lOMoAR cPSD| 11700591
Test Bank for Sole's Introduction to Critical Care Nursing 9th Edition b̰ y Mary Beth Flynn
Makic and Lauren T. Morata
, lOMoAR cPSD| 11700591
Chapter 01: Overview of Critical Care Nursing
Sole: Introduction to Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. Which of the following professional organizations b̰ est 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 Organization that supports and represents
critical care nurses. The American Heart Association supports cardiovascular initiatives. The American
Nurses Association supports all nurses. The Society of Critical Care Medicine represents the multi
professional critical care team under the direction of an
DIF: Cognitive Level: Knowledge
OBJ: Discuss the purposes and functions of the professional Orgnization that support critical care
practice. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
2. A nurse has b̰ een working as a staff nurse in the surgical inab̰ teirb̰ n.scoivme/tecsat re unit for 2
years and is interested in certification. Which credential would b̰ e most applicab̰ le for her to seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C
The CCRN certification is appropriate for nurses in b̰ edside practice who care for critically ill patients.
The ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical
care clinical nurse specialists. The PCCN certification is for staff nurses working in progressive care,
intermediate care, or satb̰ eiprb̰ -.cdoomw/tenstunit settings.
DIF: Cognitive Level: Application
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
3. What is the main purpose of certification for critical care nursing?
a. To assure the consumer that critical nurses will not maakb̰ eirb̰ a.commi/tsetsatke.
b. To help prepare the critical care nurse for graduate school.
c. To assist in promoting magnet status for a facility.
d. To validate a nurse’s knowledge of critical care nursing.
ANS: D
Certification assists in validating knowledge of the field, promotes excellence in the profession, and
helps nurses to maintain their knowledge of critical care nursing. Certification helps to assure the
consumer that the nurse has a minimumab̰ lireb̰ v.ceolmo/tefskt nowledge; however, it does not ensure
that care will b̰ e mistake-free. Certification does not prepare one for graduate school; however,
achieving certification demonstrates motivation for achievement and professionalism. Magnet facilities
are rated on the numb̰ er of certified nurses; however, that is not the purpose of certification.
DIF: Cognitive Level: Analysis
OBJ: Explain certification options for critical care nurses. MSC: NCLEX: Safe and Effective Care
Environment
4. What is the focus of the synergy model of practice?
a. Allowing unrestricted visiting for the patient 24 hours aeb̰ aircb̰ h.codma/tyes.t
b. Providing holistic and alternative therapies.
, lOMoAR cPSD| 11700591
c. Considering the needs of patients and their families, which drives nursing
competency.
d. Addressing the patients’ needs for energy and support.
ANS: C
The synergy model of practice states that the needs of patiaeb̰ nirtb̰ s.caomnd/tefsat milies influence and
drive competencies of nurses. Nursing practice b̰ ased on the synergy model would involve tailored
visiting to meet the patient’s and family’s needs and application of alternative therapies if desired b̰ y
the patient, b̰ ut that is not the primary focus of the model.
DIF: Cognitive Level: Application
OBJ: Describ̰ e standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: 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 they have some questions that they want clarified. During morning rounds, you
convey this concern to the attending intensivisatb̰ iarb̰ n.cdoma/rtersatnge for her to meet with the family
at 4:00 PM in the conference room. 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. Collab̰ oration with patients, families, and team memb̰ ers
d. Facilitation of learning for patients, families, and team memb̰ ers
ANS: C
Although one might consider that all of these competencies are b̰ eing addressed, communication and
collab̰ oration with the family and physician b̰ est exemplify the competency of collab̰ oration.
DIF: Cognitive Level: Analysis
OBJ: Describ̰ e standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Saafb̰ eirb̰ a.ncodmE/teffset ctive Care
Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice uses what framework to
guide critical care nursing practice?
a. Evidence-b̰ ased practice
b. Healthy work environment
c. National Patient Safety Goals
d. Nursing process
ANS: D
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as
applied to critically ill patients: collect data, detaeb̰ rirmb̰ .cionme/tdesiat gnoses, identify expected
outcomes, develop a plan of care, implement interventions, and evaluate care. AACN promotes a
healthy work environment, b̰ ut this is not included in the Standards. The Joint Commission has
estab̰ lished National Patient Safety Goals, b̰ ut these are not the AACN
Standards.
