year-old girl who had been admitted
tothe ICU for a head injury. The nurse was attentive not only to the needs of the patient
butalso went out of her way to care for the needs of the girls family. According to
research, which of the following forms of recognition would the nurse value the most?
A) A card from the girls family
B) A plaque from the ICU physicians naming her as Nurse of the Year
C) A letter of commendation from the hospitals administration
D) A bouquet of flowers from her supervisor
9. A patient in the ICU has recently been diagnosed with diabetes mellitus. Before being
discharged, this patient will require detailed instructions on how to manage her diet,
howto self-inject insulin, and how to handle future diabetic emergencies. Which nurse
competency is most needed in this situation?
A) Clinical judgment
B) Advocacy and moral agency
C) Caring practices
D) Facilitation of learning
10. An elderly patient is admitted to the ICU with stage IV lung cancer, diabetes mellitus,
andcongestive heart failure. The health care team assembled to care for her is large and
diverse, including an oncologist, a pulmonologist, an endocrinologist, a cardiologist, and
others. The patient is not expected to survive more than a few weeks, and her husband
7. A nurse in the ICU is responding to a patient who has just gone into cardiac arrest. A
moment later, the nurse is notified that another patient has just gone into anaphylactic
shock due to a drug allergy. She is conflicted as to what to do, as she is the only nurse
available at the moment to tend to both patients. Which component of a healthy work
environment is lacking in this scenario?
A) Effective decision making
Edition Morton Fontaine
of Contents
,Part 1 The Concept of Holism Applied to Critical Care Nursing Practice
Chapter 1. Critical Care Nursing Practice: Promoting Excellence Through Caring, Collaboration, and Evidence
Chapter 2. The Patient’s Experience With Critical Illness
Chapter 3. The Family’s Experience With Critical Illness
Chapter 4. Patient and Family Education in Critical Care
Chapter 5. Relieving Pain and Providing Comfort
Chapter 6. Palliative Care and End-of-Life Issues in Critical Care
Part 2 Professional Practice Issues in Critical Care
Chapter 7. Ethical Issues in Critical Care Nursing
Chapter 8. Legal Issues in Critical Care Nursing
Chapter 9. Building a Professional Practice Model for Excellence in Critical Care Nursing
Part 3 Special Populations in Critical Care
Chapter 10. The Critically Ill Pediatric Patient
Chapter 11. The Critically Ill Pregnant Woman
Chapter 12. The Critically Ill Older Patient
Chapter 13. The Postanesthesia Patient
Part 4 Special Situations in Critical Care
Chapter 14. Rapid Response Teams and Transport of the Critically Ill Patient
Chapter 15. Disaster Management: Implications for the Critical Care Nurse
Part 5 Cardiovascular System
Chapter 16. Anatomy and Physiology of the Cardiovascular System
Chapter 17. Patient Assessment: Cardiovascular System
Chapter 18. Patient Management: Cardiovascular System
Chapter 19. Common Cardiovascular Disorders
Chapter 20. Heart Failure
Chapter 21. Acute Myocardial Infarction
Chapter 22. Cardiac Surgery
Part 6 Respiratory System
Chapter 23. Anatomy and Physiology of the Respiratory System
Chapter 24. Patient Assessment: Respiratory System
Chapter 25. Patient Management: Respiratory System
,Chapter 26. Common Respiratory Disorders
Chapter 27. Acute Respiratory Distress Syndrome
Part 7 Renal System
Chapter 28. Anatomy and Physiology of the Renal System
Chapter 29. Patient Assessment: Renal System
Chapter 30. Patient Management: Renal System
Chapter 31. Acute Kidney Injury and Chronic Kidney Disease
Part 8 Nervous System
Chapter 32. Anatomy and Physiology of the Nervous System
Chapter 33. Patient Assessment: Nervous System
Chapter 34. Patient Management: Nervous System
Chapter 35. Common Neurosurgical and Neurological Disorders
Chapter 36. Traumatic Brain Injury
Chapter 37. Spinal Cord Injury
Part 9 Gastrointestinal System
Chapter 38. Anatomy and Physiology of the Gastrointestinal System
Chapter 39. Patient Assessment: Gastrointestinal System
Chapter 40. Patient Management: Gastrointestinal System
Chapter 41. Common Gastrointestinal Disorders
Part 10 Endocrine System
Chapter 42. Anatomy and Physiology of the Endocrine System
Chapter 43. Patient Assessment: Endocrine System
Chapter 44. Common Endocrine Disorders
Part 11 Hematological and Immune Systems
Chapter 45. Anatomy and Physiology of the Hematological and Immune Systems
Chapter 46. Patient Assessment: Hematological and Immune Systems
Chapter 47. Organ and Hematopoietic Stem Cell Transplantation
Chapter 48. Common Immunological Disorders
Chapter 49. Common Hematological Disorders
Part 12 Integumentary System
Chapter 50. Anatomy and Physiology of the Integumentary System
,Chapter 51. Patient Assessment: Integumentary System
Chapter 52. Patient Management: Integumentary System
Chapter 53. Burns and Common Integumentary Disorders
Part 13 Multisystem Dysfunction
Chapter 54. Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome
Chapter 55. Trauma
Chapter 56. Drug Overdose and Poisoning
Chapter 1 Critical Care Nursing Practice: Promoting Excellence-Caring,Collaboration
Evidence
Multiple Choice
1. A nurse is the only one in the ICU who has not achieved certification in critical care
nursing. She often will ask her fellow nurses what to do in caring for a patient
becauseshe doubts the accuracy of her knowledge and her intuition. She loves her
work but wishes she could do it with a greater level of competence. What is the
most importanteffect that obtaining certification would likely have on the nurses
practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
2. A hospital interviews two different candidates for a position in the ICU. Both
candidateshave around 10 years of experience working in the ICU. Both have excellent
interpersonal skills and highly positive references. One, however, has certification in
critical care nursing. Which of the following is the most compelling and accurate
reasonfor the hospital to hire the candidate with certification?
