TesthnBankh 1
n-
Table of Contents
hn hn
Tablehnofh n Conten 1
ts
Chapterhn 01:hn Overviewhnofhn Criticalhn Carehn Nursing 2
Chapterhn02:hnPatienthnandhnamilyhnResponsehntohnthehnCriticalhnCarehnExpe 14
riencehnChapterhn03:hnEthicalhnandhnLegalhnIssueshninhnCriticalhnCarehnNur 30
sing 42
Chapterhn04:hnPalliativehnandhnEnd-of- 56
LifehnCarehnChapterh n 05:h n Comforth n andh n Se 69
datihnonhnChapterhn06:hnNutritionalhnTherapy 83
Chapterhn07:hnDysrhythmiahnInterpretationhnandhnManagementhnCha 117
pthnerhn08:hnHemodynamichnMonitoring 137
Chapterhn 09:hn Ventilatoryh n Assistance 156
Chapterhn10:hnRapidhnResponsehnTeamshnandhnCodehnManagement 171
hnChhnapterhn11:hnOrganhnDonation 189
Chapterhn12:hnShock,hnSepsis,hnandhnMultiplehnOrganhnDysfunctionhnSyndr 207
omehnChapterhn13:hnCardiovascularhnAlterations 225
Chapterhn14:hnNervoushnSystemhnAlteration 243
shnChapterhn15:hnAcutehnRespiratoryhnailureh 260
nChhnapterh n 16:h n Acuteh n Kidneyh n InjuryhnC 285
hapterhn1hn7:hnGastrointestinalhnAlterations 312
Chapterhn17:hnHematologicalhnandhnImmunehnDisordershn 341
Chhnapterhn19:hnEndocrinehnAlterations 361
Chapterhn20:hnTraumahnandhnSurgicalhnManagementhnCha 377
pthnerhn21:hnBurns
,TesthnBankh 2
n-
Chapter 01: Overview of Critical Care Nursing
hn hn hn hn hn hn
MULTIPLEhn CHOICE
1. Whichhnofhn thesollowinghnprofessionalhnorganizationshn besthnsupportshncriticalhncarehn nursinghn practice?
a. AmericanhnAssociationhnofhnCritical-CarehnNurses
b. AmericanhnHearthnAssociation
c. Americanhn NurseshnAssociation
d. SocietyhnofhnCriticalhnCarehnMedicine
ANS:hnA
ThehnAmericanhnAssociationhnofhnCritical-
CarehnNurseshnishnthehnspecialtyhnorganizationhnthathnsupportshnandhnrepresentshncriticalhncarehnnurses.hnThehnAmer
icanhnHearthnAssociationhnsupportshncardiovascularhninitiatives.hnThehnAmericanhnNurseshnAssociationhnsupportsh
nallhnnurses.hnThehnSohncietyhnof1CriticalhnCarehnMedicinehnrepresentshnthehnmultiprofessionalhncriticalhncarehnteam
hnunder1thehndirectionhnofhnanhninthnensivist.
DIF:hnCognitivehn Level:hn Knowledgehn REF:hnp.hn4
OBJ:hnDiscusshnthehnpurposeshnandhnunctionshnofhnthehnprofessionalhnorganizationshnthathnsupport1criticalhncarehnpr
actice.hnThnOP:hnNursinghnProcesshnStep:hnN/A
MSC:hnNCLEX:hnSafehn andhnEffectivehn Carehn Environment
2. Ahnnursehnhashnbeenhnworkinghnashnahnstaffhnnursehninhnthehnsurgicalhnintensivehncarehnunithnorhn2hn yearshnand
hnishninterestedhnihnnhncertification.hnWhichhncredentialhnwouldhnbehnmosthnapplicablehnorhnher1tohnseek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:hn C
ThehnCCRNhncertificationhnishnappropriatehnorhnnurseshninhnbedsidehnpracticehnwhohncarehnorhncriticallyhnillhnpatient
s.hnThehnAChnNPChncertificationhnissor1acutehncarehnnursehnpractitioners.hnThehnCCNShncertificationhnishnorhncritica
lhncarehnclinicalhnnursehnshnpecialists.hnThehnPCCNhncertificationhnishnorhnstaffhnnurseshnworkinghninhnprogressivehnc
are,hnintermediatehncare,hnorh n step-hndownhnunit1settings.
