TABLEOFCONTENTS
gb gb
,UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
g b g b g b g b g b g b
1. Caring for the Critically Ill Patient
gb gb gb gb gb
2. Ethical and Legal Issues
gb gb gb
3. Facilitating Care Transitions gb gb
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
gb gb gb gb gb gb
4. Psychosocial and Spiritual Considerations gb gb gb
5. Nutritional Alterations and Management gb gb gb
6. The Older Adult
gb gb
7. Pain and Pain Management
gb gb gb
8. Sedation and Delirium Management
gb gb gb
9. Palliative and End-of-Life Care
gb gb gb
UNIT THREE: CARDIOVASCULAR ALTERATIONS
gb gb gb
10. Cardiovascular Clinical Assessment and Diagnostic Procedures gb gb gb gb gb
11. Cardiovascular Disorders gb
12. Cardiovascular Therapeutic Management gb gb
UNIT FOUR: PULMONARY ALTERATIONS
gb gb gb
13. Pulmonary Clinical Assessment and Diagnostic Procedures
gb gb gb gb gb
14. Pulmonary Disorders gb
15. Pulmonary Therapeutic Management gb gb
UNIT FIVE: NEUROLOGICAL ALTERATIONS
gb gb gb
16. Neurological Clinical Assessment and Diagnostic Procedures gb gb gb gb gb
17. Neurologic Disorders and Therapeutic Management gb gb gb gb
UNIT SIX: KIDNEY ALTERATIONS
gb gb gb
18. Kidney Clinical Assessment and Diagnostic Procedures
gb gb gb gb gb
19. Kidney Disorders and Therapeutic Management
gb gb gb gb
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
g b g b g b
20. Gastrointestinal Clinical Assessment and Diagnostic Procedures gb gb gb gb gb
21. Gastrointestinal Disorders and Therapeutic Management gb gb gb gb
UNIT EIGHT: ENDOCRINE ALTERATIONS
gb gb gb
22. Endocrine Clinical Assessment and Diagnostic Procedures
gb gb gb gb gb
23. Endocrine Disorders and Therapeutic Management
gb gb gb gb
UNIT NINE: MULTISYSTEM ALTERATIONS
g b g b g b
24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
gb gb gb gb gb gb
27. Hematological and Oncological Emergencies gb gb gb
,Chapter 01: Critical Care Nursing Practice Urd
gb gb gb gb gb gb
en: Critical Care Nursing, 10th
gb gb gb gb
MULTIPLE pc
CHOICE
g b
1. During World War II, what type of wards were developed to care for criticallyin j
gb gb gb gb gb gb gb gb gb gb gb gb gb gb
ured patients? gb
a. Intensive care gb
b. Triage
c. Shock
d. Postoperative
ANS: C gb
During World War II, shock wards were established to care for critically injured patients. Tr i
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
age wards establish the order in which a patient is seen or treated upon arrival to a hospital
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
. Postoperative wards were developed in 1900 and later evolved into intensive care units.
gb gb gb gb gb gb gb gb gb gb gb gb pc
PTS: g b 1
DIF: Cognitive Level: Remembering
g b g b gb gb
REF: p. 1 OBJ: Nursing Process Step: N/A gb gb gb gb gb gb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a gb gb gb gb pc gb gb gb g
bnd Effective Care Environment
gb gb gb
2. What type of practitioner has a broad depth of specialty knowledge and expertise and
gb gb gb gb gb gb gb gb gb gb gb gb gb pcg b
manages complex clinical and system issues? gb gb gb gb gb
a. Registered nurses gb
b. Advanced practice nurses gb gb
c. Clinical nurse leaders gb gb
d. Intensivists
ANS: B gb
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in theirs
gb gb gb gb gb gb gb gb gb gb gb gb gb gb
pecialty area and manage complex clinical and systems issues. Intensivists are medical pract i
gb gb gb gb gb gb gb gb gb gb gb gb gb
tioners who manage the critical ill patient. Registered nurses (RNs) are generally direct car e
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
gb gb gb gb gb gb gb gb gb gb
PTS: g b 1
DIF: Cognitive Level: Remembering
g b g b gb gb
REF: p. 2 OBJ: Nursing Process Step: N/A gb gb gb gb gb gb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a gb gb gb gb pc gb gb gb g
bnd Effective Care Environment
gb gb gb
3. What type of practitioner is instrumental in ensuring care that is evidence based and t
gb gb gb gb gb gb gb gb gb pc gb gb gb pc gb
hat safety programs are in place?
