Test Bank for Understanding the Essentials of
Critical Care Nursing 3rd Edition Perrin
Chapters 1 - 19
, TEST BANK FOR UNDERSTANDING THE ESSENTIALS OF CRITICAL CARE NURSING 3RD EDITION BY
KATHLEEN PERRIN, CARRIE MACLEOD
TABLE OF CONTENT
1. What is Critical Care?
2. Care of the Critical Ill Patient
3. Care of the Patient with Respiratory Failure
4. Interpretation and Management of Basic Dysrhythmias
5. Cardiodynamics and Hemodynamic Regulation
6. Care of the Patient Experiencing Shock
7. Care of the Patient Experiencing Heart Failure
8. Care of the Patient Experiencing Acute Coronary Syndrome
9. Care of the Patient Following Traumatic Injury
10. Care of the Patient Experiencing an Intracranial Dysfunction
11. Care of the Patient With a Cerebral or Cerbrovascular Disorder
12. Care of the Critically Ill Patient Experiencing Alcohol Withdrawal and/or Liver Failure
13. Care of the Patient With an Acute Gastrointestinal Bleed or Pancreatitis
14. Care of the Patient with Problems in Glucose Metabolism
15. Care of the Patient with Acute Kidney Injury
16. Care of the Organ Donor and Transplant Recipient
17. Care of the Acutely Ill Burn Patient
18. Care of the Patient with Sepsis
19. Care of the ICU Patient at the End of Life
, Perrin: Understanding the Essentials of Critical Care Nursing Chapter 1:
What is Critical Care?
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the ques
1) Of the following patients, who should be cared for in a critical care unit? A patient: (Select all that apply.)
A) With an acetaminophen overdose
B) Suffering from acute mental illness
C) With chronic renal failure
D) With acute decompensated heart failure
ANSWER: A, D
Explanation: A) (Note: This requires multiple responses to be correct.)
Critical care units are c o- e
s tf ficient units for caring for patients with specific organ
system failure. Although the organ failing in #4 is obvious, patients with acetaminophen overdose
often suffer liver failure as a consequence. #2 and #3 present patient concerns of a noncritical
nature.
Nursing Process: Evaluation Cognitive
Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
1
,B) (Note: This requires multiple responses to be correct.)
Critical care units are c o- e
s tf ficient units for caring for patients with specific organ
system failure. Although the organ failing in #4 is obvious, patients with acetaminophen overdose
often suffer liver failure as a consequence. #2 and #3 present patient concerns of a noncritical
nature.
Nursing Process: Evaluation Cognitive
Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
C) (Note: This requires multiple responses to be correct.)
Critical care units are c o- e
s tf ficient units for caring for patients with specific organ
system failure. Although the organ failing in #4 is obvious, patients with acetaminophen overdose
often suffer liver failure as a consequence. #2 and #3 present patient concerns of a noncritical
nature.
Nursing Process: Evaluation Cognitive
Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
D) (Note: This requires multiple responses to be correct.)
Critical care units are c o- e
s tf ficient units for caring for patients with specific organ
system failure. Although the organ failing in #4 is obvious, patients with acetaminophen overdose
often suffer liver failure as a consequence. #2 and #3 present patient concerns of a noncritical
nature.
Nursing Process: Evaluation Cognitive
Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
2
,2) A hospital in a small rural town would be able to provide which level of care in the critical care unit?
A) Level I
B) Level II
C) Level III
D) It is unlikely that the hospital would have a critical care unit
ANSWER: C
Explanation: A) #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely a all
because most hospitals have some critical care areas.
Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
B) #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely a all
because most hospitals have some critical care areas.
Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
C) #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely a all
because most hospitals have some critical care areas.
Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
D) #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely a all
because most hospitals have some critical care areas.
Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
3) A nurse employed in an "open" ICU would most likely be working with a:
A) Multidisciplinary team with physicians who are also responsible for patients on other units.