DIF:hnCognitivehn Level:hnApplicationhnREF:hnp.hn5
OBJ:hnExplainhncertificationhnoptionshnor1criticalhncarehnnurses.hnTOP:hnNursinghnProcesshnStep:hnN/AhnMSC
:hnNCLEhnX:hnSafehnandhnEffectivehnCarehnEnvironment
,TesthnBankh 3
n-
3. Thehnmainhnpurposehnofhncertificationhn ishnto:
a. assurehnthehn consumerhn thathn youhn willhnnothn makehn ah n mistake.
b. preparehnor1graduatehn school.
c. promotehn magnethn statushnorhn your1acility.
d. validatehnknowledgehn ofhncriticalhncarehnnursing.
ANS:hnD
Certificationhnassistshninhnvalidatinghnknowledgehnofhnthehnield,hnpromoteshnexcellencehninhnthehnprofession,hnandhn
helpshnnurhnseshntohnmaintainhntheir1knowledgehnofhncriticalhncarehnnursing.hnCertificationhnhelpshntohnassurehnthehn
consumerhnthathnthehnnhnurseh n hash n ah n minimumh n levelh n ofh n knowledge;h n however,h n ith n doesh n noth n ensure
h n thath n careh n willh n beh n mistake-free.
Certificationhndoeshnnothnpreparehnonehnorhngraduatehnschool;hnhowever,hnachievinghncertificationhndemonstrates
hnmotivathnionhnor1achievementhnandhnprofessionalism.hnMagnethnacilitieshnarehnratedhnonhnthehnnumberhnofhncertif
iedhnnurses;hnhowevehnr,hnthathnishnnothnthehnpurposehnofhncertification.
DIF:hnCognitivehn Level:hnAnalysishnREF:hnpp.hn4-5
OBJ:hnExplainhncertificationhnoptionshnor1criticalhncarehnnurses.hnTOP:hnNursinghnProcesshnStep:hnN/AhnMSC
:hnNCLEhnX:hnSafehnandhnEffective1CarehnEnvironment
4. Thehn synergy1modelhn ofhn practicesocuseshn on:
a. allowinghnunrestrictedhn visitinghnorhnthehnpatienthn24hnhourshneachhnday.
b. holistichnandhnalternativehn therapies.
c. needshnofhnpatientshnandhn theirhnamilies,hnwhichhn driveshnnursinghn competency.
d. patientshnneedshnorhn energy1andhn support.
ANS:hn C
Theh n synergyh n modelh n ofh n practiceh n statesh n thath n theh n needsh n ofh n patientsh n andhnamiliesh n influenceh n andh n dri
veh n competenciehnshnofhnnurses.hnNursinghnpracticehnbasedhnonhnthehnsynergy1modelhnwouldhninvolvehntailoredhnvis
itinghntohnmeethnthehnpatientsh n andh n amilyshnneedshnandhnapplicationhnofhnalternativehntherapieshnifhndesiredhnbyhnt
hehnpatient,hnbut1that1ishnnothnthehnpri
maryhnocushnofhnthehn model.
DIF:hnCognitivehn Level:hnApplicationhn REF:hnp.hn5hn |hnig.hn1-3
OBJ:hnDescribehnstandardshn ofhnprofessionalhnpracticehnorhn criticalhn careh n nursing.