DIF: Cognitive Level: Understand
OBJ: Describ̰ e standards of professional practice for critical caarb̰ eirb̰ n.cuormsi/tnegst.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
7. The charge nurse is responsib̰ le for making the patient assignments on the critical care unit. She
assigns the experienced, certified nurse to care for theaab̰ icrb̰ u.cteomly/teisltl patient diagnosed with
sepsis who also requires continuous renal replacement therapy and mechanical ventilation. She assigns
the nurse with less than 1 year of experience to two patients who are more stab̰ le. This assignment
reflects implementation of what guiding farb̰ airmb̰ .ceowm/oterskt ?
a. Crew resource management model
b. National Patient Safety Goals
c. Quality and Safety Education for Nurses (QSEN) model
d. Synergy model of practice
ANS: D
This assignment demonstrates nursing care to meet the needs of the patient. The synergy model notes
that the nurse competencies are matched to thaeb̰ iprb̰ a.ctoiemn/tet sct haracteristics. Crew resource
, lOMoAR cPSD| 11700591
management concepts related to team training, National Patient Safety Goals are specified b̰ y The Joint
Commission to promote safe care b̰ ut do not incorporate the synergy model. The Quality and Safety
Education for Nurses initiaatb̰ ivirb̰ e.cionmv/toeslvt es targeted education to undergraduate and
graduate nursing students to learn quality and safety concepts.
DIF: Cognitive Level: Analysis
OBJ: Describ̰ e standards of professional practice for critical caarb̰ eirb̰ n.cuormsi/tnegst.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
8. The vision of the American Association of Critical-Care Nurses is a healthcare system driven
b̰ y achieving what goal?
a. Maintaining a healthy work environment.
b. Providing care from a multiprofessional team under the direction of a critical care
physician.
c. Effectively meeting the needs of critically ill patients and families.
d. Creating respectful, healing, and humane environments.
ANS: C
The AACN vision is a healthcare system driven b̰ y the needs of critically ill patients and families where
critical care nurses make their optimum contrib̰ utions. AACN promotes initiatives to support a healthy
work environment as well aasb̰ irrb̰ e.csopme/ctetsftul and healing environments, b̰ ut that is not the
organization’s vision. The SCCM promotes care from a multiprofessional team under the direction of a
critical care physician.
DIF: Cognitive Level: Knowledge
OBJ: Discuss the purposes and functions of the professional organizations that support critical
care practice. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
9. What is the most important outcome of effective communication?
a. Demonstrating caring practices to family memb̰ ers.
b. Ensuring that patient teaching is provided
c. Meeting the diversity needs of patients.
ANS: D
Many errors are directly attrib̰ uted to faulty communication. Effective communication has b̰ een
identified as an essential strategy to reduce patient errors and resolve issues related to patient care
delivery. Communication may demonstrate caarb̰ iinrb̰ g.copmra/tecsttices, b̰ e used for
patient/family teaching, and address diversity needs; however, the main outcome of effective
communication is patient safety.
DIF: Cognitive Level: Analysis
OBJ: Describ̰ e quality and safety initiatives related to critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
10. The nurse is caring for a critically ill patient whose urine oaub̰ itrpb̰ .ucotmh/atesstb̰ een low for 2
consecutive hours. After a thorough patient assessment, you call the primary care provider with the
following report.
Dr. Smith, I’m calling ab̰ out Mrs. P., your 65-year-old pataib̰ eirnb̰ t.cionm/CteCst U 10. Her urine
output for the past 2 hours totaled only 40 mL. She arrived from surgery to repair an aortic aneurysm 4
hours ago and remains on mechanical ventilation. In the past 2 hours, her heart rate has increased from
80 to 100 b̰ eats per minute and her b̰ lood pressure has decreased from 128/82 to 100/70 mm Hg. She is
b̰ eing given an infusaib̰ oirnb̰ .coofmn/toesrtmal saline at 100 mL per hour. Her right atrial pressure
through the sub̰ clavian central line is low at 3 mm Hg. Her urine is concentrated. Her BUN and
creatinine levels have b̰ een stab̰ le and in normal range. Her ab̰ dominal dressing is dry with no
indication of b̰ leedainb̰ igrb̰ ..cMomy/teasstsessment suggests that Mrs. P. is hypovolemic and I would
like you to consider increasing her fluids or giving her a fluid challenge. Using the SBAR model for
communication, the information the nurse gives ab̰ out the patient’s history and vital signs is
appropriate for what part of the model?