B) Multidisciplinary team that includes a physician employed by the hospital.
C) Physician in charge of patient care who is a specialist in critical care.
D) Primary care physician who must consult a critical care specialist.
ANSWER: A
Explanation: A) #2, #3, and #4 refer to "closed" ICUs.
Nursing Process: Evaluation Cognitive
Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
B) #2, #3, and #4 refer to "closed" ICUs.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
C) #2, #3, and #4 refer to "closed" ICUs.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
D) #2, #3, and #4 refer to "closed" ICUs.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
3
,4) According to the Institute of Medicine, technology increases the likelihood of errors in critical care units when:
A) It relies heavily on human decisi-om
n aking.
B) Devices are programmed to function without dou- bclheecks.
C) It makes the workload seem overwhelming to health care providers.
D) There is uniform equipment throughout each facility.
ANSWER: B
Explanation: A) #1, #3, and #4 have not been identified to increase the likelihood of errors in the critica care unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
B) #1, #3, and #4 have not been identified to increase the likelihood of errors in the critica care
unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
C) #1, #3, and #4 have not been identified to increase the likelihood of errors in the critica care
unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
D) #1, #3, and #4 have not been identified to increase the likelihood of errors in the critica care
unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
4
,5) Whicht1oft1thet1followingt1ist1at1commont1examplet1oft1installingt1forcingt1functionst1ort1systemt1levelt1firewallst1int1ordert1tot1p
reventt1errors?
A) Priort1tot1administrationt1oft1insulin,t1twot1nursest1checkt1thet1dose.
B) Priort1tot1obtainingt1at1medication,t1height,t1weightt1andt1allergiest1aret1recorded.
C) Allt1medicationst1aret1checkedt1byt1twot1nursest1priort1tot1administration.
D) Undilutedt 1 potassiumt 1 chloridet 1 ist 1 nott 1 availablet 1 ont 1 criticalt 1 caret 1 units.
ANSWER:t1D
Explanation:t 1 A)t1#1t1andt1#3t1aret1examplest1oft1avoidingt1reliancet1ont1vigilance;t1#2t1ist1ant1examplet1oft1utilizingt1constr
aints.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Pharmacologicalt1andt1Parenteralt1Therapies
B) #1t1andt1#3t1aret1examplest1oft1avoidingt1reliancet1ont1vigilance;t1#2t1ist1ant1examplet1oft1utilizingt1con
straints.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Pharmacologicalt1andt1Parenteralt1Therapies
C) #1t1andt1#3t1aret1examplest1oft1avoidingt1reliancet1ont1vigilance;t1#2t1ist1ant1examplet1oft1utilizingt1con
straints.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Pharmacologicalt1andt1Parenteralt1Therapies
D) #1t1andt1#3t1aret1examplest1oft1avoidingt1reliancet1ont1vigilance;t1#2t1ist1ant1examplet1oft1utilizingt1con
straints.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Pharmacologicalt1andt1Parenteralt1Therapies
5
,6) Thet1increasedt1uset1oft1technologyt1int1criticalt1caret1unitst1hast1resultedt1int1whicht1oft1thet1followingt1consequ
encest1fort1patientt1care?
