,Test3Bank3- 1
3Introduction3to3Critical3Care3Nursing37e 3(Sole 32016)
Table3 of3 Contents
Table3 of3Contents 1
Chapter301:3 Overview3 of3 Critical3 Care3Nursing 2
Chapter302:3Patient3and3Family3Response3to3the3Critical3Care3Experience 14
3Chapter303:3Ethical3and3Legal3Issues3in3Critical3Care3Nursing 30
Chapter304:3Palliative3and3End-of- 42
Life3Care3Chapter3 05:3 Comfort3 and3 Sedat 56
ion3Chapter306:3Nutritional3Therapy 69
Chapter307:3Dysrhythmia3Interpretation3and3Management3Chapt 83
er308:3Hemodynamic 3Monitoring 117
Chapter3 09:3 Ventilatory 3 Assistance 137
Chapter310:3Rapid3Response3Teams3and3Code3Management3C 156
hapter311:3Organ3Donation 171
Chapter312:3Shock,3Sepsis,3and3Multiple3Organ3Dysfunction3Syndrome3Ch 189
apter313:3Cardiovascular3Alterations 207
Chapter314:3Nervous3System3Alterations 225
3Chapter315:3Acute3Respiratory 3Failure3 243
Chapter3 16:3 Acute3 Kidney3 Injury3Chapt 260
er317:3Gastrointestinal3Alterations 285
Chapter317:3Hematological3and3Immune3Disorders 3Ch 312
apter319:3Endocrine3Alterations 341
Chapter320:3Trauma3and3Surgical3Management3Chapt 361
er321:3Burns 377
,Test3Bank3- 2
3Introduction3to3Critical3Care3Nursing37e 3(Sole 32016)
Chapter3 01:3 Overview3 of3 Critical3 Care3 Nursing
MULTIPLE3 CHOICE
1. Which3of3 the3 following3 professional3 organizations3best3 supports3 critical3 care3 nursing3 practice?
a. American3 Association 3 of3 Critical-Care3 Nurses
b. American3 Heart3 Association
c. American3 Nurses 3 Association
d. Society3of3 Critical3 Care3 Medicine
ANS:3 A
The3American3Association 3of3Critical-
Care3Nurses3is3the3specialty3organization 3that3supports3and3represents3critical3care3nurses.3The3American3Hea
rt3Association 3supports3cardiovascular3initiatives.3The3American3Nurses3 Association 3supports3all3nurses.3The3
Society3of3Critical3Care3Medicine3represents3the3multiprofessional3critical3 care3team3under3the3direction 3of3a
n3intensivist.
DIF:3 Cognitive3 Level:3 Knowledge3 REF:3 p.3 4
OBJ:3Discuss3the3purposes3and3functions3of3the3professional3organizations3that3support3critical3care3practice.3
TOP:3Nursing3Process3Step:3N/A
MSC:3 NCLEX:3 Safe3 and3 Effective3 Care3 Environment
2. A3nurse3has3been3working3as3a3staff3nurse3in3the3surgical3intensive3care3unit3for323years3and3is3interested3
in3 certification.3Which3credential3would3be3most3applicable3for3her3to3seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:3 C
The3CCRN3certification 3is3appropriate3for3nurses3in3bedside3practice3who3care3for3critically 3ill3patients.3The3
ACNPC3certification 3is3for3acute3care3nurse3practitioners.3The3CCNS3certification 3is3for3critical3care3clinical3
nurse3specialists.3The3PCCN3certification 3is3for3staff3nurses3working3in3progressive3care,3intermediate3care,3or
3 step-down 3unit3settings.
DIF:3 Cognitive3 Level:3 Application 3 REF:3p.3 5
OBJ:3Explain3certification 3options3for3critical3care3nurses.3TOP:3Nursing3Process3Step:3N/A3M
SC:3NCLEX:3Safe3and3Effective3Care3Environment
, Test3Bank3- 3
3Introduction3to3Critical3Care3Nursing37e 3(Sole 32016)
3. The3 main3 purpose3 of3 certification3 is3 to:
a. assure3 the3 consumer3 that3 you3 will3not3 make3 a3 mistake.
b. prepare3 for3 graduate3 school.
c. promote3 magnet3 status3 for3your3 facility.
d. validate3 knowledge3 of3 critical3 care3 nursing.
ANS:3 D
Certification 3assists3in3validating3knowledge3of3the3field,3promotes3excellence3in3the3profession,3and3helps3
nurses3to3maintain3their3knowledge3of3critical3care3nursing.3Certification 3helps3to3assure3the3consumer3that3t
he3 nurse3 has3 a3 minimum3 level3 of3 knowledge;3 however,3 it3 does3 not3 ensure3 that3 care3 will3 be3 mistake-
free.
