Test Bank -
pc pc 1
Introduction to Critical Care Nursing 7e (Sole 2016)
Table of Contents pc pc
1
Table of Contents
pc pc
Chapter 01: Overview of Critical Care Nursing
pc pc pc pc pc pc 2
Chapter 02: Patient and Family Response to the Critical Care Experience
pc pc pc pc pc pc pc pc pc pc 14
Chapter 03: Ethical and Legal Issues in Critical Care Nursing
pc pc pc pc pc pc pc pc pc pc 30
Chapter 04: Palliative and End-of-
pc pc pc pc 42
Life Care Chapter 05: Comfort and Sed
pc pc p c p c p c p c 56
ation Chapter 06: Nutritional Therapy
pc pc pc pc 69
Chapter 07: Dysrhythmia Interpretation and Management Chap
pc pc pc pc pc pc 83
ter 08: Hemodynamic Monitoring
pc pc pc 117
Chapter 09: Ventilatory Assistance
pc pc pc 137
Chapter 10: Rapid Response Teams and Code Management C
pc pc pc pc pc pc pc pc 156
hapter 11: Organ Donation
pc pc pc 171
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome C
pc pc pc pc pc pc pc pc pc 189
hapter 13: Cardiovascular Alterations
pc pc pc 207
Chapter 14: Nervous System Alterations
pc pc pc pc 225
Chapter 15: Acute Respiratory Failure
pc pc pc pc pc pc 243
Chapter 16: Acute Kidney Injury Cha
p c p c p c p c pc 260
pter 17: Gastrointestinal Alterations
pc pc pc 285
Chapter 17: Hematological and Immune Disorders Ch
pc pc pc pc pc pc 312
apter 19: Endocrine Alterations
pc pc pc 341
Chapter 20: Trauma and Surgical Management Chap
pc pc pc pc pc pc 361
ter 21: Burns
pc pc 377
,Test Bank - pc pc 2
Introduction to Critical Care Nursing 7e (Sole 2016)
Chapter 01: Overview of Critical Care Nursing pc pc pc pc pc pc
MULTIPLE CHOICE pc
1. Which of the following professional organizations best supports critical care nursing practice?
pc pc pc pc pc pc pc pc pc pc pc
a. American Association of Critical-Care Nurses pc pc pc pc
b. American Heart Association pc pc
c. American Nurses Association pc pc
d. Society of Critical Care Medicine pc pc pc pc
ANS: A pc
The American Association of Critical-
pc pc pc pc
Care Nurses is the specialty organization that supports and represents critical care nurses. The American H
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
eart Association supports cardiovascular initiatives. The American Nurses Association supports all nurses.
pc pc pc pc pc pc pc p c pc pc pc pc
The Society of Critical Care Medicine represents the multiprofessional critical care team under the directio
pc pc pc pc pc pc pc pc pc p c pc pc pc pc
n of an intensivist.
pc pc pc
DIF: Cognitive Level: Knowledge REF: p. 4
pc pc pc pc pc pc
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice
pc pc pc pc pc pc pc pc pc pc pc pc pc pc
. TOP: Nursing Process Step: N/A
p c pc pc pc pc
MSC: NCLEX: Safe and Effective Care Environment
pc pc pc pc pc pc
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
in certification. Which credential would be most applicable for her to seek?
pc p c pc pc pc pc pc pc pc pc pc pc
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C pc
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc p
cACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
p nurse specialists. The PCCN certification is for staff nurses working in progressive care, intermediate care,
c pc pc pc pc pc pc pc pc pc pc pc pc pc pc
or step-down unit settings.
pc p c pc pc
DIF: Cognitive Level: Application REF: p. 5
pc pc pc pc pc pc
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
pc pc pc pc pc pc pc pc pc pc pc pc p c
MSC: NCLEX: Safe and Effective Care Environment
pc pc pc pc pc pc
,Test Bank -pc pc 3
Introduction to Critical Care Nursing 7e (Sole 2016)
3. The main purpose of certification is to:
pc pc pc pc pc pc
a. assure the consumer that you will not make a mistake.
pc pc pc pc pc pc pc pc pc
b. prepare for graduate school. pc pc pc
c. promote magnet status for your facility.
pc pc pc pc pc
d. validate knowledge of critical care nursing.
pc pc pc pc pc
ANS: D pc
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps
pc pc pc pc pc pc pc pc pc pc pc pc pc pc p
c nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer that
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc p
cthe nurse has a minimum level of knowledge; however, it does not ensure that care will be mista
p c pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ke-free.
