1
f Contents
qy
[Date] 1
,2
nts
Table of Conte qy qy
1
Chapter 01: Overview of Critical Care Nursing
qy qy qy qy qy qy 2
Chapter 02: Patient and Family Response to the Critical Care Exper
qy qy qy qy qy qy qy qy qy qy 14
ienceChapter 03: Ethical and Legal Issues in Critical Care Nursing
q
y qy qy qy qy qy qy qy qy qy 30
Chapter 04: Palliative and End-of-
qy qy qy qy 42
Life CareChapter 05: Comfort and Se
qy q
y qy q y q y q y 56
dation Chapter 06: Nutritional Therapy
qy qy qy qy 69
Chapter 07: Dysrhythmia Interpretation and Managemen
qy qy qy qy qy 83
tChapter 08: Hemodynamic Monitoring
q
y qy qy qy
117
Chapter 09: Ventilatory Assistance
qy qy qy
137
Chapter 10: Rapid Response Teams and Code Manage
qy qy qy qy qy qy qy
156
mentChapter 11: Organ Donation
q
y qy qy qy
171
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndro
qy qy qy qy qy qy qy qy
189
meChapter 13: Cardiovascular Alterations
q
y qy qy qy
207
Chapter 14: Nervous System Alterati
qy qy qy qy
225
onsChapter 15: Acute Respiratory Fail
q
y qy qy qy qy
243
ure Chapter 16: Acute Kidney Injur
qy qy q y q y q y
260
y Chapter 17: Gastrointestinal Alterati
qy qy qy qy
285
ons
312
Chapter 17: Hematological and Immune DisordersCh
qy qy qy qy qy q
y
341
apter 19: Endocrine Alterations
qy qy qy
361
Chapter 20: Trauma and Surgical Manage
qy qy qy qy qy
377
mentChapter 21: Burns
q
y qy qy
[Date] 2
,3
Chapter 01: Overview of Critical Care Nursing
qy qy qy qy qy qy
MULTIPLE CHOICE qy
1. Which of the following professional organizations best supports critical care nursing practice?
qy qy qy qy qy qy qy qy qy qy qy
a. American Association of Critical-Care Nurses
qy qy qy qy
b. American Heart Association qy qy
c. American Nurses Association qy qy
d. Society of Critical Care Med qy qy qy qy
icineANS: A y
q qy
The American Association of Critical-
qy qy qy qy
Care Nurses is the specialty organization that supports and represents critical care nurses. Th
qy qy qy qy qy qy qy qy qy qy qy qy qy
e American Heart Association supports cardiovascular initiatives. The American NursesAssocia
qy qy qy qy qy qy qy qy qy y
q
tion supports all nurses. The Society of Critical Care Medicine represents the multiprofessional
qy qy qy qy qy qy qy qy qy qy qy qy qy
critical care team under the direction of an intensivist.
qy qy qy qy qy qy qy qy
DIF: Cognitive Level: Knowledge REF: p. 4
qy qy qy qy qy qy
OBJ: Discuss the purposes and functions of the professional organizations that support critical c
qy qy qy qy qy qy qy qy qy qy qy qy qy
are practice.TOP: Nursing Process Step: N/A
qy y
q qy qy qy qy
MSC: NCLEX: Safe and Effective Care Environment
qy qy qy qy qy qy
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
is interested incertification. Which credential would be most applicable for her to seek?
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
a. ACNPC
b. CCNS
c. CCRN
[Date] 3
, 4
d. PCCN
ANS: C qy
The CCRN certification is appropriate for nurses in bedside practice who care for critically
qy qy qy qy qy qy qy qy qy qy qy qy qy
qy ill patients. TheACNPC certification is for acute care nurse practitioners. The CCNS certific
qy qy qy qy qy qy qy qy qy qy qy qy qy
ation is for critical care clinical nurse specialists. The PCCN certification is for staff nurses wo
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
rking in progressive care, intermediate care, orstep-down unit settings.
qy qy qy qy qy qy y
q qy qy
DIF: Cognitive Level: Application REF: p. 5
qy qy qy qy qy qy
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process St
qy qy qy qy qy qy qy qy qy qy qy
ep: N/AMSC: NCLEX: Safe and Effective Care Environment
qy y
q qy qy qy qy qy qy
3. The main purpose of certification is to:
qy qy qy qy qy qy
a. assure the consumer that you will not make a mistake.
qy qy qy qy qy qy qy qy qy
b. prepare for graduate school. qy qy qy
c. promote magnet status for your facility. qy qy qy qy qy
d. validate knowledge of critical care nursing.
qy qy qy qy qy
ANS: D qy
Certification assists in validating knowledge of the field, promotes excellence in the professi
qy qy qy qy qy qy qy qy qy qy qy qy
on, and helps nurses to maintain their knowledge of critical care nursing. Certification helps to
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
assure the consumer that thenurse has a minimum level of knowledge; however, it does not en
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
sure that care will be mistake-free.
qy qy qy qy qy
Certification does not prepare one for graduate school; however, achieving certification dem
qy qy qy qy qy qy qy qy qy qy qy
onstrates motivation for achievement and professionalism. Magnet facilities are rated on the nu
qy qy qy qy qy qy qy qy qy qy qy qy
mber of certified nurses;however, that is not the purpose of certification.
