Sole's Introduction to Critical Care Nursing 9th Edition
bn bn bn bn bn bn bn
1 Overview of Critical Care Nursing
bn bn bn bn
2 Patient and Family Response to the Critical Care Experience
bn bn bn bn bn bn bn bn
3 Ethical and Legal Issues in Critical Care Nursing
bn bn bn bn bn bn bn
4 Palliative and End-of-Life Care
bn bn bn
5 Organ Donation
bn
6 Comfort and Sedation
bn bn
7 Nutritional Therapy bn
8 Dysrhythmia Interpretation and Management
bn bn bn
9 Hemodynamic Monitoring bn
10 Ventilatory Assistance bn
11 Rapid Response Teams and Code Management
bn bn bn bn bn
12 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
bn bn bn bn bn bn
13 Cardiovascular Alterations bn
14 Nervous System Alterations
bn bn
15 Acute Respiratory Failure
bn bn
16 Acute Kidney Injury
bn bn
17 Hematological and Immune Disorders bn bn bn
18 Gastrointestinal Alterations bn
19 Endocrine Alterations bn
20 Trauma and Surgical Management
bn bn bn
21 Burns
,Chapter 01: Overview of Critical Care Nursing
bn bn bn bn bn bn
Sole’s Introduction to Critical Care Nursing 9th Edition
bn bn bn bn bn bn bn
MULTIPLE CHOICE bn
1. Which of the following professional organizations best supports critical care nursing
bn bn bn bn bn bn bn bn bn bn bn
practice?
a. American Association of Critical-Care Nurses bn bn bn bn
b. American Heart Association bn bn
c. American Nurses Association bn bn
d. Society of Critical Care Medicine bn bn bn bn
ANS: A b n
The American Association of Critical-
bn bn bn bn
Care Nurses is the specialty organization that supports and represents critical care nurse
bn bn bn bn bn bn bn bn bn bn bn bn
s. The American Heart Association supports cardiovascular initiatives. The American N
bn bn bn bn bn bn bn bn bn bn
urses Association supports all nurses. The Society of Critical Care Medicine represents
bn bn bn bn bn bn bn bn bn bn bn bn
the multiprofessional critical care team under the direction of an intensivist.
bn bn bn bn bn bn bn bn bn bn
DIF: Cognitive Level: Remember/Knowledge bn bn
OBJ: Discuss the purposes and functions of the professional organizations that support critica
b n bn bn bn bn bn bn bn bn bn bn bn
l care practice.
bn TOP: Nursing Process Step: N/A
bn b n bn bn bn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
and is interested in certification. Which credential would be most applicable for the nu
bn bn bn bn bn bn bn bn bn bn bn bn bn
rse to seek? bn bn
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS: C b n
The CCRN certification is appropriate for nurses in bedside practice who care for critic
bn bn bn bn bn bn bn bn bn bn bn bn bn
ally ill patients. The ACNPC-
bn bn bn bn
AG certification is for acute care nurse practitioners. The CNML is for critical care nurs
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
e managers or leaders. The PCCN certification is for staff nurses working in progressiv
bn bn bn bn bn bn bn bn bn bn bn bn bn
e care, intermediate care, or step-down unit settings.
bn bn bn bn bn bn bn
DIF: Cognitive Level: Remember/Knowledge bn bn
OBJ: Explain certification options for critical care nurses.
b n bn bn bn bn bn bn
TOP: Nursing Process Step b n bn bn
: N/A
bn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn
3. The main purpose of certification is to
bn bn bn bn bn bn
a. assure the consumer that you will not make a mistake.
bn bn bn bn bn bn bn bn bn
b. prepare for graduate school. bn bn bn
c. promote magnet status for your facility. bn bn bn bn bn
d. validate knowledge of critical care nursing. bn bn bn bn bn
, ANS: D b n
Certification assists in validating knowledge of the field, promotes excellence in the pro
bn bn bn bn bn bn bn bn bn bn bn bn
fession, and helps nurses to maintain their knowledge of critical care nursing.