A) Decreasedt1riskt1oft1errorst1int1patientt1care
B) Decreasedt1therapeutict1nur-speatient t1communication
C) Improvedt1overallt1patientt1satisfactiont1witht1care
D) Improvedt1patientt1safetyt1acrosst1thet1entiret1spectrum
ANSWER:t1B
Explanation:t 1 A)t1#1,t1#3,t1andt1#4t1havet1nott1beent1demonstratedt1ast1outcomest1resultingt1fromt1increasedt1technologyt1us
e.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Physiologicalt1Adaptation
B) #1,t1#3,t1andt1#4t1havet1nott1beent1demonstratedt1ast1outcomest1resultingt1fromt1increasedt1techn
ologyt1use.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Physiologicalt1Adaptation
C) #1,t1#3,t1andt1#4t1havet1nott1beent1demonstratedt1ast1outcomest1resultingt1fromt1increasedt1techn
ologyt1use.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Physiologicalt1Adaptation
D) #1,t1#3,t1andt1#4t1havet1nott1beent1demonstratedt1ast1outcomest1resultingt1fromt1increasedt1techn
ologyt1use.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Physiologicalt1Adaptation
6
,7) Completiont1oft1at1preoperativet1checklistt1ist1ant1operationalizedt1examplet1oft1whicht1oft1thet1followingt1recom
mendationst1issuedt1byt1thet1Institutet1oft1Medicine?
A) Utilizingt1constraints
B) Simplifyingt1keyt1processes
C) Avoidingt 1 reliancet 1 ont 1 vigilance
D) Standardizingt1keyt1processes
ANSWER:t1C
Explanation:t 1 A)t1#1,t1#2,t1andt1#4t1aret1additionalt1recommendationst1issuedt1byt1thet1Institutet1oft1Medicine.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
B) #1,t1#2,t1andt1#4t1aret1additionalt1recommendationst1issuedt1byt1thet1Institutet1oft1Medicine.t1Nursin
gt1Process:t1Evaluation
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
C) #1,t1#2,t1andt1#4t1aret1additionalt1recommendationst1issuedt1byt1thet1Institutet1oft1Medicine.t1Nursin
gt1Process:t1Evaluation
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
D) #1,t1#2,t1andt1#4t1aret1additionalt1recommendationst1issuedt1byt1thet1Institutet1oft1Medicine.t1Nursin
gt1Process:t1Evaluation
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
7
, 8) Whicht1oft1thet1followingt1actionst1shouldt1thet1nurset1completet1firstt1aftert1realizingt1thatt1ant1incorrectt1doset1oft1medicati
ont1hast1beent1administeredt1tot1at1patient?t1(Selectt1allt1thatt1apply.)
A) Documentationt 1 oft 1 thet 1 error
B) Notificationt1oft1thet1physician
C) Notificationt 1 oft 1 thet 1 patientt 1 andt 1 family
D) Preparationt1fort1at1roott1causet1analysis
ANSWER:t1A,t 1 B,t 1 C,t 1 D
Explanation:t 1 A)t1(Note:t1Thist1requirest1multiplet1responsest1tot1bet1correct.)t1Althought1theyt1aret1allt1correct,t1#2t1shouldt1bet1com
pletedt1firstt1andt1at1plant1developedt1tot1ensuret1thatt1thet1patientt1ist1nott1harmed.t1Nursingt1Process:t1Evaluat
ion
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
B) (Note:t1Thist1requirest1multiplet1responsest1tot1bet1correct.)t1Althought1theyt1aret1allt1correct,t1#2t1shouldt1b
et1completedt1firstt1andt1at1plant1developedt1tot1ensuret1thatt1thet1patientt1ist1nott1harmed.t1Nursingt1Proces
s:t1Evaluation
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
C) (Note:t1Thist1requirest1multiplet1responsest1tot1bet1correct.)t1Althought1theyt1aret1allt1correct,t1#2t1shouldt1b
et1completedt1firstt1andt1at1plant1developedt1tot1ensuret1thatt1thet1patientt1ist1nott1harmed.t1Nursingt1Proces
s:t1Evaluation
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
D) (Note:t1Thist1requirest1multiplet1responsest1tot1bet1correct.)t1Althought1theyt1aret1allt1correct,t1#2t1shouldt1b
et1completedt1firstt1andt1at1plant1developedt1tot1ensuret1thatt1thet1patientt1ist1nott1harmed.t1Nursingt1Proces
