Test Bank - Introduction to Critical Care Nursing 7e
ss ss ss ss ss ss ss ss 1
(Sole
Table s s of s s Contents
1
Chapter 01: Overview of Critical Care Nursing
s s s s s s s s s s s s 2
Chapter 02: Patient and Family Response to the Critical Care
ss ss ss ss ss ss ss ss ss 14
Experience Chapter 03: Ethical and Legal Issues in Critical
ss ss ss ss ss ss ss ss ss 30
Care Nursing
ss ss 42
Chapter 04: Palliative and End-of-
ss ss ss ss 56
Life Care Chapter 05:
ss Comfort
ss ss 69
and Sedation ss 83
Chapter 06: Nutritional ss ss 117
Therapy
ss 137
Chapter 07: Dysrhythmia Interpretation and
ss ss ss ss 156
Management Chapter 08: Hemodynamic Monitoring
ss ss ss ss ss 171
Chapter 09: Ventilatory Assistance
s s s s s s 189
Chapter 10: Rapid Response Teams and Code Management
ss ss ss ss ss ss ss 207
Chapter 11: Organ Donation
ss ss ss ss 225
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
ss ss ss ss ss ss ss ss 243
Chapter 13: Cardiovascular Alterations
ss ss ss ss 260
Chapter 14: Nervous System
ss ss ss 285
s Alterations Chapter 15: Acute
s ss ss ss 312
Respiratory Failure Chapter 16: Acute
ss ss ss ss 341
Kidney Injury Chapter 17:
ss ss ss 361
Gastrointestinal Alterations
ss ss 377
Chapter 17: Hematological and Immune Disorders
ss ss ss ss ss
Chapter 19: Endocrine Alterations
ss ss ss ss
Chapter 20: Trauma and Surgical Management
ss ss ss ss ss
Chapter 21: Burns
ss ss ss
,Test Bank - Introduction to Critical Care Nursing 7e
ss ss ss ss ss ss ss ss 2
(Sole
Chapter 01: Overview of Critical Care Nursing s s s s s s s s s s s s
MULTIPLE s s CHOICE
1. Which of the s s s s s s following s s professional s s organizations best s s s s supports critical s s s s care s s nursing
practice?
s s
a. American Association s s s s of Critical-Care
ss s s Nurses
b. American s s Heart s s Association
c. American s s Nurses s s Association
d. Society of Critical Care ss ss ss
Medicine ANS: A ss ss
The American Association of Critical-Care Nurses is the specialty organization that supports
s s s s s s s s s s s s s s s s s s s s s s
and
s s represents critical care nurses. The American Heart Association supports cardiovascular initiatives.
s s ss ss ss ss ss ss ss ss ss ss
The American Nurses Association supports all nurses. The Society of Critical Care Medicine represents
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the multiprofessional critical care team under the direction of an intensivist.
ss ss s s s s s s s s s s s s s s s s s s
DIF: Cognitive s s s s Level: s s Knowledge s s REF: s s p. s s 4
OBJ: Discuss the purposes and functions of the professional organizations that support critical care
ss ss ss ss ss ss ss ss ss ss ss ss ss
spractice. TOP: Nursing Process Step: N/A
s s s s s s s s s s s
MSC: NCLEX: Safe and ss s s s s s s Effective Care s s s s Environment
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is
ss ss ss ss ss ss oo ss ss ss ss ss ss ss oo ss ss ss ss
interested in certification. Which credential would be most applicable for her to seek?
ss ss ss s s ss s s ss s s ss s s s s ss s s
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: s s C
The CCRN certification is appropriate for nurses in bedside practice who care for
s s s s s s s s s s s s s s s s s s s s s s s s
critically ill patients. The ACNPC certification is for acute care nurse practitioners. The
s s s s s s ss s s ss ss ss ss ss ss ss ss
CCNS certification is for critical care clinical nurse specialists. The PCCN certification is for
ss ss s s ss ss ss ss s s ss s s ss s s s s ss
staff nurses working in progressive care, intermediate care, or step-down unit settings.
ss ss ss ss ss ss ss ss ss ss s s s s
DIF: s s Cognitive s s Level: s s Application s s REF: s s p. 5 s s
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step:
ss ss ss ss ss ss ss ss ss ss ss
ss N/A MSC: NCLEX: Safe and Effective Care Environment
s s s s s s s s s s s s s s
,Test Bank - Introduction to Critical Care Nursing 7e
ss ss ss ss ss ss ss ss 3
(Sole
3. The main s s s s purpose of s s s s certification s s is to: s s
a. assure the consumer that you will not make a mistake.
