FULL TEST BANK FOR SOLE: INTRODUCTION TO CRITICAL CARE NURSING, 7TH EDITION
FULL CHAPTERS GRADED A+
,Contents
Chapter 01: Overview of Critical Care Nursing .................................................................... 3
Chapter 02: Patient and Family Response to the Critical Care Experience .......................... 16
Chapter 03: Ethical and Legal Issues in Critical Care Nursing .............................................. 33
Chapter 04: End-of-Life Care and Palliative Care in Critical Care Settings ........................... 46
Chapter 05: Comfort and Sedation ................................................................................... 61
Chapter 06: Nutritional Support ....................................................................................... 79
Chapter 07: Dysrhythmia Interpretation and Management ............................................... 94
Chapter 08: Hemodynamic Monitoring ........................................................................... 130
Chapter 09: Ventilatory Assistance ................................................................................. 153
Chapter 10: Rapid Response Teams and Code Management ........................................... 175
Chapter 11: Organ Donation ........................................................................................... 190
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome ........................... 210
Chapter 13: Cardiovascular Alterations ........................................................................... 230
Chapter 14: Nervous System Alterations ........................................................................ 250
Chapter 15: Acute Respiratory Failure ............................................................................ 270
Chapter 16: Acute Kidney Injury ..................................................................................... 291
Chapter 17: Haematological and Immune Disorders ....................................................... 321
Chapter 18: Gastrointestinal Alterations......................................................................... 355
Chapter 19: Endocrine Alterations .................................................................................. 385
Chapter 20: Trauma and Surgical Management .............................................................. 408
Chapter 21: Burns .......................................................................................................... 426
,Chapter 01: Overview of Critical Care Nursing
MULTIPLE CHOICE
1. Which of the following professional organizations best 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 specialty 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
multiprotection critical care team under the direction of an intensivist.
DIF: Cognitive Level: Remember/Knowledge REF: p. 5
OBJ: Discuss the purposes and functions of the professional organizations that support critical care
practice. TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is
interested in certification. Which credential would be most applicable for the nurse to seek?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS:C
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients.
The ACNPC-AG certification is for acute care nurse practitioners. The CNML is for critical care nurse
managers or leaders. The PCCN certification is for staff nurses working in progressive care, intermediate
care, or step-down unit settings.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
,OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC: NCLEX
Client Needs Category: Safe and Effective Care Environment
3. The main purpose of certification is to
a. assure the consumer that you will not make a mistake.
b. prepare for graduate school.
c. promote magnet status for your facility.
d. validate 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 minimum level of knowledge; however, it does not ensure that care will
be 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
number of certified nurses; however, that is not the purpose of certification.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC: NCLEX
Client Needs Category: Safe and Effective Care Environment
4. The synergy model of practice focuses on
a. allowing unrestricted visiting for the patient 24 hours a day.
b. holistic and alternative therapies.
c. the needs of patients and their families, which drive nursing competency.
d. patients’ needs for energy and support.
ANS:C
The synergy model of practice states that the needs of patients and families influence and drive
competencies of nurses. Nursing practice based on the synergy model would involve tailored visiting to
meet the patient’s and family’s needs and the application of alternative therapies if desired by the
patient, but that is not the primary focus of the model.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6 OBJ: Describe standards of professional
practice for critical care nursing.
TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: RSSafINe GanTdBE.CfOfeMctive 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 that they have some questions they want clarified. During morning rounds, you
convey this concern to the attending intensivist and arrange a meeting with the family at 4:00 PM.
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. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team members
ANS:C
Although one might consider that all of these competencies are being addressed, communication and
collaboration with the family and physician best exemplify the competency of collaboration.
DIF: Cognitive Level: Analyze/Analysis REF: p. 6 | Fig 1-3 | Box 1-1 OBJ: Describe standards of
professional practice for critical care nursing.
TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide
critical care nursing practice?
a. Evidence-based 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, determine diagnoses, identify expected outcomes, develop
a plan of care, implement interventions, and evaluate care. AACN promotes a healthy work
environment, but this is not included in its standards. The Joint Commission has established National
Patient Safety Goals, but these are not the AACN standards.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6 OBJ: Describe standards of professional
practice for critical care nursing.
TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
, 7. The charge nurse is responsible for making the patient assignments on the critical care unit. An
experienced, certified nurse is assigned to care for the acutely ill patient with sepsis who also requires
continuous renal replacement therapy and mechanical ventilation. The nurse with less than 1 year of
experience is assigned to two patients who are more stable. This assignment reflects implementation of
the
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
NURSINGTB.COM
This assignment demonstrates nursing care to meet the needs of the patient. The synergy model notes
that the nurse competencies are matched to the patient characteristics. Crew resource management
concepts are related to team training; National Patient Safety Goals are specified by The Joint
Commission to promote safe care but do not incorporate the synergy model. The Quality and Safety
Education for Nurses initiative involves targeted education of undergraduate and graduate nursing
students on quality and safety concepts.
DIF: Cognitive Level: Analyze/Analysis REF: p. 6 OBJ: Describe standards of professional
practice for critical care nursing.
TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
8. The vision of the American Association of Critical-Care Nurses is a health care system driven by
a. a healthy work environment.
b. care from a multiprotection team under the direction of a critical care physician.
c. the needs of critically ill patients and families.
d. respectful, healing, and humane environments.
