,Chapterk1kCriticalkCarekNursingkPractice:kPromotingkExcellence-
Caring,CollaborationkEvidence
MultiplekChoice
1. AknursekiskthekonlykonekinkthekICUkwhokhasknotkachievedkcertificationkinkcriticalkcareknu
rsing.kShekoftenkwillkaskkherkfellowknurseskwhatktokdokinkcaringkforkakpatientkbecausekshek
doubtskthekaccuracykofkherkknowledgekandkherkintuition.kShekloveskherkworkkbutkwishesk
shekcouldkdokitkwithkakgreaterklevelkofkcompetence.kWhatkiskthekmostkimportantkeffectkth
atkobtainingkcertificationkwouldklikelykhavekonktheknurseskpractice?
A) Recognitionkbykpeers
B) Increasekinksalarykandkrank
C) Morekflexibilitykinkseekingkemployment
D) Increasedkconfidencekinkmakingkdecisions
2. AkhospitalkinterviewsktwokdifferentkcandidateskforkakpositionkinkthekICU.kBothkcandidateskh
avekaroundk10kyearskofkexperiencekworkingkinkthekICU.kBothkhavekexcellentkinterpersonalk
skillskandkhighlykpositivekreferences.kOne,khowever,khaskcertificationkinkcriticalkcareknursi
ng.kWhichkofkthekfollowingkiskthekmostkcompellingkandkaccuratekreasonkforkthekhospitalktok
hirekthekcandidatekwithkcertification?
A) Thekcertifiedknursekwillkhavekmorekknowledgekandkexpertise.
B) Thekcertifiedknursekwillkbehavekmorekethically.
C) Thekcertifiedknursekwillkbekmorekcaringktowardkpatients.
D) Thekcertifiedknursekwillkworkkmorekcollaborativelykwithkotherknurses.
3. AknursekiskcaringkforkankelderlykmankrecentlykadmittedktokthekICUkfollowingkakstroke.kSheka
ssesseskhiskcognitivekfunctionkusingkaknewkcognitivekassessmentktestksheklearnedkaboutkinkak
recentkarticlekinkaknursingkjournal.kShekthenkbringskakcupkofkwaterkandkakstrawktokthekpatientk
becausekshekobserveskthatkhisklipskarekdry.kLater,kshekhaskthekpatientksitkinkakwheelchairkandk
takeskhimktokhaveksomekbloodktestskperformed.kHekobjectskatkfirst,ksayingkthatkhekcankwalkk
onkhiskown,kbutktheknursekexplainskthatkitkiskhospitalkpolicyktokusekthekwheelchair.kThatkeven
ing,kshekrecognizesksignskofkankimminentkstrokekinkthekpatientkandkimmediatelykpageskthekp
hysician.kWhichkactionktakenkbyktheknursekiskthekbestkexamplekofkevidence-basedkpractice?
A) Givingkthekpatientkakcupkofkwater
B) Transferringkthekpatientkinkakwheelchair
C) Usingkthekcognitivekassessmentktest
D) Recognizingksignskofkimminentkstrokekandkpagingkthekphysician
, 4. Aknursekiskonkakcommitteekthatkisktryingktokreducekthekoccurrencekofkhospital-
acquiredkinfectionskinkthekICU.kHerkrolekisktokconductkresearchktokfindkwhichkinterventionsk
havekbeenkshownktokbekmostkeffectivekinkreducingkthesekinfections.kShekconsultskmanykdiffe
rentksourceskandkfindskconflictingkinformation.kWhichkofkthekfollowingksourceskshouldkshek
considerkthekmostkauthoritative?
A) AACNkexpertkpanelkreport
B) Akmeta-analysiskofkrandomizedkcontrolledktrialskinkthekAmericankJournalkofkNursing
C) AksystematickreviewkofkqualitativekstudieskinkthekJournalkofkAdvancedkNursing
D) AksinglekrandomizedkcontrolledktrialkinkthekAmericankJournalkofkCriticalkCare
5. AknursekwhokhaskbeenkrecentlykhiredktokmanagektheknursingkstaffkofkthekICUkiskconcernedka
tktheklackkofkevidence-
basedkpracticekshekseeskamongkthekstaff.kWhichkofkthekfollowingkwouldkbekthekbestkstepkfor
kherktoktakektokpromotekincorporatingkevidencekintokclinicalkpractice?
A) Onlykhireknurseskcertifiedkinkcriticalkcareknursing.
B) Leavekcopieskofkseveralkdifferentknursingkjournalskinktheknursesklounge.