ss s s s s s s s s s s s s s s s s
b. prepare s s for graduate s s s s school.
c. promote s s magnet status for s s s s s s your facility. s s
d. validate knowledge of s s s s s s critical s s care nursing. s s
ANS: s s D
Certification assists in validating knowledge of the field, promotes excellence in the
s s s s s s s s s s s s s s s s s s s s s s
profession, and helps nurses to maintain their knowledge of critical care nursing.
s s s s ss s s s s s s s s s s s s ss s s s s
Certification helps to assure the consumer that the nurse has a minimum level of
ss s s s s ss ss ss s s s s s s s s s s s s s s s s
knowledge; however, it does not ensure that care will be mistake-free.
s s s s s s s s s s s s s s s s s s ss ss
Certification does not prepare one for graduate school; however, achieving certification
s s s s s s s s s s s s s s s s s s s s
demonstrates motivation for achievement and professionalism. Magnet facilities are rated on the
s s ss ss ss ss ss ss ss ss ss ss ss
number of certified
ss nurses; however, that is not the purpose of certification.
ss ss s s s s s s s s s s s s s s s s s s
DIF: Cognitive
s s s s Level: s s Analysis s s REF: s s pp. s s 4-5
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step:
ss ss ss ss ss ss ss ss ss ss ss
N/A MSC: NCLEX: Safe and Effective Care Environment
ss s s s s s s s s s s s s s s
4. The synergy s s s s model s s of practice s s s s focuses on: s s
a. allowing unrestricted s s s s visiting s s for s s the s s patient s s 24 hours s s s s each day. s s
b. holistic and s s s s alternative s s therapies.
c. needs of patients ss ss s s and their families, which
ss ss s s s s drives s s nursing competency. s s
d. patients needs for energy and support.
s s s s s s s s s s
ANS: s s C
The synergy model of practice states that the needs of patients and families influence
ss s s s s ss s s ss s s ss s s s s s s ss s s
and drive competencies of nurses. Nursing practice based on the synergy model would
s s ss ss s s s s s s s s s s s s s s s s ss s s
involve tailored visiting to meet the patients and familys needs and application of
s s s s s s s s ss ss ss ss ss ss s s s s s s
alternative therapies if desired by the patient, but that is not the primary focus of the
ss s s ss s s ss ss s s ss ss s s s s s s s s s s s s s s
model.
s s
DIF: Cognitive
s s s s Level: s s Application s s REF: p. 5 s s s s s s | Fig.
s s s s 1-3
OBJ: Describe standards of
s s s s s s s s professional practice s s s s for s s critical s s care s s nursing.
TOP: Nursing Process Step:
s s s s s s s s N/A MSC: NCLEX: s s s s s s Safe s s and Effective s s s s Care s s Environment
5. The family of your critically ill patient tells
s s s s s s s s s s s s s s s s you that they s s s s s s have not spoken with s s s s s s
the physician in
s s s s over 24 hours and they have s s s s ss ss ss ss ss sssome questions ss ssthat they want clarified.
ss ss ss
During morning rounds, you convey this concern to
ss ss ss ss ss ss ss the attending
s s s s s s intensivist and arrange for s s s s s s
her to meet with the family at 4:00 PM in
s s s s s s s s s s s s s s s s s s s s ss the conferences s s s room. Which competency s s s s
of critical care nursing does this represent?
s s s s s s s s s s s s s s
, Test Bank - Introduction to Critical Care Nursing 7e
ss ss ss ss ss ss ss ss 4
(Sole
a. Advocacy and ss s s moral s s agency in s s s s solving s s ethical issues s s
b. Clinical s s judgment s s and s s clinical reasoning s s s s skills
c. Collaboration s s with s s patients, families, and team members
s s s s s s s s
d. Facilitation of learning for patients, families, and team
ss ss ss ss ss ss ss
members ANS: C ss ss
Although one might consider that all of these competencies are being addressed, communication and
ss ss ss ss ss ss ss ss ss ss ss ss ss
s collaboration with the family and physician best exemplify the competency of
s s s s s s s s s s s s s s s s s s s s s
collaboration.
s s
DIF: s s Cognitive s s Level: s s Analysis s s REF: p. s s s s 9
OBJ: Describe standards of
s s s s s s s s professional practice s s s s for s s critical s s care s s nursing.