bn bn bn bn bn bn bn bn bn bn bn
Certification helps to assure the consumer that the nurse has a minimum level of knowle
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
dge; however, it does not ensure that care will be mistake-
bn bn bn bn bn bn bn bn bn bn
free. Certification does not prepare one for graduate school; however, achieving certifica
bn bn bn bn bn bn bn bn bn bn bn
tion demonstrates motivation for achievement and professionalism. Magnet facilities are
bn bn bn bn bn bn bn bn bn b
rated on the number of certified nurses; however, that is not the purpose of certification.
n bn bn bn bn bn bn bn bn bn bn bn bn bn bn
DIF: Cognitive Level: Remember/Knowledge bn bn
OBJ: Explain certification options for critical care nurses.
b n bn bn bn bn bn bn
TOP: Nursing Process Step b n bn bn
: N/Abn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn
4. The synergy model of practice focuses on
bn bn bn bn bn bn
a. allowing unrestricted visiting for the patient 24 hours a day. bn bn bn bn bn bn bn bn bn
b. holistic and alternative therapies. bn bn bn
c. the needs of patients and their families, which drive nursing competency.
bn bn bn bn bn bn bn bn bn bn
d. patients’ needs for energy and support. bn bn bn bn bn
ANS: C b n
The synergy model of practice states that the needs of patients and families influence a
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
nd drive competencies of nurses. Nursing practice based on the synergy model would in
bn bn bn bn bn bn bn bn bn bn bn bn bn
volve tailored visiting to meet the patient’s and family’s needs and the application of alt
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
ernative therapies if desired by the patient, but that is not the primary focus of the mode
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
l.
DIF: Cognitive Level: Remember/Knowledge bn bn
OBJ: Describe standards of professional practice for critical care nursing. T
b n bn bn bn bn bn bn bn bn bn
OP: Nursing Process Step: N/A
b n bn bn bn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn
5. The family of your critically ill patient tells you that they have not spoken with the phys
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
ician in over 24 hours and that they have some questions they want clarified. During m
bn bn bn bn bn bn bn bn bn bn bn bn bn b n bn
orning rounds, you convey this concern to the attending intensivist and arrange a meeting
bn bn bn bn bn bn bn bn bn bn bn bn bn
with the family at 4:00 PM. Which competency of critical care nursing does this repres
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
ent?
a. Advocacy and moral agency in solving ethical issues bn bn bn bn bn bn bn
b. Clinical judgment and clinical reasoning skills bn bn bn bn bn
c. Collaboration with patients, families, and team members bn bn bn bn bn bn
d. Facilitation of learning for patients, families, and team members bn bn bn bn bn bn bn bn
ANS: C b n
Although one might consider that all of these competencies are being addressed, comm
bn bn bn bn bn bn bn bn bn bn bn bn
unication and collaboration with the family and physician best exemplify the competenc
bn bn bn bn bn bn bn bn bn bn bn
y of collaboration.
bn bn
DIF: Cognitive Level: Analyze/Analysis bn bn
, OBJ: Describe standards of professional practice for critical care nursing. T
b n bn bn bn bn bn bn bn bn bn
OP: Nursing Process Step: N/A
b n bn bn bn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework
bn bn bn bn bn bn bn bn bn bn bn bn bn
to guide critical care nursing practice?
bn bn bn bn bn
a. Evidence-based practice bn
b. Healthy work environment bn bn
c. National Patient Safety Goals bn bn bn
d. Nursing process bn
ANS: D b n
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing
bn bn bn bn bn bn bn bn bn bn bn bn bn
process as applied to critically ill patients: collect data, determine diagnoses, identify ex
bn bn bn bn bn bn bn bn bn bn bn bn
pected outcomes, develop a plan of care, implement interventions, and evaluate care. A
bn bn bn bn bn bn bn bn bn bn bn bn
ACN promotes a healthy work environment, but this is not included in its standards.