TOP:hnNursinghnProcesshn Step:hnN/Ahn MSC:hnNCLEX:hn Safeh n andhn Effectivehn Careh n Environment
5. Thehnamilyhnofh n yourh n criticallyh n illh n patienth n tellsh n youh n thath n theyhnhaveh n noth n spokenhnwithh n thehnphys
icianh n inh n overh n 24hnhourshnandhnthey1havehnsomehnquestionshnthathntheyhnwanthnclarified.hnDuringhnmorninghnro
unds,hnyouhnconvey1thishnconcernhntohnthehnattendinghnintensivisthnandhnarrangehnor1her1tohnmeethnwithhnthehnamilyh
nathn4:00hnPMhninhnthehnconferencehnroom.h n Whihnchhncompetency1ofhncriticalhncarehnnursinghndoeshnthishnrepresen
t?
, TesthnBankh 4
n-
a. Advocacyhnandhn moralhnagencyhninhn solvinghnethicalhn issues
b. Clinicalhnjudgment1andhnclinicalhnreasoninghnskills
c. Collaborationhnwithhnpatients,hnamilies,hnandhnteamhnmembers
d. Facilitationhnofhnlearninghnorhnpatients,hnamilies,hnandhnteamhnmember
shnANS:hnC
Althoughhnonehnmighthnconsiderhnthat1allhnofhnthesehncompetencieshnarehnbeinghnaddressed,hncommunicationhnandh
ncollaborahntionhnwithhnthehnamilyhnandhnphysicianhnbest1exemplifyhnthehncompetency1ofhncollaboration.
DIF:hnCognitivehn Level:hnAnalysishnREF:hnp.hn9
OBJ:hnDescribehnstandardshn ofhnprofessionalhnpracticehnorhn criticalhn careh n nursing.
TOP:hnNursinghnProcesshn Step:hnN/Ahn MSC:hnNCLEX:hn Safeh n andhn Effectivehn Careh n Environment
6. ThehnAACNhnStandardshnorhnAcutehnandhnCriticalhnCarehnNursinghnPracticehnusehnwhathnrameworkhntohnguideh
ncriticalhncarhnehnnursinghnpractice?
a. Evidence-basedhnpractice
b. Healthyhnwork1environment
c. NationalhnPatienthnSafetyhnGoals
d. Nursinghnprocess
ANS:hnD
ThehnAACNhnStandardshnorhnAcutehnandhnCriticalhnCarehnNursinghnPracticehndelineatehnthehnnursinghnprocesshna
shnappliedhntohncriticallyhnillhnpatients:hncollect1data,hndeterminehndiagnoses,hnidentify1expectedhnoutcomes,hndev
elophna1planhnofhncare,hnimplementhninterventions,hnandhnevaluatehncare.hnAACNhnpromoteshnahnhealthyhnworkhne
nvironment,hnbuthnthishnishnnothninchnludedhninhnthehnStandards.hnThehnJointhnCommissionhnhashnestablishedhnNati
onalhnPatienthnSafetyhnGoals,hnbuthnthesehnarehnnoh n thnthehnAACNhnStandards.
DIF:hnCognitivehn Level:hnAnalysishn REF:hnp.hn5h n |hnBoxhn 1-2
OBJ:hnDescribehnstandardshn ofhnprofessionalhnpracticehnorhn criticalhn careh n nursing.
