Critical Care-Exam 1 Questions with 100%
Correct Answers.
Which 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 - Correct Answers a. American
Association of Critical-Care Nurses
A nurse has been working as a staff nurse in the surgical intensive care
unit for 2 years and is interested in certification. Which credential would be
most applicable for the nurse to seek?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN - Correct Answers c. CCRN
The main purpose of certification is to
a. assure the consumer that you will not make a mistake.
b. prepare for graduate school.
c. promote magnet status for your facility.
d. validate knowledge of critical care nursing. - Correct Answers d.
validate knowledge of critical care nursing.
The synergy model of practice focuses on
a. allowing unrestricted visiting for the patient 24 hours a day.
b. holistic and alternative therapies.
c. the needs of patients and their families, which drive nursing competency.
d. patients' needs for energy and support. - Correct Answers c. the needs
of patients and their families, which drive nursing competency.
The family of your critically ill patient tells you that they have not spoken
with the physician in over 24 hours and that they have some questions they
want clarified. During morning rounds, you convey this concern to the
,attending intensivist and arrange a meeting with the family at 4:00 PM.
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 -
Correct Answers c. Collaboration with patients, families, and team
members
The AACN Standards for Acute and Critical Care Nursing Practice use
what framework to guide critical care nursing practice?
a. Evidence-based practice
b. Healthy work environment
c. National Patient Safety Goals
d. Nursing process - Correct Answers d. Nursing process
The charge nurse is responsible for making the patient assignments on the
critical care unit. An experienced, certified nurse is assigned to care for the
acutely ill patient with sepsis who also requires continuous renal
replacement therapy and mechanical ventilation. The nurse with less than 1
year of experience is assigned 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. - Correct Answers d. synergy model of
practice.
The vision of the American Association of Critical-Care Nurses is a health
care system driven by
a. a healthy work environment.
b. care from a multiprofessional team under the direction of a critical care
physician.
c. the needs of critically ill patients and families.
d. respectful, healing, and humane environments. - Correct Answers c.
the needs of critically ill patients and families.
The most important outcome of effective communication is to
a. demonstrate caring practices to family members.
b. ensure that patient teaching is done.
,c. meet the diversity needs of patients.
d. reduce patient errors. - Correct Answers d. reduce patient errors.
You are caring for a critically ill patient whose urine output has been low for
2 consecutive hours. After a thorough patient assessment, you call the
intensivist with report. Which information do you convey regarding
background?
a. Urine output of 40 mL/2 hours
b. Current vital signs and history of aortic aneurysm repair 4 hours ago
c. A statement that the patient is possibly hypovolemic
d. A request for IV fluids - Correct Answers b. Current vital signs and
history of aortic aneurysm repair 4 hours ago
The family members of a critically ill patient bring 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 -
Correct Answers b. Acts ethically on the behalf of the patient and family
Which of the following assists the critical care nurse in ensuring that care is
appropriate and based on research?
a. Clinical practice guidelines
b. Computerized physician order entry
c. Consulting with advanced practice nurses
d. Implementing Joint Commission National Patient Safety Goals - Correct
Answers a. Clinical practice guidelines
Comparing the patient's current (home) medications with those ordered
during hospitalization and communicating a complete list of medications to
the next provider when the patient is transferred within an organization or to
another setting are strategies to:
a. improve accuracy of patient identification.
b. prevent errors related to look-alike and sound-alike medications.
c. reconcile medications across the continuum of care.
, d. reduce harms associated with the administration of anticoagulants. -
Correct Answers c. reconcile medications across the continuum of care.
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. - Correct Answers a. bundle of care.
You work in an intermediate care unit and have asked to be involved in
developing new guidelines to prevent pressure ulcers in your patient
population. The nurse manager tells you that you do not yet have enough
experience to be on the prevention task force and that your ideas will be
rejected by others. This situation is an example of
a. a barrier to handoff communication.
b. a work environment that is unhealthy.
c. ineffective decision making.
d. nursing practice that is not evidence-based. - Correct Answers b. a
work environment that is unhealthy.
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. - Correct Answers d. Unique needs of patients and their
families influence nursing competencies.
A nurse who plans care based on the patient's gender, ethnicity, spirituality,
and lifestyle is said to
a. be a moral advocate.
b. facilitate learning.
