TABLEOFCONTENTS
xp px
,UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
p x p x p x p x p x p x
1. Caring for the Critically Ill Patient
px px px px px
2. Ethical and Legal Issues
px px px
3. Facilitating Care Transitions px px
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
px px px px px px
4. Psychosocial and Spiritual Considerations px px px
5. Nutritional Alterations and Management px px px
6. The Older Adult
px px
7. Pain and Pain Management
px px px
8. Sedation and Delirium Management
px px px
9. Palliative and End-of-Life Care
px px px
UNIT THREE: CARDIOVASCULAR ALTERATIONS
px px px
10. Cardiovascular Clinical Assessment and Diagnostic Procedures px px px px px
11. Cardiovascular Disorders px
12. Cardiovascular Therapeutic Management px px
UNIT FOUR: PULMONARY ALTERATIONS
px px px
13. Pulmonary Clinical Assessment and Diagnostic Procedures
px px px px px
14. Pulmonary Disorders px
15. Pulmonary Therapeutic Management px px
UNIT FIVE: NEUROLOGICAL ALTERATIONS
px px px
16. Neurological Clinical Assessment and Diagnostic Procedures px px px px px
17. Neurologic Disorders and Therapeutic Management px px px px
UNIT SIX: KIDNEY ALTERATIONS
px px px
18. Kidney Clinical Assessment and Diagnostic Procedures
px px px px px
19. Kidney Disorders and Therapeutic Management
px px px px
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
p x p x p x
20. Gastrointestinal Clinical Assessment and Diagnostic Procedures px px px px px
21. Gastrointestinal Disorders and Therapeutic Management px px px px
UNIT EIGHT: ENDOCRINE ALTERATIONS
px px px
22. Endocrine Clinical Assessment and Diagnostic Procedures
px px px px px
23. Endocrine Disorders and Therapeutic Management
px px px px
UNIT NINE: MULTISYSTEM ALTERATIONS
p x p x p x
24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
px px px px px px
27. Hematological and Oncological Emergencies px px px
,Chapter 01: Critical Care Nursing Practice Urd
px px px px px px
en: Critical Care Nursing, 10th
px px px px
MULTIPLE pc
CHOICE
p x
1. During World War II, what type of wards were developed to care for criticallyin j
px px px px px px px px px px px px px px
ured patients? px
a. Intensive care px
b. Triage
c. Shock
d. Postoperative
ANS: C px
During World War II, shock wards were established to care for critically injured patients. Tr i
px px px px px px px px px px px px px px px
age wards establish the order in which a patient is seen or treated upon arrival to a hospital
px px px px px px px px px px px px px px px px px
. Postoperative wards were developed in 1900 and later evolved into intensive care units.
px px px px px px px px px px px px pc
PTS: p x 1
DIF: Cognitive Level: Remembering
p x p x px px
REF: p. 1 OBJ: Nursing Process Step: N/A px px px px px px
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a px px px px pc px px px p
xnd Effective Care Environment
px px px
2. What type of practitioner has a broad depth of specialty knowledge and expertise and
px px px px px px px px px px px px px pcp x
manages complex clinical and system issues? px px px px px
a. Registered nurses px
b. Advanced practice nurses px px
c. Clinical nurse leaders px px
d. Intensivists
ANS: B px
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in theirs
px px px px px px px px px px px px px px
pecialty area and manage complex clinical and systems issues. Intensivists are medical pract i
px px px px px px px px px px px px px
tioners who manage the critical ill patient. Registered nurses (RNs) are generally direct car e
px px px px px px px px px px px px px px px
providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
px px px px px px px px px px
PTS: p x 1
DIF: Cognitive Level: Remembering
p x p x px px
REF: p. 2 OBJ: Nursing Process Step: N/A px px px px px px
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a px px px px pc px px px p
xnd Effective Care Environment
px px px
3. What type of practitioner is instrumental in ensuring care that is evidence based and t
px px px px px px px px px pc px px px pc px
hat safety programs are in place?
pc px px px px
a. Clinical nurse spec px px p
ialist b. Advanced pract
x px px pc
ice nurse c.
px px px
Registered nurses px
d. Nurse practitioners
px px
ANS: A px
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese arc
px px px px px px px px px px px px px px
h, leadership, and consultative abilities. They are instrumental in ensuring that care is evi dence
px px px px px px px px px px px pc px px
based and that safety programs are in place. Advanced practice nurses (APNs)have
px px px px px px px px px px px px
a broad depth of knowledge and expertise in their specialty area and manage complex cli n
px px px px px px px px px px px px px px px
ical and systems issues. Registered nurses are generally direct care providers. Nursepract iti
px px px px px px px px px px px px
oners (NPs) manage direct clinical care of groups of patients.