TOP:hnNursinghnProcesshn Step:hnN/Ahn MSC:hnNCLEX:hn Safeh n andhn Effectivehn Careh n Environment
7. Thehnchargehnnursehnishnresponsiblehnorhnmakinghnthehnpatienthnassignmentshnonhnthehncriticalhncarehnunit.hnSh
ehnassignshnthhnehnexperienced,hncertifiedhnnursehntohncarehnorhnthehnacutelyhnillhnpatienthnwithhnsepsishnwhohnalsoh
nrequireshncontinuoushnrenh n alhnreplacementhntherapyhnandhn mechanicalhnventilation.hnShehnassignshnthehnnurs
ehnwithhnlesshnthanhn1hnyearhnofhnexperiench n ehntohntwohnpatientshnwhohnarehnmorehnstable.hnThishnassignmenthnre
flectshnimplementationhnofhnthe:
a. crewhnresourcehn managementhn model
n-
Table of Contents
hn hn
Tablehnofh n Conten 1
ts
Chapterhn 01:hn Overviewhnofhn Criticalhn Carehn Nursing 2
Chapterhn02:hnPatienthnandhnamilyhnResponsehntohnthehnCriticalhnCarehnExpe 14
riencehnChapterhn03:hnEthicalhnandhnLegalhnIssueshninhnCriticalhnCarehnNur 30
sing 42
Chapterhn04:hnPalliativehnandhnEnd-of- 56
LifehnCarehnChapterh n 05:h n Comforth n andh n Se 69
datihnonhnChapterhn06:hnNutritionalhnTherapy 83
Chapterhn07:hnDysrhythmiahnInterpretationhnandhnManagementhnCha 117
pthnerhn08:hnHemodynamichnMonitoring 137
Chapterhn 09:hn Ventilatoryh n Assistance 156
Chapterhn10:hnRapidhnResponsehnTeamshnandhnCodehnManagement 171
hnChhnapterhn11:hnOrganhnDonation 189
Chapterhn12:hnShock,hnSepsis,hnandhnMultiplehnOrganhnDysfunctionhnSyndr 207
omehnChapterhn13:hnCardiovascularhnAlterations 225
Chapterhn14:hnNervoushnSystemhnAlteration 243
shnChapterhn15:hnAcutehnRespiratoryhnailureh 260
nChhnapterh n 16:h n Acuteh n Kidneyh n InjuryhnC 285
hapterhn1hn7:hnGastrointestinalhnAlterations 312
Chapterhn17:hnHematologicalhnandhnImmunehnDisordershn 341
Chhnapterhn19:hnEndocrinehnAlterations 361
Chapterhn20:hnTraumahnandhnSurgicalhnManagementhnCha 377
pthnerhn21:hnBurns
,TesthnBankh 2
n-
Chapter 01: Overview of Critical Care Nursing
hn hn hn hn hn hn
MULTIPLEhn CHOICE
1. Whichhnofhn thesollowinghnprofessionalhnorganizationshn besthnsupportshncriticalhncarehn nursinghn practice?
a. AmericanhnAssociationhnofhnCritical-CarehnNurses
b. AmericanhnHearthnAssociation
c. Americanhn NurseshnAssociation
d. SocietyhnofhnCriticalhnCarehnMedicine
ANS:hnA
ThehnAmericanhnAssociationhnofhnCritical-
CarehnNurseshnishnthehnspecialtyhnorganizationhnthathnsupportshnandhnrepresentshncriticalhncarehnnurses.hnThehnAmer
icanhnHearthnAssociationhnsupportshncardiovascularhninitiatives.hnThehnAmericanhnNurseshnAssociationhnsupportsh
nallhnnurses.hnThehnSohncietyhnof1CriticalhnCarehnMedicinehnrepresentshnthehnmultiprofessionalhncriticalhncarehnteam
hnunder1thehndirectionhnofhnanhninthnensivist.
DIF:hnCognitivehn Level:hn Knowledgehn REF:hnp.hn4
OBJ:hnDiscusshnthehnpurposeshnandhnunctionshnofhnthehnprofessionalhnorganizationshnthathnsupport1criticalhncarehnpr
actice.hnThnOP:hnNursinghnProcesshnStep:hnN/A
MSC:hnNCLEX:hnSafehn andhnEffectivehn Carehn Environment
2. Ahnnursehnhashnbeenhnworkinghnashnahnstaffhnnursehninhnthehnsurgicalhnintensivehncarehnunithnorhn2hn yearshnand
hnishninterestedhnihnnhncertification.hnWhichhncredentialhnwouldhnbehnmosthnapplicablehnorhnher1tohnseek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:hn C
ThehnCCRNhncertificationhnishnappropriatehnorhnnurseshninhnbedsidehnpracticehnwhohncarehnorhncriticallyhnillhnpatient
s.hnThehnAChnNPChncertificationhnissor1acutehncarehnnursehnpractitioners.hnThehnCCNShncertificationhnishnorhncritica
lhncarehnclinicalhnnursehnshnpecialists.hnThehnPCCNhncertificationhnishnorhnstaffhnnurseshnworkinghninhnprogressivehnc
are,hnintermediatehncare,hnorh n step-hndownhnunit1settings.
