TEST BANK
Priorities in Critical Care Nursing, 9th Edition
by Kathleen Stacy, Linda Urden, Mary Lough
SC
O
R
EG
U
ID
ES
, Table of Content
UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
1. Caring for the Critically Ill Patient
2. Ethical and Legal Issues
3. Facilitating Care Transitions
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
4. Psychosocial and Spiritual Considerations
5. Nutritional Alterations and Management
6. The Older Adult
SC
7. Pain and Pain Management
8. Sedation and Delirium Management
9. Palliative and End-of-Life Care
UNIT THREE: CARDIOVASCULAR ALTERATIONS
10. Cardiovascular Clinical Assessment and Diagnostic Procedures
O
11. Cardiovascular Disorders
12. Cardiovascular Therapeutic Management
UNIT FOUR: PULMONARY ALTERATIONS
13. Pulmonary Clinical Assessment and Diagnostic Procedures
R
14. Pulmonary Disorders
15. Pulmonary Therapeutic Management
EG
UNIT FIVE: NEUROLOGICAL ALTERATIONS
16. Neurological Clinical Assessment and Diagnostic Procedures
17. Neurologic Disorders and Therapeutic Management
UNIT SIX: KIDNEY ALTERATIONS
18. Kidney Clinical Assessment and Diagnostic Procedures
19. Kidney Disorders and Therapeutic Management
U
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
20. Gastrointestinal Clinical Assessment and Diagnostic Procedures
21. Gastrointestinal Disorders and Therapeutic Management
ID
UNIT EIGHT: ENDOCRINE ALTERATIONS
22. Endocrine Clinical Assessment and Diagnostic Procedures
23. Endocrine Disorders and Therapeutic Management
UNIT NINE: MULTISYSTEM ALTERATIONS
ES
24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
27. Hematological and Oncological Emergencies
,Chapter 01: Caring for the Critically Ill Patient
Urden: Priorities in Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. The chief nurse executive is organizing a team to address an organizational increase in
catheter-associated urinary tract infections. What type of practitioner would be appropriate
choice to lead this system-wide team?
a. Registered nurse
b. Advanced practice nurse
SC
c. Clinical nurse leader
d. Intensivist
ANS: B
An advanced practice nurse (APN) manages complex clinical and systems issues and
would be an appropriate choice to lead the team. An intensivist is a medical practitioner
who manages critical ill patients. A registered nurse (RN) is generally a direct care
O
provider. A clinical nurse leader (CNL) generally does not manage system issues. An
intensivist may be asked to consult with the team and the RN and CNL may be asked to
join the team but none of them would be the most appropriate to lead the team.
R
PTS: 1 DIF: Cognitive Level: Applying OBJ: Nursing Process Step:
N/A
TOP: Caring for the Critically Ill Patient
EG
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential
2. An employee health practitioner is concerned about the increase in work-related injuries
and is organizing a team to address safe patient handling. What type of practitioner would
be the most appropriate choice to lead this team?
a. Clinical nurse specialist
b. Nurse anesthetist
c. Registered nurse
U
d. Nurse practitioner
ANS: A
ID
A clinical nurse specialist (CNS) would be the most appropriate choice to lead this team.
CNSs make good team leaders as they can use their clinical, teaching, research,
consultative and leadership abilities to address the problem. Nurse anesthetists administer
anesthesia and would not be the most appropriate choice to lead the team. Registered
nurses are generally direct care providers and would be appropriate to include on the team
ES
but not the most appropriate choice to lead the team. Nurse practitioners (NPs) manage
direct clinical care of groups of patients and would not be the most appropriate choice to
lead the team.
PTS: 1 DIF: Cognitive Level: Evaluating OBJ: Nursing Process Step:
N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential
, 3. A registered nurse working in the intensive care unit has decided to become certified as a
critical care nurse. Which professional organization should the nurse contact for more
information about the certification exam?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialist
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses Certification Corporation
ANS: D
The American Association of Critical-Care Nurses (AACN) Certification Corporation
develops and administers many critical care specialty certification examinations for
SC
registered nurses and advanced practice nurses. The State Board of Registered Nurses
(SBON) does not administer certification exams. National Association of Clinical Nurse
Specialists (NACNS) does not administer certification exams. Society of Critical Care
Medicine (SCCM) does not administer certification exams for registered nurses.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
N/A
O
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The American Association of Critical-Care Nurses (AACN) has developed short directives
R
that can be used as quick references for clinical use. What are these documents called?
a. Critical care protocols
b. Practice policies
EG
c. Evidence-based research directives
d. Practice alerts
ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated several
evidence-based practice summaries in the form of “practice alerts.” Critical care protocols
and practice policies are established by individual organizations. Evidence-based research
directives are a generic name for several different types of documents.
