TEST BANK
vv
Priorities in Critical Care Nursing, 9th Edition,
vv vv vv vv vv vv
Linda D. Urden, Kathleen M. Stacy, Chapters 1 - 27, Complete
vv vv vv vv vv vv vv vv vv vv
,TABLE OF CONTENTS
vv vv
UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
vv vv vv vv vv vv
1. Caring for the Critically Ill Patient
vv vv vv vv vv
2. Ethical and Legal Issues
vv vv vv
3. Facilitating Care Transitions vv vv
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
vv vv vv vv vv vv
4. Psychosocial and Spiritual Considerations vv vv vv
5. Nutritional Alterations and Management vv vv vv
6. The Older Adult
vv vv
7. Pain and Pain Management
vv vv vv
8. Sedation and Delirium Management vv vv vv
9. Palliative and End-of-Life Care vv vv vv
UNIT THREE: CARDIOVASCULAR ALTERATIONS
vv vv vv
10. Cardiovascular Clinical Assessment and Diagnostic Procedures vv vv vv vv vv
11. Cardiovascular Disorders vv
12. Cardiovascular Therapeutic Management vv vv
UNIT FOUR: PULMONARY ALTERATIONS
vv vv vv
13. Pulmonary Clinical Assessment and Diagnostic Procedures
vv vv vv vv vv
14. Pulmonary Disorders vv
15. Pulmonary Therapeutic Management vv vv
UNIT FIVE: NEUROLOGICAL ALTERATIONS
vv vv vv
16. Neurological Clinical Assessment and Diagnostic Procedures vv vv vv vv vv
17. Neurologic Disorders and Therapeutic Management vv vv vv vv
UNIT SIX: KIDNEY ALTERATIONS
vv vv vv
18. Kidney Clinical Assessment and Diagnostic Procedures
vv vv vv vv vv
19. Kidney Disorders and Therapeutic Management
vv vv vv vv
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
vv vv vv
20. Gastrointestinal Clinical Assessment and Diagnostic Procedures vv vv vv vv vv
21. Gastrointestinal Disorders and Therapeutic Management vv vv vv vv
UNIT EIGHT: ENDOCRINE ALTERATIONS
vv vv vv
22. Endocrine Clinical Assessment and Diagnostic Procedures
vv vv vv vv vv
23. Endocrine Disorders and Therapeutic Management
vv vv vv vv
UNIT NINE: MULTISYSTEM ALTERATIONS
vv vv vv
24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
vv vv vv vv vv vv
27. Hematological and Oncological Emergencies vv vv vv
,Chapter 01: Critical Care Nursing Practice Urden:
vv vv vv vv vv v v
Critical Care Nursing, 9th
vv vv vv vv
MULTIPLE
CHOICE
vv
1. During World War II, what type of wards were developed to care for
vv vv vv vv vv vv vv vv vv vv vv vv
critically injured patients?
vv v v vv
a. Intensive care vv
b. Triage
c. Shock
d. Postoperative
ANS: C vv
During World War II, shock wards were established to care for critically injured patients.
vv vv vv vv vv vv vv vv vv vv vv vv vv
vTriage wards establish the order in which a patient is seen or treated upon arrival to a
v vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
vhospital. Postoperative wards were developed in 1900 and later evolved into intensive
v vv vv vv vv vv vv vv vv vv vv vv
care units.
vv v v
PTS: 1 DIF: Cognitive Level: Remembering
vv vv v v REF: p. 1 vv vv vv vv
OBJ: Nursing Process Step: N/A
v v vv TOP: Critical Care Nursing
v v vv vv vv vv vv vv
Practice MSC: NCLEX: Safe and Effective Care Environment
vv v v vv vv vv vv vv vv
2. What type of practitioner has a broad depth of specialty knowledge and expertise
vv vv vv vv vv vv vv vv vv vv vv vv
vv and manages complex clinical and system issues?
v v vv vv vv vv vv
a. Registered nurses vv
b. Advanced practice nurses vv vv
c. Clinical nurse leaders vv vv
d. Intensivists
ANS: B vv
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
vv vv vv vv vv vv vv vv vv vv vv vv vv
specialty area and manage complex clinical and systems issues. Intensivists are medical
v v vv vv vv vv vv vv vv vv vv vv vv
v practitioners who manage the critical ill patient. Registered nurses (RNs) are generally
v vv vv vv vv vv vv vv vv vv vv vv
direct care providers. Clinical nurse leaders (CNLs) generally do not manage system
vv v v vv vv vv vv vv vv vv vv vv vv
issues.
