1
, 2
Chapter 01: Overview of Critical Care Nursings s s s s s
Chapter 02: Patient and Family Response to the Critical Care Experience Chapter 03: Ethical and
s s s s s s s s s s s s s s s
Legal Issues in Critical Care Nursing
s s s s s
Chapter 04: Palliative and End-of- s s s s
Life Care Chapter 05: Comfort and Sedation Chapter 06: Nutritio
s s s s s s s s s
nal Therapy
s
Chapter 07: Dysrhythmia Interpretation and Management Chapter 08: Hemodynamic M
s s s s s s s s s
onitoring
Chapter 09: Ventilatory Assistance s s s
Chapter 10: Rapid Response Teams and Code Management Chapter 11: Organ Donati
s s s s s s s s s s s
on
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome Chapter 13: Cardiovascula
s s s s s s s s s s s
r Alterations
s
Chapter 14: Nervous System Alterations Chapter 15: Acute Re
s s s s s s s s
spiratory Failure Chapter 16: Acute Kidney Injury Chapter 17:
s s s s s s s s s
Gastrointestinal Alterations s
Chapter 17: Hematological and Immune Disorders Chapter 19: Endocrine Alt
s s s s s s s s s
erations
Chapter 20: Trauma and Surgical Management Chapter 21: Burns
s s s s s s s s
Chapter 01: Overview of Critical Care Nursing s s s s s s
MULTIPLE CHOICE s
1. Which of the following professional organizations best supports critical care nursing practice?
s s s s s s s s s s s
a. American Association of Critical-Care Nurses s s s s
b. American Heart Association s s
c. American Nurses Association s s
d. Society of Critical Care Medicine s s s s
ANS: A s
The American Association of Critical-
s s s s
Care Nurses is the specialty organization that supports and represents critical care nurses. The American Heart Ass
s s s s s s s s s s s s s s s s
ociation supports cardiovascular initiatives. The American Nurses Association supports all nurses. The Society of
s s s s s s s s s s s s s s
Critical Care Medicine represents the multiprofessional critical care team under the direction of an intensivist.
s s s s s s s s s s s s s s
DIF: Cognitive Level: Knowledge REF: p. 4
s s s s s s
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice. TOP:
s s s s s s s s s s s s s s s s
Nursing Process Step: N/A s s s
MSC: NCLEX: Safe and Effective Care Environment
s s s s s s
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in certific
s s s s s s s s s s s s s s s s s s s s s s
ation. Which credential would be most applicable for her to seek?
s s s s s s s s s s
a. ACNPC
b. CCNS
, 3
c. CCRN
d. PCCN
ANS: C s
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The ACNPC
s s s s s s s s s s s s s s s s s s
certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical nurse specialists.
s s s s s s s s s s s s s s s s
The PCCN certification is for staff nurses working in progressive care, intermediate care, or step-
s s s s s s s s s s s s s s s
down unit settings. s s
DIF: Cognitive Level: Application REF: p. 5
s s s s s s
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC:
s s s s s s s s s s s s s s
NCLEX: Safe and Effective Care Environment
s s s s s
, 4
3. The main purpose of certification is to:
s s s s s s
a. assure the consumer that you will not make a mistake.
s s s s s s s s s
b. prepare for graduate school. s s s
c. promote magnet status for your facility. s s s s s
d. validate knowledge of critical care nursing. s s s s s
ANS: D s
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps nurses t
s s s s s s s s s s s s s s s s
o maintain their knowledge of critical care nursing. Certification helps to assure the consumer that the nurse has a
s s s s s s s s s s s s s s s s s s s
minimum level of knowledge; however, it does not ensure that care will be mistake-free.
s s s s s s s s s s s s s
Certification does not prepare one for graduate school; however, achieving certification demonstrates motivation
s s s s s s s s s s s s s
for achievement and professionalism. Magnet facilities are rated on the number of certified nurses; however, that is
s s s s s s s s s s s s s s s s
not the purpose of certification.
s s s s s
DIF: Cognitive Level: Analysis REF: pp. 4-5
s s s s s s
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC: N
s s s s s s s s s s s s s s
CLEX: Safe and Effective Care Environment
s s s s s
4. The synergy model of practice focuses on:
s s s s s s
a. allowing unrestricted visiting for the patient 24 hours each day.
s s s s s s s s s
b. holistic and alternative therapies. s s s
c. needs of patients and their families, which drives nursing competency.
s s s s s s s s s
d. patients needs for energy and support. s s s s s
ANS: C s
The synergy model of practice states that the needs of patients and families influence and drive competencies of nu
s s s s s s s s s s s s s s s s s s
rses. Nursing practice based on the synergy model would involve tailored visiting to meet the patients and familys nee
s s s s s s s s s s s s s s s s s s
ds and application of alternative therapies if desired by the patient, but that is not the primary focus of the model.
s s s s s s s s s s s s s s s s s s s s
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
s s s s s s s s s
OBJ: Describe standards of professional practice for critical care nursing.
s s s s s s s s s
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
s s s s s s s s s s s
5. The family of your critically ill patient tells you that they have not spoken with the physician in over 24 hours a
s s s s s s s s s s s s s s s s s s s s s
nd they have some questions that they want clarified. During morning rounds, you convey this concern to the atten
s s s s s s s s s s s s s s s s s s
ding intensivist and arrange for her to meet with the family at 4:00 PM in the conference room. Which competenc
s s s s s s s s s s s s s s s s s s s
y of critical care nursing does this represent?
