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