,TestjBankj-jIntroductionjtojCriticaljCarejNursingj7ej(Solej2016) 1
Table of Contents
j j
Tablej ofj Contents 1
Chapterj 01:j Overviewj ofj Criticalj Carej Nursing 2
Chapterj02:jPatientjandjFamilyjResponsejtojthejCriticaljCarejExperiencejChap 14
terj03:jEthicaljandjLegaljIssuesjinjCriticaljCarejNursing 30
Chapterj04:jPalliativejandjEnd-of- 42
LifejCarejChapterj 05:j Comfortj andj Sedationj 56
Chapterj06:jNutritionaljTherapy 69
Chapterj07:jDysrhythmiajInterpretationjandjManagementjChapterj0 83
8:jHemodynamicjMonitoring 117
Chapterj 09:j Ventilatoryj Assistance 137
Chapterj10:jRapidjResponsejTeamsjandjCodejManagementjChapt 156
erj11:jOrganjDonation 171
Chapterj12:jShock,jSepsis,jandjMultiplejOrganjDysfunctionjSyndromejChapte 189
rj13:jCardiovascularjAlterations 207
Chapterj14:jNervousjSystemjAlterationsjC 225
hapterj15:jAcutejRespiratoryjFailurejChapt 243
erj 16:j Acutej Kidneyj InjuryjChapterj17:jGa 260
strointestinaljAlterations 285
Chapterj17:jHematologicaljandjImmunejDisordersjChapt 312
erj19:jEndocrinejAlterations 341
Chapterj20:jTraumajandjSurgicaljManagementjChapterj2 361
1:jBurns 377
,TestjBankj-jIntroductionjtojCriticaljCarejNursingj7ej(Solej2016) 2
Chapter 01: Overview of Critical Care Nursing
j j j j j j
MULTIPLEj CHOICE
1. Whichj ofj thej followingj professionalj organizationsj bestj supportsj criticalj carej nursingj practice?
a. Americanj Associationj ofj Critical-Carej Nurses
b. Americanj Heartj Association
c. Americanj Nursesj Association
d. SocietyjofjCriticaljCarejMedicine
ANS:j A
ThejAmericanjAssociationjofjCritical-
CarejNursesjisjthejspecialtyjorganizationjthatjsupportsjandjrepresentsjcriticaljcarejnurses.jThejAmericanjHeartjAssoc
iationjsupportsjcardiovascularjinitiatives.jThejAmericanjNursesj Associationjsupportsjalljnurses.jThejSocietyjofjCrit
icaljCarejMedicinejrepresentsjthejmultiprofessionaljcriticalj carejteamjunderjthejdirectionjofjanjintensivist.
DIF:j Cognitivej Level:j Knowledgej REF:j p.j 4
OBJ:jDiscussjthejpurposesjandjfunctionsjofjthejprofessionaljorganizationsjthatjsupportjcriticaljcarejpractice.j TOP:jN
ursingjProcessjStep:jN/A
MSC:j NCLEX:j Safej andj Effectivej Carej Environment
2. Ajnursejhasjbeenjworkingjasjajstaffjnursejinjthejsurgicaljintensivejcarejunitjforj2jyearsjandjisjinterestedjinj certifica
tion.jWhichjcredentialjwouldjbejmostjapplicablejforjherjtojseek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:j C
ThejCCRNjcertificationjisjappropriatejforjnursesjinjbedsidejpracticejwhojcarejforjcriticallyjilljpatients.jThejACNPCjc
ertificationjisjforjacutejcarejnursejpractitioners.jThejCCNSjcertificationjisjforjcriticaljcarejclinicaljnursejspecialists.jT
hejPCCNjcertificationjisjforjstaffjnursesjworkingjinjprogressivejcare,jintermediatejcare,jorj step-downjunitjsettings.
DIF:jCognitivej Level:j Applicationj REF:j p.j 5
OBJ:jExplainjcertificationjoptionsjforjcriticaljcarejnurses.jTOP:jNursingjProcessjStep:jN/AjMSC:jN
CLEX:jSafejandjEffectivejCarejEnvironment
, TestjBankj-jIntroductionjtojCriticaljCarejNursingj7ej(Solej2016) 3
3. Thejmainjpurposejofjcertificationjisjto:
a. assurejthejconsumerj thatj youj willjnotj makejaj mistake.
b. preparej forj graduatej school.
c. promotej magnetj statusj forj yourj facility.
d. validatejknowledgej ofj criticalj carejnursing.
ANS:j D
Certificationjassistsjinjvalidatingjknowledgejofjthejfield,jpromotesjexcellencejinjthejprofession,jandjhelpsj nursesjt
ojmaintainjtheirjknowledgejofjcriticaljcarejnursing.jCertificationjhelpsjtojassurejthejconsumerjthatjthej nursej hasj aj
minimumj levelj ofj knowledge;j however,j itj doesj notj ensurej thatj carej willj bej mistake-free.