TOP: Nursing Process Step:
s s s s s s s s N/A MSC: NCLEX: s s s s s s Safe s s and Effective s s s s Care s s Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to
ss ss ss ss ss ss ss ss ss ss ss ss ss
guide critical care nursing practice?
ss ss ss ss ss
a. Evidence-based practice s s
b. Healthy work environment s s s s
c. National s s Patient s s Safety s s Goals
d. Nursing process ss
ANS: D ss
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing
ss ss ss ss s s ss ss ss ss ss ss ss
ssprocess as applied to critically ill patients: collect data, determine diagnoses, identify
ss ss ss s s s s s s s s s s s s s s s s
expected outcomes, develop a plan of care, implement interventions, and evaluate care.
s s s s s s s s s s s s ss s s s s s s s s s s
AACN promotes a healthy work environment, but this is
s s s s not included in the Standards.
s s s s s s s s s s s s ss s s s s ss ss ss
The Joint Commission has established National Patient Safety Goals, but these are not the
ss ss ss ss ss s s ss ss ss ss ss ss s s s s
AACN Standards.
s s s s
DIF: Cognitive s s s s Level: s s Analysis s s REF: p. 5 s s s s s s | Box 1-2
s s s s
OBJ: Describe standards of
s s s s s s s s professional practice s s s s for s s critical s s care s s nursing.
TOP: Nursing Process Step:
s s s s s s s s N/A MSC: NCLEX: s s s s s s Safe s s and Effective s s s s Care s s Environment
7. The charge nurse is responsible for making the patient assignments on the critical care
ss ss ss ss ss ss ss ss ss ss ss ss ss
ssunit. She assigns the experienced, certified nurse to care for the acutely ill patient with
ss ss ss s s s s s s s s s s s s s s s s s s s s s s
sepsis who also requires continuous renal replacement therapy and mechanical ventilation.
s s s s s s s s ss s s s s s s ss s s ss
She assigns the nurse with less than 1 year of experience to two patients who are more
s s ss ss ss s s ss s s ss ss ss ss ss s s s s s s s s s s
stable. This assignment reflects implementation of the:
s s s s s s s s s s s s s s
a. crew s s resource s s management s s model
ss ss ss ss ss ss ss ss 1
(Sole
Table s s of s s Contents
1
Chapter 01: Overview of Critical Care Nursing
s s s s s s s s s s s s 2
Chapter 02: Patient and Family Response to the Critical Care
ss ss ss ss ss ss ss ss ss 14
Experience Chapter 03: Ethical and Legal Issues in Critical
ss ss ss ss ss ss ss ss ss 30
Care Nursing
ss ss 42
Chapter 04: Palliative and End-of-
ss ss ss ss 56
Life Care Chapter 05:
ss Comfort
ss ss 69
and Sedation ss 83
Chapter 06: Nutritional ss ss 117
Therapy
ss 137
Chapter 07: Dysrhythmia Interpretation and
ss ss ss ss 156
Management Chapter 08: Hemodynamic Monitoring
ss ss ss ss ss 171
Chapter 09: Ventilatory Assistance
s s s s s s 189
Chapter 10: Rapid Response Teams and Code Management
ss ss ss ss ss ss ss 207
Chapter 11: Organ Donation
ss ss ss ss 225
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
ss ss ss ss ss ss ss ss 243
Chapter 13: Cardiovascular Alterations
ss ss ss ss 260
Chapter 14: Nervous System
ss ss ss 285
s Alterations Chapter 15: Acute
s ss ss ss 312
Respiratory Failure Chapter 16: Acute
ss ss ss ss 341
Kidney Injury Chapter 17:
ss ss ss 361
Gastrointestinal Alterations
ss ss 377
Chapter 17: Hematological and Immune Disorders
ss ss ss ss ss
Chapter 19: Endocrine Alterations
ss ss ss ss
Chapter 20: Trauma and Surgical Management
ss ss ss ss ss
Chapter 21: Burns
ss ss ss
,Test Bank - Introduction to Critical Care Nursing 7e
ss ss ss ss ss ss ss ss 2
(Sole
Chapter 01: Overview of Critical Care Nursing s s s s s s s s s s s s
MULTIPLE s s CHOICE
1. Which of the s s s s s s following s s professional s s organizations best s s s s supports critical s s s s care s s nursing
practice?
