Test Bank For Sole’s Introduction to Critical Care Nursing, 9th Edition Mary Beth Flynn Makic, PhD

Test‟Bank‟-‟Introduction‟to‟Critical‟Care‟Nursing‟7e‟(Sole‟2016) 1




Table‟ of‟ Contents

Table’ of’ Contents
1
Chapter‟ 01:‟ Overview‟ of‟ Critical‟ Care‟ Nursing 2
Chapter‟02:‟Patient‟and‟Family‟Response‟to‟the‟Critical‟Care‟Experience‟Ch 14
apter‟03:‟Ethical‟and‟Legal‟Issues‟in‟Critical‟Care‟Nursing 30
Chapter‟04:‟Palliative‟and‟End-of- 42
Life‟Care‟Chapter‟ 05:‟ Comfort‟ and‟ Sedatio 56
n‟Chapter‟06:‟Nutritional‟Therapy 69
Chapter‟07:‟Dysrhythmia‟Interpretation‟and‟Management‟Chapter 83
‟08:‟Hemodynamic‟Monitoring 117
Chapter‟ 09:‟ Ventilatory‟ Assistance 137
Chapter‟10:‟Rapid‟Response‟Teams‟and‟Code‟Management‟Cha 156
pter‟11:‟Organ‟Donation 171
Chapter‟12:‟Shock,‟Sepsis,‟and‟Multiple‟Organ‟Dysfunction‟Syndrome‟Chap 189
ter‟13:‟Cardiovascular‟Alterations 207
Chapter‟14:‟Nervous‟System‟Alterations‟ 225
Chapter‟15:‟Acute‟Respiratory‟Failure‟Ch 243
apter‟ 16:‟ Acute‟ Kidney‟ Injury‟Chapter‟1 260
7:‟Gastrointestinal‟Alterations 285
Chapter‟17:‟Hematological‟and‟Immune‟Disorders‟Cha 312
pter‟19:‟Endocrine‟Alterations 341
Chapter‟20:‟Trauma‟and‟Surgical‟Management‟Chapter 361
‟21:‟Burns 377

,Test‟Bank‟-‟Introduction‟to‟Critical‟Care‟Nursing‟7e‟(Sole‟2016) 2



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‟A
ssociation‟supports‟cardiovascular‟initiatives.‟The‟American‟Nurses‟ Association‟supports‟all‟nurses.‟The‟Societ
y‟of‟Critical‟Care‟Medicine‟represents‟the‟multiprofessional‟critical‟ care‟team‟under‟the‟direction‟of‟an‟intensivi
st.

DIF:‟ Cognitive‟ Level:‟ Knowledge‟ REF:‟ p.‟ 4

OBJ:‟Discuss‟the‟purposes‟and‟functions‟of‟the‟professional‟organizations‟that‟support‟critical‟care‟practice.‟ TO
P:‟Nursing‟Process‟Step:‟N/A

MSC:‟ NCLEX:‟ 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‟ cer
tification.‟Which‟credential‟would‟be‟most‟applicable‟for‟her‟to‟seek?


a. ACNPC


b. CCNS


c. CCRN


d. PCCN


ANS:‟ C

The‟CCRN‟certification‟is‟appropriate‟for‟nurses‟in‟bedside‟practice‟who‟care‟for‟critically‟ill‟patients.‟The‟ ACN
PC‟certification‟is‟for‟acute‟care‟nurse‟practitioners.‟The‟CCNS‟certification‟is‟for‟critical‟care‟clinical‟ nurse‟spec
ialists.‟The‟PCCN‟certification‟is‟for‟staff‟nurses‟working‟in‟progressive‟care,‟intermediate‟care,‟or‟ step-
down‟unit‟settings.

DIF:‟ Cognitive‟ Level:‟ Application‟ REF:‟ p.‟ 5

OBJ:‟Explain‟certification‟options‟for‟critical‟care‟nurses.‟TOP:‟Nursing‟Process‟Step:‟N/A‟ MSC

:‟NCLEX:‟Safe‟and‟Effective‟Care‟Environment

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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‟ nurse
s‟to‟maintain‟their‟knowledge‟of‟critical‟care‟nursing.‟Certification‟helps‟to‟assure‟the‟consumer‟that‟the‟ nurse‟ h
as‟ 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‟ motivatio
n‟for‟achievement‟and‟professionalism.‟Magnet‟facilities‟are‟rated‟on‟the‟number‟of‟certified‟nurses;‟ however,‟t
hat‟is‟not‟the‟purpose‟of‟certification.