Certification does not prepare one for graduate school; however, achieving certification demonstrates mot
pc pc pc pc pc pc pc pc pc pc pc p c
ivation for achievement and professionalism. Magnet facilities are rated on the number of certified nurses;
pc pc pc pc pc pc pc pc pc pc pc pc pc pc p
c however, that is not the purpose of certification.
pc pc pc pc pc pc pc
DIF: Cognitive Level: Analysis REF: pp. 4-5
pc pc pc pc pc pc
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
pc pc pc pc pc pc pc pc pc pc pc pc pc
MSC: NCLEX: Safe and Effective Care Environment
pc pc pc pc pc pc
4. The synergy model of practice focuses on:
pc pc pc pc pc pc
a. allowing unrestricted visiting for the patient 24 hours each day.
pc pc pc pc pc pc pc pc pc
b. holistic and alternative therapies.
pc pc pc
c. needs of patients and their families, which drives nursing competency.
pc pc pc pc pc pc pc pc pc
d. patients needs for energy and support.
pc pc pc pc pc
ANS: C pc
The synergy model of practice states that the needs of patients and families influence and drive comp
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
etencies of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the pat
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ients and familys needs and application of alternative therapies if desired by the patient, but that is not
pc p c pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
pcthe primary focus of the model.
pc pc pc pc pc
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
pc pc pc pc pc pc pc pc pc
OBJ: Describe standards of professional practice for critical care nursing.
pc pc pc pc pc pc pc pc pc
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
pc pc pc pc pc pc pc pc pc pc pc
5. The family of your critically ill patient tells you that they have not spoken with the physician in o
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ver 24 hours and they have some questions that they want clarified. During morning rounds, you conv
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ey this concern to the attending intensivist and arrange for her to meet with the family at 4:00 PM i
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
n the conference room. Which competency of critical care nursing does this represent?
pc pc pc pc pc pc pc pc pc pc pc pc
, Test Bank - pc pc 4
Introduction to Critical Care Nursing 7e (Sole 2016)
a. Advocacy and moral agency in solving ethical issues
pc pc pc pc pc pc pc
b. Clinical judgment and clinical reasoning skills
pc pc pc pc pc
c. Collaboration with patients, families, and team members
pc pc pc pc pc pc
d. Facilitation of learning for patients, families, and team members
pc pc pc pc pc pc pc pc
ANS: C pc
Although one might consider that all of these competencies are being addressed, communication and collab
pc pc pc pc pc pc pc pc pc pc pc pc pc pc
oration with the family and physician best exemplify the competency of collaboration.
pc pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Analysis REF: p. 9
pc pc pc pc pc pc
OBJ: Describe standards of professional practice for critical care nursing.
pc pc pc pc pc pc pc pc pc
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
pc pc pc pc pc pc pc pc pc pc pc
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critic
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
al care nursing practice?
pc pc pc
a. Evidence-based practice pc
b. Healthy work environment pc pc
c. National Patient Safety Goals pc pc pc
d. Nursing process pc
ANS: D pc
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied t
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
o critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of car
p c pc pc pc pc pc pc pc pc pc pc pc pc pc pc
e, implement interventions, and evaluate care. AACN promotes a healthy work environment, but this is not
p c pc pc pc pc pc pc pc pc pc pc pc pc pc pc
p included in the Standards. The Joint Commission has established National Patient Safety Goals, but
c pc pc pc pc pc pc pc pc pc pc pc pc pc
pcthese are not the AACN Standards.
pc pc pc pc pc
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
pc pc pc pc pc pc pc pc pc
OBJ: Describe standards of professional practice for critical care nursing.