s:t1Evaluation
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
8
Critical Care Nursing 3rd Edition Perrin
Chapters 1 - 19
, TEST BANK FOR UNDERSTANDING THE ESSENTIALS OF CRITICAL CARE NURSING 3RD EDITION BY
KATHLEEN PERRIN, CARRIE MACLEOD
TABLE OF CONTENT
1. What is Critical Care?
2. Care of the Critical Ill Patient
3. Care of the Patient with Respiratory Failure
4. Interpretation and Management of Basic Dysrhythmias
5. Cardiodynamics and Hemodynamic Regulation
6. Care of the Patient Experiencing Shock
7. Care of the Patient Experiencing Heart Failure
8. Care of the Patient Experiencing Acute Coronary Syndrome
9. Care of the Patient Following Traumatic Injury
10. Care of the Patient Experiencing an Intracranial Dysfunction
11. Care of the Patient With a Cerebral or Cerbrovascular Disorder
12. Care of the Critically Ill Patient Experiencing Alcohol Withdrawal and/or Liver Failure
13. Care of the Patient With an Acute Gastrointestinal Bleed or Pancreatitis
14. Care of the Patient with Problems in Glucose Metabolism
15. Care of the Patient with Acute Kidney Injury
16. Care of the Organ Donor and Transplant Recipient
17. Care of the Acutely Ill Burn Patient
18. Care of the Patient with Sepsis
19. Care of the ICU Patient at the End of Life
, Perrin: Understanding the Essentials of Critical Care Nursing Chapter 1:
What is Critical Care?
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the ques
1) Of the following patients, who should be cared for in a critical care unit? A patient: (Select all that apply.)
A) With an acetaminophen overdose
B) Suffering from acute mental illness
C) With chronic renal failure
D) With acute decompensated heart failure
ANSWER: A, D
Explanation: A) (Note: This requires multiple responses to be correct.)
Critical care units are c o- e
s tf ficient units for caring for patients with specific organ
system failure. Although the organ failing in #4 is obvious, patients with acetaminophen overdose
often suffer liver failure as a consequence. #2 and #3 present patient concerns of a noncritical
nature.
Nursing Process: Evaluation Cognitive
Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
1
,B) (Note: This requires multiple responses to be correct.)
Critical care units are c o- e
s tf ficient units for caring for patients with specific organ
system failure. Although the organ failing in #4 is obvious, patients with acetaminophen overdose
often suffer liver failure as a consequence. #2 and #3 present patient concerns of a noncritical
nature.
Nursing Process: Evaluation Cognitive
Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
C) (Note: This requires multiple responses to be correct.)
Critical care units are c o- e
s tf ficient units for caring for patients with specific organ
system failure. Although the organ failing in #4 is obvious, patients with acetaminophen overdose
often suffer liver failure as a consequence. #2 and #3 present patient concerns of a noncritical
nature.
Nursing Process: Evaluation Cognitive
Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
D) (Note: This requires multiple responses to be correct.)
Critical care units are c o- e
s tf ficient units for caring for patients with specific organ
system failure. Although the organ failing in #4 is obvious, patients with acetaminophen overdose
often suffer liver failure as a consequence. #2 and #3 present patient concerns of a noncritical
nature.
Nursing Process: Evaluation Cognitive
Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
2
,2) A hospital in a small rural town would be able to provide which level of care in the critical care unit?
A) Level I
B) Level II
C) Level III
D) It is unlikely that the hospital would have a critical care unit
ANSWER: C
Explanation: A) #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely a all
because most hospitals have some critical care areas.
Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
B) #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely a all
because most hospitals have some critical care areas.
Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
C) #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely a all
because most hospitals have some critical care areas.
Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
D) #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely a all
because most hospitals have some critical care areas.
Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
3) A nurse employed in an "open" ICU would most likely be working with a:
A) Multidisciplinary team with physicians who are also responsible for patients on other units.
B) Multidisciplinary team that includes a physician employed by the hospital.
C) Physician in charge of patient care who is a specialist in critical care.