Certification 3does3not3prepare3one3for3graduate3school;3however,3achieving3certification 3demonstrates3 moti
vation3for3achievement3and3professionalism.3Magnet3facilities3are3rated3on3the3number3of3certified3nurses;3
however,3that3is3not3the3purpose3of3certification.
DIF:3 Cognitive3 Level:3 Analysis3 REF:3 pp.3 4-5
OBJ:3Explain3certification 3options3for3critical3care3nurses.3TOP:3Nursing3Process3Step:3N/A3M
SC:3NCLEX:3Safe3and3Effective3Care3Environment
4. The3 synergy3 model3 of3practice3 focuses3 on:
a. allowing3 unrestricted 3 visiting3 for3the3patient3 243hours3 each3 day.
b. holistic3 and3 alternative3 therapies.
c. needs3 of3patients3 and3 their3 families,3 which3 drives3 nursing3 competency.
d. patients3 needs3 for3 energy3 and3 support.
ANS:3 C
The3 synergy3 model3 of3 practice3 states3 that3 the3 needs3 of3 patients3 and3 families3 influence3 and3 drive3 competenc
ies3of3nurses.3Nursing3practice3based3on3the3synergy3model3would3involve3tailored3visiting3to3meet3the3patients
3and 3 familys3 needs3 and 3 application 3 of3 alternative3 therapies3 if3 desired 3 by 3 the3 patient,3 but3 that3 is3 not3 the3 prim
ary3 focus3of3the3model.
DIF:3 Cognitive3 Level:3 Application 3 REF:3p.3 53 |3Fig.3 1-3
OBJ:3 Describe3 standards3 of3 professional3 practice3 for3 critical3 care3 nursing.
TOP:3 Nursing3 Process3 Step:3 N/A3 MSC:3 NCLEX:3 Safe3 and3 Effective3 Care3 Environment
5. The3 family3 of3 your3 critically3 ill3 patient3 tells3 you3 that3 they3 have3 not3 spoken3 with3 the3 physician3 in3 over3 2
43hours3and3they3have3some3questions3that3they3want3clarified.3During3morning3rounds,3you3convey3this3conc
ern3 to3the3attending3intensivist3and3arrange3for3her3to3meet3with3the3family3at34:003PM3in3the3conference3roo
m.3 Which3competency3of3critical3care3nursing3does3this3represent?
3Introduction3to3Critical3Care3Nursing37e 3(Sole 32016)
Table3 of3 Contents
Table3 of3Contents 1
Chapter301:3 Overview3 of3 Critical3 Care3Nursing 2
Chapter302:3Patient3and3Family3Response3to3the3Critical3Care3Experience 14
3Chapter303:3Ethical3and3Legal3Issues3in3Critical3Care3Nursing 30
Chapter304:3Palliative3and3End-of- 42
Life3Care3Chapter3 05:3 Comfort3 and3 Sedat 56
ion3Chapter306:3Nutritional3Therapy 69
Chapter307:3Dysrhythmia3Interpretation3and3Management3Chapt 83
er308:3Hemodynamic 3Monitoring 117
Chapter3 09:3 Ventilatory 3 Assistance 137
Chapter310:3Rapid3Response3Teams3and3Code3Management3C 156
hapter311:3Organ3Donation 171
Chapter312:3Shock,3Sepsis,3and3Multiple3Organ3Dysfunction3Syndrome3Ch 189
apter313:3Cardiovascular3Alterations 207
Chapter314:3Nervous3System3Alterations 225
3Chapter315:3Acute3Respiratory 3Failure3 243
Chapter3 16:3 Acute3 Kidney3 Injury3Chapt 260
er317:3Gastrointestinal3Alterations 285
Chapter317:3Hematological3and3Immune3Disorders 3Ch 312
apter319:3Endocrine3Alterations 341
Chapter320:3Trauma3and3Surgical3Management3Chapt 361
er321:3Burns 377
,Test3Bank3- 2
3Introduction3to3Critical3Care3Nursing37e 3(Sole 32016)
Chapter3 01:3 Overview3 of3 Critical3 Care3 Nursing
MULTIPLE3 CHOICE
1. Which3of3 the3 following3 professional3 organizations3best3 supports3 critical3 care3 nursing3 practice?
a. American3 Association 3 of3 Critical-Care3 Nurses
b. American3 Heart3 Association
c. American3 Nurses 3 Association
d. Society3of3 Critical3 Care3 Medicine
ANS:3 A
The3American3Association 3of3Critical-
Care3Nurses3is3the3specialty3organization 3that3supports3and3represents3critical3care3nurses.3The3American3Hea
rt3Association 3supports3cardiovascular3initiatives.3The3American3Nurses3 Association 3supports3all3nurses.3The3
Society3of3Critical3Care3Medicine3represents3the3multiprofessional3critical3 care3team3under3the3direction 3of3a
n3intensivist.