pc gb gb gb gb
a. Clinical nurse spec gb gb g
ialist b. Advanced pract
b gb gb pc
ice nurse c.
gb gb gb
Registered nurses gb
d. Nurse practitioners
gb gb
ANS: A gb
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese arc
gb gb gb gb gb gb gb gb gb gb gb gb gb gb
h, leadership, and consultative abilities. They are instrumental in ensuring that care is evi dence
gb gb gb gb gb gb gb gb gb gb gb pc gb gb
based and that safety programs are in place. Advanced practice nurses (APNs)have
gb gb gb gb gb gb gb gb gb gb gb gb
a broad depth of knowledge and expertise in their specialty area and manage complex cli n
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
ical and systems issues. Registered nurses are generally direct care providers. Nursepract iti
gb gb gb gb gb gb gb gb gb gb gb gb
oners (NPs) manage direct clinical care of groups of patients.
gb gb gb gb gb gb gb gb gb
PTS: DIF: Cognitive Level: Remembering
g b g b 1 g b gb gb
REF: p. 2 OBJ: Nursing Process Step: N/A gb gb gb gb gb gb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a gb gb gb gb pc gb gb gb g
bnd Effective Care Environment
gb gb gb
4. Which professional organization administers critical care certification exams forre
gb gb gb gb gb gb gb gb gb
gistered nurses? gb
a. State Board of Registered Nurses gb gb gb gb
b. National Association of Clinical Nurse Specialist gb gb gb gb gb
c. Society of Critical Care Medicine gb gb gb gb
d. American Association of Critical-Care Nurses gb gb gb gb
ANS: D gb
American Association of Critical- gb gb gb
Care Nurses (AACN) administers certification exams for registered nurses. The State Boa r
gb gb gb gb gb gb gb gb gb gb gb gb
d of Registered Nurses (SBON) does not administercertification exams. National Associa t
gb gb gb gb gb gb pc gb gb gb gb
ion of Clinical Nurse Specialists (NACNS) does not administer certification exams. Socie t
gb gb gb gb gb gb gb gb gb gb gb gb
y of Critical Care Medicine (SCCM) does not administer nursing certification exams for r eg
gb gb gb gb gb gb gb gb gb gb gb gb gb gb
istered nurses. gb
PTS: DIF: Cognitive Level: Remembering
g b g b 1 g b gb gb
REF: p. 3 OBJ: Nursing Process Step: N/A gb gb gb gb gb gb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a gb gb gb gb pc gb gb gb g
bnd Effective Care Environment
gb gb gb
5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit
gb gb gb gb gb gb gb gb gb gb gb gb gb gb pcg b
are interdependent and inseparable. This statement describes which methodology of c a
gb gb gb gb gb gb gb gb gb gb gb
re?
a. Holistic care gb
b. Individualized care gb
c. Cultural care gb
d. Interdisciplinary care gb
ANS: A gb
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte rdepen
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
dent and inseparable. Individualized care recognizes the uniqueness of each patient’s preferences, c
gb gb gb gb gb gb gb gb gb gb gb gb
ondition, and physiologic and psychosocial status. Cultural diversityin
gb gb gb gb gb gb gb
health care is not a new topic, but it is gaining emphasis and importance as the world beco
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
mes more accessible to all as the result of increasing technologies and interfaces with places
gb gb gb gb gb gb gb gb gb gb gb gb gb pc gb
and peoples. Interdisciplinary care is care among a variety of health care professionals with t
gb gb gb gb gb gb gb gb gb gb gb gb gb gb
he patient’s health as the common goal.
