Introduction to critical care nursing
= = = =
7th edition by sole
= = =
Chapter 1 to 21
= = =
TEST BANK =
,TABLE OF CONTENT
= =
1. Overview of Critical Care Nursing
= = = =
2. Patient and Family Response to the Critical Care Experience
= = = = = = = =
3. Ethical and Legal Issues in Critical Care Nursing
= = = = = = =
4. Palliative and End-of-Life Care
= = =
5. Comfort and Sedation
= =
6. Nutritional Therapy =
7. Dysrhythmia Interpretation and Management
= = =
8. Hemodynamic Monitoring =
9. Ventilatory Assistance =
10. Rapid Response Teams and Code Management
= = = = =
11. Organ Donation =
12. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
= = = = = =
13. Cardiovascular Alterations =
14. Nervous System Alterations
= =
15. Acute Respiratory Failure
= =
16. Acute Kidney Injury
= =
17. Hematological and Immune Disorders = = =
18. Gastrointestinal Alterations =
19. Endocrine Alterations =
20. Trauma and Surgical Management
= = =
21. Burns
,Chapter 01: Overview of Critical Care Nursing
= = = = = =
MULTIPLE=CHOICE
1. Which=of=the=following=professional=organizations=best=supports=critical=care=nursing= practice?
a. American=Association=of=Critical-
Care= Nurses
b. American=Heart=Association
c. American=Nurses=Association
d. Society=of=Critical=Care=Medicine
ANS:=A
The=American=Association=of=Critical-
Care=Nurses=is=the=specialty=organization= that=supports=and=represents=critical=care=nurses.=The
=American=Heart=Association= supports=cardiovascular=initiatives.=The=American=Nurses=Associati
on=supports=all= nurses.=The=Society=of=Critical=Care=Medicine=represents=the=multiprofessional= c
ritical=care=team=under=the=direction=of=an=intensivist.
DIF: Cognitive=Level:=Remember/Knowledge REF:===p.=5
OBJ:== Discuss=the=purposes=and=functions=of=the=professional=organizations=that=support= critical=care
=practice. TOP:== Nursing=Process=Step:=N/A
MSC:= NCLEX=Client=Needs=Category:=Safe=and=Effective=Care=Environment
2. A=nurse=has=been=working=as=a=staff=nurse=in=the=surgical=intensive=care=unit=for=2= years=and=i
s=interested=in=certification.=Which=credential=would=be=most= applicable=for=the=nurse=to=seek
?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS:=C
The=CCRN=certification=is=appropriate=for=nurses=in=bedside=practice=who=care=for= critically=ill=p
atients.=The=ACNPC-
AG=certification=is=for=acute=care=nurse= practitioners.=The=CNML=is=for=critical=care=nurse=manag
ers=or=leaders.=The=PCCN= certification=is=for=staff=nurses=working=in=progressive=care,=intermedi
ate=care,=or= step-down=unit=settings.
DIF: Cognitive=Level:=Remember/Knowledge REF:===p.=6
OBJ:== Explain=certification=options=for=critical=care=nurses.= TOP:== Nursing=Process=Step:= N/A=MSC:= N
CLEX=Client=Needs=Category:=Safe=and=Effective=Care=Environment
3. The=main=purpose=of=certification=is=to
a. assure=the=consumer=that=you=will=not=make=a= mistak
e.
b. prepare=for=graduate=school.
c. promote=magnet=status=for=your=facility.
d. validate=knowledge=of=critical=care=nursing.
ANS:=D
Certification=assists=in=validating=knowledge=of=the=field,=promotes=excellence=in= the=professio
n,=and=helps=nurses=to=maintain=their=knowledge=of=critical=care= nursing.=Certification=helps=to=
assure=the=consumer=that=the=nurse=has=a=minimum= level=of=knowledge;=however,=it=does=not=en
sure=that=care=will=be=mistake-free.
Certification=does=not=prepare=one=for=graduate=school;=however,=achieving= certification=dem
, onstrates=motivation=for=achievement=and=professionalism.= Magnet=facilities=are=rated=on=the=
number=of=certified=nurses;=however,=that=is=not= the=purpose=of=certification.
DIF: Cognitive=Level:=Remember/Knowledge REF:===p.=6
OBJ:== Explain=certification=options=for=critical=care=nurses.= TOP:== Nursing=Process=Step:= N/A=MSC:= N
CLEX=Client=Needs=Category:=Safe=and=Effective=Care=Environment
4. The=synergy=model=of=practice=focuses=on
a. allowing=unrestricted=visiting=for=the=patient=24=hours=a=day.
b. holistic=and=alternative=therapies.
c. the=needs=of=patients=and=their=families,=which=drive=nursing= competen
cy.
d. patients’=needs=for=energy=and=support.