D) Primary care physician who must consult a critical care specialist.
ANSWER: A
Explanation: A) #2, #3, and #4 refer to "closed" ICUs.
Nursing Process: Evaluation Cognitive
Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
B) #2, #3, and #4 refer to "closed" ICUs.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
C) #2, #3, and #4 refer to "closed" ICUs.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
D) #2, #3, and #4 refer to "closed" ICUs.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
3
,4) According to the Institute of Medicine, technology increases the likelihood of errors in critical care units when:
A) It relies heavily on human decisi-om
n aking.
B) Devices are programmed to function without dou- bclheecks.
C) It makes the workload seem overwhelming to health care providers.
D) There is uniform equipment throughout each facility.
ANSWER: B
Explanation: A) #1, #3, and #4 have not been identified to increase the likelihood of errors in the critica care unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
B) #1, #3, and #4 have not been identified to increase the likelihood of errors in the critica care
unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
C) #1, #3, and #4 have not been identified to increase the likelihood of errors in the critica care
unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
D) #1, #3, and #4 have not been identified to increase the likelihood of errors in the critica care
unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
4
,5) Whicht1oft1thet1followingt1ist1at1commont1examplet1oft1installingt1forcingt1functionst1ort1systemt1levelt1firewallst1int1ordert1tot1p
reventt1errors?
A) Priort1tot1administrationt1oft1insulin,t1twot1nursest1checkt1thet1dose.
B) Priort1tot1obtainingt1at1medication,t1height,t1weightt1andt1allergiest1aret1recorded.
C) Allt1medicationst1aret1checkedt1byt1twot1nursest1priort1tot1administration.
D) Undilutedt 1 potassiumt 1 chloridet 1 ist 1 nott 1 availablet 1 ont 1 criticalt 1 caret 1 units.
ANSWER:t1D
Explanation:t 1 A)t1#1t1andt1#3t1aret1examplest1oft1avoidingt1reliancet1ont1vigilance;t1#2t1ist1ant1examplet1oft1utilizingt1constr
aints.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Pharmacologicalt1andt1Parenteralt1Therapies
B) #1t1andt1#3t1aret1examplest1oft1avoidingt1reliancet1ont1vigilance;t1#2t1ist1ant1examplet1oft1utilizingt1con
straints.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Pharmacologicalt1andt1Parenteralt1Therapies
C) #1t1andt1#3t1aret1examplest1oft1avoidingt1reliancet1ont1vigilance;t1#2t1ist1ant1examplet1oft1utilizingt1con
straints.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Pharmacologicalt1andt1Parenteralt1Therapies
D) #1t1andt1#3t1aret1examplest1oft1avoidingt1reliancet1ont1vigilance;t1#2t1ist1ant1examplet1oft1utilizingt1con
straints.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Pharmacologicalt1andt1Parenteralt1Therapies
5
,6) Thet1increasedt1uset1oft1technologyt1int1criticalt1caret1unitst1hast1resultedt1int1whicht1oft1thet1followingt1consequ
encest1fort1patientt1care?
A) Decreasedt1riskt1oft1errorst1int1patientt1care
B) Decreasedt1therapeutict1nur-speatient t1communication
C) Improvedt1overallt1patientt1satisfactiont1witht1care
D) Improvedt1patientt1safetyt1acrosst1thet1entiret1spectrum
ANSWER:t1B
Explanation:t 1 A)t1#1,t1#3,t1andt1#4t1havet1nott1beent1demonstratedt1ast1outcomest1resultingt1fromt1increasedt1technologyt1us
e.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Physiologicalt1Adaptation
B) #1,t1#3,t1andt1#4t1havet1nott1beent1demonstratedt1ast1outcomest1resultingt1fromt1increasedt1techn
ologyt1use.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Physiologicalt1Adaptation
C) #1,t1#3,t1andt1#4t1havet1nott1beent1demonstratedt1ast1outcomest1resultingt1fromt1increasedt1techn
ologyt1use.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Physiologicalt1Adaptation
D) #1,t1#3,t1andt1#4t1havet1nott1beent1demonstratedt1ast1outcomest1resultingt1fromt1increasedt1techn
ologyt1use.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Physiologicalt1Integrity–Physiologicalt1Adaptation
6
,7) Completiont1oft1at1preoperativet1checklistt1ist1ant1operationalizedt1examplet1oft1whicht1oft1thet1followingt1recom
mendationst1issuedt1byt1thet1Institutet1oft1Medicine?
