TEST BANK- NURSING CRITICAL
CARE QUESTIONS
Introduction to critical care
nursing, 8 th edition
1
,Chapter 01: Overview of Critical Care Nursing
Sole: Introduction to Critical Care Nursin 8th Edition
9,
MULTIPLE CHOICE
1. ich of the following professional organizations best supports critical care nursing practice?
a. American Association of Critical-Care Nurses
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine
ANS: A
The American Association of Critical-Care Nurses is the specialty organization that supports
and represents critical o care o nurses. o The o American o Heart o Association o supports
o cardiovascular oinitiatives. o The oAmerican o Nurses oAssociation o supports o all onurses. oThe
oSociety oof oCritical oCare oMedicine o represents o the o multiprofessional o critical o care o team
o under o the o direction o of o an ointensivist.
DIF: Cognitive o Level: o Knowledge
OBJ: o Discuss o the o purposes o and o functions o of o the o professional o organizations o that o support
o critical o care opractice. TOP: o Nursing oProcess oStep: oN/A
MSC: o NCLEX: o Safe oand oEffective o Care o Environment
2. A o nurse ohas o been oworking o as oa ostaff onurse oin othe osurgical o intensive o care ounit o for o2
oyears o and ois ointerested o in o certification. o Which o credential o would o be o most
o applicable o for o her o to o seek?
a. ACNPC
b. CCNS
C CCRN
d. PCCN
ANS: o C
The oCCRN o certification o is oappropriate o for onurses o in obedside o practice owho o care ofor
ocritically oill opatients. o The o ACNPC o certification o is o for o acute o care o nurse
o practitioners. o The o CCNS ocertification ois o for o critical ocare o clinical o nurse o specialists.
o The o PCCN o certification o is o for o staff onurses o working o in o progressive o care,
o intermediate o care, o or o step-down o unit o settings.
DIF: Cognitive o Level: o Application
OBJ: oExplain ocertification ooptions ofor ocritical ocare TOP: o Nursing o Process o Step:
onurses. oMSC: o NCLEX: o Safe oand oEffective o Care o N/A
oEnvironment
3. What o is othe o main o purpose o of ocertification o for o critical o care o nursing?
a. To oassure o the o consumer o that o critical o nurses o will o not o make o a o mistake.
b. To o help o prepare o the o critical o care o nurse o for o graduate o school.
c. To oassist o in o promoting o magnet o status o for o a o facility.
d. To o validate o a o nurse's o knowledge o of o critical o care o nursing.
ANS: o D
2
, Certification o assists o in o validating o knowledge o of othe o field, o promotes o excellence o in
o the oprofession, o and o helps onurses oto omaintain o their o knowledge o of ocritical ocare onursing.
o Certification ohelps o to o assure o the o consumer o that o the o nurse o has o a o minimum o level
o of o knowledge; o however, o it odoes o not o ensure o that o care o will obe o mistake-free.
o Certification o does o not o prepare o one o for o graduate oschool; o however, oachieving
o certification o demonstrates o motivation o for oachievement o and oprofessionalism. o Magnet
o facilities o are o rated o on othe o number o of ocertified o nurses; o however, o that o is onot othe
opurpose oof ocertification.
DIF: Cognitive o Level: o Analysis
OBJ: oExplain ocertification ooptions ofor ocritical ocare TOP: o Nursing o Process o Step:
onurses. oMSC: o NCLEX: o Safe oand oEffective o Care o N/A
oEnvironment
4. What o is o the o focus o of othe o synergy o model o of o practice?
a. Allowing o unrestricted o visiting o for o the o patient o 24 o hours o each o day.
b. Providing o holistic o and o alternative o therapies.
c. Considering othe oneeds oof opatients oand otheir ofamilies, owhich odrives
onursing o competency.
d. Addressing o the o patients' o needs o for o energy o and o support.
ANS: o C
The o synergy o model o of opractice o states o that o the o needs o of o patients o and o families
o influence o and odrive o competencies o of onurses. oNursing o practice o based o on othe
o synergy o model owould o involve otailored o visiting o to o meet othe opatient's o and o family's
o needs o and o application o of oalternative otherapies o if o desired o by othe o patient, o but o that
o is o not o the oprimary o focus o of othe o model.
DIF: Cognitive o Level: o Application
OBJ: o Describe o standards o of o professional o practice o for o critical o care o nursing.