pc pc pc pc pc pc pc pc pc
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
pc pc pc pc pc pc pc pc pc pc pc
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns th
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
e experienced, certified nurse to care for the acutely ill patient with sepsis who also requires continuous ren
p c pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
al replacement therapy and mechanical ventilation. She assigns the nurse with less than 1 year of
p c pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
experience to two patients who are more stable. This assignment reflects implementation of the:
pc pc p c p c p c p c p c p c p c p c p c p c p c
a. crew resource management model
pc pc pc
pc pc 1
Introduction to Critical Care Nursing 7e (Sole 2016)
Table of Contents pc pc
1
Table of Contents
pc pc
Chapter 01: Overview of Critical Care Nursing
pc pc pc pc pc pc 2
Chapter 02: Patient and Family Response to the Critical Care Experience
pc pc pc pc pc pc pc pc pc pc 14
Chapter 03: Ethical and Legal Issues in Critical Care Nursing
pc pc pc pc pc pc pc pc pc pc 30
Chapter 04: Palliative and End-of-
pc pc pc pc 42
Life Care Chapter 05: Comfort and Sed
pc pc p c p c p c p c 56
ation Chapter 06: Nutritional Therapy
pc pc pc pc 69
Chapter 07: Dysrhythmia Interpretation and Management Chap
pc pc pc pc pc pc 83
ter 08: Hemodynamic Monitoring
pc pc pc 117
Chapter 09: Ventilatory Assistance
pc pc pc 137
Chapter 10: Rapid Response Teams and Code Management C
pc pc pc pc pc pc pc pc 156
hapter 11: Organ Donation
pc pc pc 171
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome C
pc pc pc pc pc pc pc pc pc 189
hapter 13: Cardiovascular Alterations
pc pc pc 207
Chapter 14: Nervous System Alterations
pc pc pc pc 225
Chapter 15: Acute Respiratory Failure
pc pc pc pc pc pc 243
Chapter 16: Acute Kidney Injury Cha
p c p c p c p c pc 260
pter 17: Gastrointestinal Alterations
pc pc pc 285
Chapter 17: Hematological and Immune Disorders Ch
pc pc pc pc pc pc 312
apter 19: Endocrine Alterations
pc pc pc 341
Chapter 20: Trauma and Surgical Management Chap
pc pc pc pc pc pc 361
ter 21: Burns
pc pc 377
,Test Bank - pc pc 2
Introduction to Critical Care Nursing 7e (Sole 2016)
Chapter 01: Overview of Critical Care Nursing pc pc pc pc pc pc
MULTIPLE CHOICE pc
1. Which of the following professional organizations best supports critical care nursing practice?
pc pc pc pc pc pc pc pc pc pc pc
a. American Association of Critical-Care Nurses pc pc pc pc
b. American Heart Association pc pc
c. American Nurses Association pc pc
d. Society of Critical Care Medicine pc pc pc pc
ANS: A pc
The American Association of Critical-
pc pc pc pc
Care Nurses is the specialty organization that supports and represents critical care nurses. The American H
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
eart Association supports cardiovascular initiatives. The American Nurses Association supports all nurses.
pc pc pc pc pc pc pc p c pc pc pc pc
The Society of Critical Care Medicine represents the multiprofessional critical care team under the directio
pc pc pc pc pc pc pc pc pc p c pc pc pc pc
n of an intensivist.
pc pc pc
DIF: Cognitive Level: Knowledge REF: p. 4
pc pc pc pc pc pc
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice
pc pc pc pc pc pc pc pc pc pc pc pc pc pc
. TOP: Nursing Process Step: N/A
p c pc pc pc pc
MSC: NCLEX: Safe and Effective Care Environment
pc pc pc pc pc pc
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
in certification. Which credential would be most applicable for her to seek?
pc p c pc pc pc pc pc pc pc pc pc pc
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C pc
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc p
cACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
p nurse specialists. The PCCN certification is for staff nurses working in progressive care, intermediate care,
c pc pc pc pc pc pc pc pc pc pc pc pc pc pc
or step-down unit settings.
pc p c pc pc
DIF: Cognitive Level: Application REF: p. 5
pc pc pc pc pc pc
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
pc pc pc pc pc pc pc pc pc pc pc pc p c
MSC: NCLEX: Safe and Effective Care Environment
pc pc pc pc pc pc
,Test Bank -pc pc 3
Introduction to Critical Care Nursing 7e (Sole 2016)
3. The main purpose of certification is to:
pc pc pc pc pc pc
a. assure the consumer that you will not make a mistake.
pc pc pc pc pc pc pc pc pc
b. prepare for graduate school. pc pc pc
c. promote magnet status for your facility.
pc pc pc pc pc
d. validate knowledge of critical care nursing.
pc pc pc pc pc
ANS: D pc
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps
pc pc pc pc pc pc pc pc pc pc pc pc pc pc p
c nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer that
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc p
cthe nurse has a minimum level of knowledge; however, it does not ensure that care will be mista
p c pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ke-free.