DIF:hnCognitivehn Level:hnApplicationhnREF:hnp.hn5
OBJ:hnExplainhncertificationhnoptionshnor1criticalhncarehnnurses.hnTOP:hnNursinghnProcesshnStep:hnN/AhnMSC
:hnNCLEhnX:hnSafehnandhnEffectivehnCarehnEnvironment
,TesthnBankh 3
n-
3. Thehnmainhnpurposehnofhncertificationhn ishnto:
a. assurehnthehn consumerhn thathn youhn willhnnothn makehn ah n mistake.
b. preparehnor1graduatehn school.
c. promotehn magnethn statushnorhn your1acility.
d. validatehnknowledgehn ofhncriticalhncarehnnursing.
ANS:hnD
Certificationhnassistshninhnvalidatinghnknowledgehnofhnthehnield,hnpromoteshnexcellencehninhnthehnprofession,hnandhn
helpshnnurhnseshntohnmaintainhntheir1knowledgehnofhncriticalhncarehnnursing.hnCertificationhnhelpshntohnassurehnthehn
consumerhnthathnthehnnhnurseh n hash n ah n minimumh n levelh n ofh n knowledge;h n however,h n ith n doesh n noth n ensure
h n thath n careh n willh n beh n mistake-free.
Certificationhndoeshnnothnpreparehnonehnorhngraduatehnschool;hnhowever,hnachievinghncertificationhndemonstrates
hnmotivathnionhnor1achievementhnandhnprofessionalism.hnMagnethnacilitieshnarehnratedhnonhnthehnnumberhnofhncertif
iedhnnurses;hnhowevehnr,hnthathnishnnothnthehnpurposehnofhncertification.
DIF:hnCognitivehn Level:hnAnalysishnREF:hnpp.hn4-5
OBJ:hnExplainhncertificationhnoptionshnor1criticalhncarehnnurses.hnTOP:hnNursinghnProcesshnStep:hnN/AhnMSC
:hnNCLEhnX:hnSafehnandhnEffective1CarehnEnvironment
4. Thehn synergy1modelhn ofhn practicesocuseshn on:
a. allowinghnunrestrictedhn visitinghnorhnthehnpatienthn24hnhourshneachhnday.
b. holistichnandhnalternativehn therapies.
c. needshnofhnpatientshnandhn theirhnamilies,hnwhichhn driveshnnursinghn competency.
d. patientshnneedshnorhn energy1andhn support.
ANS:hn C
Theh n synergyh n modelh n ofh n practiceh n statesh n thath n theh n needsh n ofh n patientsh n andhnamiliesh n influenceh n andh n dri
veh n competenciehnshnofhnnurses.hnNursinghnpracticehnbasedhnonhnthehnsynergy1modelhnwouldhninvolvehntailoredhnvis
itinghntohnmeethnthehnpatientsh n andh n amilyshnneedshnandhnapplicationhnofhnalternativehntherapieshnifhndesiredhnbyhnt
hehnpatient,hnbut1that1ishnnothnthehnpri
maryhnocushnofhnthehn model.
DIF:hnCognitivehn Level:hnApplicationhn REF:hnp.hn5hn |hnig.hn1-3
OBJ:hnDescribehnstandardshn ofhnprofessionalhnpracticehnorhn criticalhn careh n nursing.