s s
a. American Association s s s s of Critical-Care
ss s s Nurses
b. American s s Heart s s Association
c. American s s Nurses s s Association
d. Society of Critical Care ss ss ss
Medicine ANS: A ss ss
The American Association of Critical-Care Nurses is the specialty organization that supports
s s s s s s s s s s s s s s s s s s s s s s
and
s s represents critical care nurses. The American Heart Association supports cardiovascular initiatives.
s s ss ss ss ss ss ss ss ss ss ss
The American Nurses Association supports all nurses. The Society of Critical Care Medicine represents
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the multiprofessional critical care team under the direction of an intensivist.
ss ss s s s s s s s s s s s s s s s s s s
DIF: Cognitive s s s s Level: s s Knowledge s s REF: s s p. s s 4
OBJ: Discuss the purposes and functions of the professional organizations that support critical care
ss ss ss ss ss ss ss ss ss ss ss ss ss
spractice. TOP: Nursing Process Step: N/A
s s s s s s s s s s s
MSC: NCLEX: Safe and ss s s s s s s Effective Care s s s s Environment
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is
ss ss ss ss ss ss oo ss ss ss ss ss ss ss oo ss ss ss ss
interested in certification. Which credential would be most applicable for her to seek?
ss ss ss s s ss s s ss s s ss s s s s ss s s
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: s s C
The CCRN certification is appropriate for nurses in bedside practice who care for
s s s s s s s s s s s s s s s s s s s s s s s s
critically ill patients. The ACNPC certification is for acute care nurse practitioners. The
s s s s s s ss s s ss ss ss ss ss ss ss ss
CCNS certification is for critical care clinical nurse specialists. The PCCN certification is for
ss ss s s ss ss ss ss s s ss s s ss s s s s ss
staff nurses working in progressive care, intermediate care, or step-down unit settings.
ss ss ss ss ss ss ss ss ss ss s s s s
DIF: s s Cognitive s s Level: s s Application s s REF: s s p. 5 s s
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step:
ss ss ss ss ss ss ss ss ss ss ss
ss N/A MSC: NCLEX: Safe and Effective Care Environment
s s s s s s s s s s s s s s
,Test Bank - Introduction to Critical Care Nursing 7e
ss ss ss ss ss ss ss ss 3
(Sole
3. The main s s s s purpose of s s s s certification s s is to: s s
a. assure the consumer that you will not make a mistake.
ss s s s s s s s s s s s s s s s s
b. prepare s s for graduate s s s s school.
c. promote s s magnet status for s s s s s s your facility. s s
d. validate knowledge of s s s s s s critical s s care nursing. s s
ANS: s s D
Certification assists in validating knowledge of the field, promotes excellence in the
s s s s s s s s s s s s s s s s s s s s s s
profession, and helps nurses to maintain their knowledge of critical care nursing.
s s s s ss s s s s s s s s s s s s ss s s s s
Certification helps to assure the consumer that the nurse has a minimum level of
ss s s s s ss ss ss s s s s s s s s s s s s s s s s
knowledge; however, it does not ensure that care will be mistake-free.
s s s s s s s s s s s s s s s s s s ss ss
Certification does not prepare one for graduate school; however, achieving certification
s s s s s s s s s s s s s s s s s s s s
demonstrates motivation for achievement and professionalism. Magnet facilities are rated on the
s s ss ss ss ss ss ss ss ss ss ss ss
number of certified
ss nurses; however, that is not the purpose of certification.
ss ss s s s s s s s s s s s s s s s s s s
DIF: Cognitive
s s s s Level: s s Analysis s s REF: s s pp. s s 4-5
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step:
ss ss ss ss ss ss ss ss ss ss ss
N/A MSC: NCLEX: Safe and Effective Care Environment
ss s s s s s s s s s s s s s s
4. The synergy s s s s model s s of practice s s s s focuses on: s s
a. allowing unrestricted s s s s visiting s s for s s the s s patient s s 24 hours s s s s each day. s s
b. holistic and s s s s alternative s s therapies.
c. needs of patients ss ss s s and their families, which
ss ss s s s s drives s s nursing competency. s s
d. patients needs for energy and support.
s s s s s s s s s s
ANS: s s C
The synergy model of practice states that the needs of patients and families influence
ss s s s s ss s s ss s s ss s s s s s s ss s s
and drive competencies of nurses. Nursing practice based on the synergy model would
s s ss ss s s s s s s s s s s s s s s s s ss s s
involve tailored visiting to meet the patients and familys needs and application of
s s s s s s s s ss ss ss ss ss ss s s s s s s
alternative therapies if desired by the patient, but that is not the primary focus of the
ss s s ss s s ss ss s s ss ss s s s s s s s s s s s s s s
model.
s s
DIF: Cognitive
s s s s Level: s s Application s s REF: p. 5 s s s s s s | Fig.
s s s s 1-3
OBJ: Describe standards of
s s s s s s s s professional practice s s s s for s s critical s s care s s nursing.