bn bn bn bn bn bn bn bn bn bn bn bn bn
The Joint Commission has established National Patient Safety Goals, but these are not t
bn bn bn bn bn bn bn bn bn bn bn bn bn
he AACN standards.
bn bn
DIF: Cognitive Level: Remember/Knowledge bn bn
OBJ: Describe standards of professional practice for critical care nursing. T
b n bn bn bn bn bn bn bn bn bn
OP: Nursing Process Step: N/A
b n bn bn bn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn
7. The charge nurse is responsible for making the patient assignments on the critical care u
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
nit. An experienced, certified nurse is assigned to care for the acutely ill patient with sep
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
sis who also requires continuous renal replacement therapy and mechanical ventilation.
bn bn bn bn bn bn bn bn bn bn bn
The nurse with less than 1 year of experience is assigned to two patients who are more sta
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
ble. This assignment reflects implementation of the
bn bn bn bn bn bn
a. crew resource management model. bn bn bn
b. National Patient Safety Goals. bn bn bn
c. Quality and Safety Education for Nurses (QSEN) model. bn bn bn bn bn bn bn
d. synergy model of practice. bn bn bn
ANS: D b n
This assignment demonstrates nursing care to meet the needs of the patient. The synergy
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
model notes that the nurse competencies are matched to the patient characteristics. Crew
bn bn bn bn bn bn bn bn bn bn bn bn bn
resource management concepts are related to team training; National Patient Safety Goa
bn bn bn bn bn bn bn bn bn bn bn
ls are specified by The Joint Commission to promote safe care but do not incorporate th
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
e synergy model. The Quality and Safety Education for Nurses initiative involves target
bn bn bn bn bn bn bn bn bn bn bn bn
ed education of undergraduate and graduate nursing students on quality and safety conc
bn bn bn bn bn bn bn bn bn bn bn bn
epts.
DIF: Cognitive Level: Analyze/Analysis bn bn
OBJ: Describe standards of professional practice for critical care nursing. T
b n bn bn bn bn bn bn bn bn bn
OP: Nursing Process Step: N/A
b n bn bn bn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn
bn bn bn bn bn bn bn
1 Overview of Critical Care Nursing
bn bn bn bn
2 Patient and Family Response to the Critical Care Experience
bn bn bn bn bn bn bn bn
3 Ethical and Legal Issues in Critical Care Nursing
bn bn bn bn bn bn bn
4 Palliative and End-of-Life Care
bn bn bn
5 Organ Donation
bn
6 Comfort and Sedation
bn bn
7 Nutritional Therapy bn
8 Dysrhythmia Interpretation and Management
bn bn bn
9 Hemodynamic Monitoring bn
10 Ventilatory Assistance bn
11 Rapid Response Teams and Code Management
bn bn bn bn bn
12 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
bn bn bn bn bn bn
13 Cardiovascular Alterations bn
14 Nervous System Alterations
bn bn
15 Acute Respiratory Failure
bn bn
16 Acute Kidney Injury
bn bn
17 Hematological and Immune Disorders bn bn bn
18 Gastrointestinal Alterations bn
19 Endocrine Alterations bn
20 Trauma and Surgical Management
bn bn bn
21 Burns
,Chapter 01: Overview of Critical Care Nursing
bn bn bn bn bn bn
Sole’s Introduction to Critical Care Nursing 9th Edition
bn bn bn bn bn bn bn
MULTIPLE CHOICE bn
1. Which of the following professional organizations best supports critical care nursing
bn bn bn bn bn bn bn bn bn bn bn
practice?
a. American Association of Critical-Care Nurses bn bn bn bn
b. American Heart Association bn bn
c. American Nurses Association bn bn
d. Society of Critical Care Medicine bn bn bn bn
ANS: A b n
The American Association of Critical-
bn bn bn bn
Care Nurses is the specialty organization that supports and represents critical care nurse
bn bn bn bn bn bn bn bn bn bn bn bn
s. The American Heart Association supports cardiovascular initiatives. The American N
bn bn bn bn bn bn bn bn bn bn
urses Association supports all nurses. The Society of Critical Care Medicine represents
bn bn bn bn bn bn bn bn bn bn bn bn
the multiprofessional critical care team under the direction of an intensivist.