DIF:‟ Cognitive‟ Level:‟ Analysis‟ REF:‟ pp.‟ 4-5

OBJ:‟Explain‟certification‟options‟for‟critical‟care‟nurses.‟TOP:‟Nursing‟Process‟Step:‟N/A‟MSC:

‟NCLEX:‟Safe‟and‟Effective‟Care‟Environment


4. The‟ synergy‟ model‟ of‟ practice‟ focuses‟ on:


a. allowing‟ unrestricted‟ visiting‟ for‟ the‟ patient‟ 24‟ hours‟ each‟ day.


b. holistic‟ and‟ alternative‟ therapies.


c. needs‟ of‟ patients‟ and‟ their‟ families,‟ which‟ drives‟ 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‟patients‟and‟ family
s‟ needs‟ and‟ application‟ of‟ alternative‟ therapies‟ if‟ desired‟ by‟ the‟ patient,‟ but‟ that‟ is‟ not‟ the‟ primary‟ focus‟of‟the‟m
odel.

DIF:‟ Cognitive‟ Level:‟ Application‟ REF:‟ p.‟ 5‟ |‟ Fig.‟ 1-3

OBJ:‟ Describe‟ 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‟hou
rs‟ and‟ they‟ have‟ some‟ questions‟ that‟ they‟ want‟ clarified.‟ During‟ morning‟ rounds,‟ you‟ convey‟ this‟ concern‟to‟ th
e‟ attending‟ intensivist‟ and‟ arrange‟ for‟ her‟ to‟ meet‟ with‟ the‟ family‟ at‟ 4:00‟ PM‟ in‟ the‟ conference‟ room.‟Which‟c
ompetency‟of‟critical‟care‟nursing‟does‟this‟represent?

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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‟collaborati
on‟with‟the‟family‟and‟physician‟best‟exemplify‟the‟competency‟of‟collaboration.

DIF:‟ Cognitive‟ Level:‟ Analysis‟ REF:‟ p.‟ 9

OBJ:‟ Describe‟ standards‟ of‟ professional‟ practice‟ for‟ critical‟ care‟ nursing.

TOP:‟ Nursing‟ Process‟ Step:‟ N/A‟ MSC:‟ NCLEX:‟ Safe‟ and‟ Effective‟ Care‟ Environment

6. The‟AACN‟Standards‟for‟Acute‟and‟Critical‟Care‟Nursing‟Practice‟use‟what‟framework‟to‟guide‟critical‟car
e‟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‟ crit
ically‟ill‟patients:‟collect‟data,‟determine‟diagnoses,‟identify‟expected‟outcomes,‟develop‟a‟plan‟of‟care,‟ impleme
nt‟interventions,‟and‟evaluate‟care.‟AACN‟promotes‟a‟healthy‟work‟environment,‟but‟this‟is‟not‟ included‟ in‟ the‟ S
tandards.‟ The‟ Joint‟ Commission‟ has‟ established‟ National‟ Patient‟ Safety‟ Goals,‟ but‟ these‟ are‟not‟the‟AACN‟Sta
ndards.

DIF:‟ Cognitive‟ Level:‟ Analysis‟ REF:‟ p.‟ 5‟ |‟ Box‟ 1-2

OBJ:‟ Describe‟ standards‟ of‟ professional‟ practice‟ for‟ critical‟ care‟ nursing.

TOP:‟ Nursing‟ Process‟ Step:‟ N/A‟ MSC:‟ NCLEX:‟ Safe‟ and‟ Effective‟ Care‟ Environment

7. The‟charge‟nurse‟is‟responsible‟for‟making‟the‟patient‟assignments‟on‟the‟critical‟care‟unit.‟She‟assigns‟the‟ exp
erienced,‟certified‟nurse‟to‟care‟for‟the‟acutely‟ill‟patient‟with‟sepsis‟who‟also‟requires‟continuous‟renal‟ replacem
ent‟ therapy‟ and‟ mechanical‟ ventilation.‟ She‟ assigns‟ the‟ nurse‟ with‟ less‟ than‟ 1‟ year‟ of‟ experience‟ to‟two‟ patie
nts‟ who‟ are‟ more‟ stable.‟ This‟ assignment‟ reflects‟ implementation‟ of‟ the:


a. crew‟ resource‟ management‟ model