PRIORITIES IN CRITICAL CARE NURSING 9TH EDITION EXAMINATION TEST 2026 COMPLETE QUESTIONS AND VERIFIED SOLUTIONS

PRIORITIES IN CRITICAL CARE NURSING 9TH
EDITION EXAMINATION TEST 2026 COMPLETE
QUESTIONS AND VERIFIED SOLUTIONS

◉
2.Whichintervention(s)is(are)criticalduringintravenouslipidadminis
tration?(Selectallthatapply). Answer: b.
Changethetubingevery24hours.
d. Monitortriglyceridelevels.


◉ 3.Calorie-densefeedings:(Selectallthatapply.) Answer: a. are most
useful in heart failure and liver disease.


◉ 4.Risksoftotalparenteralnutritioninclude:(Selectallthatapply.)
Answer: b. elevatedbloodsugar.
c. infectionatthecathetersite.
d. volumeoverload.


◉
5.Whichofthefollowingstatementsistrueaboutinsulinandparenteraln
utrition?(Selectallthatapply.) Answer: a.
Amountofparenteralinsulinisadjustedbasedontheprevious24-
hourlaboratoryvalues.

,b. Insulinmaybeaddedtoaparenteralnutritionsolution.
c.
Subcutaneousinsulinisusedonaslidingscaleduringparenteralnutritio
n.


◉
Thecorrectorderofactionsforapatientstartingenteralnutritionwithafe
edingtubeis:__ Answer: A.Initiatetubefeeding. B.Insertfeedingtube.
C.Flushtubetoverifypatency. D.Obtainchestradiograph.
E.Assessresiduals. ANS: B,D,C,A,E


◉
1.Apatienthascoronaryarterybypassgraftsurgeryandistransportedtot
hesurgicalintensivecareunitatnoon.Heisplacedonmechanicalventilati
on.Interprethisinitialarterialbloodgaslevels:
pH7.31
PaCO248mmHg
Bicarbonate22mEq/L
PaO2115mmHg
O2saturation99% Answer: d. Uncompensated
respiratory
acidosis;
hyperoxygenated

,◉
2.Thephysicianordersthefollowingmechanicalventilationsettingsfora
patientwhoweighs75kg.Thepatientsspontaneousrespiratoryrateis22
breaths/min.Whatarterialbloodgasabnormalitymayoccurifthepatien
tcontinuestobetachypneicattheseventilatorsettings?
Settings:
Tidalvolume:600mL(8mLperkg)
FiO2:0.5
Respiratoryrate:14breaths/min
Modeassist/ control Answer: d. Respiratoryalkalosis


◉
3.Apatientsventilatorsettingsareadjustedtotreathypoxemia.Thefracti
onofinspiredoxygenisincreasedfrom.60to.70,andthepositiveend-
expiratorypressureisincreasedfrom10to15cmH2O.Shortlyafterthese
adjustments,thenursenotesthatthepatientsbloodpressuredropsfrom
120/76mmHgto90/60mmHg.Whatisthemostlikelycauseofthisdecrea
seinbloodpressure? Answer: a. Decrease in cardiac output


◉
4.Thenurseiscaringforapatientwithanendotrachealtube.Thenurseun
derstandsthatendotrachealsuctioningisneededtofacilitateremovalofs
ecretionsandthattheprocedure: Answer: c. is done as indicated by
patient assessment.

, ◉ 5.A65-year-
oldpatientisadmittedtotheprogressivecareunitwithadiagnosisofcom
munity-
acquiredpneumonia.Thepatienthasahistoryofchronicobstructivepul
monarydiseaseanddiabetes.Asetofarterialbloodgasesobtainedonadm
issionwithoutsupplementaloxygenshowspH7.35;PaCO255mmHg;bic
arbonate30mEq/L;PaO265mmHg.Thesebloodgasesreflect: Answer:
hypoxemia and compensated respiratory acidosis


◉
6.Apatientsstatusworsensandneedsmechanicalventilation.Thepulmo
nologistwantsthepatienttoreceive10breaths/minfromtheventilatorb
utwantstoencouragethepatienttobreathespontaneouslyinbetweenth
emechanicalbreathsathisowntidalvolume.Thismodeofventilationisca
lled: Answer: c. intermittent mandatory ventilation


◉
7.Apatientsendotrachealtubeisnotsecuredtightly.Therespiratorycare
practitionerassiststhenurseintapingthetube.Afterthetubeisretaped,t
henurseauscultatesthepatientslungsandnotesthatthebreathsoundso
vertheleftlungfieldsareabsent.Thenursesuspectsthat: Answer: a. the
endotracheal tube is in the right main stem bronchus.


◉ 8.Amodeofpressure-
targetedventilationthatprovidespositivepressuretodecreasetheworkl
oadofspontaneousbreathingthroughtheendotrachealtubeis: Answer:
c. pressure support ventilation.