Certification does not prepare one for graduate school; however, achieving certification demonstrates mot
pc pc pc pc pc pc pc pc pc pc pc p c
ivation for achievement and professionalism. Magnet facilities are rated on the number of certified nurses;
pc pc pc pc pc pc pc pc pc pc pc pc pc pc p
c however, that is not the purpose of certification.
pc pc pc pc pc pc pc
DIF: Cognitive Level: Analysis REF: pp. 4-5
pc pc pc pc pc pc
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
pc pc pc pc pc pc pc pc pc pc pc pc pc
MSC: NCLEX: Safe and Effective Care Environment
pc pc pc pc pc pc
4. The synergy model of practice focuses on:
pc pc pc pc pc pc
a. allowing unrestricted visiting for the patient 24 hours each day.
pc pc pc pc pc pc pc pc pc
b. holistic and alternative therapies.
pc pc pc
c. needs of patients and their families, which drives nursing competency.
pc pc pc pc pc pc pc pc pc
d. patients needs for energy and support.
pc pc pc pc pc
ANS: C pc
The synergy model of practice states that the needs of patients and families influence and drive comp
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
etencies of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the pat
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ients and familys needs and application of alternative therapies if desired by the patient, but that is not
pc p c pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
pcthe primary focus of the model.
pc pc pc pc pc
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
pc pc pc pc pc pc pc pc pc
OBJ: Describe standards of professional practice for critical care nursing.
pc pc pc pc pc pc pc pc pc
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
pc pc pc pc pc pc pc pc pc pc pc
5. The family of your critically ill patient tells you that they have not spoken with the physician in o
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ver 24 hours and they have some questions that they want clarified. During morning rounds, you conv
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
ey this concern to the attending intensivist and arrange for her to meet with the family at 4:00 PM i
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
n the conference room. Which competency of critical care nursing does this represent?
pc pc pc pc pc pc pc pc pc pc pc pc
, Test Bank - pc pc 4
Introduction to Critical Care Nursing 7e (Sole 2016)
a. Advocacy and moral agency in solving ethical issues
pc pc pc pc pc pc pc
b. Clinical judgment and clinical reasoning skills
pc pc pc pc pc
c. Collaboration with patients, families, and team members
pc pc pc pc pc pc
d. Facilitation of learning for patients, families, and team members
pc pc pc pc pc pc pc pc
ANS: C pc
Although one might consider that all of these competencies are being addressed, communication and collab
pc pc pc pc pc pc pc pc pc pc pc pc pc pc
oration with the family and physician best exemplify the competency of collaboration.
pc pc pc pc pc pc pc pc pc pc pc
DIF: Cognitive Level: Analysis REF: p. 9
pc pc pc pc pc pc
OBJ: Describe standards of professional practice for critical care nursing.
pc pc pc pc pc pc pc pc pc
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
pc pc pc pc pc pc pc pc pc pc pc
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critic
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
al care nursing practice?
pc pc pc
a. Evidence-based practice pc
b. Healthy work environment pc pc
c. National Patient Safety Goals pc pc pc
d. Nursing process pc
ANS: D pc
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied t
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
o critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of car
p c pc pc pc pc pc pc pc pc pc pc pc pc pc pc
e, implement interventions, and evaluate care. AACN promotes a healthy work environment, but this is not
p c pc pc pc pc pc pc pc pc pc pc pc pc pc pc
p included in the Standards. The Joint Commission has established National Patient Safety Goals, but
c pc pc pc pc pc pc pc pc pc pc pc pc pc
pcthese are not the AACN Standards.
pc pc pc pc pc
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
pc pc pc pc pc pc pc pc pc
OBJ: Describe standards of professional practice for critical care nursing.
pc pc pc pc pc pc pc pc pc
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
pc pc pc pc pc pc pc pc pc pc pc
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns th
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
e experienced, certified nurse to care for the acutely ill patient with sepsis who also requires continuous ren
p c pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
al replacement therapy and mechanical ventilation. She assigns the nurse with less than 1 year of
p c pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
experience to two patients who are more stable. This assignment reflects implementation of the:
pc pc p c p c p c p c p c p c p c p c p c p c p c
a. crew resource management model
pc pc pc
