CRITICAL CARE NURSING PRACTICE EXAM UPDATE 2025/2026|
QUESTIONS AND CORRECT ANSWERS
the most important outcome of effective communication is to: -CORRECT
ANSWER reduce patient error
as part of nursing management of critically ill patient, orders are written to keep
the head of the bed elevated at 30 degrees, awaken the patient from sedation
each morning to assess readiness to wean from mech vent, and implement oral
care protocol every 4 hours. These intervention are done as a group to reduce
the risk of vent-associated pneumonia. This group of evidence-based
interventions is often called: -CORRECT ANSWER bundle of care
working in an intermediate care unit that has experienced high nursing turn
over. the nurse manager is often considered to be an autocratic leader by staff
members and her leadership style is contributing to turnover. you have asked to
involve in developing new guidelines to prevent pressure ulcers in your patient
population. The nurse manager tells you that you do not yet have enough
experience to be on the prevention task force. this situation and setting is an
example of: -CORRECT ANSWER work environment that is unhealthy
which nursing interven would best support the family of a critically ill patient? -
CORRECT ANSWER give condition update each morning and whenever
changes occur
which intervention is appropriate to assist the patient to cope with admission to
the critical care unit -CORRECT ANSWER explaining all procedures in easy-
to-understand terms
which of the following statement about family assessment is false? -
CORRECT ANSWER assessment of structure (who comprises the family) is
the last step in assessment
, many critically ill patients experience anxiety. the nurse can reduce anxiety with
which approach? -CORRECT ANSWER state, "mr J, it's time to turn you. I'm
going to ask another nurse to come in and help me. We will turn you to your
left. During the turn, I'm going to inspect the skin on your back and rub some
lotion on your back. This should help you feel better."
which of the following statement about resuscitation is true? -CORRECT
ANSWER withholding "extraordinary" resuscitation is legal and ethical if
specified in advance directives and physician orders.
65 YO pt c history of metastatic lung carcinoma has been unresponsive to
chemo. the medical team has determined that there are no additional tx available
that will prolong life or improve the quality of life in any meaningful way.
Despite the poor prognosis, the pt continues to rc'd chemo and full nutrition
support. what is this example of end of life concept? -CORRECT ANSWER
medical futility
pt c end stage HF is experiencing considerable dyspnea. which med is
appropriate? -CORRECT ANSWER morphing, 5 mg IV, and initiate
continuous morphine infusion
neuromuscular blocking agents are used in the management of some vent
patient; their primary mdoe of action is -CORRECT ANSWER paralysis
patient on vent, using critical care pain observation tool; which of the following
assessment would indicate the greatest likelihood of pain and need for nursing
intervent? -CORRECT ANSWER fighting the vent
best way to administer benzo intermittently is? -CORRECT ANSWER titrate
to a predefined endpoint using a standard sedation scale
QUESTIONS AND CORRECT ANSWERS
the most important outcome of effective communication is to: -CORRECT
ANSWER reduce patient error
as part of nursing management of critically ill patient, orders are written to keep
the head of the bed elevated at 30 degrees, awaken the patient from sedation
each morning to assess readiness to wean from mech vent, and implement oral
care protocol every 4 hours. These intervention are done as a group to reduce
the risk of vent-associated pneumonia. This group of evidence-based
interventions is often called: -CORRECT ANSWER bundle of care
working in an intermediate care unit that has experienced high nursing turn
over. the nurse manager is often considered to be an autocratic leader by staff
members and her leadership style is contributing to turnover. you have asked to
involve in developing new guidelines to prevent pressure ulcers in your patient
population. The nurse manager tells you that you do not yet have enough
experience to be on the prevention task force. this situation and setting is an
example of: -CORRECT ANSWER work environment that is unhealthy
which nursing interven would best support the family of a critically ill patient? -
CORRECT ANSWER give condition update each morning and whenever
changes occur
which intervention is appropriate to assist the patient to cope with admission to
the critical care unit -CORRECT ANSWER explaining all procedures in easy-
to-understand terms
which of the following statement about family assessment is false? -
CORRECT ANSWER assessment of structure (who comprises the family) is
the last step in assessment
, many critically ill patients experience anxiety. the nurse can reduce anxiety with
which approach? -CORRECT ANSWER state, "mr J, it's time to turn you. I'm
going to ask another nurse to come in and help me. We will turn you to your
left. During the turn, I'm going to inspect the skin on your back and rub some
lotion on your back. This should help you feel better."
which of the following statement about resuscitation is true? -CORRECT
ANSWER withholding "extraordinary" resuscitation is legal and ethical if
specified in advance directives and physician orders.
65 YO pt c history of metastatic lung carcinoma has been unresponsive to
chemo. the medical team has determined that there are no additional tx available
that will prolong life or improve the quality of life in any meaningful way.
Despite the poor prognosis, the pt continues to rc'd chemo and full nutrition
support. what is this example of end of life concept? -CORRECT ANSWER
medical futility
pt c end stage HF is experiencing considerable dyspnea. which med is
appropriate? -CORRECT ANSWER morphing, 5 mg IV, and initiate
continuous morphine infusion
neuromuscular blocking agents are used in the management of some vent
patient; their primary mdoe of action is -CORRECT ANSWER paralysis
patient on vent, using critical care pain observation tool; which of the following
assessment would indicate the greatest likelihood of pain and need for nursing
intervent? -CORRECT ANSWER fighting the vent
best way to administer benzo intermittently is? -CORRECT ANSWER titrate
to a predefined endpoint using a standard sedation scale