gb gb gb gb gb gb
PTS: DIF: Cognitive Level: Remembering
g b g b 1 g b gb gb
REF: p. 4 OBJ: Nursing Process Step: N/A gb gb gb gb gb gb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a gb gb gb gb pc gb gb gb g
bnd Effective Care Environment
gb gb gb
gb gb
,UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
g b g b g b g b g b g b
1. Caring for the Critically Ill Patient
gb gb gb gb gb
2. Ethical and Legal Issues
gb gb gb
3. Facilitating Care Transitions gb gb
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
gb gb gb gb gb gb
4. Psychosocial and Spiritual Considerations gb gb gb
5. Nutritional Alterations and Management gb gb gb
6. The Older Adult
gb gb
7. Pain and Pain Management
gb gb gb
8. Sedation and Delirium Management
gb gb gb
9. Palliative and End-of-Life Care
gb gb gb
UNIT THREE: CARDIOVASCULAR ALTERATIONS
gb gb gb
10. Cardiovascular Clinical Assessment and Diagnostic Procedures gb gb gb gb gb
11. Cardiovascular Disorders gb
12. Cardiovascular Therapeutic Management gb gb
UNIT FOUR: PULMONARY ALTERATIONS
gb gb gb
13. Pulmonary Clinical Assessment and Diagnostic Procedures
gb gb gb gb gb
14. Pulmonary Disorders gb
15. Pulmonary Therapeutic Management gb gb
UNIT FIVE: NEUROLOGICAL ALTERATIONS
gb gb gb
16. Neurological Clinical Assessment and Diagnostic Procedures gb gb gb gb gb
17. Neurologic Disorders and Therapeutic Management gb gb gb gb
UNIT SIX: KIDNEY ALTERATIONS
gb gb gb
18. Kidney Clinical Assessment and Diagnostic Procedures
gb gb gb gb gb
19. Kidney Disorders and Therapeutic Management
gb gb gb gb
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
g b g b g b
20. Gastrointestinal Clinical Assessment and Diagnostic Procedures gb gb gb gb gb
21. Gastrointestinal Disorders and Therapeutic Management gb gb gb gb
UNIT EIGHT: ENDOCRINE ALTERATIONS
gb gb gb
22. Endocrine Clinical Assessment and Diagnostic Procedures
gb gb gb gb gb
23. Endocrine Disorders and Therapeutic Management
gb gb gb gb
UNIT NINE: MULTISYSTEM ALTERATIONS
g b g b g b
24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
gb gb gb gb gb gb
27. Hematological and Oncological Emergencies gb gb gb
,Chapter 01: Critical Care Nursing Practice Urd
gb gb gb gb gb gb
en: Critical Care Nursing, 10th
gb gb gb gb
MULTIPLE pc
CHOICE
g b
1. During World War II, what type of wards were developed to care for criticallyin j
gb gb gb gb gb gb gb gb gb gb gb gb gb gb
ured patients? gb
a. Intensive care gb
b. Triage
c. Shock
d. Postoperative
ANS: C gb
During World War II, shock wards were established to care for critically injured patients. Tr i
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
age wards establish the order in which a patient is seen or treated upon arrival to a hospital
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
. Postoperative wards were developed in 1900 and later evolved into intensive care units.
gb gb gb gb gb gb gb gb gb gb gb gb pc
PTS: g b 1
DIF: Cognitive Level: Remembering
g b g b gb gb
REF: p. 1 OBJ: Nursing Process Step: N/A gb gb gb gb gb gb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a gb gb gb gb pc gb gb gb g
bnd Effective Care Environment
gb gb gb
2. What type of practitioner has a broad depth of specialty knowledge and expertise and
gb gb gb gb gb gb gb gb gb gb gb gb gb pcg b
manages complex clinical and system issues? gb gb gb gb gb
a. Registered nurses gb
b. Advanced practice nurses gb gb
c. Clinical nurse leaders gb gb
d. Intensivists
ANS: B gb
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in theirs
gb gb gb gb gb gb gb gb gb gb gb gb gb gb
pecialty area and manage complex clinical and systems issues. Intensivists are medical pract i
gb gb gb gb gb gb gb gb gb gb gb gb gb
tioners who manage the critical ill patient. Registered nurses (RNs) are generally direct car e
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
gb gb gb gb gb gb gb gb gb gb
PTS: g b 1
DIF: Cognitive Level: Remembering
g b g b gb gb
REF: p. 2 OBJ: Nursing Process Step: N/A gb gb gb gb gb gb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a gb gb gb gb pc gb gb gb g
bnd Effective Care Environment
gb gb gb
3. What type of practitioner is instrumental in ensuring care that is evidence based and t
gb gb gb gb gb gb gb gb gb pc gb gb gb pc gb
hat safety programs are in place?
