CRITICAL CARE NURSING 9TH EDITION
ACTUAL TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ as part of nursing management of critically ill patient, orders are
written to keep the head of the bed elevated at 30 degrees, awaken
the patient from sedation each morning to assess readiness to wean
from mech vent, and implement oral care protocol every 4 hours.
These intervention are done as a group to reduce the risk of vent-
associated pneumonia. This group of evidence-based interventions
is often called:
Answer: bundle of care
◉ working in an intermediate care unit that has experienced high
nursing turn over. the nurse manager is often considered to be an
autocratic leader by staff members and her leadership style is
contributing to turnover. you have asked to involve in developing
new guidelines to prevent pressure ulcers in your patient
population. The nurse manager tells you that you do not yet have
enough experience to be on the prevention task force. this situation
and setting is an example of:
Answer: work environment that is unhealthy
◉ which nursing interven would best support the family of a
critically ill patient?
,Answer: give condition update each morning and whenever changes
occur
◉ which intervention is appropriate to assist the patient to cope
with admission to the critical care unit
Answer: explaining all procedures in easy-to-understand terms
◉ which of the following statement about family assessment is false?
Answer: assessment of structure (who comprises the family) is the
last step in assessment
◉ many critically ill patients experience anxiety. the nurse can
reduce anxiety with which approach?
Answer: state, "mr J, it's time to turn you. I'm going to ask another
nurse to come in and help me. We will turn you to your left. During
the turn, I'm going to inspect the skin on your back and rub some
lotion on your back. This should help you feel better."
◉ which of the following statement about resuscitation is true?
Answer: withholding "extraordinary" resuscitation is legal and
ethical if specified in advance directives and physician orders.
◉ 65 YO pt c history of metastatic lung carcinoma has been
unresponsive to chemo. the medical team has determined that there
, are no additional tx available that will prolong life or improve the
quality of life in any meaningful way. Despite the poor prognosis, the
pt continues to rc'd chemo and full nutrition support. what is this
example of end of life concept?
Answer: medical futility
◉ pt c end stage HF is experiencing considerable dyspnea. which
med is appropriate?
Answer: morphing, 5 mg IV, and initiate continuous morphine
infusion
◉ neuromuscular blocking agents are used in the management of
some vent patient; their primary mdoe of action is
Answer: paralysis
◉ patient on vent, using critical care pain observation tool; which of
the following assessment would indicate the greatest likelihood of
pain and need for nursing intervent?
Answer: fighting the vent
◉ best way to administer benzo intermittently is?
Answer: titrate to a predefined endpoint using a standard sedation
scale
ACTUAL TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ as part of nursing management of critically ill patient, orders are
written to keep the head of the bed elevated at 30 degrees, awaken
the patient from sedation each morning to assess readiness to wean
from mech vent, and implement oral care protocol every 4 hours.
These intervention are done as a group to reduce the risk of vent-
associated pneumonia. This group of evidence-based interventions
is often called:
Answer: bundle of care
◉ working in an intermediate care unit that has experienced high
nursing turn over. the nurse manager is often considered to be an
autocratic leader by staff members and her leadership style is
contributing to turnover. you have asked to involve in developing
new guidelines to prevent pressure ulcers in your patient
population. The nurse manager tells you that you do not yet have
enough experience to be on the prevention task force. this situation
and setting is an example of:
Answer: work environment that is unhealthy
◉ which nursing interven would best support the family of a
critically ill patient?
,Answer: give condition update each morning and whenever changes
occur
◉ which intervention is appropriate to assist the patient to cope
with admission to the critical care unit
Answer: explaining all procedures in easy-to-understand terms
◉ which of the following statement about family assessment is false?
Answer: assessment of structure (who comprises the family) is the
last step in assessment
◉ many critically ill patients experience anxiety. the nurse can
reduce anxiety with which approach?
Answer: state, "mr J, it's time to turn you. I'm going to ask another
nurse to come in and help me. We will turn you to your left. During
the turn, I'm going to inspect the skin on your back and rub some
lotion on your back. This should help you feel better."
◉ which of the following statement about resuscitation is true?
Answer: withholding "extraordinary" resuscitation is legal and
ethical if specified in advance directives and physician orders.
◉ 65 YO pt c history of metastatic lung carcinoma has been
unresponsive to chemo. the medical team has determined that there
, are no additional tx available that will prolong life or improve the
quality of life in any meaningful way. Despite the poor prognosis, the
pt continues to rc'd chemo and full nutrition support. what is this
example of end of life concept?
Answer: medical futility
◉ pt c end stage HF is experiencing considerable dyspnea. which
med is appropriate?
Answer: morphing, 5 mg IV, and initiate continuous morphine
infusion
◉ neuromuscular blocking agents are used in the management of
some vent patient; their primary mdoe of action is
Answer: paralysis
◉ patient on vent, using critical care pain observation tool; which of
the following assessment would indicate the greatest likelihood of
pain and need for nursing intervent?
Answer: fighting the vent
◉ best way to administer benzo intermittently is?
Answer: titrate to a predefined endpoint using a standard sedation
scale