vv
PTS: 1 DIF: Cognitive Level: Remembering
vv vv v v REF: p. 2 vv vv vv vv
OBJ: Nursing Process Step: N/A
v v vv TOP: Critical Care Nursing
v v vv vv vv vv vv vv
Practice MSC: NCLEX: Safe and Effective Care Environment
vv v v vv vv vv vv vv vv
3. What type of practitioner is instrumental in ensuring care that is evidence based
vv vv vv vv vv vv vv vv vv vv vv vv
and
v v v that safety programs are in place?
vv vv vv vv vv
a. Clinical nurse vv
specialist b.
v v vv
Advanced practice
vv v v
nurse c.
vv vv
Registered nurses vv
d. Nurse practitioners
vv vv
ANS: A vv
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
vv vv vv vv vv vv vv vv vv vv vv vv
v research, leadership, and consultative abilities. They are instrumental in ensuring that
v vv vv vv vv vv vv vv vv vv vv
careis evidence based and that safety programs are in place. Advanced practice
vv v v vv vv vv vv vv vv vv vv vv vv
nurses (APNs)have a broad depth of knowledge and expertise in their specialty area
vv vv v v vv vv vv vv vv vv vv vv vv vv
and manage complex clinical and systems issues. Registered nurses are generally direct
vv vv vv v v vv vv vv vv vv vv vv vv
care providers. Nurse practitioners (NPs) manage direct clinical care of groups of
vv vv vv v v vv vv vv vv vv vv vv vv
patients.
vv
PTS: 1 DIF: Cognitive Level: Remembering
vv vv v v REF: p. 2 vv vv vv vv
OBJ: Nursing Process Step: N/A
v v vv v vTOP: Critical Care Nursing vv vv vv vv vv vv
Practice MSC: NCLEX: Safe and Effective Care Environment
vv v v vv vv vv vv vv vv
4. Which professional organization administers critical care certification exams
vv vv vv vv vv vv vv
for registered nurses?
vv v v vv
a. State Board of Registered Nurses vv vv vv vv
b. National Association of Clinical Nurse Specialist vv vv vv vv vv
c. Society of Critical Care Medicine vv vv vv vv
d. American Association of Critical-Care Nurses vv vv vv vv
ANS: D vv
American Association of Critical-Care Nurses (AACN) administers certification exams for
vv vv vv vv vv vv vv vv vv
v registered nurses. The State Board of Registered Nurses (SBON) does not administer
v vv vv vv vv vv vv vv vv vv vv vv
certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
v v vv vv vv vv vv vv vv vv vv vv
v administer certification exams. Society of Critical Care Medicine (SCCM) does not
v vv vv vv vv vv vv vv vv vv vv
v administer nursing certification exams for registered nurses.
v vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Remembering
vv vv v v REF: p. 3 vv vv vv vv
OBJ: Nursing Process Step: N/A
v v vv v vTOP: Critical Care Nursing vv vv vv vv vv vv
Practice MSC: NCLEX: Safe and Effective Care Environment
vv v v vv vv vv vv vv vv
5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
are interdependent and inseparable. This statement describes which methodology
v v vv vv vv vv vv vv vv vv
of care?
vv v v
a. Holistic care vv
b. Individualized care vv
c. Cultural care vv
d. Interdisciplinary care v
ANS: A vv
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
interdependent and inseparable. Individualized care recognizes the uniqueness of each
v v vv vv vv vv vv vv vv vv vv
v patient’s preferences, condition, and physiologic and psychosocial status. Cultural
v vv vv vv vv vv vv vv vv
diversityin
vv health care is not a new topic, but it is gaining emphasis and importance as
v v vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the world becomes more accessible to all as the result of increasing technologies and
vv vv v v vv vv vv vv vv vv vv vv vv vv vv
interfaces with places and peoples. Interdisciplinary care is care among a variety of
vv vv v v vv vv vv vv vv vv vv vv vv vv
health care professionals with the patient’s health as the common goal.