pc gb gb gb gb
a. Clinical nurse spec gb gb g
ialist b. Advanced pract
b gb gb pc
ice nurse c.
gb gb gb
Registered nurses gb
d. Nurse practitioners
gb gb
ANS: A gb
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese arc
gb gb gb gb gb gb gb gb gb gb gb gb gb gb
h, leadership, and consultative abilities. They are instrumental in ensuring that care is evi dence
gb gb gb gb gb gb gb gb gb gb gb pc gb gb
based and that safety programs are in place. Advanced practice nurses (APNs)have
gb gb gb gb gb gb gb gb gb gb gb gb
a broad depth of knowledge and expertise in their specialty area and manage complex cli n
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
ical and systems issues. Registered nurses are generally direct care providers. Nursepract iti
gb gb gb gb gb gb gb gb gb gb gb gb
oners (NPs) manage direct clinical care of groups of patients.
gb gb gb gb gb gb gb gb gb
PTS: DIF: Cognitive Level: Remembering
g b g b 1 g b gb gb
REF: p. 2 OBJ: Nursing Process Step: N/A gb gb gb gb gb gb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a gb gb gb gb pc gb gb gb g
bnd Effective Care Environment
gb gb gb
4. Which professional organization administers critical care certification exams forre
gb gb gb gb gb gb gb gb gb
gistered nurses? gb
a. State Board of Registered Nurses gb gb gb gb
b. National Association of Clinical Nurse Specialist gb gb gb gb gb
c. Society of Critical Care Medicine gb gb gb gb
d. American Association of Critical-Care Nurses gb gb gb gb
ANS: D gb
American Association of Critical- gb gb gb
Care Nurses (AACN) administers certification exams for registered nurses. The State Boa r
gb gb gb gb gb gb gb gb gb gb gb gb
d of Registered Nurses (SBON) does not administercertification exams. National Associa t
gb gb gb gb gb gb pc gb gb gb gb
ion of Clinical Nurse Specialists (NACNS) does not administer certification exams. Socie t
gb gb gb gb gb gb gb gb gb gb gb gb
y of Critical Care Medicine (SCCM) does not administer nursing certification exams for r eg
gb gb gb gb gb gb gb gb gb gb gb gb gb gb
istered nurses. gb
PTS: DIF: Cognitive Level: Remembering
g b g b 1 g b gb gb
REF: p. 3 OBJ: Nursing Process Step: N/A gb gb gb gb gb gb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a gb gb gb gb pc gb gb gb g
bnd Effective Care Environment
gb gb gb
5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit
gb gb gb gb gb gb gb gb gb gb gb gb gb gb pcg b
are interdependent and inseparable. This statement describes which methodology of c a
gb gb gb gb gb gb gb gb gb gb gb
re?
a. Holistic care gb
b. Individualized care gb
c. Cultural care gb
d. Interdisciplinary care gb
ANS: A gb
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte rdepen
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
dent and inseparable. Individualized care recognizes the uniqueness of each patient’s preferences, c
gb gb gb gb gb gb gb gb gb gb gb gb
ondition, and physiologic and psychosocial status. Cultural diversityin
gb gb gb gb gb gb gb
health care is not a new topic, but it is gaining emphasis and importance as the world beco
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
mes more accessible to all as the result of increasing technologies and interfaces with places
gb gb gb gb gb gb gb gb gb gb gb gb gb pc gb
and peoples. Interdisciplinary care is care among a variety of health care professionals with t
gb gb gb gb gb gb gb gb gb gb gb gb gb gb
he patient’s health as the common goal.
gb gb gb gb gb gb
PTS: DIF: Cognitive Level: Remembering
g b g b 1 g b gb gb
REF: p. 4 OBJ: Nursing Process Step: N/A gb gb gb gb gb gb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a gb gb gb gb pc gb gb gb g
bnd Effective Care Environment
gb gb gb