ANS:C
FULL CHAPTERS GRADED A+
,Contents
Chapter 01: Overview of Critical Care Nursing .................................................................... 3
Chapter 02: Patient and Family Response to the Critical Care Experience .......................... 16
Chapter 03: Ethical and Legal Issues in Critical Care Nursing .............................................. 33
Chapter 04: End-of-Life Care and Palliative Care in Critical Care Settings ........................... 46
Chapter 05: Comfort and Sedation ................................................................................... 61
Chapter 06: Nutritional Support ....................................................................................... 79
Chapter 07: Dysrhythmia Interpretation and Management ............................................... 94
Chapter 08: Hemodynamic Monitoring ........................................................................... 130
Chapter 09: Ventilatory Assistance ................................................................................. 153
Chapter 10: Rapid Response Teams and Code Management ........................................... 175
Chapter 11: Organ Donation ........................................................................................... 190
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome ........................... 210
Chapter 13: Cardiovascular Alterations ........................................................................... 230
Chapter 14: Nervous System Alterations ........................................................................ 250
Chapter 15: Acute Respiratory Failure ............................................................................ 270
Chapter 16: Acute Kidney Injury ..................................................................................... 291
Chapter 17: Haematological and Immune Disorders ....................................................... 321
Chapter 18: Gastrointestinal Alterations......................................................................... 355
Chapter 19: Endocrine Alterations .................................................................................. 385
Chapter 20: Trauma and Surgical Management .............................................................. 408
Chapter 21: Burns .......................................................................................................... 426
,Chapter 01: Overview of Critical Care Nursing
MULTIPLE CHOICE
1. Which of the following professional organizations best 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 specialty 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
multiprotection critical care team under the direction of an intensivist.
DIF: Cognitive Level: Remember/Knowledge REF: p. 5
OBJ: Discuss the purposes and functions of the professional organizations that support critical care
practice. TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is
interested in certification. Which credential would be most applicable for the nurse to seek?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS:C
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients.
The ACNPC-AG certification is for acute care nurse practitioners. The CNML is for critical care nurse
managers or leaders. The PCCN certification is for staff nurses working in progressive care, intermediate
care, or step-down unit settings.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
,OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC: NCLEX
Client Needs Category: Safe and Effective Care Environment
3. The main purpose of certification is to
a. assure the consumer that you will not make a mistake.
b. prepare for graduate school.
c. promote magnet status for your facility.
d. validate 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 minimum level of knowledge; however, it does not ensure that care will
be 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
number of certified nurses; however, that is not the purpose of certification.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC: NCLEX
Client Needs Category: Safe and Effective Care Environment
4. The synergy model of practice focuses on
a. allowing unrestricted visiting for the patient 24 hours a day.
b. holistic and alternative therapies.
c. the needs of patients and their families, which drive nursing competency.
d. patients’ needs for energy and support.
ANS:C
The synergy model of practice states that the needs of patients and families influence and drive
competencies of nurses. Nursing practice based on the synergy model would involve tailored visiting to
meet the patient’s and family’s needs and the application of alternative therapies if desired by the
patient, but that is not the primary focus of the model.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6 OBJ: Describe standards of professional
practice for critical care nursing.
TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: RSSafINe GanTdBE.CfOfeMctive 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 that they have some questions they want clarified. During morning rounds, you
convey this concern to the attending intensivist and arrange a meeting with the family at 4:00 PM.
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. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team members
ANS:C
Although one might consider that all of these competencies are being addressed, communication and
collaboration with the family and physician best exemplify the competency of collaboration.
DIF: Cognitive Level: Analyze/Analysis REF: p. 6 | Fig 1-3 | Box 1-1 OBJ: Describe standards of
professional practice for critical care nursing.
TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide
critical care nursing practice?
a. Evidence-based 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, determine diagnoses, identify expected outcomes, develop
a plan of care, implement interventions, and evaluate care. AACN promotes a healthy work
environment, but this is not included in its standards. The Joint Commission has established National
Patient Safety Goals, but these are not the AACN standards.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6 OBJ: Describe standards of professional
practice for critical care nursing.
TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
, 7. The charge nurse is responsible for making the patient assignments on the critical care unit. An
experienced, certified nurse is assigned to care for the acutely ill patient with sepsis who also requires
continuous renal replacement therapy and mechanical ventilation. The nurse with less than 1 year of
experience is assigned to two patients who are more stable. This assignment reflects implementation of
the
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
NURSINGTB.COM
This assignment demonstrates nursing care to meet the needs of the patient. The synergy model notes
that the nurse competencies are matched to the patient characteristics. Crew resource management
concepts are related to team training; National Patient Safety Goals are specified by The Joint
Commission to promote safe care but do not incorporate the synergy model. The Quality and Safety
Education for Nurses initiative involves targeted education of undergraduate and graduate nursing
students on quality and safety concepts.
DIF: Cognitive Level: Analyze/Analysis REF: p. 6 OBJ: Describe standards of professional
practice for critical care nursing.
TOP: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
8. The vision of the American Association of Critical-Care Nurses is a health care system driven by
a. a healthy work environment.
b. care from a multiprotection team under the direction of a critical care physician.
c. the needs of critically ill patients and families.
d. respectful, healing, and humane environments.
ANS:C