s s s s s s s
, 2
Chapter 01: Overview of Critical Care Nursings s s s s s
Chapter 02: Patient and Family Response to the Critical Care Experience Chapter 03: Ethical and
s s s s s s s s s s s s s s s
Legal Issues in Critical Care Nursing
s s s s s
Chapter 04: Palliative and End-of- s s s s
Life Care Chapter 05: Comfort and Sedation Chapter 06: Nutritio
s s s s s s s s s
nal Therapy
s
Chapter 07: Dysrhythmia Interpretation and Management Chapter 08: Hemodynamic M
s s s s s s s s s
onitoring
Chapter 09: Ventilatory Assistance s s s
Chapter 10: Rapid Response Teams and Code Management Chapter 11: Organ Donati
s s s s s s s s s s s
on
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome Chapter 13: Cardiovascula
s s s s s s s s s s s
r Alterations
s
Chapter 14: Nervous System Alterations Chapter 15: Acute Re
s s s s s s s s
spiratory Failure Chapter 16: Acute Kidney Injury Chapter 17:
s s s s s s s s s
Gastrointestinal Alterations s
Chapter 17: Hematological and Immune Disorders Chapter 19: Endocrine Alt
s s s s s s s s s
erations
Chapter 20: Trauma and Surgical Management Chapter 21: Burns
s s s s s s s s
Chapter 01: Overview of Critical Care Nursing s s s s s s
MULTIPLE CHOICE s
1. Which of the following professional organizations best supports critical care nursing practice?
s s s s s s s s s s s
a. American Association of Critical-Care Nurses s s s s
b. American Heart Association s s
c. American Nurses Association s s
d. Society of Critical Care Medicine s s s s
ANS: A s
The American Association of Critical-
s s s s
Care Nurses is the specialty organization that supports and represents critical care nurses. The American Heart Ass
s s s s s s s s s s s s s s s s
ociation supports cardiovascular initiatives. The American Nurses Association supports all nurses. The Society of
s s s s s s s s s s s s s s
Critical Care Medicine represents the multiprofessional critical care team under the direction of an intensivist.
s s s s s s s s s s s s s s
DIF: Cognitive Level: Knowledge REF: p. 4
s s s s s s
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice. TOP:
s s s s s s s s s s s s s s s s
Nursing Process Step: N/A s s s
MSC: NCLEX: Safe and Effective Care Environment
s s s s s s
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in certific
s s s s s s s s s s s s s s s s s s s s s s
ation. Which credential would be most applicable for her to seek?
s s s s s s s s s s
a. ACNPC
b. CCNS
, 3
c. CCRN
d. PCCN
ANS: C s
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The ACNPC
s s s s s s s s s s s s s s s s s s
certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical nurse specialists.
s s s s s s s s s s s s s s s s
The PCCN certification is for staff nurses working in progressive care, intermediate care, or step-
s s s s s s s s s s s s s s s
down unit settings. s s
DIF: Cognitive Level: Application REF: p. 5
s s s s s s
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC:
s s s s s s s s s s s s s s
NCLEX: Safe and Effective Care Environment
s s s s s
, 4
3. The main purpose of certification is to:
s s s s s s
a. assure the consumer that you will not make a mistake.
s s s s s s s s s
b. prepare for graduate school. s s s
c. promote magnet status for your facility. s s s s s
d. validate knowledge of critical care nursing. s s s s s
ANS: D s
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps nurses t
s s s s s s s s s s s s s s s s
o maintain their knowledge of critical care nursing. Certification helps to assure the consumer that the nurse has a
s s s s s s s s s s s s s s s s s s s
minimum level of knowledge; however, it does not ensure that care will be mistake-free.
s s s s s s s s s s s s s
Certification does not prepare one for graduate school; however, achieving certification demonstrates motivation
s s s s s s s s s s s s s
for achievement and professionalism. Magnet facilities are rated on the number of certified nurses; however, that is
s s s s s s s s s s s s s s s s
not the purpose of certification.
s s s s s
DIF: Cognitive Level: Analysis REF: pp. 4-5
s s s s s s
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC: N
s s s s s s s s s s s s s s
CLEX: Safe and Effective Care Environment
s s s s s
4. The synergy model of practice focuses on:
s s s s s s
a. allowing unrestricted visiting for the patient 24 hours each day.
s s s s s s s s s
b. holistic and alternative therapies. s s s
c. needs of patients and their families, which drives nursing competency.
s s s s s s s s s
d. patients needs for energy and support. s s s s s
ANS: C s
The synergy model of practice states that the needs of patients and families influence and drive competencies of nu
s s s s s s s s s s s s s s s s s s
rses. Nursing practice based on the synergy model would involve tailored visiting to meet the patients and familys nee
s s s s s s s s s s s s s s s s s s
ds and application of alternative therapies if desired by the patient, but that is not the primary focus of the model.
s s s s s s s s s s s s s s s s s s s s
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
s s s s s s s s s
OBJ: Describe standards of professional practice for critical care nursing.
s s s s s s s s s
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
s s s s s s s s s s s
5. The family of your critically ill patient tells you that they have not spoken with the physician in over 24 hours a
s s s s s s s s s s s s s s s s s s s s s
nd they have some questions that they want clarified. During morning rounds, you convey this concern to the atten
s s s s s s s s s s s s s s s s s s
ding intensivist and arrange for her to meet with the family at 4:00 PM in the conference room. Which competenc
s s s s s s s s s s s s s s s s s s s
y of critical care nursing does this represent?
s s s s s s s