Correct Answers.
Which 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 - Correct Answers a. American
Association of Critical-Care Nurses
A nurse has been working as a staff nurse in the surgical intensive care
unit for 2 years and is interested in certification. Which credential would be
most applicable for the nurse to seek?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN - Correct Answers c. CCRN
The main purpose of certification is to
a. assure the consumer that you will not make a mistake.
b. prepare for graduate school.
c. promote magnet status for your facility.
d. validate knowledge of critical care nursing. - Correct Answers d.
validate knowledge of critical care nursing.
The synergy model of practice focuses on
a. allowing unrestricted visiting for the patient 24 hours a day.
b. holistic and alternative therapies.
c. the needs of patients and their families, which drive nursing competency.
d. patients' needs for energy and support. - Correct Answers c. the needs
of patients and their families, which drive nursing competency.
The family of your critically ill patient tells you that they have not spoken
with the physician in over 24 hours and that they have some questions they
want clarified. During morning rounds, you convey this concern to the
,attending intensivist and arrange a meeting with the family at 4:00 PM.
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 -
Correct Answers c. Collaboration with patients, families, and team
members
The AACN Standards for Acute and Critical Care Nursing Practice use
what framework to guide critical care nursing practice?
a. Evidence-based practice
b. Healthy work environment
c. National Patient Safety Goals
d. Nursing process - Correct Answers d. Nursing process
The charge nurse is responsible for making the patient assignments on the
critical care unit. An experienced, certified nurse is assigned to care for the
acutely ill patient with sepsis who also requires continuous renal
replacement therapy and mechanical ventilation. The nurse with less than 1
year of experience is assigned 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. - Correct Answers d. synergy model of
practice.
The vision of the American Association of Critical-Care Nurses is a health
care system driven by
a. a healthy work environment.
b. care from a multiprofessional team under the direction of a critical care
physician.
c. the needs of critically ill patients and families.
d. respectful, healing, and humane environments. - Correct Answers c.
the needs of critically ill patients and families.
The most important outcome of effective communication is to
a. demonstrate caring practices to family members.
b. ensure that patient teaching is done.
,c. meet the diversity needs of patients.
d. reduce patient errors. - Correct Answers d. reduce patient errors.
You are caring for a critically ill patient whose urine output has been low for
2 consecutive hours. After a thorough patient assessment, you call the
intensivist with report. Which information do you convey regarding
background?
a. Urine output of 40 mL/2 hours
b. Current vital signs and history of aortic aneurysm repair 4 hours ago
c. A statement that the patient is possibly hypovolemic
d. A request for IV fluids - Correct Answers b. Current vital signs and
history of aortic aneurysm repair 4 hours ago
The family members of a critically ill patient bring 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 -
Correct Answers b. Acts ethically on the behalf of the patient and family
Which of the following assists the critical care nurse in ensuring that care is
appropriate and based on research?
a. Clinical practice guidelines
b. Computerized physician order entry
c. Consulting with advanced practice nurses
d. Implementing Joint Commission National Patient Safety Goals - Correct
Answers a. Clinical practice guidelines
Comparing the patient's current (home) medications with those ordered
during hospitalization and communicating a complete list of medications to
the next provider when the patient is transferred within an organization or to
another setting are strategies to:
a. improve accuracy of patient identification.
b. prevent errors related to look-alike and sound-alike medications.
c. reconcile medications across the continuum of care.
, d. reduce harms associated with the administration of anticoagulants. -
Correct Answers c. reconcile medications across the continuum of care.
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. - Correct Answers a. bundle of care.
You work in an intermediate care unit and have asked to be involved in
developing new guidelines to prevent pressure ulcers in your patient
population. The nurse manager tells you that you do not yet have enough
experience to be on the prevention task force and that your ideas will be
rejected by others. This situation is an example of
a. a barrier to handoff communication.
b. a work environment that is unhealthy.
c. ineffective decision making.
d. nursing practice that is not evidence-based. - Correct Answers b. a
work environment that is unhealthy.
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. - Correct Answers d. Unique needs of patients and their
families influence nursing competencies.
A nurse who plans care based on the patient's gender, ethnicity, spirituality,
and lifestyle is said to
a. be a moral advocate.
b. facilitate learning.
