COMPLEX ADULT HEALTH FINAL IV
CERTIFICATION EVALUATION TEST PAPER 2026
COMPLETE STUDY QUESTIONS WITH
CORRECT ANSWERS
◉ The synergy model of practice focuses on:
a. allowing unrestricted visiting for the patient 24 hours each day.
b. holistic and alternative therapies.
c. needs of patients and their families, which drives nursing
competency.
d. patients' needs for energy and support.. Answer: c
◉ The family of your critically ill patient tells you that they have not
spoken with the physician in over 24 hours and they have some
questions that they want clarified. During morning rounds, you
convey this concern to the attending intensivist and arrange for her
to meet with the family at 4:00 PM in the conference room. Which
competency of critical care nursing does this represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team members.
Answer: c
,◉ The charge nurse is responsible for making the patient
assignments on the critical care unit. She assigns the experienced,
certified nurse to care for the acutely ill patient with sepsis who also
requires continuous renal replacement therapy and mechanical
ventilation. She assigns the nurse with less than 1 year of experience
to two patients who are more stable. This assignment reflects
implementation of the:
a. crew resource management model
b. National Patient Safety Goals
c. Quality and Safety Education for Nurses (QSEN) model
d. synergy model of practice. Answer: d
◉ The family members of a critically ill, 90-year-old patient bring in
a copy of the patient's living will to the hospital, which identifies the
patient's wishes regarding health care. You discuss contents of the
living will with the patient's physician. This is an example of
implementation of which of the AACN Standards of Professional
Performance?
a. Acquires and maintains current knowledge of practice
b. Acts ethically on the behalf of the patient and family
c. Considers factors related to safe patient care
d. Uses clinical inquiry and integrates research findings in practice.
Answer: b
,◉ As part of nursing management of a critically ill patient, orders
are written to keep the head of the bed elevated at 30 degrees,
awaken the patient from sedation each morning to assess readiness
to wean from mechanical ventilation, and implement oral care
protocols every 4 hours. These interventions are done as a group to
reduce the risk of ventilator-associated pneumonia. This group of
evidence-based interventions is often called a:
a. bundle of care.
b. clinical practice guideline.
c. patient safety goal.
d. quality improvement initiative.. Answer: a
◉ Which of the following statements describes the core concept of
the synergy model of practice?
a. All nurses must be certified in order to have the synergy model
implemented.
b. Family members must be included in daily interdisciplinary
rounds.
c. Nurses and physicians must work collaboratively and
synergistically to influence care.
d. Unique needs of patients and their families influence nursing
competencies.. Answer: d
◉ Which of the following is a National Patient Safety Goal? (Select all
that apply.)
, a. Accurately identify patients.
b. Eliminate use of patient restraints.
c. Reconcile medications across the continuum of care.
d. Reduce risks of healthcare-acquired infection.. Answer: a,c,d
◉ Which of the following nursing activities demonstrates
implementation of the AACN Standards of Professional
Performance? (Select all that apply.)
a. Attending a meeting of the local chapter of the American
Association of Critical-Care Nurses in which a continuing education
program on sepsis is being taught
b. Collaborating with a pastoral services colleague to assist in
meeting spiritual needs of the patient and family
c. Participating on the unit's nurse practice council
d. Posting an article from Critical Care Nurse on management of
venous thromboembolism for your colleagues to read
e. Using evidence-based strategies to prevent ventilator-associated
pneumonia. Answer: a,b,c,d,e
◉ Which scenarios contribute to effective handoff communication at
change of shift? (Select all that apply.)
a. The nephrology consultant physician is making rounds and asks
you to update her on the patient's status and assist in placing a
central line for hemodialysis.
CERTIFICATION EVALUATION TEST PAPER 2026
COMPLETE STUDY QUESTIONS WITH
CORRECT ANSWERS
◉ The synergy model of practice focuses on:
a. allowing unrestricted visiting for the patient 24 hours each day.
b. holistic and alternative therapies.
c. needs of patients and their families, which drives nursing
competency.
d. patients' needs for energy and support.. Answer: c
◉ The family of your critically ill patient tells you that they have not
spoken with the physician in over 24 hours and they have some
questions that they want clarified. During morning rounds, you
convey this concern to the attending intensivist and arrange for her
to meet with the family at 4:00 PM in the conference room. Which
competency of critical care nursing does this represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team members.
Answer: c
,◉ The charge nurse is responsible for making the patient
assignments on the critical care unit. She assigns the experienced,
certified nurse to care for the acutely ill patient with sepsis who also
requires continuous renal replacement therapy and mechanical
ventilation. She assigns the nurse with less than 1 year of experience
to two patients who are more stable. This assignment reflects
implementation of the:
a. crew resource management model
b. National Patient Safety Goals
c. Quality and Safety Education for Nurses (QSEN) model
d. synergy model of practice. Answer: d
◉ The family members of a critically ill, 90-year-old patient bring in
a copy of the patient's living will to the hospital, which identifies the
patient's wishes regarding health care. You discuss contents of the
living will with the patient's physician. This is an example of
implementation of which of the AACN Standards of Professional
Performance?
a. Acquires and maintains current knowledge of practice
b. Acts ethically on the behalf of the patient and family
c. Considers factors related to safe patient care
d. Uses clinical inquiry and integrates research findings in practice.
Answer: b
,◉ As part of nursing management of a critically ill patient, orders
are written to keep the head of the bed elevated at 30 degrees,
awaken the patient from sedation each morning to assess readiness
to wean from mechanical ventilation, and implement oral care
protocols every 4 hours. These interventions are done as a group to
reduce the risk of ventilator-associated pneumonia. This group of
evidence-based interventions is often called a:
a. bundle of care.
b. clinical practice guideline.
c. patient safety goal.
d. quality improvement initiative.. Answer: a
◉ Which of the following statements describes the core concept of
the synergy model of practice?
a. All nurses must be certified in order to have the synergy model
implemented.
b. Family members must be included in daily interdisciplinary
rounds.
c. Nurses and physicians must work collaboratively and
synergistically to influence care.
d. Unique needs of patients and their families influence nursing
competencies.. Answer: d
◉ Which of the following is a National Patient Safety Goal? (Select all
that apply.)
, a. Accurately identify patients.
b. Eliminate use of patient restraints.
c. Reconcile medications across the continuum of care.
d. Reduce risks of healthcare-acquired infection.. Answer: a,c,d
◉ Which of the following nursing activities demonstrates
implementation of the AACN Standards of Professional
Performance? (Select all that apply.)
a. Attending a meeting of the local chapter of the American
Association of Critical-Care Nurses in which a continuing education
program on sepsis is being taught
b. Collaborating with a pastoral services colleague to assist in
meeting spiritual needs of the patient and family
c. Participating on the unit's nurse practice council
d. Posting an article from Critical Care Nurse on management of
venous thromboembolism for your colleagues to read
e. Using evidence-based strategies to prevent ventilator-associated
pneumonia. Answer: a,b,c,d,e
◉ Which scenarios contribute to effective handoff communication at
change of shift? (Select all that apply.)
a. The nephrology consultant physician is making rounds and asks
you to update her on the patient's status and assist in placing a
central line for hemodialysis.