TOP: Nursing Process Step:
s s s s s s s s N/A MSC: NCLEX: s s s s s s Safe s s and Effective s s s s Care s s Environment
5. The family of your critically ill patient tells
s s s s s s s s s s s s s s s s you that they s s s s s s have not spoken with s s s s s s
the physician in
s s s s over 24 hours and they have s s s s ss ss ss ss ss sssome questions ss ssthat they want clarified.
ss ss ss
During morning rounds, you convey this concern to
ss ss ss ss ss ss ss the attending
s s s s s s intensivist and arrange for s s s s s s
her to meet with the family at 4:00 PM in
s s s s s s s s s s s s s s s s s s s s ss the conferences s s s room. Which competency s s s s
of critical care nursing does this represent?
s s s s s s s s s s s s s s
, Test Bank - Introduction to Critical Care Nursing 7e
ss ss ss ss ss ss ss ss 4
(Sole
a. Advocacy and ss s s moral s s agency in s s s s solving s s ethical issues s s
b. Clinical s s judgment s s and s s clinical reasoning s s s s skills
c. Collaboration s s with s s patients, families, and team members
s s s s s s s s
d. Facilitation of learning for patients, families, and team
ss ss ss ss ss ss ss
members ANS: C ss ss
Although one might consider that all of these competencies are being addressed, communication and
ss ss ss ss ss ss ss ss ss ss ss ss ss
s collaboration with the family and physician best exemplify the competency of
s s s s s s s s s s s s s s s s s s s s s
collaboration.
s s
DIF: s s Cognitive s s Level: s s Analysis s s REF: p. s s s s 9
OBJ: Describe standards of
s s s s s s s s professional practice s s s s for s s critical s s care s s nursing.
TOP: Nursing Process Step:
s s s s s s s s N/A MSC: NCLEX: s s s s s s Safe s s and Effective s s s s Care s s Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to
ss ss ss ss ss ss ss ss ss ss ss ss ss
guide critical care nursing practice?
ss ss ss ss ss
a. Evidence-based practice s s
b. Healthy work environment s s s s
c. National s s Patient s s Safety s s Goals
d. Nursing process ss
ANS: D ss
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing
ss ss ss ss s s ss ss ss ss ss ss ss
ssprocess as applied to critically ill patients: collect data, determine diagnoses, identify
ss ss ss s s s s s s s s s s s s s s s s
expected outcomes, develop a plan of care, implement interventions, and evaluate care.
s s s s s s s s s s s s ss s s s s s s s s s s
AACN promotes a healthy work environment, but this is
s s s s not included in the Standards.
s s s s s s s s s s s s ss s s s s ss ss ss
The Joint Commission has established National Patient Safety Goals, but these are not the
ss ss ss ss ss s s ss ss ss ss ss ss s s s s
AACN Standards.
s s s s
DIF: Cognitive s s s s Level: s s Analysis s s REF: p. 5 s s s s s s | Box 1-2
s s s s
OBJ: Describe standards of
s s s s s s s s professional practice s s s s for s s critical s s care s s nursing.
TOP: Nursing Process Step:
s s s s s s s s N/A MSC: NCLEX: s s s s s s Safe s s and Effective s s s s Care s s Environment
7. The charge nurse is responsible for making the patient assignments on the critical care
ss ss ss ss ss ss ss ss ss ss ss ss ss
ssunit. She assigns the experienced, certified nurse to care for the acutely ill patient with
ss ss ss s s s s s s s s s s s s s s s s s s s s s s
sepsis who also requires continuous renal replacement therapy and mechanical ventilation.
s s s s s s s s ss s s s s s s ss s s ss
She assigns the nurse with less than 1 year of experience to two patients who are more
s s ss ss ss s s ss s s ss ss ss ss ss s s s s s s s s s s
stable. This assignment reflects implementation of the:
s s s s s s s s s s s s s s
a. crew s s resource s s management s s model