TOP:hnNursinghnProcesshn Step:hnN/Ahn MSC:hnNCLEX:hn Safeh n andhn Effectivehn Careh n Environment
5. Thehnamilyhnofh n yourh n criticallyh n illh n patienth n tellsh n youh n thath n theyhnhaveh n noth n spokenhnwithh n thehnphys
icianh n inh n overh n 24hnhourshnandhnthey1havehnsomehnquestionshnthathntheyhnwanthnclarified.hnDuringhnmorninghnro
unds,hnyouhnconvey1thishnconcernhntohnthehnattendinghnintensivisthnandhnarrangehnor1her1tohnmeethnwithhnthehnamilyh
nathn4:00hnPMhninhnthehnconferencehnroom.h n Whihnchhncompetency1ofhncriticalhncarehnnursinghndoeshnthishnrepresen
t?
, TesthnBankh 4
n-
a. Advocacyhnandhn moralhnagencyhninhn solvinghnethicalhn issues
b. Clinicalhnjudgment1andhnclinicalhnreasoninghnskills
c. Collaborationhnwithhnpatients,hnamilies,hnandhnteamhnmembers
d. Facilitationhnofhnlearninghnorhnpatients,hnamilies,hnandhnteamhnmember
shnANS:hnC
Althoughhnonehnmighthnconsiderhnthat1allhnofhnthesehncompetencieshnarehnbeinghnaddressed,hncommunicationhnandh
ncollaborahntionhnwithhnthehnamilyhnandhnphysicianhnbest1exemplifyhnthehncompetency1ofhncollaboration.
DIF:hnCognitivehn Level:hnAnalysishnREF:hnp.hn9
OBJ:hnDescribehnstandardshn ofhnprofessionalhnpracticehnorhn criticalhn careh n nursing.
TOP:hnNursinghnProcesshn Step:hnN/Ahn MSC:hnNCLEX:hn Safeh n andhn Effectivehn Careh n Environment
6. ThehnAACNhnStandardshnorhnAcutehnandhnCriticalhnCarehnNursinghnPracticehnusehnwhathnrameworkhntohnguideh
ncriticalhncarhnehnnursinghnpractice?
a. Evidence-basedhnpractice
b. Healthyhnwork1environment
c. NationalhnPatienthnSafetyhnGoals
d. Nursinghnprocess
ANS:hnD
ThehnAACNhnStandardshnorhnAcutehnandhnCriticalhnCarehnNursinghnPracticehndelineatehnthehnnursinghnprocesshna
shnappliedhntohncriticallyhnillhnpatients:hncollect1data,hndeterminehndiagnoses,hnidentify1expectedhnoutcomes,hndev
elophna1planhnofhncare,hnimplementhninterventions,hnandhnevaluatehncare.hnAACNhnpromoteshnahnhealthyhnworkhne
nvironment,hnbuthnthishnishnnothninchnludedhninhnthehnStandards.hnThehnJointhnCommissionhnhashnestablishedhnNati
onalhnPatienthnSafetyhnGoals,hnbuthnthesehnarehnnoh n thnthehnAACNhnStandards.
DIF:hnCognitivehn Level:hnAnalysishn REF:hnp.hn5h n |hnBoxhn 1-2
OBJ:hnDescribehnstandardshn ofhnprofessionalhnpracticehnorhn criticalhn careh n nursing.
TOP:hnNursinghnProcesshn Step:hnN/Ahn MSC:hnNCLEX:hn Safeh n andhn Effectivehn Careh n Environment
7. Thehnchargehnnursehnishnresponsiblehnorhnmakinghnthehnpatienthnassignmentshnonhnthehncriticalhncarehnunit.hnSh
ehnassignshnthhnehnexperienced,hncertifiedhnnursehntohncarehnorhnthehnacutelyhnillhnpatienthnwithhnsepsishnwhohnalsoh
nrequireshncontinuoushnrenh n alhnreplacementhntherapyhnandhn mechanicalhnventilation.hnShehnassignshnthehnnurs
ehnwithhnlesshnthanhn1hnyearhnofhnexperiench n ehntohntwohnpatientshnwhohnarehnmorehnstable.hnThishnassignmenthnre
flectshnimplementationhnofhnthe:
a. crewhnresourcehn managementhn model