C) Demonstratektokthekstaffkthekbestknursing-
relatedksearchktermsktokusekinkGooglekorkYahoo!
D) IntroducekthekstaffktokthekPubMedksearchkenginekandkassignkthemktopicsktokresearchko
nkit.
6. AkphysiciankvisitskakpatientkinkthekICUkwhilektheknursekiskout.kThekpatientkcomplainskthatkt
hekpainkmedicationkisknotkeffectivekandkthatkhekwouldklikektokreceivekankincreasedkdose.kT
hekphysiciankhasktheknursekpagedkandkconsultskwithkhimkinkthekhallwaykregardingkthekpatie
ntskrequestkforkstrongerkpainkmedication.kTheknursekexplainskthatkpatientkwaskstartedkonkak
morphinekdripkonlyk20kminuteskagokandkthatkthekdrugkhasknotkhadktimektoktakekeffectkyet.kT
hekphysiciankagreeskandktellskthekpatientktokgivekitkjustkakbitkmorektime.kWhichkcomponentk
ofkakhealthykworkkenvironmentkiskmostkevidentkinkthiskscenario?
A) Skilledkcommunication
B) Appropriatekstaffing
C) Truekcollaboration
D) Meaningfulkrecognition
7. AknursekinkthekICUkiskrespondingktokakpatientkwhokhaskjustkgonekintokcardiackarrest.kAkm
omentklater,ktheknursekisknotifiedkthatkanotherkpatientkhaskjustkgonekintokanaphylacticksh
ockkduektokakdrugkallergy.kShekiskconflictedkasktokwhatktokdo,kaskshekiskthekonlyknursekavai
lablekatkthekmomentktoktendktokbothkpatients.kWhichkcomponentkofkakhealthykworkkenvir
onmentkisklackingkinkthiskscenario?
A) Effectivekdecisionkmaking
, B) Appropriatekstaffing
C) Authentickleadership
D) Meaningfulkrecognition
8. AnkICUknursekhaskprovidedkexcellentkcarekforkak6-year-
oldkgirlkwhokhadkbeenkadmittedktokthekICUkforkakheadkinjury.kTheknursekwaskattentiveknotko
nlyktokthekneedskofkthekpatientkbutkalsokwentkoutkofkherkwayktokcarekforkthekneedskofkthekgirlsk
family.kAccordingktokresearch,kwhichkofkthekfollowingkformskofkrecognitionkwouldktheknur
sekvaluekthekmost?
A) Akcardkfromkthekgirlskfamily
B) AkplaquekfromkthekICUkphysiciansknamingkherkaskNursekofkthekYear
C) Akletterkofkcommendationkfromkthekhospitalskadministration
D) Akbouquetkofkflowerskfromkherksupervisor
9. AkpatientkinkthekICUkhaskrecentlykbeenkdiagnosedkwithkdiabeteskmellitus.kBeforekbeingkdis
charged,kthiskpatientkwillkrequirekdetailedkinstructionskonkhowktokmanagekherkdiet,khowktoks
elf-
injectkinsulin,kandkhowktokhandlekfuturekdiabetickemergencies.kWhichknursekcompetencykis
kmostkneededkinkthisksituation?
A) Clinicalkjudgment
B) Advocacykandkmoralkagency
C) Caringkpractices
D) Facilitationkofklearning
10. AnkelderlykpatientkiskadmittedktokthekICUkwithkstagekIVklungkcancer,kdiabeteskmellitus,kandkc
ongestivekheartkfailure.kThekhealthkcarekteamkassembledktokcarekforkherkisklargekandkdiverse,k
includingkankoncologist,kakpulmonologist,kankendocrinologist,kakcardiologist,kandkothers.kTh
ekpatientkisknotkexpectedktoksurvivekmorekthankakfewkweeks,kandkherkhusbandkiskoverwhelme
dkwithkstresskandkgrief.kWhichknursekcompetencykorkcompetencieskarekmostkneededkinkthisksi
tuation?kSelectkallkthatkapply.
A) Clinicalkjudgment
B) Caringkpractices
C) Collaboration
D) Responsektokdiversity
11. AnkEthiopiankmankwithkAIDSkhaskrecentlykbeenkadmittedktokthekICUkwithkakcasekofkpneu
monia.kThekmankisknewktokthekU.S.kandkhasknokhealthkinsurance.kHekwouldklikelykbekeligibl
ekforkthekstateskMedicaidkcoverage,kbutkdoesknotkunderstandkhowktokaccesskthiskcoverage.k
Whichkcompetencykorkcompetencieskarekmostkneededkinkthisksituation?kSelectkallkthatkapp
ly.
