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
7 Nutritional Therapy
8 Dysrhythmia Interpretation and Management
9 Hemodynamic Monitoring
10 Ventilatory Assistance
11 Rapid Response Teams and Code Management
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
Sole’s Introduction to Critical Care Nursing 9th 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
Rationale: 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: Remember/Knowledge
OBJ: Discuss the purposes and functions of the professional organizations that support critical
care practice. TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: 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 the
nurse to seek?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS: C
Rationale: The CCRN certification is appropriate for nurses in bedside practice who
care for critically ill patients. The ACNPC-AG certification is for acute care nurse
practitioners. The CNML is for critical care nurse managers or leaders. The PCCN
certification is for staff nurses working in progressive care, intermediate care, or step-
down unit settings.
DIF: Cognitive Level: Remember/Knowledge
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step:
N/A
MSC: NCLEX Client Needs Category: 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
Rationale: 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: Remember/Knowledge
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step:
N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
4. The synergy model of practice focuses on
a. allowing unrestricted visiting for the patient 24 hours a day.
b. holistic and alternative therapies.
c. the needs of patients and their families, which drive nursing competency.
d. patients’ needs for energy and support.
ANS: C
Rationale: 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 the
application of alternative therapies if desired by the patient, but that is not the primary
focus of the model.
DIF: Cognitive Level: Remember/Knowledge
OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: 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 that they have some questions they want clarified.
During morning rounds, you convey this concern to the attending intensivist and arrange
a meeting with the family at 4:00 PM. 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
Rationale: 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: Analyze/Analysis