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