bn bn bn bn bn bn bn bn bn bn
DIF: Cognitive Level: Remember/Knowledge bn bn
OBJ: Discuss the purposes and functions of the professional organizations that support critica
b n bn bn bn bn bn bn bn bn bn bn bn
l care practice.
bn TOP: Nursing Process Step: N/A
bn b n bn bn bn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
and is interested in certification. Which credential would be most applicable for the nu
bn bn bn bn bn bn bn bn bn bn bn bn bn
rse to seek? bn bn
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS: C b n
The CCRN certification is appropriate for nurses in bedside practice who care for critic
bn bn bn bn bn bn bn bn bn bn bn bn bn
ally ill patients. The ACNPC-
bn bn bn bn
AG certification is for acute care nurse practitioners. The CNML is for critical care nurs
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
e managers or leaders. The PCCN certification is for staff nurses working in progressiv
bn bn bn bn bn bn bn bn bn bn bn bn bn
e care, intermediate care, or step-down unit settings.
bn bn bn bn bn bn bn
DIF: Cognitive Level: Remember/Knowledge bn bn
OBJ: Explain certification options for critical care nurses.
b n bn bn bn bn bn bn
TOP: Nursing Process Step b n bn bn
: N/A
bn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn
3. The main purpose of certification is to
bn bn bn bn bn bn
a. assure the consumer that you will not make a mistake.
bn bn bn bn bn bn bn bn bn
b. prepare for graduate school. bn bn bn
c. promote magnet status for your facility. bn bn bn bn bn
d. validate knowledge of critical care nursing. bn bn bn bn bn
, ANS: D b n
Certification assists in validating knowledge of the field, promotes excellence in the pro
bn bn bn bn bn bn bn bn bn bn bn bn
fession, and helps nurses to maintain their knowledge of critical care nursing.
bn bn bn bn bn bn bn bn bn bn bn
Certification helps to assure the consumer that the nurse has a minimum level of knowle
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
dge; however, it does not ensure that care will be mistake-
bn bn bn bn bn bn bn bn bn bn
free. Certification does not prepare one for graduate school; however, achieving certifica
bn bn bn bn bn bn bn bn bn bn bn
tion demonstrates motivation for achievement and professionalism. Magnet facilities are
bn bn bn bn bn bn bn bn bn b
rated on the number of certified nurses; however, that is not the purpose of certification.
n bn bn bn bn bn bn bn bn bn bn bn bn bn bn
DIF: Cognitive Level: Remember/Knowledge bn bn
OBJ: Explain certification options for critical care nurses.
b n bn bn bn bn bn bn
TOP: Nursing Process Step b n bn bn
: N/Abn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn
4. The synergy model of practice focuses on
bn bn bn bn bn bn
a. allowing unrestricted visiting for the patient 24 hours a day. bn bn bn bn bn bn bn bn bn
b. holistic and alternative therapies. bn bn bn
c. the needs of patients and their families, which drive nursing competency.
bn bn bn bn bn bn bn bn bn bn
d. patients’ needs for energy and support. bn bn bn bn bn
ANS: C b n
The synergy model of practice states that the needs of patients and families influence a
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
nd drive competencies of nurses. Nursing practice based on the synergy model would in
bn bn bn bn bn bn bn bn bn bn bn bn bn
volve tailored visiting to meet the patient’s and family’s needs and the application of alt
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
ernative therapies if desired by the patient, but that is not the primary focus of the mode
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
l.