vv vv vv v v vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Remembering
vv vv v v REF: p. 4 vv vv vv vv
OBJ: Nursing Process Step: N/A
v v vv v vTOP: Critical Care Nursing vv vv vv vv vv vv
Practice MSC: NCLEX: Safe and Effective Care Environment
vv v v vv vv vv vv vv vv
vv
Priorities in Critical Care Nursing, 9th Edition,
vv vv vv vv vv vv
Linda D. Urden, Kathleen M. Stacy, Chapters 1 - 27, Complete
vv vv vv vv vv vv vv vv vv vv
,TABLE OF CONTENTS
vv vv
UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
vv vv vv vv vv vv
1. Caring for the Critically Ill Patient
vv vv vv vv vv
2. Ethical and Legal Issues
vv vv vv
3. Facilitating Care Transitions vv vv
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
vv vv vv vv vv vv
4. Psychosocial and Spiritual Considerations vv vv vv
5. Nutritional Alterations and Management vv vv vv
6. The Older Adult
vv vv
7. Pain and Pain Management
vv vv vv
8. Sedation and Delirium Management vv vv vv
9. Palliative and End-of-Life Care vv vv vv
UNIT THREE: CARDIOVASCULAR ALTERATIONS
vv vv vv
10. Cardiovascular Clinical Assessment and Diagnostic Procedures vv vv vv vv vv
11. Cardiovascular Disorders vv
12. Cardiovascular Therapeutic Management vv vv
UNIT FOUR: PULMONARY ALTERATIONS
vv vv vv
13. Pulmonary Clinical Assessment and Diagnostic Procedures
vv vv vv vv vv
14. Pulmonary Disorders vv
15. Pulmonary Therapeutic Management vv vv
UNIT FIVE: NEUROLOGICAL ALTERATIONS
vv vv vv
16. Neurological Clinical Assessment and Diagnostic Procedures vv vv vv vv vv
17. Neurologic Disorders and Therapeutic Management vv vv vv vv
UNIT SIX: KIDNEY ALTERATIONS
vv vv vv
18. Kidney Clinical Assessment and Diagnostic Procedures
vv vv vv vv vv
19. Kidney Disorders and Therapeutic Management
vv vv vv vv
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
vv vv vv
20. Gastrointestinal Clinical Assessment and Diagnostic Procedures vv vv vv vv vv
21. Gastrointestinal Disorders and Therapeutic Management vv vv vv vv
UNIT EIGHT: ENDOCRINE ALTERATIONS
vv vv vv
22. Endocrine Clinical Assessment and Diagnostic Procedures
vv vv vv vv vv
23. Endocrine Disorders and Therapeutic Management
vv vv vv vv
UNIT NINE: MULTISYSTEM ALTERATIONS
vv vv vv
24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
vv vv vv vv vv vv
27. Hematological and Oncological Emergencies vv vv vv
,Chapter 01: Critical Care Nursing Practice Urden:
vv vv vv vv vv v v
Critical Care Nursing, 9th
vv vv vv vv
MULTIPLE
CHOICE
vv
1. During World War II, what type of wards were developed to care for
vv vv vv vv vv vv vv vv vv vv vv vv
critically injured patients?
vv v v vv
a. Intensive care vv
b. Triage
c. Shock
d. Postoperative
ANS: C vv
During World War II, shock wards were established to care for critically injured patients.
vv vv vv vv vv vv vv vv vv vv vv vv vv
vTriage wards establish the order in which a patient is seen or treated upon arrival to a
v vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
vhospital. Postoperative wards were developed in 1900 and later evolved into intensive
v vv vv vv vv vv vv vv vv vv vv vv
care units.
vv v v
PTS: 1 DIF: Cognitive Level: Remembering
vv vv v v REF: p. 1 vv vv vv vv
OBJ: Nursing Process Step: N/A
v v vv TOP: Critical Care Nursing
v v vv vv vv vv vv vv
Practice MSC: NCLEX: Safe and Effective Care Environment
vv v v vv vv vv vv vv vv
2. What type of practitioner has a broad depth of specialty knowledge and expertise
vv vv vv vv vv vv vv vv vv vv vv vv
vv and manages complex clinical and system issues?
v v vv vv vv vv vv
a. Registered nurses vv
b. Advanced practice nurses vv vv
c. Clinical nurse leaders vv vv
d. Intensivists
ANS: B vv
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
vv vv vv vv vv vv vv vv vv vv vv vv vv
specialty area and manage complex clinical and systems issues. Intensivists are medical
v v vv vv vv vv vv vv vv vv vv vv vv
v practitioners who manage the critical ill patient. Registered nurses (RNs) are generally
v vv vv vv vv vv vv vv vv vv vv vv
direct care providers. Clinical nurse leaders (CNLs) generally do not manage system
vv v v vv vv vv vv vv vv vv vv vv vv
issues.