px px px px px px px px px
PTS: DIF: Cognitive Level: Remembering
p x p x 1 p x px px
REF: p. 2 OBJ: Nursing Process Step: N/A px px px px px px
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a px px px px pc px px px p
xnd Effective Care Environment
px px px
4. Which professional organization administers critical care certification exams forre
px px px px px px px px px
gistered nurses? px
a. State Board of Registered Nurses px px px px
b. National Association of Clinical Nurse Specialist px px px px px
c. Society of Critical Care Medicine px px px px
d. American Association of Critical-Care Nurses px px px px
ANS: D px
American Association of Critical- px px px
Care Nurses (AACN) administers certification exams for registered nurses. The State Boa r
px px px px px px px px px px px px
d of Registered Nurses (SBON) does not administercertification exams. National Associa t
px px px px px px pc px px px px
ion of Clinical Nurse Specialists (NACNS) does not administer certification exams. Socie t
px px px px px px px px px px px px
y of Critical Care Medicine (SCCM) does not administer nursing certification exams for r eg
px px px px px px px px px px px px px px
istered nurses. px
PTS: DIF: Cognitive Level: Remembering
p x p x 1 p x px px
REF: p. 3 OBJ: Nursing Process Step: N/A px px px px px px
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a px px px px pc px px px p
xnd Effective Care Environment
px px px
5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit
px px px px px px px px px px px px px px pcp x
are interdependent and inseparable. This statement describes which methodology of c a
px px px px px px px px px px px
re?
a. Holistic care px
b. Individualized care px
c. Cultural care px
d. Interdisciplinary care px
ANS: A px
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte rdepen
px px px px px px px px px px px px px px px px
dent and inseparable. Individualized care recognizes the uniqueness of each patient’s preferences, c
px px px px px px px px px px px px
ondition, and physiologic and psychosocial status. Cultural diversityin
px px px px px px px
health care is not a new topic, but it is gaining emphasis and importance as the world beco
px px px px px px px px px px px px px px px px px px
mes more accessible to all as the result of increasing technologies and interfaces with places
px px px px px px px px px px px px px pc px
and peoples. Interdisciplinary care is care among a variety of health care professionals with t
px px px px px px px px px px px px px px
he patient’s health as the common goal.
px px px px px px
PTS: DIF: Cognitive Level: Remembering
p x p x 1 p x px px
REF: p. 4 OBJ: Nursing Process Step: N/A px px px px px px
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a px px px px pc px px px p
xnd Effective Care Environment
px px px
xp px
,UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
p x p x p x p x p x p x
1. Caring for the Critically Ill Patient
px px px px px
2. Ethical and Legal Issues
px px px
3. Facilitating Care Transitions px px
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
px px px px px px
4. Psychosocial and Spiritual Considerations px px px
5. Nutritional Alterations and Management px px px
6. The Older Adult
px px
7. Pain and Pain Management
px px px
8. Sedation and Delirium Management
px px px
9. Palliative and End-of-Life Care
px px px
UNIT THREE: CARDIOVASCULAR ALTERATIONS
px px px
10. Cardiovascular Clinical Assessment and Diagnostic Procedures px px px px px
11. Cardiovascular Disorders px
12. Cardiovascular Therapeutic Management px px
UNIT FOUR: PULMONARY ALTERATIONS
px px px
13. Pulmonary Clinical Assessment and Diagnostic Procedures
px px px px px
14. Pulmonary Disorders px
15. Pulmonary Therapeutic Management px px
UNIT FIVE: NEUROLOGICAL ALTERATIONS
px px px
16. Neurological Clinical Assessment and Diagnostic Procedures px px px px px
17. Neurologic Disorders and Therapeutic Management px px px px
UNIT SIX: KIDNEY ALTERATIONS
px px px
18. Kidney Clinical Assessment and Diagnostic Procedures
px px px px px
19. Kidney Disorders and Therapeutic Management
px px px px
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
p x p x p x
20. Gastrointestinal Clinical Assessment and Diagnostic Procedures px px px px px
21. Gastrointestinal Disorders and Therapeutic Management px px px px
UNIT EIGHT: ENDOCRINE ALTERATIONS
px px px
22. Endocrine Clinical Assessment and Diagnostic Procedures
px px px px px
23. Endocrine Disorders and Therapeutic Management
px px px px
UNIT NINE: MULTISYSTEM ALTERATIONS
p x p x p x
24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
px px px px px px
27. Hematological and Oncological Emergencies px px px
,Chapter 01: Critical Care Nursing Practice Urd
px px px px px px
en: Critical Care Nursing, 10th
px px px px
MULTIPLE pc
CHOICE
p x
1. During World War II, what type of wards were developed to care for criticallyin j
px px px px px px px px px px px px px px
ured patients? px
a. Intensive care px
b. Triage
c. Shock
d. Postoperative
ANS: C px
During World War II, shock wards were established to care for critically injured patients. Tr i
px px px px px px px px px px px px px px px
age wards establish the order in which a patient is seen or treated upon arrival to a hospital
px px px px px px px px px px px px px px px px px
. Postoperative wards were developed in 1900 and later evolved into intensive care units.