ANS:=C
The=synergy=model=of=practice=states=that=the=needs=of=patients=and=families= influence=and=dri
ve=competencies=of=nurses.=Nursing=practice=based=on=the= synergy=model=would=involve=tailor
ed=visiting=to=meet=the=patient’s=and=family’s= needs=and=the=application=of=alternative=therapi
es=if=desired=by=the=patient,=but= that=is=not=the=primary=focus=of=the=model.
DIF: Cognitive=Level:=Remember/Knowledge
REF:== p.=6= OBJ:== Describe=standards=of=professional=practice=for=critica
l=care= nursing.
TOP:== Nursing=Process=Step:=N/A
MSC:= NCLEX=Client=Needs=Category:=Safe=and=Effective=Care=Environment
5. The=family=of=your=critically=ill=patient=tells=you=that=they=have=not=spoken=with=the= physician=in
=over=24=hours=and=that=they=have=some=questions=they=want== clarified.=During=morning=rounds
,=you=convey=this=concern=to=the=attending= intensivist=and=arrange=a=meeting=with=the=family=at
=4:00=PM.=Which=competency= of=critical=care=nursing=does=this=represent?
a. Advocacy=and=moral=agency=in=solving=ethical=issues
b. Clinical=judgment=and=clinical=reasoning=skills
c. Collaboration=with=patients,=families,=and=team= memb
ers
d. Facilitation=of=learning=for=patients,=families,=and=team= membe
rs
ANS:=C
Although=one=might=consider=that=all=of=these=competencies=are=being=addressed,= communicatio
n=and=collaboration=with=the=family=and=physician=best=exemplify=the= competency=of=collaborati
on.
DIF: Cognitive=Level:=Analyze/Analysis REF:== p.=6=|=Fig=1-
3=|=Box= 1-1=OBJ:== Describe=standards=of=professional=practice=for=critical=care=nursing.
TOP:== Nursing=Process=Step:=N/A
MSC:= NCLEX=Client=Needs=Category:=Safe=and=Effective=Care=Environment
6. The=AACN=Standards=for=Acute=and=Critical=Care=Nursing=Practice=use=what= framewor
k=to=guide=critical=care=nursing=practice?
a. Evidence-
based= practice
b. Healthy=work= e
nvironment
c. National=Patient=Safety=
Goals
d. Nursing=process
ANS:=D
= = = =
7th edition by sole
= = =
Chapter 1 to 21
= = =
TEST BANK =
,TABLE OF CONTENT
= =
1. Overview of Critical Care Nursing
= = = =
2. Patient and Family Response to the Critical Care Experience
= = = = = = = =
3. Ethical and Legal Issues in Critical Care Nursing
= = = = = = =
4. Palliative and End-of-Life Care
= = =
5. Comfort and Sedation
= =
6. Nutritional Therapy =
7. Dysrhythmia Interpretation and Management
= = =
8. Hemodynamic Monitoring =
9. Ventilatory Assistance =
10. Rapid Response Teams and Code Management
= = = = =
11. Organ Donation =
12. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
= = = = = =
13. Cardiovascular Alterations =
14. Nervous System Alterations
= =
15. Acute Respiratory Failure
= =
16. Acute Kidney Injury
= =
17. Hematological and Immune Disorders = = =
18. Gastrointestinal Alterations =
19. Endocrine Alterations =
20. Trauma and Surgical Management
= = =
21. Burns
,Chapter 01: Overview of Critical Care Nursing
= = = = = =
MULTIPLE=CHOICE
1. Which=of=the=following=professional=organizations=best=supports=critical=care=nursing= practice?
a. American=Association=of=Critical-
Care= Nurses
b. American=Heart=Association
c. American=Nurses=Association
d. Society=of=Critical=Care=Medicine
ANS:=A
The=American=Association=of=Critical-
Care=Nurses=is=the=specialty=organization= that=supports=and=represents=critical=care=nurses.=The
=American=Heart=Association= supports=cardiovascular=initiatives.=The=American=Nurses=Associati
on=supports=all= nurses.=The=Society=of=Critical=Care=Medicine=represents=the=multiprofessional= c
ritical=care=team=under=the=direction=of=an=intensivist.