a. Situation
b. Background
c. Assessment
Test Bank for Sole's Introduction to Critical Care Nursing 9th Edition b̰ y Mary Beth Flynn
Makic and Lauren T. Morata
, lOMoAR cPSD| 11700591
Chapter 01: Overview of Critical Care Nursing
Sole: Introduction to Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. Which of the following professional organizations b̰ est 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 Organization that supports and represents
critical care nurses. The American Heart Association supports cardiovascular initiatives. The American
Nurses Association supports all nurses. The Society of Critical Care Medicine represents the multi
professional critical care team under the direction of an
DIF: Cognitive Level: Knowledge
OBJ: Discuss the purposes and functions of the professional Orgnization that support critical care
practice. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
2. A nurse has b̰ een working as a staff nurse in the surgical inab̰ teirb̰ n.scoivme/tecsat re unit for 2
years and is interested in certification. Which credential would b̰ e most applicab̰ le for her to seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C
The CCRN certification is appropriate for nurses in b̰ edside practice who care for critically ill patients.
The ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical
care clinical nurse specialists. The PCCN certification is for staff nurses working in progressive care,
intermediate care, or satb̰ eiprb̰ -.cdoomw/tenstunit settings.
DIF: Cognitive Level: Application
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
3. What is the main purpose of certification for critical care nursing?
a. To assure the consumer that critical nurses will not maakb̰ eirb̰ a.commi/tsetsatke.
b. To help prepare the critical care nurse for graduate school.
c. To assist in promoting magnet status for a facility.
d. To validate a nurse’s knowledge of critical care nursing.
ANS: D
Certification assists in validating knowledge of the field, promotes excellence in the profession, and
helps nurses to maintain their knowledge of critical care nursing. Certification helps to assure the
consumer that the nurse has a minimumab̰ lireb̰ v.ceolmo/tefskt nowledge; however, it does not ensure
that care will b̰ e mistake-free. Certification does not prepare one for graduate school; however,
achieving certification demonstrates motivation for achievement and professionalism. Magnet facilities
are rated on the numb̰ er of certified nurses; however, that is not the purpose of certification.
DIF: Cognitive Level: Analysis
OBJ: Explain certification options for critical care nurses. MSC: NCLEX: Safe and Effective Care
Environment
4. What is the focus of the synergy model of practice?
a. Allowing unrestricted visiting for the patient 24 hours aeb̰ aircb̰ h.codma/tyes.t
b. Providing holistic and alternative therapies.
, lOMoAR cPSD| 11700591
c. Considering the needs of patients and their families, which drives nursing
competency.
d. Addressing the patients’ needs for energy and support.
ANS: C
The synergy model of practice states that the needs of patiaeb̰ nirtb̰ s.caomnd/tefsat milies influence and
drive competencies of nurses. Nursing practice b̰ ased on the synergy model would involve tailored
visiting to meet the patient’s and family’s needs and application of alternative therapies if desired b̰ y
the patient, b̰ ut that is not the primary focus of the model.
DIF: Cognitive Level: Application
OBJ: Describ̰ e standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: 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 they have some questions that they want clarified. During morning rounds, you
convey this concern to the attending intensivisatb̰ iarb̰ n.cdoma/rtersatnge for her to meet with the family
at 4:00 PM in the conference room. 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. Collab̰ oration with patients, families, and team memb̰ ers
d. Facilitation of learning for patients, families, and team memb̰ ers
ANS: C
Although one might consider that all of these competencies are b̰ eing addressed, communication and
collab̰ oration with the family and physician b̰ est exemplify the competency of collab̰ oration.
DIF: Cognitive Level: Analysis
OBJ: Describ̰ e standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Saafb̰ eirb̰ a.ncodmE/teffset ctive Care
Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice uses what framework to
guide critical care nursing practice?
a. Evidence-b̰ ased practice
b. Healthy work environment
c. National Patient Safety Goals
d. Nursing process
ANS: D
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as
applied to critically ill patients: collect data, detaeb̰ rirmb̰ .cionme/tdesiat gnoses, identify expected
outcomes, develop a plan of care, implement interventions, and evaluate care. AACN promotes a
healthy work environment, b̰ ut this is not included in the Standards. The Joint Commission has
estab̰ lished National Patient Safety Goals, b̰ ut these are not the AACN
Standards.