TOP: o o Nursing o Process o Step: o N/A MSC: o NCLEX: o Safe o and o Effective o Care
o Environment
5. The o family o of oyour o critically o ill opatient o tells o you o that o they ohave o not ospoken o with
othe o physician oin o over o 24 o hours o and o they ohave o some o questions o that o they owant
o clarified. o During o morning orounds, o you o convey othis o concern o to othe oattending
o intensivist o and o arrange o for oher oto omeet owith othe o family o at o 4:00 o PM o in o the
o conference o room. o Which o competency o of o critical o care o nursing odoes othis orepresent?
a. Advocacy o and o moral o agency o in o solving o ethical o issues
b. Clinical o judgment o and o clinical o reasoning o skills
c. Collaboration o with o patients, o families, o and o team o members
d. Facilitation o of o learning o for o patients, o families, o and o team o members
ANS: o C
Although o one o might oconsider o that oall oof othese ocompetencies o are obeing o addressed,
ocommunication o and ocollaboration owith othe ofamily oand ophysician obest oexemplify othe
o competency o of ocollaboration.
DIF: Cognitive o Level: o Analysis
OBJ: o Describe o standards o of o professional o practice o for o critical o care o nursing.
TOP: o o Nursing o Process o Step: o N/A MSC: o NCLEX: o Safe o and o Effective o Care
o Environment
6. The oAACN oStandards o for o Acute oand oCritical oCare o Nursing o Practice o uses owhat
o framework oto oguide ocritical ocare onursing opractice?
a. Evidence-based o practice
3
, b. Healthy o work o environment
c. National o Patient o Safety o Goals
d. Nursing o process
ANS: o D
The o AACN o Standards o for o Acute o and o Critical o Care o Nursing o Practice o delineate o the
o nursing oprocess o as oapplied oto ocritically o ill opatients: o collect o data, odetermine o diagnoses,
oidentify oexpected ooutcomes, o develop o a o plan o of o care, o implement o interventions, o and
o evaluate o care. o AACN opromotes o a o healthy owork o environment, o but o this o is o not
o included o in othe o Standards. o The o Joint oCommission o has o established o National oPatient
o Safety oGoals, o but o these o are o not o the o AACN oStandards.
DIF: Cognitive oLevel: oUnderstand
OBJ: o Describe ostandards oof oprofessional opractice ofor ocritical ocare onursing.
TOP: o Nursing o Process o Step: oNIA MSC: o NCLEX: oSafe oand oEffective oCare oEnvironment
7. The o charge o nurse o is o responsible o for o making o the o patient o assignments o on o the
o critical ocare o unit. oShe o assigns o the o experienced, o certified o nurse o to o care o for o the
o acutely o ill o patient o diagnosed o with osepsis o who o also o requires o continuous o renal
o replacement o therapy o and o mechanical o ventilation. oShe oassigns o the onurse o with o less
othan o I o year o of oexperience o to otwo opatients o who oare omore ostable. oThis o assignment
o reflects o implementation o of owhat o guiding o framework?
a. Crew o resource o management o model
b. National o Patient o Safety o Goals
c. Quality o and o Safety o Education o for o Nurses o (QSEN) o model
d. Synergy o model o of o practice
ANS: o D
This o assignment o demonstrates o nursing o care o to omeet o the o needs o of othe o patient. o The
o synergy omodel onotes o that o the o nurse o competencies o are o matched o to othe o patient
o characteristics. o Crew oresource o management o concepts o related o to o team o training,
o National o Patient o Safety o Goals o are ospecified o by o The o Joint o Commission o to o promote
o safe o care o but o do o not o incorporate o the o synergy omodel. oThe oQuality oand oSafety
oEducation o for oNurses oinitiative o involves otargeted o education o to oundergraduate o and
o graduate o nursing o students o to o learn o quality o and o safety o concepts.
DIF: Cognitive oLevel: oAnalysis
OBJ: o Describe ostandards oof oprofessional opractice ofor ocritical ocare onursing.
TOP: o Nursing o Process o Step: oNIA MSC: o NCLEX: oSafe oand oEffective oCare oEnvironment
8. The ovision oof othe oAmerican oAssociation oof oCritical-Care o Nurses o is oa ohealthcare
o system odriven oby oachieving owhat ogoal?
a. Maintaining o a o healthy owork o environment.
b. Providing ocare ofrom oa omultiprofessional oteam ounder o the odirection oof oa ocritical
ocare o physician.
c. Effectively o meeting o the o needs o of ocritically o ill opatients o and o families.
d. Creating o respectful, o healing, o and o humane o environments.