A) Utilizingt1constraints
B) Simplifyingt1keyt1processes
C) Avoidingt 1 reliancet 1 ont 1 vigilance
D) Standardizingt1keyt1processes
ANSWER:t1C
Explanation:t 1 A)t1#1,t1#2,t1andt1#4t1aret1additionalt1recommendationst1issuedt1byt1thet1Institutet1oft1Medicine.
Nursingt1Process:t1Evaluationt1Co
gnitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
B) #1,t1#2,t1andt1#4t1aret1additionalt1recommendationst1issuedt1byt1thet1Institutet1oft1Medicine.t1Nursin
gt1Process:t1Evaluation
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
C) #1,t1#2,t1andt1#4t1aret1additionalt1recommendationst1issuedt1byt1thet1Institutet1oft1Medicine.t1Nursin
gt1Process:t1Evaluation
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
D) #1,t1#2,t1andt1#4t1aret1additionalt1recommendationst1issuedt1byt1thet1Institutet1oft1Medicine.t1Nursin
gt1Process:t1Evaluation
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
7
, 8) Whicht1oft1thet1followingt1actionst1shouldt1thet1nurset1completet1firstt1aftert1realizingt1thatt1ant1incorrectt1doset1oft1medicati
ont1hast1beent1administeredt1tot1at1patient?t1(Selectt1allt1thatt1apply.)
A) Documentationt 1 oft 1 thet 1 error
B) Notificationt1oft1thet1physician
C) Notificationt 1 oft 1 thet 1 patientt 1 andt 1 family
D) Preparationt1fort1at1roott1causet1analysis
ANSWER:t1A,t 1 B,t 1 C,t 1 D
Explanation:t 1 A)t1(Note:t1Thist1requirest1multiplet1responsest1tot1bet1correct.)t1Althought1theyt1aret1allt1correct,t1#2t1shouldt1bet1com
pletedt1firstt1andt1at1plant1developedt1tot1ensuret1thatt1thet1patientt1ist1nott1harmed.t1Nursingt1Process:t1Evaluat
ion
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
B) (Note:t1Thist1requirest1multiplet1responsest1tot1bet1correct.)t1Althought1theyt1aret1allt1correct,t1#2t1shouldt1b
et1completedt1firstt1andt1at1plant1developedt1tot1ensuret1thatt1thet1patientt1ist1nott1harmed.t1Nursingt1Proces
s:t1Evaluation
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
C) (Note:t1Thist1requirest1multiplet1responsest1tot1bet1correct.)t1Althought1theyt1aret1allt1correct,t1#2t1shouldt1b
et1completedt1firstt1andt1at1plant1developedt1tot1ensuret1thatt1thet1patientt1ist1nott1harmed.t1Nursingt1Proces
s:t1Evaluation
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
D) (Note:t1Thist1requirest1multiplet1responsest1tot1bet1correct.)t1Althought1theyt1aret1allt1correct,t1#2t1shouldt1b
et1completedt1firstt1andt1at1plant1developedt1tot1ensuret1thatt1thet1patientt1ist1nott1harmed.t1Nursingt1Proces
s:t1Evaluation
Cognitivet1Level:t1Application
Categoryt1oft1Need:t1Safe,t1Effectivet1Caret1Environment–Managementt1oft1Care
8