Caring,CollaborationkEvidence
MultiplekChoice
1. AknursekiskthekonlykonekinkthekICUkwhokhasknotkachievedkcertificationkinkcriticalkcareknu
rsing.kShekoftenkwillkaskkherkfellowknurseskwhatktokdokinkcaringkforkakpatientkbecausekshek
doubtskthekaccuracykofkherkknowledgekandkherkintuition.kShekloveskherkworkkbutkwishesk
shekcouldkdokitkwithkakgreaterklevelkofkcompetence.kWhatkiskthekmostkimportantkeffectkth
atkobtainingkcertificationkwouldklikelykhavekonktheknurseskpractice?
A) Recognitionkbykpeers
B) Increasekinksalarykandkrank
C) Morekflexibilitykinkseekingkemployment
D) Increasedkconfidencekinkmakingkdecisions
2. AkhospitalkinterviewsktwokdifferentkcandidateskforkakpositionkinkthekICU.kBothkcandidateskh
avekaroundk10kyearskofkexperiencekworkingkinkthekICU.kBothkhavekexcellentkinterpersonalk
skillskandkhighlykpositivekreferences.kOne,khowever,khaskcertificationkinkcriticalkcareknursi
ng.kWhichkofkthekfollowingkiskthekmostkcompellingkandkaccuratekreasonkforkthekhospitalktok
hirekthekcandidatekwithkcertification?
A) Thekcertifiedknursekwillkhavekmorekknowledgekandkexpertise.
B) Thekcertifiedknursekwillkbehavekmorekethically.
C) Thekcertifiedknursekwillkbekmorekcaringktowardkpatients.
D) Thekcertifiedknursekwillkworkkmorekcollaborativelykwithkotherknurses.
3. AknursekiskcaringkforkankelderlykmankrecentlykadmittedktokthekICUkfollowingkakstroke.kSheka
ssesseskhiskcognitivekfunctionkusingkaknewkcognitivekassessmentktestksheklearnedkaboutkinkak
recentkarticlekinkaknursingkjournal.kShekthenkbringskakcupkofkwaterkandkakstrawktokthekpatientk
becausekshekobserveskthatkhisklipskarekdry.kLater,kshekhaskthekpatientksitkinkakwheelchairkandk
takeskhimktokhaveksomekbloodktestskperformed.kHekobjectskatkfirst,ksayingkthatkhekcankwalkk
onkhiskown,kbutktheknursekexplainskthatkitkiskhospitalkpolicyktokusekthekwheelchair.kThatkeven
ing,kshekrecognizesksignskofkankimminentkstrokekinkthekpatientkandkimmediatelykpageskthekp
hysician.kWhichkactionktakenkbyktheknursekiskthekbestkexamplekofkevidence-basedkpractice?
A) Givingkthekpatientkakcupkofkwater
B) Transferringkthekpatientkinkakwheelchair
C) Usingkthekcognitivekassessmentktest
D) Recognizingksignskofkimminentkstrokekandkpagingkthekphysician
, 4. Aknursekiskonkakcommitteekthatkisktryingktokreducekthekoccurrencekofkhospital-
acquiredkinfectionskinkthekICU.kHerkrolekisktokconductkresearchktokfindkwhichkinterventionsk
havekbeenkshownktokbekmostkeffectivekinkreducingkthesekinfections.kShekconsultskmanykdiffe
rentksourceskandkfindskconflictingkinformation.kWhichkofkthekfollowingksourceskshouldkshek
considerkthekmostkauthoritative?
A) AACNkexpertkpanelkreport
B) Akmeta-analysiskofkrandomizedkcontrolledktrialskinkthekAmericankJournalkofkNursing
C) AksystematickreviewkofkqualitativekstudieskinkthekJournalkofkAdvancedkNursing
D) AksinglekrandomizedkcontrolledktrialkinkthekAmericankJournalkofkCriticalkCare
5. AknursekwhokhaskbeenkrecentlykhiredktokmanagektheknursingkstaffkofkthekICUkiskconcernedka
tktheklackkofkevidence-
basedkpracticekshekseeskamongkthekstaff.kWhichkofkthekfollowingkwouldkbekthekbestkstepkfor
kherktoktakektokpromotekincorporatingkevidencekintokclinicalkpractice?
A) Onlykhireknurseskcertifiedkinkcriticalkcareknursing.
B) Leavekcopieskofkseveralkdifferentknursingkjournalskinktheknursesklounge.
C) Demonstratektokthekstaffkthekbestknursing-
relatedksearchktermsktokusekinkGooglekorkYahoo!