ANS: o C
4
CARE QUESTIONS
Introduction to critical care
nursing, 8 th edition
1
,Chapter 01: Overview of Critical Care Nursing
Sole: Introduction to Critical Care Nursin 8th Edition
9,
MULTIPLE CHOICE
1. ich of the following professional organizations best supports critical care nursing practice?
a. American Association of Critical-Care Nurses
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine
ANS: A
The American Association of Critical-Care Nurses is the specialty organization that supports
and represents critical o care o nurses. o The o American o Heart o Association o supports
o cardiovascular oinitiatives. o The oAmerican o Nurses oAssociation o supports o all onurses. oThe
oSociety oof oCritical oCare oMedicine o represents o the o multiprofessional o critical o care o team
o under o the o direction o of o an ointensivist.
DIF: Cognitive o Level: o Knowledge
OBJ: o Discuss o the o purposes o and o functions o of o the o professional o organizations o that o support
o critical o care opractice. TOP: o Nursing oProcess oStep: oN/A
MSC: o NCLEX: o Safe oand oEffective o Care o Environment
2. A o nurse ohas o been oworking o as oa ostaff onurse oin othe osurgical o intensive o care ounit o for o2
oyears o and ois ointerested o in o certification. o Which o credential o would o be o most
o applicable o for o her o to o seek?
a. ACNPC
b. CCNS
C CCRN
d. PCCN
ANS: o C
The oCCRN o certification o is oappropriate o for onurses o in obedside o practice owho o care ofor
ocritically oill opatients. o The o ACNPC o certification o is o for o acute o care o nurse
o practitioners. o The o CCNS ocertification ois o for o critical ocare o clinical o nurse o specialists.
o The o PCCN o certification o is o for o staff onurses o working o in o progressive o care,
o intermediate o care, o or o step-down o unit o settings.
DIF: Cognitive o Level: o Application
OBJ: oExplain ocertification ooptions ofor ocritical ocare TOP: o Nursing o Process o Step:
onurses. oMSC: o NCLEX: o Safe oand oEffective o Care o N/A
oEnvironment
3. What o is othe o main o purpose o of ocertification o for o critical o care o nursing?
a. To oassure o the o consumer o that o critical o nurses o will o not o make o a o mistake.
b. To o help o prepare o the o critical o care o nurse o for o graduate o school.
c. To oassist o in o promoting o magnet o status o for o a o facility.
d. To o validate o a o nurse's o knowledge o of o critical o care o nursing.
ANS: o D
2
, Certification o assists o in o validating o knowledge o of othe o field, o promotes o excellence o in
o the oprofession, o and o helps onurses oto omaintain o their o knowledge o of ocritical ocare onursing.
o Certification ohelps o to o assure o the o consumer o that o the o nurse o has o a o minimum o level
o of o knowledge; o however, o it odoes o not o ensure o that o care o will obe o mistake-free.
o Certification o does o not o prepare o one o for o graduate oschool; o however, oachieving
o certification o demonstrates o motivation o for oachievement o and oprofessionalism. o Magnet
o facilities o are o rated o on othe o number o of ocertified o nurses; o however, o that o is onot othe
opurpose oof ocertification.
DIF: Cognitive o Level: o Analysis
OBJ: oExplain ocertification ooptions ofor ocritical ocare TOP: o Nursing o Process o Step:
onurses. oMSC: o NCLEX: o Safe oand oEffective o Care o N/A
oEnvironment
4. What o is o the o focus o of othe o synergy o model o of o practice?
a. Allowing o unrestricted o visiting o for o the o patient o 24 o hours o each o day.
b. Providing o holistic o and o alternative o therapies.
c. Considering othe oneeds oof opatients oand otheir ofamilies, owhich odrives
onursing o competency.
d. Addressing o the o patients' o needs o for o energy o and o support.
ANS: o C
The o synergy o model o of opractice o states o that o the o needs o of o patients o and o families
o influence o and odrive o competencies o of onurses. oNursing o practice o based o on othe
o synergy o model owould o involve otailored o visiting o to o meet othe opatient's o and o family's
o needs o and o application o of oalternative otherapies o if o desired o by othe o patient, o but o that
o is o not o the oprimary o focus o of othe o model.
DIF: Cognitive o Level: o Application
OBJ: o Describe o standards o of o professional o practice o for o critical o care o nursing.