vv
PTS: 1 DIF: Cognitive Level: Remembering
vv vv v v REF: p. 2 vv vv vv vv
OBJ: Nursing Process Step: N/A
v v vv TOP: Critical Care Nursing
v v vv vv vv vv vv vv
Practice MSC: NCLEX: Safe and Effective Care Environment
vv v v vv vv vv vv vv vv
3. What type of practitioner is instrumental in ensuring care that is evidence based
vv vv vv vv vv vv vv vv vv vv vv vv
and
v v v that safety programs are in place?
vv vv vv vv vv
a. Clinical nurse vv
specialist b.
v v vv
Advanced practice
vv v v
nurse c.
vv vv
Registered nurses vv
d. Nurse practitioners
vv vv
ANS: A vv
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
vv vv vv vv vv vv vv vv vv vv vv vv
v research, leadership, and consultative abilities. They are instrumental in ensuring that
v vv vv vv vv vv vv vv vv vv vv
careis evidence based and that safety programs are in place. Advanced practice
vv v v vv vv vv vv vv vv vv vv vv vv
nurses (APNs)have a broad depth of knowledge and expertise in their specialty area
vv vv v v vv vv vv vv vv vv vv vv vv vv
and manage complex clinical and systems issues. Registered nurses are generally direct
vv vv vv v v vv vv vv vv vv vv vv vv
care providers. Nurse practitioners (NPs) manage direct clinical care of groups of
vv vv vv v v vv vv vv vv vv vv vv vv
patients.
vv
PTS: 1 DIF: Cognitive Level: Remembering
vv vv v v REF: p. 2 vv vv vv vv
OBJ: Nursing Process Step: N/A
v v vv v vTOP: Critical Care Nursing vv vv vv vv vv vv
Practice MSC: NCLEX: Safe and Effective Care Environment
vv v v vv vv vv vv vv vv
4. Which professional organization administers critical care certification exams
vv vv vv vv vv vv vv
for registered nurses?
vv v v vv
a. State Board of Registered Nurses vv vv vv vv
b. National Association of Clinical Nurse Specialist vv vv vv vv vv
c. Society of Critical Care Medicine vv vv vv vv
d. American Association of Critical-Care Nurses vv vv vv vv
ANS: D vv
American Association of Critical-Care Nurses (AACN) administers certification exams for
vv vv vv vv vv vv vv vv vv
v registered nurses. The State Board of Registered Nurses (SBON) does not administer
v vv vv vv vv vv vv vv vv vv vv vv
certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
v v vv vv vv vv vv vv vv vv vv vv
v administer certification exams. Society of Critical Care Medicine (SCCM) does not
v vv vv vv vv vv vv vv vv vv vv
v administer nursing certification exams for registered nurses.
v vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Remembering
vv vv v v REF: p. 3 vv vv vv vv
OBJ: Nursing Process Step: N/A
v v vv v vTOP: Critical Care Nursing vv vv vv vv vv vv
Practice MSC: NCLEX: Safe and Effective Care Environment
vv v v vv vv vv vv vv vv
5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
are interdependent and inseparable. This statement describes which methodology
v v vv vv vv vv vv vv vv vv
of care?
vv v v
a. Holistic care vv
b. Individualized care vv
c. Cultural care vv
d. Interdisciplinary care v
ANS: A vv
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
interdependent and inseparable. Individualized care recognizes the uniqueness of each
v v vv vv vv vv vv vv vv vv vv
v patient’s preferences, condition, and physiologic and psychosocial status. Cultural
v vv vv vv vv vv vv vv vv
diversityin
vv health care is not a new topic, but it is gaining emphasis and importance as
v v vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the world becomes more accessible to all as the result of increasing technologies and
vv vv v v vv vv vv vv vv vv vv vv vv vv vv
interfaces with places and peoples. Interdisciplinary care is care among a variety of
vv vv v v vv vv vv vv vv vv vv vv vv vv
health care professionals with the patient’s health as the common goal.
vv vv vv v v vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Remembering
vv vv v v REF: p. 4 vv vv vv vv
OBJ: Nursing Process Step: N/A
v v vv v vTOP: Critical Care Nursing vv vv vv vv vv vv
Practice MSC: NCLEX: Safe and Effective Care Environment
vv v v vv vv vv vv vv vv
