ACUTE CARE PNCB ACTUAL TEST
QUESTIONS WITH VERIFIED CORRECT
ANSWERS
●● 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
●● pt remains npo from abdominal surgery complication; ET tube
feeding not possible; therefore need parenteral feeding. major
complication for this therapy?
QUESTIONS WITH VERIFIED CORRECT
ANSWERS
●● 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
●● pt remains npo from abdominal surgery complication; ET tube
feeding not possible; therefore need parenteral feeding. major
complication for this therapy?