U
PTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Planning TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
ID
5. A patient has been diagnosed with cancer and has decided to stop chemotherapy as it is not
working. The patient asks the health care practitioner if there are any other therapies
available. The practitioner recommends the patient seek what type of therapy?
a. Alternative
ES
b. Holistic
c. Complementary
d. Individualized
ANS: A
Priorities in Critical Care Nursing, 9th Edition
by Kathleen Stacy, Linda Urden, Mary Lough
SC
O
R
EG
U
ID
ES
, Table of Content
UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
1. Caring for the Critically Ill Patient
2. Ethical and Legal Issues
3. Facilitating Care Transitions
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
4. Psychosocial and Spiritual Considerations
5. Nutritional Alterations and Management
6. The Older Adult
SC
7. Pain and Pain Management
8. Sedation and Delirium Management
9. Palliative and End-of-Life Care
UNIT THREE: CARDIOVASCULAR ALTERATIONS
10. Cardiovascular Clinical Assessment and Diagnostic Procedures
O
11. Cardiovascular Disorders
12. Cardiovascular Therapeutic Management
UNIT FOUR: PULMONARY ALTERATIONS
13. Pulmonary Clinical Assessment and Diagnostic Procedures
R
14. Pulmonary Disorders
15. Pulmonary Therapeutic Management
EG
UNIT FIVE: NEUROLOGICAL ALTERATIONS
16. Neurological Clinical Assessment and Diagnostic Procedures
17. Neurologic Disorders and Therapeutic Management
UNIT SIX: KIDNEY ALTERATIONS
18. Kidney Clinical Assessment and Diagnostic Procedures
19. Kidney Disorders and Therapeutic Management
U
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
20. Gastrointestinal Clinical Assessment and Diagnostic Procedures
21. Gastrointestinal Disorders and Therapeutic Management
ID
UNIT EIGHT: ENDOCRINE ALTERATIONS
22. Endocrine Clinical Assessment and Diagnostic Procedures
23. Endocrine Disorders and Therapeutic Management
UNIT NINE: MULTISYSTEM ALTERATIONS
ES
24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
27. Hematological and Oncological Emergencies
,Chapter 01: Caring for the Critically Ill Patient
Urden: Priorities in Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. The chief nurse executive is organizing a team to address an organizational increase in
catheter-associated urinary tract infections. What type of practitioner would be appropriate
choice to lead this system-wide team?
a. Registered nurse
b. Advanced practice nurse
SC
c. Clinical nurse leader
d. Intensivist
ANS: B
An advanced practice nurse (APN) manages complex clinical and systems issues and
would be an appropriate choice to lead the team. An intensivist is a medical practitioner
who manages critical ill patients. A registered nurse (RN) is generally a direct care
O
provider. A clinical nurse leader (CNL) generally does not manage system issues. An
intensivist may be asked to consult with the team and the RN and CNL may be asked to
join the team but none of them would be the most appropriate to lead the team.
R
PTS: 1 DIF: Cognitive Level: Applying OBJ: Nursing Process Step:
N/A
TOP: Caring for the Critically Ill Patient
EG
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential
2. An employee health practitioner is concerned about the increase in work-related injuries
and is organizing a team to address safe patient handling. What type of practitioner would
be the most appropriate choice to lead this team?
a. Clinical nurse specialist
b. Nurse anesthetist
c. Registered nurse
U
d. Nurse practitioner
ANS: A
ID
A clinical nurse specialist (CNS) would be the most appropriate choice to lead this team.
CNSs make good team leaders as they can use their clinical, teaching, research,
consultative and leadership abilities to address the problem. Nurse anesthetists administer
anesthesia and would not be the most appropriate choice to lead the team. Registered
nurses are generally direct care providers and would be appropriate to include on the team
ES
but not the most appropriate choice to lead the team. Nurse practitioners (NPs) manage
direct clinical care of groups of patients and would not be the most appropriate choice to
lead the team.
PTS: 1 DIF: Cognitive Level: Evaluating OBJ: Nursing Process Step:
N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential
, 3. A registered nurse working in the intensive care unit has decided to become certified as a
critical care nurse. Which professional organization should the nurse contact for more
information about the certification exam?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialist
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses Certification Corporation
ANS: D
The American Association of Critical-Care Nurses (AACN) Certification Corporation
develops and administers many critical care specialty certification examinations for
SC
registered nurses and advanced practice nurses. The State Board of Registered Nurses
(SBON) does not administer certification exams. National Association of Clinical Nurse
Specialists (NACNS) does not administer certification exams. Society of Critical Care
Medicine (SCCM) does not administer certification exams for registered nurses.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
N/A
O
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The American Association of Critical-Care Nurses (AACN) has developed short directives
R
that can be used as quick references for clinical use. What are these documents called?
a. Critical care protocols
b. Practice policies
EG
c. Evidence-based research directives
d. Practice alerts
ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated several
evidence-based practice summaries in the form of “practice alerts.” Critical care protocols
and practice policies are established by individual organizations. Evidence-based research
directives are a generic name for several different types of documents.
U
PTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Planning TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
ID
5. A patient has been diagnosed with cancer and has decided to stop chemotherapy as it is not
working. The patient asks the health care practitioner if there are any other therapies
available. The practitioner recommends the patient seek what type of therapy?
a. Alternative
ES
b. Holistic
c. Complementary
d. Individualized
ANS: A