Certificationjdoesjnotjpreparejonejforjgraduatejschool;jhowever,jachievingjcertificationjdemonstratesj motivation
jforjachievementjandjprofessionalism.jMagnetjfacilitiesjarejratedjonjthejnumberjofjcertifiedjnurses;j however,jthatji
sjnotjthejpurposejofjcertification.
DIF:j Cognitivej Level:j Analysisj REF:j pp.j 4-5
OBJ:jExplainjcertificationjoptionsjforjcriticaljcarejnurses.jTOP:jNursingjProcessjStep:jN/AjMSC:jN
CLEX:jSafejandjEffectivejCarejEnvironment
4. Thej synergyj modelj ofj practicej focusesj on:
a. allowingjunrestrictedj visitingjforj thejpatientj 24jhoursj eachj day.
b. holisticj andj alternativej therapies.
c. needsjofjpatientsjandj theirjfamilies,jwhichj drivesjnursingj competency.
d. patientsjneedsjforjenergyjandj support.
ANS:j C
Thej synergyj modelj ofj practicej statesj thatj thej needsj ofj patientsj andj familiesj influencej andj drivej competenciesjofjnu
rses.jNursingjpracticejbasedjonjthejsynergyjmodeljwouldjinvolvejtailoredjvisitingjtojmeetjthejpatientsjandj familysj nee
dsj andj applicationj ofj alternativej therapiesj ifj desiredj byj thej patient,j butj thatj isj notj thej primaryj focusjofjthejmodel.
DIF:jCognitivej Level:jApplicationj REF:jp.j5j |j Fig.j 1-3
OBJ:jDescribej standardsj ofj professionalj practicej forj criticalj carej nursing.
TOP:jNursingjProcessj Step:j N/Aj MSC:j NCLEX:j Safej andj Effectivej Carej Environment
5. Thej familyj ofj yourj criticallyj illj patientj tellsj youj thatj theyj havej notj spokenj withj thej physicianj inj overj 24jhoursjan
djtheyjhavejsomejquestionsjthatjtheyjwantjclarified.jDuringjmorningjrounds,jyoujconveyjthisjconcernj tojthejattendin
gjintensivistjandjarrangejforjherjtojmeetjwithjthejfamilyjatj4:00jPMjinjthejconferencejroom.j Whichjcompetencyjofjcrit
icaljcarejnursingjdoesjthisjrepresent?
Table of Contents
j j
Tablej ofj Contents 1
Chapterj 01:j Overviewj ofj Criticalj Carej Nursing 2
Chapterj02:jPatientjandjFamilyjResponsejtojthejCriticaljCarejExperiencejChap 14
terj03:jEthicaljandjLegaljIssuesjinjCriticaljCarejNursing 30
Chapterj04:jPalliativejandjEnd-of- 42
LifejCarejChapterj 05:j Comfortj andj Sedationj 56
Chapterj06:jNutritionaljTherapy 69
Chapterj07:jDysrhythmiajInterpretationjandjManagementjChapterj0 83
8:jHemodynamicjMonitoring 117
Chapterj 09:j Ventilatoryj Assistance 137
Chapterj10:jRapidjResponsejTeamsjandjCodejManagementjChapt 156
erj11:jOrganjDonation 171
Chapterj12:jShock,jSepsis,jandjMultiplejOrganjDysfunctionjSyndromejChapte 189
rj13:jCardiovascularjAlterations 207
Chapterj14:jNervousjSystemjAlterationsjC 225
hapterj15:jAcutejRespiratoryjFailurejChapt 243
erj 16:j Acutej Kidneyj InjuryjChapterj17:jGa 260
strointestinaljAlterations 285
Chapterj17:jHematologicaljandjImmunejDisordersjChapt 312
erj19:jEndocrinejAlterations 341
Chapterj20:jTraumajandjSurgicaljManagementjChapterj2 361
1:jBurns 377
,TestjBankj-jIntroductionjtojCriticaljCarejNursingj7ej(Solej2016) 2
Chapter 01: Overview of Critical Care Nursing
j j j j j j
MULTIPLEj CHOICE
1. Whichj ofj thej followingj professionalj organizationsj bestj supportsj criticalj carej nursingj practice?
a. Americanj Associationj ofj Critical-Carej Nurses
b. Americanj Heartj Association
c. Americanj Nursesj Association
d. SocietyjofjCriticaljCarejMedicine
ANS:j A
ThejAmericanjAssociationjofjCritical-
CarejNursesjisjthejspecialtyjorganizationjthatjsupportsjandjrepresentsjcriticaljcarejnurses.jThejAmericanjHeartjAssoc
iationjsupportsjcardiovascularjinitiatives.jThejAmericanjNursesj Associationjsupportsjalljnurses.jThejSocietyjofjCrit
icaljCarejMedicinejrepresentsjthejmultiprofessionaljcriticalj carejteamjunderjthejdirectionjofjanjintensivist.