A) The certified nurse will have more knowledge and expertise.
B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward patients.
D) The certified nurse will work more collaboratively with other nurses.
3. A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She
assesses his cognitive function using a new cognitive assessment test she learned about
ina recent article in a nursing journal. She then brings a cup of water and a straw to the
patient because she observes that his lips are dry. Later, she has the patient sit in a
wheelchair and takes him to have some blood tests performed. He objects at first,
saying that he can walk on his own, but the nurse explains that it is hospital policy to
, use the wheelchair. That evening, she recognizes signs of an imminent stroke in the
patient and immediately pages the physician. Which action taken by the nurse is the
best example of evidence-based practice?
A) Giving the patient a cup of water
B) Transferring the patient in a wheelchair
C) Using the cognitive assessment test
4. A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired
infections in the ICU. Her role is to conduct research to find which interventions have
been shown to be most effective in reducing these infections. She consults many
differentsources and finds conflicting information. Which of the following sources
should she consider the most authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
5. A nurse who has been recently hired to manage the nursing staff of the ICU is
concernedat the lack of evidence-based practice she sees among the staff. Which of
the following would be the best step for her to take to promote incorporating evidence
into clinical practice?
A) Only hire nurses certified in critical care nursing.
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in Google
orYahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to
researchon it.
6. A physician visits a patient in the ICU while the nurse is out. The patient complains that
the pain medication is not effective and that he would like to receive an increased
dose. The physician has the nurse paged and consults with him in the hallway
regarding the patients request for stronger pain medication. The nurse explains that
patient was startedon a morphine drip only 20 minutes ago and that the drug has not
had time to take effectyet. The physician agrees and tells the patient to give it just a
bit more time. Which component of a healthy work environment is most evident in
this scenario?
D) Recognizing signs of imminent stroke and paging the physician
, A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
B) Appropriate staffing
C) Authentic leadership
D) Meaningful recognition
8. An ICU nurse has provided excellent care for a 6-year-old girl who had been admitted
tothe ICU for a head injury. The nurse was attentive not only to the needs of the patient
butalso went out of her way to care for the needs of the girls family. According to
research, which of the following forms of recognition would the nurse value the most?
A) A card from the girls family
B) A plaque from the ICU physicians naming her as Nurse of the Year
C) A letter of commendation from the hospitals administration
D) A bouquet of flowers from her supervisor
9. A patient in the ICU has recently been diagnosed with diabetes mellitus. Before being
discharged, this patient will require detailed instructions on how to manage her diet,
howto self-inject insulin, and how to handle future diabetic emergencies. Which nurse
competency is most needed in this situation?
A) Clinical judgment
B) Advocacy and moral agency
C) Caring practices
D) Facilitation of learning
10. An elderly patient is admitted to the ICU with stage IV lung cancer, diabetes mellitus,
andcongestive heart failure. The health care team assembled to care for her is large and
diverse, including an oncologist, a pulmonologist, an endocrinologist, a cardiologist, and
others. The patient is not expected to survive more than a few weeks, and her husband
7. A nurse in the ICU is responding to a patient who has just gone into cardiac arrest. A
moment later, the nurse is notified that another patient has just gone into anaphylactic
shock due to a drug allergy. She is conflicted as to what to do, as she is the only nurse
available at the moment to tend to both patients. Which component of a healthy work
environment is lacking in this scenario?
A) Effective decision making