DIF: Cognitive=Level:=Remember/Knowledge REF:===p.=5
OBJ:== Discuss=the=purposes=and=functions=of=the=professional=organizations=that=support= critical=care
=practice. TOP:== Nursing=Process=Step:=N/A
MSC:= NCLEX=Client=Needs=Category:=Safe=and=Effective=Care=Environment
2. A=nurse=has=been=working=as=a=staff=nurse=in=the=surgical=intensive=care=unit=for=2= years=and=i
s=interested=in=certification.=Which=credential=would=be=most= applicable=for=the=nurse=to=seek
?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS:=C
The=CCRN=certification=is=appropriate=for=nurses=in=bedside=practice=who=care=for= critically=ill=p
atients.=The=ACNPC-
AG=certification=is=for=acute=care=nurse= practitioners.=The=CNML=is=for=critical=care=nurse=manag
ers=or=leaders.=The=PCCN= certification=is=for=staff=nurses=working=in=progressive=care,=intermedi
ate=care,=or= step-down=unit=settings.
DIF: Cognitive=Level:=Remember/Knowledge REF:===p.=6
OBJ:== Explain=certification=options=for=critical=care=nurses.= TOP:== Nursing=Process=Step:= N/A=MSC:= N
CLEX=Client=Needs=Category:=Safe=and=Effective=Care=Environment
3. The=main=purpose=of=certification=is=to
a. assure=the=consumer=that=you=will=not=make=a= mistak
e.
b. prepare=for=graduate=school.
c. promote=magnet=status=for=your=facility.
d. validate=knowledge=of=critical=care=nursing.
ANS:=D
Certification=assists=in=validating=knowledge=of=the=field,=promotes=excellence=in= the=professio
n,=and=helps=nurses=to=maintain=their=knowledge=of=critical=care= nursing.=Certification=helps=to=
assure=the=consumer=that=the=nurse=has=a=minimum= level=of=knowledge;=however,=it=does=not=en
sure=that=care=will=be=mistake-free.
Certification=does=not=prepare=one=for=graduate=school;=however,=achieving= certification=dem
, onstrates=motivation=for=achievement=and=professionalism.= Magnet=facilities=are=rated=on=the=
number=of=certified=nurses;=however,=that=is=not= the=purpose=of=certification.
DIF: Cognitive=Level:=Remember/Knowledge REF:===p.=6
OBJ:== Explain=certification=options=for=critical=care=nurses.= TOP:== Nursing=Process=Step:= N/A=MSC:= N
CLEX=Client=Needs=Category:=Safe=and=Effective=Care=Environment
4. The=synergy=model=of=practice=focuses=on
a. allowing=unrestricted=visiting=for=the=patient=24=hours=a=day.
b. holistic=and=alternative=therapies.
c. the=needs=of=patients=and=their=families,=which=drive=nursing= competen
cy.
d. patients’=needs=for=energy=and=support.
ANS:=C
The=synergy=model=of=practice=states=that=the=needs=of=patients=and=families= influence=and=dri
ve=competencies=of=nurses.=Nursing=practice=based=on=the= synergy=model=would=involve=tailor
ed=visiting=to=meet=the=patient’s=and=family’s= needs=and=the=application=of=alternative=therapi
es=if=desired=by=the=patient,=but= that=is=not=the=primary=focus=of=the=model.
DIF: Cognitive=Level:=Remember/Knowledge
REF:== p.=6= OBJ:== Describe=standards=of=professional=practice=for=critica
l=care= nursing.
TOP:== Nursing=Process=Step:=N/A
MSC:= NCLEX=Client=Needs=Category:=Safe=and=Effective=Care=Environment
5. The=family=of=your=critically=ill=patient=tells=you=that=they=have=not=spoken=with=the= physician=in
=over=24=hours=and=that=they=have=some=questions=they=want== clarified.=During=morning=rounds
,=you=convey=this=concern=to=the=attending= intensivist=and=arrange=a=meeting=with=the=family=at
=4:00=PM.=Which=competency= of=critical=care=nursing=does=this=represent?
a. Advocacy=and=moral=agency=in=solving=ethical=issues
b. Clinical=judgment=and=clinical=reasoning=skills
c. Collaboration=with=patients,=families,=and=team= memb
ers
d. Facilitation=of=learning=for=patients,=families,=and=team= membe
rs
ANS:=C
Although=one=might=consider=that=all=of=these=competencies=are=being=addressed,= communicatio
n=and=collaboration=with=the=family=and=physician=best=exemplify=the= competency=of=collaborati
on.
DIF: Cognitive=Level:=Analyze/Analysis REF:== p.=6=|=Fig=1-
3=|=Box= 1-1=OBJ:== Describe=standards=of=professional=practice=for=critical=care=nursing.
TOP:== Nursing=Process=Step:=N/A
MSC:= NCLEX=Client=Needs=Category:=Safe=and=Effective=Care=Environment
6. The=AACN=Standards=for=Acute=and=Critical=Care=Nursing=Practice=use=what= framewor
k=to=guide=critical=care=nursing=practice?
a. Evidence-
based= practice
b. Healthy=work= e
nvironment
c. National=Patient=Safety=
Goals
d. Nursing=process
ANS:=D