DIF:j Cognitivej Level:j Knowledgej REF:j p.j 4
OBJ:jDiscussjthejpurposesjandjfunctionsjofjthejprofessionaljorganizationsjthatjsupportjcriticaljcarejpractice.j TOP:jN
ursingjProcessjStep:jN/A
MSC:j NCLEX:j Safej andj Effectivej Carej Environment
2. Ajnursejhasjbeenjworkingjasjajstaffjnursejinjthejsurgicaljintensivejcarejunitjforj2jyearsjandjisjinterestedjinj certifica
tion.jWhichjcredentialjwouldjbejmostjapplicablejforjherjtojseek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:j C
ThejCCRNjcertificationjisjappropriatejforjnursesjinjbedsidejpracticejwhojcarejforjcriticallyjilljpatients.jThejACNPCjc
ertificationjisjforjacutejcarejnursejpractitioners.jThejCCNSjcertificationjisjforjcriticaljcarejclinicaljnursejspecialists.jT
hejPCCNjcertificationjisjforjstaffjnursesjworkingjinjprogressivejcare,jintermediatejcare,jorj step-downjunitjsettings.
DIF:jCognitivej Level:j Applicationj REF:j p.j 5
OBJ:jExplainjcertificationjoptionsjforjcriticaljcarejnurses.jTOP:jNursingjProcessjStep:jN/AjMSC:jN
CLEX:jSafejandjEffectivejCarejEnvironment
, TestjBankj-jIntroductionjtojCriticaljCarejNursingj7ej(Solej2016) 3
3. Thejmainjpurposejofjcertificationjisjto:
a. assurejthejconsumerj thatj youj willjnotj makejaj mistake.
b. preparej forj graduatej school.
c. promotej magnetj statusj forj yourj facility.
d. validatejknowledgej ofj criticalj carejnursing.
ANS:j D
Certificationjassistsjinjvalidatingjknowledgejofjthejfield,jpromotesjexcellencejinjthejprofession,jandjhelpsj nursesjt
ojmaintainjtheirjknowledgejofjcriticaljcarejnursing.jCertificationjhelpsjtojassurejthejconsumerjthatjthej nursej hasj aj
minimumj levelj ofj knowledge;j however,j itj doesj notj ensurej thatj carej willj bej mistake-free.
Certificationjdoesjnotjpreparejonejforjgraduatejschool;jhowever,jachievingjcertificationjdemonstratesj motivation
jforjachievementjandjprofessionalism.jMagnetjfacilitiesjarejratedjonjthejnumberjofjcertifiedjnurses;j however,jthatji
sjnotjthejpurposejofjcertification.
DIF:j Cognitivej Level:j Analysisj REF:j pp.j 4-5
OBJ:jExplainjcertificationjoptionsjforjcriticaljcarejnurses.jTOP:jNursingjProcessjStep:jN/AjMSC:jN
CLEX:jSafejandjEffectivejCarejEnvironment
4. Thej synergyj modelj ofj practicej focusesj on:
a. allowingjunrestrictedj visitingjforj thejpatientj 24jhoursj eachj day.
b. holisticj andj alternativej therapies.
c. needsjofjpatientsjandj theirjfamilies,jwhichj drivesjnursingj competency.
d. patientsjneedsjforjenergyjandj support.
ANS:j C
Thej synergyj modelj ofj practicej statesj thatj thej needsj ofj patientsj andj familiesj influencej andj drivej competenciesjofjnu
rses.jNursingjpracticejbasedjonjthejsynergyjmodeljwouldjinvolvejtailoredjvisitingjtojmeetjthejpatientsjandj familysj nee
dsj andj applicationj ofj alternativej therapiesj ifj desiredj byj thej patient,j butj thatj isj notj thej primaryj focusjofjthejmodel.
DIF:jCognitivej Level:jApplicationj REF:jp.j5j |j Fig.j 1-3
OBJ:jDescribej standardsj ofj professionalj practicej forj criticalj carej nursing.
TOP:jNursingjProcessj Step:j N/Aj MSC:j NCLEX:j Safej andj Effectivej Carej Environment
5. Thej familyj ofj yourj criticallyj illj patientj tellsj youj thatj theyj havej notj spokenj withj thej physicianj inj overj 24jhoursjan
djtheyjhavejsomejquestionsjthatjtheyjwantjclarified.jDuringjmorningjrounds,jyoujconveyjthisjconcernj tojthejattendin
gjintensivistjandjarrangejforjherjtojmeetjwithjthejfamilyjatj4:00jPMjinjthejconferencejroom.j Whichjcompetencyjofjcrit
icaljcarejnursingjdoesjthisjrepresent?