TOP: o o Nursing o Process o Step: o N/A MSC: o NCLEX: o Safe o and o Effective o Care
o Environment
5. The o family o of oyour o critically o ill opatient o tells o you o that o they ohave o not ospoken o with
othe o physician oin o over o 24 o hours o and o they ohave o some o questions o that o they owant
o clarified. o During o morning orounds, o you o convey othis o concern o to othe oattending
o intensivist o and o arrange o for oher oto omeet owith othe o family o at o 4:00 o PM o in o the
o conference o room. o Which o competency o of o critical o care o nursing odoes othis orepresent?
a. Advocacy o and o moral o agency o in o solving o ethical o issues
b. Clinical o judgment o and o clinical o reasoning o skills
c. Collaboration o with o patients, o families, o and o team o members
d. Facilitation o of o learning o for o patients, o families, o and o team o members
ANS: o C
Although o one o might oconsider o that oall oof othese ocompetencies o are obeing o addressed,
ocommunication o and ocollaboration owith othe ofamily oand ophysician obest oexemplify othe
o competency o of ocollaboration.
DIF: Cognitive o Level: o Analysis
OBJ: o Describe o standards o of o professional o practice o for o critical o care o nursing.
TOP: o o Nursing o Process o Step: o N/A MSC: o NCLEX: o Safe o and o Effective o Care
o Environment
6. The oAACN oStandards o for o Acute oand oCritical oCare o Nursing o Practice o uses owhat
o framework oto oguide ocritical ocare onursing opractice?
a. Evidence-based o practice
3
, b. Healthy o work o environment
c. National o Patient o Safety o Goals
d. Nursing o process
ANS: o D
The o AACN o Standards o for o Acute o and o Critical o Care o Nursing o Practice o delineate o the
o nursing oprocess o as oapplied oto ocritically o ill opatients: o collect o data, odetermine o diagnoses,
oidentify oexpected ooutcomes, o develop o a o plan o of o care, o implement o interventions, o and
o evaluate o care. o AACN opromotes o a o healthy owork o environment, o but o this o is o not
o included o in othe o Standards. o The o Joint oCommission o has o established o National oPatient
o Safety oGoals, o but o these o are o not o the o AACN oStandards.
DIF: Cognitive oLevel: oUnderstand
OBJ: o Describe ostandards oof oprofessional opractice ofor ocritical ocare onursing.
TOP: o Nursing o Process o Step: oNIA MSC: o NCLEX: oSafe oand oEffective oCare oEnvironment
7. The o charge o nurse o is o responsible o for o making o the o patient o assignments o on o the
o critical ocare o unit. oShe o assigns o the o experienced, o certified o nurse o to o care o for o the
o acutely o ill o patient o diagnosed o with osepsis o who o also o requires o continuous o renal
o replacement o therapy o and o mechanical o ventilation. oShe oassigns o the onurse o with o less
othan o I o year o of oexperience o to otwo opatients o who oare omore ostable. oThis o assignment
o reflects o implementation o of owhat o guiding o framework?
a. Crew o resource o management o model
b. National o Patient o Safety o Goals
c. Quality o and o Safety o Education o for o Nurses o (QSEN) o model
d. Synergy o model o of o practice
ANS: o D
This o assignment o demonstrates o nursing o care o to omeet o the o needs o of othe o patient. o The
o synergy omodel onotes o that o the o nurse o competencies o are o matched o to othe o patient
o characteristics. o Crew oresource o management o concepts o related o to o team o training,
o National o Patient o Safety o Goals o are ospecified o by o The o Joint o Commission o to o promote
o safe o care o but o do o not o incorporate o the o synergy omodel. oThe oQuality oand oSafety
oEducation o for oNurses oinitiative o involves otargeted o education o to oundergraduate o and
o graduate o nursing o students o to o learn o quality o and o safety o concepts.
DIF: Cognitive oLevel: oAnalysis
OBJ: o Describe ostandards oof oprofessional opractice ofor ocritical ocare onursing.
TOP: o Nursing o Process o Step: oNIA MSC: o NCLEX: oSafe oand oEffective oCare oEnvironment
8. The ovision oof othe oAmerican oAssociation oof oCritical-Care o Nurses o is oa ohealthcare
o system odriven oby oachieving owhat ogoal?
a. Maintaining o a o healthy owork o environment.
b. Providing ocare ofrom oa omultiprofessional oteam ounder o the odirection oof oa ocritical
ocare o physician.
c. Effectively o meeting o the o needs o of ocritically o ill opatients o and o families.
d. Creating o respectful, o healing, o and o humane o environments.
ANS: o C
4