DIF:3 Cognitive3 Level:3 Knowledge3 REF:3 p.3 4
OBJ:3Discuss3the3purposes3and3functions3of3the3professional3organizations3that3support3critical3care3practice.3
TOP:3Nursing3Process3Step:3N/A
MSC:3 NCLEX:3 Safe3 and3 Effective3 Care3 Environment
2. A3nurse3has3been3working3as3a3staff3nurse3in3the3surgical3intensive3care3unit3for323years3and3is3interested3
in3 certification.3Which3credential3would3be3most3applicable3for3her3to3seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:3 C
The3CCRN3certification 3is3appropriate3for3nurses3in3bedside3practice3who3care3for3critically 3ill3patients.3The3
ACNPC3certification 3is3for3acute3care3nurse3practitioners.3The3CCNS3certification 3is3for3critical3care3clinical3
nurse3specialists.3The3PCCN3certification 3is3for3staff3nurses3working3in3progressive3care,3intermediate3care,3or
3 step-down 3unit3settings.
DIF:3 Cognitive3 Level:3 Application 3 REF:3p.3 5
OBJ:3Explain3certification 3options3for3critical3care3nurses.3TOP:3Nursing3Process3Step:3N/A3M
SC:3NCLEX:3Safe3and3Effective3Care3Environment
, Test3Bank3- 3
3Introduction3to3Critical3Care3Nursing37e 3(Sole 32016)
3. The3 main3 purpose3 of3 certification3 is3 to:
a. assure3 the3 consumer3 that3 you3 will3not3 make3 a3 mistake.
b. prepare3 for3 graduate3 school.
c. promote3 magnet3 status3 for3your3 facility.
d. validate3 knowledge3 of3 critical3 care3 nursing.
ANS:3 D
Certification 3assists3in3validating3knowledge3of3the3field,3promotes3excellence3in3the3profession,3and3helps3
nurses3to3maintain3their3knowledge3of3critical3care3nursing.3Certification 3helps3to3assure3the3consumer3that3t
he3 nurse3 has3 a3 minimum3 level3 of3 knowledge;3 however,3 it3 does3 not3 ensure3 that3 care3 will3 be3 mistake-
free.
Certification 3does3not3prepare3one3for3graduate3school;3however,3achieving3certification 3demonstrates3 moti
vation3for3achievement3and3professionalism.3Magnet3facilities3are3rated3on3the3number3of3certified3nurses;3
however,3that3is3not3the3purpose3of3certification.
DIF:3 Cognitive3 Level:3 Analysis3 REF:3 pp.3 4-5
OBJ:3Explain3certification 3options3for3critical3care3nurses.3TOP:3Nursing3Process3Step:3N/A3M
SC:3NCLEX:3Safe3and3Effective3Care3Environment
4. The3 synergy3 model3 of3practice3 focuses3 on:
a. allowing3 unrestricted 3 visiting3 for3the3patient3 243hours3 each3 day.
b. holistic3 and3 alternative3 therapies.
c. needs3 of3patients3 and3 their3 families,3 which3 drives3 nursing3 competency.
d. patients3 needs3 for3 energy3 and3 support.
ANS:3 C
The3 synergy3 model3 of3 practice3 states3 that3 the3 needs3 of3 patients3 and3 families3 influence3 and3 drive3 competenc
ies3of3nurses.3Nursing3practice3based3on3the3synergy3model3would3involve3tailored3visiting3to3meet3the3patients
3and 3 familys3 needs3 and 3 application 3 of3 alternative3 therapies3 if3 desired 3 by 3 the3 patient,3 but3 that3 is3 not3 the3 prim
ary3 focus3of3the3model.
DIF:3 Cognitive3 Level:3 Application 3 REF:3p.3 53 |3Fig.3 1-3
OBJ:3 Describe3 standards3 of3 professional3 practice3 for3 critical3 care3 nursing.
TOP:3 Nursing3 Process3 Step:3 N/A3 MSC:3 NCLEX:3 Safe3 and3 Effective3 Care3 Environment
5. The3 family3 of3 your3 critically3 ill3 patient3 tells3 you3 that3 they3 have3 not3 spoken3 with3 the3 physician3 in3 over3 2
43hours3and3they3have3some3questions3that3they3want3clarified.3During3morning3rounds,3you3convey3this3conc
ern3 to3the3attending3intensivist3and3arrange3for3her3to3meet3with3the3family3at34:003PM3in3the3conference3roo
m.3 Which3competency3of3critical3care3nursing3does3this3represent?