qy qy qy qy qy qy qy qy qy qy qy
[Date] 4
f Contents
qy
[Date] 1
,2
nts
Table of Conte qy qy
1
Chapter 01: Overview of Critical Care Nursing
qy qy qy qy qy qy 2
Chapter 02: Patient and Family Response to the Critical Care Exper
qy qy qy qy qy qy qy qy qy qy 14
ienceChapter 03: Ethical and Legal Issues in Critical Care Nursing
q
y qy qy qy qy qy qy qy qy qy 30
Chapter 04: Palliative and End-of-
qy qy qy qy 42
Life CareChapter 05: Comfort and Se
qy q
y qy q y q y q y 56
dation Chapter 06: Nutritional Therapy
qy qy qy qy 69
Chapter 07: Dysrhythmia Interpretation and Managemen
qy qy qy qy qy 83
tChapter 08: Hemodynamic Monitoring
q
y qy qy qy
117
Chapter 09: Ventilatory Assistance
qy qy qy
137
Chapter 10: Rapid Response Teams and Code Manage
qy qy qy qy qy qy qy
156
mentChapter 11: Organ Donation
q
y qy qy qy
171
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndro
qy qy qy qy qy qy qy qy
189
meChapter 13: Cardiovascular Alterations
q
y qy qy qy
207
Chapter 14: Nervous System Alterati
qy qy qy qy
225
onsChapter 15: Acute Respiratory Fail
q
y qy qy qy qy
243
ure Chapter 16: Acute Kidney Injur
qy qy q y q y q y
260
y Chapter 17: Gastrointestinal Alterati
qy qy qy qy
285
ons
312
Chapter 17: Hematological and Immune DisordersCh
qy qy qy qy qy q
y
341
apter 19: Endocrine Alterations
qy qy qy
361
Chapter 20: Trauma and Surgical Manage
qy qy qy qy qy
377
mentChapter 21: Burns
q
y qy qy
[Date] 2
,3
Chapter 01: Overview of Critical Care Nursing
qy qy qy qy qy qy
MULTIPLE CHOICE qy
1. Which of the following professional organizations best supports critical care nursing practice?
qy qy qy qy qy qy qy qy qy qy qy
a. American Association of Critical-Care Nurses
qy qy qy qy
b. American Heart Association qy qy
c. American Nurses Association qy qy
d. Society of Critical Care Med qy qy qy qy
icineANS: A y
q qy
The American Association of Critical-
qy qy qy qy
Care Nurses is the specialty organization that supports and represents critical care nurses. Th
qy qy qy qy qy qy qy qy qy qy qy qy qy
e American Heart Association supports cardiovascular initiatives. The American NursesAssocia
qy qy qy qy qy qy qy qy qy y
q
tion supports all nurses. The Society of Critical Care Medicine represents the multiprofessional
qy qy qy qy qy qy qy qy qy qy qy qy qy
critical care team under the direction of an intensivist.
qy qy qy qy qy qy qy qy
DIF: Cognitive Level: Knowledge REF: p. 4
qy qy qy qy qy qy
OBJ: Discuss the purposes and functions of the professional organizations that support critical c
qy qy qy qy qy qy qy qy qy qy qy qy qy
are practice.TOP: Nursing Process Step: N/A
qy y
q qy qy qy qy
MSC: NCLEX: Safe and Effective Care Environment
qy qy qy qy qy qy
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
is interested incertification. Which credential would be most applicable for her to seek?
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
a. ACNPC
b. CCNS
c. CCRN
[Date] 3
, 4
d. PCCN
ANS: C qy
The CCRN certification is appropriate for nurses in bedside practice who care for critically
qy qy qy qy qy qy qy qy qy qy qy qy qy
qy ill patients. TheACNPC certification is for acute care nurse practitioners. The CCNS certific
qy qy qy qy qy qy qy qy qy qy qy qy qy
ation is for critical care clinical nurse specialists. The PCCN certification is for staff nurses wo
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
rking in progressive care, intermediate care, orstep-down unit settings.
qy qy qy qy qy qy y
q qy qy
DIF: Cognitive Level: Application REF: p. 5
qy qy qy qy qy qy
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process St
qy qy qy qy qy qy qy qy qy qy qy
ep: N/AMSC: NCLEX: Safe and Effective Care Environment
qy y
q qy qy qy qy qy qy
3. The main purpose of certification is to:
qy qy qy qy qy qy
a. assure the consumer that you will not make a mistake.
qy qy qy qy qy qy qy qy qy
b. prepare for graduate school. qy qy qy
c. promote magnet status for your facility. qy qy qy qy qy
d. validate knowledge of critical care nursing.
qy qy qy qy qy
ANS: D qy
Certification assists in validating knowledge of the field, promotes excellence in the professi
qy qy qy qy qy qy qy qy qy qy qy qy
on, and helps nurses to maintain their knowledge of critical care nursing. Certification helps to
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
assure the consumer that thenurse has a minimum level of knowledge; however, it does not en
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
sure that care will be mistake-free.
qy qy qy qy qy
Certification does not prepare one for graduate school; however, achieving certification dem
qy qy qy qy qy qy qy qy qy qy qy
onstrates motivation for achievement and professionalism. Magnet facilities are rated on the nu
qy qy qy qy qy qy qy qy qy qy qy qy
mber of certified nurses;however, that is not the purpose of certification.
qy qy qy qy qy qy qy qy qy qy qy
[Date] 4