DIF: Cognitive Level: Understand
OBJ: Describ̰ e standards of professional practice for critical caarb̰ eirb̰ n.cuormsi/tnegst.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
7. The charge nurse is responsib̰ le for making the patient assignments on the critical care unit. She
assigns the experienced, certified nurse to care for theaab̰ icrb̰ u.cteomly/teisltl patient diagnosed with
sepsis who also requires continuous renal replacement therapy and mechanical ventilation. She assigns
the nurse with less than 1 year of experience to two patients who are more stab̰ le. This assignment
reflects implementation of what guiding farb̰ airmb̰ .ceowm/oterskt ?
a. Crew resource management model
b. National Patient Safety Goals
c. Quality and Safety Education for Nurses (QSEN) model
d. Synergy model of practice
ANS: D
This assignment demonstrates nursing care to meet the needs of the patient. The synergy model notes
that the nurse competencies are matched to thaeb̰ iprb̰ a.ctoiemn/tet sct haracteristics. Crew resource
, lOMoAR cPSD| 11700591
management concepts related to team training, National Patient Safety Goals are specified b̰ y The Joint
Commission to promote safe care b̰ ut do not incorporate the synergy model. The Quality and Safety
Education for Nurses initiaatb̰ ivirb̰ e.cionmv/toeslvt es targeted education to undergraduate and
graduate nursing students to learn quality and safety concepts.
DIF: Cognitive Level: Analysis
OBJ: Describ̰ e standards of professional practice for critical caarb̰ eirb̰ n.cuormsi/tnegst.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
8. The vision of the American Association of Critical-Care Nurses is a healthcare system driven
b̰ y achieving what goal?
a. Maintaining a healthy work environment.
b. Providing care from a multiprofessional team under the direction of a critical care
physician.
c. Effectively meeting the needs of critically ill patients and families.
d. Creating respectful, healing, and humane environments.
ANS: C
The AACN vision is a healthcare system driven b̰ y the needs of critically ill patients and families where
critical care nurses make their optimum contrib̰ utions. AACN promotes initiatives to support a healthy
work environment as well aasb̰ irrb̰ e.csopme/ctetsftul and healing environments, b̰ ut that is not the
organization’s vision. The SCCM promotes care from a multiprofessional team under the direction of a
critical care physician.
DIF: Cognitive Level: Knowledge
OBJ: Discuss the purposes and functions of the professional organizations that support critical
care practice. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
9. What is the most important outcome of effective communication?
a. Demonstrating caring practices to family memb̰ ers.
b. Ensuring that patient teaching is provided
c. Meeting the diversity needs of patients.
ANS: D
Many errors are directly attrib̰ uted to faulty communication. Effective communication has b̰ een
identified as an essential strategy to reduce patient errors and resolve issues related to patient care
delivery. Communication may demonstrate caarb̰ iinrb̰ g.copmra/tecsttices, b̰ e used for
patient/family teaching, and address diversity needs; however, the main outcome of effective
communication is patient safety.
DIF: Cognitive Level: Analysis
OBJ: Describ̰ e quality and safety initiatives related to critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
10. The nurse is caring for a critically ill patient whose urine oaub̰ itrpb̰ .ucotmh/atesstb̰ een low for 2
consecutive hours. After a thorough patient assessment, you call the primary care provider with the
following report.
Dr. Smith, I’m calling ab̰ out Mrs. P., your 65-year-old pataib̰ eirnb̰ t.cionm/CteCst U 10. Her urine
output for the past 2 hours totaled only 40 mL. She arrived from surgery to repair an aortic aneurysm 4
hours ago and remains on mechanical ventilation. In the past 2 hours, her heart rate has increased from
80 to 100 b̰ eats per minute and her b̰ lood pressure has decreased from 128/82 to 100/70 mm Hg. She is
b̰ eing given an infusaib̰ oirnb̰ .coofmn/toesrtmal saline at 100 mL per hour. Her right atrial pressure
through the sub̰ clavian central line is low at 3 mm Hg. Her urine is concentrated. Her BUN and
creatinine levels have b̰ een stab̰ le and in normal range. Her ab̰ dominal dressing is dry with no
indication of b̰ leedainb̰ igrb̰ ..cMomy/teasstsessment suggests that Mrs. P. is hypovolemic and I would
like you to consider increasing her fluids or giving her a fluid challenge. Using the SBAR model for
communication, the information the nurse gives ab̰ out the patient’s history and vital signs is
appropriate for what part of the model?
a. Situation
b. Background
c. Assessment