px px px px px px px px px px px px pc
PTS: p x 1
DIF: Cognitive Level: Remembering
p x p x px px
REF: p. 1 OBJ: Nursing Process Step: N/A px px px px px px
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a px px px px pc px px px p
xnd Effective Care Environment
px px px
2. What type of practitioner has a broad depth of specialty knowledge and expertise and
px px px px px px px px px px px px px pcp x
manages complex clinical and system issues? px px px px px
a. Registered nurses px
b. Advanced practice nurses px px
c. Clinical nurse leaders px px
d. Intensivists
ANS: B px
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in theirs
px px px px px px px px px px px px px px
pecialty area and manage complex clinical and systems issues. Intensivists are medical pract i
px px px px px px px px px px px px px
tioners who manage the critical ill patient. Registered nurses (RNs) are generally direct car e
px px px px px px px px px px px px px px px
providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
px px px px px px px px px px
PTS: p x 1
DIF: Cognitive Level: Remembering
p x p x px px
REF: p. 2 OBJ: Nursing Process Step: N/A px px px px px px
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a px px px px pc px px px p
xnd Effective Care Environment
px px px
3. What type of practitioner is instrumental in ensuring care that is evidence based and t
px px px px px px px px px pc px px px pc px
hat safety programs are in place?
pc px px px px
a. Clinical nurse spec px px p
ialist b. Advanced pract
x px px pc
ice nurse c.
px px px
Registered nurses px
d. Nurse practitioners
px px
ANS: A px
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese arc
px px px px px px px px px px px px px px
h, leadership, and consultative abilities. They are instrumental in ensuring that care is evi dence
px px px px px px px px px px px pc px px
based and that safety programs are in place. Advanced practice nurses (APNs)have
px px px px px px px px px px px px
a broad depth of knowledge and expertise in their specialty area and manage complex cli n
px px px px px px px px px px px px px px px
ical and systems issues. Registered nurses are generally direct care providers. Nursepract iti
px px px px px px px px px px px px
oners (NPs) manage direct clinical care of groups of patients.
px px px px px px px px px
PTS: DIF: Cognitive Level: Remembering
p x p x 1 p x px px
REF: p. 2 OBJ: Nursing Process Step: N/A px px px px px px
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a px px px px pc px px px p
xnd Effective Care Environment
px px px
4. Which professional organization administers critical care certification exams forre
px px px px px px px px px
gistered nurses? px
a. State Board of Registered Nurses px px px px
b. National Association of Clinical Nurse Specialist px px px px px
c. Society of Critical Care Medicine px px px px
d. American Association of Critical-Care Nurses px px px px
ANS: D px
American Association of Critical- px px px
Care Nurses (AACN) administers certification exams for registered nurses. The State Boa r
px px px px px px px px px px px px
d of Registered Nurses (SBON) does not administercertification exams. National Associa t
px px px px px px pc px px px px
ion of Clinical Nurse Specialists (NACNS) does not administer certification exams. Socie t
px px px px px px px px px px px px
y of Critical Care Medicine (SCCM) does not administer nursing certification exams for r eg
px px px px px px px px px px px px px px
istered nurses. px
PTS: DIF: Cognitive Level: Remembering
p x p x 1 p x px px
REF: p. 3 OBJ: Nursing Process Step: N/A px px px px px px
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a px px px px pc px px px p
xnd Effective Care Environment
px px px
5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit
px px px px px px px px px px px px px px pcp x
are interdependent and inseparable. This statement describes which methodology of c a
px px px px px px px px px px px
re?
a. Holistic care px
b. Individualized care px
c. Cultural care px
d. Interdisciplinary care px
ANS: A px
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte rdepen
px px px px px px px px px px px px px px px px
dent and inseparable. Individualized care recognizes the uniqueness of each patient’s preferences, c
px px px px px px px px px px px px
ondition, and physiologic and psychosocial status. Cultural diversityin
px px px px px px px
health care is not a new topic, but it is gaining emphasis and importance as the world beco
px px px px px px px px px px px px px px px px px px
mes more accessible to all as the result of increasing technologies and interfaces with places
px px px px px px px px px px px px px pc px
and peoples. Interdisciplinary care is care among a variety of health care professionals with t
px px px px px px px px px px px px px px
he patient’s health as the common goal.
px px px px px px
PTS: DIF: Cognitive Level: Remembering
p x p x 1 p x px px
REF: p. 4 OBJ: Nursing Process Step: N/A px px px px px px
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a px px px px pc px px px p
xnd Effective Care Environment
px px px