D) IntroducekthekstaffktokthekPubMedksearchkenginekandkassignkthemktopicsktokresearchko
nkit.
6. AkphysiciankvisitskakpatientkinkthekICUkwhilektheknursekiskout.kThekpatientkcomplainskthatkt
hekpainkmedicationkisknotkeffectivekandkthatkhekwouldklikektokreceivekankincreasedkdose.kT
hekphysiciankhasktheknursekpagedkandkconsultskwithkhimkinkthekhallwaykregardingkthekpatie
ntskrequestkforkstrongerkpainkmedication.kTheknursekexplainskthatkpatientkwaskstartedkonkak
morphinekdripkonlyk20kminuteskagokandkthatkthekdrugkhasknotkhadktimektoktakekeffectkyet.kT
hekphysiciankagreeskandktellskthekpatientktokgivekitkjustkakbitkmorektime.kWhichkcomponentk
ofkakhealthykworkkenvironmentkiskmostkevidentkinkthiskscenario?
A) Skilledkcommunication
B) Appropriatekstaffing
C) Truekcollaboration
D) Meaningfulkrecognition
7. AknursekinkthekICUkiskrespondingktokakpatientkwhokhaskjustkgonekintokcardiackarrest.kAkm
omentklater,ktheknursekisknotifiedkthatkanotherkpatientkhaskjustkgonekintokanaphylacticksh
ockkduektokakdrugkallergy.kShekiskconflictedkasktokwhatktokdo,kaskshekiskthekonlyknursekavai
lablekatkthekmomentktoktendktokbothkpatients.kWhichkcomponentkofkakhealthykworkkenvir
onmentkisklackingkinkthiskscenario?
A) Effectivekdecisionkmaking
, B) Appropriatekstaffing
C) Authentickleadership
D) Meaningfulkrecognition
8. AnkICUknursekhaskprovidedkexcellentkcarekforkak6-year-
oldkgirlkwhokhadkbeenkadmittedktokthekICUkforkakheadkinjury.kTheknursekwaskattentiveknotko
nlyktokthekneedskofkthekpatientkbutkalsokwentkoutkofkherkwayktokcarekforkthekneedskofkthekgirlsk
family.kAccordingktokresearch,kwhichkofkthekfollowingkformskofkrecognitionkwouldktheknur
sekvaluekthekmost?
A) Akcardkfromkthekgirlskfamily
B) AkplaquekfromkthekICUkphysiciansknamingkherkaskNursekofkthekYear
C) Akletterkofkcommendationkfromkthekhospitalskadministration
D) Akbouquetkofkflowerskfromkherksupervisor
9. AkpatientkinkthekICUkhaskrecentlykbeenkdiagnosedkwithkdiabeteskmellitus.kBeforekbeingkdis
charged,kthiskpatientkwillkrequirekdetailedkinstructionskonkhowktokmanagekherkdiet,khowktoks
elf-
injectkinsulin,kandkhowktokhandlekfuturekdiabetickemergencies.kWhichknursekcompetencykis
kmostkneededkinkthisksituation?
A) Clinicalkjudgment
B) Advocacykandkmoralkagency
C) Caringkpractices
D) Facilitationkofklearning
10. AnkelderlykpatientkiskadmittedktokthekICUkwithkstagekIVklungkcancer,kdiabeteskmellitus,kandkc
ongestivekheartkfailure.kThekhealthkcarekteamkassembledktokcarekforkherkisklargekandkdiverse,k
includingkankoncologist,kakpulmonologist,kankendocrinologist,kakcardiologist,kandkothers.kTh
ekpatientkisknotkexpectedktoksurvivekmorekthankakfewkweeks,kandkherkhusbandkiskoverwhelme
dkwithkstresskandkgrief.kWhichknursekcompetencykorkcompetencieskarekmostkneededkinkthisksi
tuation?kSelectkallkthatkapply.
A) Clinicalkjudgment
B) Caringkpractices
C) Collaboration
D) Responsektokdiversity
11. AnkEthiopiankmankwithkAIDSkhaskrecentlykbeenkadmittedktokthekICUkwithkakcasekofkpneu
monia.kThekmankisknewktokthekU.S.kandkhasknokhealthkinsurance.kHekwouldklikelykbekeligibl
ekforkthekstateskMedicaidkcoverage,kbutkdoesknotkunderstandkhowktokaccesskthiskcoverage.k
Whichkcompetencykorkcompetencieskarekmostkneededkinkthisksituation?kSelectkallkthatkapp
ly.