DIF: Cognitive Level: Remember/Knowledge bn bn
OBJ: Describe standards of professional practice for critical care nursing. T
b n bn bn bn bn bn bn bn bn bn
OP: Nursing Process Step: N/A
b n bn bn bn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn
5. The family of your critically ill patient tells you that they have not spoken with the phys
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
ician in over 24 hours and that they have some questions they want clarified. During m
bn bn bn bn bn bn bn bn bn bn bn bn bn b n bn
orning rounds, you convey this concern to the attending intensivist and arrange a meeting
bn bn bn bn bn bn bn bn bn bn bn bn bn
with the family at 4:00 PM. Which competency of critical care nursing does this repres
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
ent?
a. Advocacy and moral agency in solving ethical issues bn bn bn bn bn bn bn
b. Clinical judgment and clinical reasoning skills bn bn bn bn bn
c. Collaboration with patients, families, and team members bn bn bn bn bn bn
d. Facilitation of learning for patients, families, and team members bn bn bn bn bn bn bn bn
ANS: C b n
Although one might consider that all of these competencies are being addressed, comm
bn bn bn bn bn bn bn bn bn bn bn bn
unication and collaboration with the family and physician best exemplify the competenc
bn bn bn bn bn bn bn bn bn bn bn
y of collaboration.
bn bn
DIF: Cognitive Level: Analyze/Analysis bn bn
, OBJ: Describe standards of professional practice for critical care nursing. T
b n bn bn bn bn bn bn bn bn bn
OP: Nursing Process Step: N/A
b n bn bn bn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework
bn bn bn bn bn bn bn bn bn bn bn bn bn
to guide critical care nursing practice?
bn bn bn bn bn
a. Evidence-based practice bn
b. Healthy work environment bn bn
c. National Patient Safety Goals bn bn bn
d. Nursing process bn
ANS: D b n
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing
bn bn bn bn bn bn bn bn bn bn bn bn bn
process as applied to critically ill patients: collect data, determine diagnoses, identify ex
bn bn bn bn bn bn bn bn bn bn bn bn
pected outcomes, develop a plan of care, implement interventions, and evaluate care. A
bn bn bn bn bn bn bn bn bn bn bn bn
ACN promotes a healthy work environment, but this is not included in its standards.
bn bn bn bn bn bn bn bn bn bn bn bn bn
The Joint Commission has established National Patient Safety Goals, but these are not t
bn bn bn bn bn bn bn bn bn bn bn bn bn
he AACN standards.
bn bn
DIF: Cognitive Level: Remember/Knowledge bn bn
OBJ: Describe standards of professional practice for critical care nursing. T
b n bn bn bn bn bn bn bn bn bn
OP: Nursing Process Step: N/A
b n bn bn bn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn
7. The charge nurse is responsible for making the patient assignments on the critical care u
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
nit. An experienced, certified nurse is assigned to care for the acutely ill patient with sep
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
sis who also requires continuous renal replacement therapy and mechanical ventilation.
bn bn bn bn bn bn bn bn bn bn bn
The nurse with less than 1 year of experience is assigned to two patients who are more sta
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
ble. This assignment reflects implementation of the
bn bn bn bn bn bn
a. crew resource management model. bn bn bn
b. National Patient Safety Goals. bn bn bn
c. Quality and Safety Education for Nurses (QSEN) model. bn bn bn bn bn bn bn
d. synergy model of practice. bn bn bn
ANS: D b n
This assignment demonstrates nursing care to meet the needs of the patient. The synergy
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
model notes that the nurse competencies are matched to the patient characteristics. Crew
bn bn bn bn bn bn bn bn bn bn bn bn bn
resource management concepts are related to team training; National Patient Safety Goa
bn bn bn bn bn bn bn bn bn bn bn
ls are specified by The Joint Commission to promote safe care but do not incorporate th
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
e synergy model. The Quality and Safety Education for Nurses initiative involves target
bn bn bn bn bn bn bn bn bn bn bn bn
ed education of undergraduate and graduate nursing students on quality and safety conc
bn bn bn bn bn bn bn bn bn bn bn bn
epts.
DIF: Cognitive Level: Analyze/Analysis bn bn
OBJ: Describe standards of professional practice for critical care nursing. T
b n bn bn bn bn bn bn bn bn bn
OP: Nursing Process Step: N/A
b n bn bn bn
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
b n bn bn bn bn bn bn bn bn