1 | P a g
nn nn nn nn
e
,Chapter 01: Critical Care Nursing Practice
nn nn nn nn nn
Urden: Critical Care Nursing, 9th Edition
nn nn nn nn nn nn
MULTIPLE CHOICE nn
1. During World War II, what types of wards were developed to care for critically
nn nn nn nn nn nn nn nn nn nn nn nn nn
injured patients?
nn nn
a. Intensive care nn
b. Triage
c. Shock
d. Postoperative
ANS: C n n
During World War II, shock wards were established to care for critically injured
nn nn nn nn nn nn nn nn nn nn nn nn
patients. Triage wards establish the order in which a patient is seen or treated upon
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
arrival to a hospital. Postoperative wards were developed in 1900 and later evolved
nn nn nn nn nn nn nn nn nn nn nn nn nn
into intensive care units.
nn nn nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 nn nn nn
OBJ: Nursing Process Step: N/A
nn TOP: Critical Care Nursing
nn nn nn nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
2. What type of practitioner has a broad depth of specialty knowledge and expertise
nn nn nn nn nn nn nn nn nn nn nn nn
and manages complex clinical and system issues?
nn nn nn nn nn nn nn
a. Registered nurses nn
b. Advanced practice nurses nn nn
c. Clinical nurse leaders nn nn
d. Intensivists
ANS: B n n
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in
nn nn nn nn nn nn nn nn nn nn nn nn
their specialty area and manage complex clinical and systems issues. Intensivists are
nn nn nn nn nn nn nn nn nn nn nn nn
medical practitioners who manage the critical ill patient. Registered nurses (RNs) are
nn nn nn nn nn nn nn nn nn nn nn nn
generally direct care providers. Clinical nurse leaders (CNLs) generally do not manage
nn nn nn nn nn nn nn nn nn nn nn nn
system issues.
nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5 nn nn nn
OBJ: Nursing Process Step: N/A
nn TOP: Critical Care Nursing
nn nn nn nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
3. What type of practitioner is instrumental in ensuring care that is evidence based and
nn nn nn nn nn nn nn nn nn nn nn nn nn
that safety programs are in place?
nn nn nn nn nn nn
a. Clinical nurse specialist nn nn
b. Advanced practice nurse nn nn
c. Registered nurses nn
d. Nurse practitioners nn
nn ANS: A n n
2 | P a g
nn nn nn nn
e
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical,
nn nn nn nn nn nn nn nn nn nn nn
teaching, research, leadership, and consultative abilities. They are instrumental in
nn nn nn nn nn nn nn nn nn nn
ensuring that care is evidence based and that safety programs are in place. Advanced
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
practice nurses (APNs) have a broad depth of knowledge and expertise in their
nn nn nn nn nn nn nn nn nn nn nn nn nn
specialty area and manage complex clinical and systems issues. Registered nurses are
nn nn nn nn nn nn nn nn nn nn nn nn
generally direct care providers. Nurse practitioners (NPs) manage direct clinical care
nn nn nn nn nn nn nn nn nn nn nn
of groups of patients.
nn nn nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 6 nn nn nn
OBJ: Nursing Process Step: N/A
nn TOP: Critical Care Nursing nn nn nn nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
4. Which professional organization administers critical care certification exams for
nn nn nn nn nn nn nn nn
registered nurses?
nn nn
a. State Board of Registered Nurses
nn nn nn nn
b. National Association of Clinical Nurse Specialistnn nn nn nn nn
c. Society of Critical Care Medicine nn nn nn nn
d. American Association of Critical-Care Nurses nn nn nn nn
ANS: D n n
American Association of Critical-Care Nurses (AACN) administers certification exams
nn nn nn nn nn nn nn nn
for registered nurses. The State Board of Registered Nurses (SBON) does not
nn nn nn nn nn nn nn nn nn nn nn nn
administer certification exams. National Association of Clinical Nurse Specialists
nn nn nn nn nn nn nn nn nn
(NACNS) does not administer certification exams. Society of Critical Care Medicine
nn nn nn nn nn nn nn nn nn nn nn
(SCCM) does not administer nursing certification exams for registered nurses.
nn nn nn nn nn nn nn nn nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 7 nn nn nn
OBJ: Nursing Process Step: NW/ WAW.TBSM T. OW PS: Critical Care Nursing
nn nn nn nn n n n nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
5. Emphasis is on human integrity and stresses the theory that the body, mind, and
nn nn nn nn nn nn nn nn nn nn nn nn nn
spirit are interdependent and inseparable. This statement describes which
nn nn nn nn nn nn nn nn nn
methodology of care?
nn nn nn
a. Holistic care nn
b. Individualized care nn
c. Cultural care nn
d. Interdisciplinary care nn
ANS: A n n
Holistic care focuses on human integrity and stresses that the body, mind, and spirit
nn nn nn nn nn nn nn nn nn nn nn nn nn
are interdependent and inseparable. Individualized care recognizes the uniqueness of
nn nn nn nn nn nn nn nn nn nn
each patient’s preferences, condition, and physiologic and psychosocial status. Cultural
nn nn nn nn nn nn nn nn nn nn
diversity in health care is not a new topic, but it is gaining emphasis and importance
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
as the world becomes more accessible to all as the result of increasing technologies
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
and interfaces with places and peoples. Interdisciplinary care is care among a variety
nn nn nn nn nn nn nn nn nn nn nn nn nn
of health care professionals with the patient’s health as the common goal.
nn nn nn nn nn nn nn nn nn nn nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 12 nn nn nn
OBJ: Nursing Process Step: N/A
nn TOP: Critical Care Nursing nn nn nn nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
3 | P a g
nn nn nn nn
e
, 6. The American Association of Critical-Care Nurses (AACN) has developed short
nn nn nn nn nn nn nn nn nn
directives that can be used as quick references for clinical use that are known as
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
a. Critical Care Protocol. nn nn
b. Practice Policies. nn
c. Evidence-Based Research. nn
d. Practice Alerts. nn
ANS: D n n
The American Association of Critical-Care Nurses (AACN) has promulgated several
nn nn nn nn nn nn nn nn nn
evidence-based practice summaries in the form of ―Practice Alerts.‖ Evidence-based
nn nn nn nn nn nn nn nn nn nn
nursing practice considers the best research evidence on the care topic along with
nn nn nn nn nn nn nn nn nn nn nn nn nn
clinical expertise of the nurse and patient preferences. Critical care protocol and
nn nn nn nn nn nn nn nn nn nn nn nn
practice policies are established by individual institutions.
nn nn nn nn nn nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 9 nn nn nn
OBJ: Nursing Process Step: N/A
nn TOP: Critical Care Nursing
nn nn nn nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
7. What type of therapy is an option to conventional treatment?
nn nn nn nn nn nn nn nn nn
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A n n
The term alternative denotes that a specific therapy is an option or alternative to what is
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
considered conventional t reat mWenWt Wo .f aTcBoSnM
nn di.
tioWnSor state. The term complementary was
nn nn nn n nn nn nn nn nn nn
proposed to describe therapies that can be used to complement or support conventional
nn nn nn nn nn nn nn nn nn nn nn nn nn
treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness
nn nn nn nn nn nn nn nn nn
of each patient’s preferences, condition, and physiologic and psychosocial status.
nn nn nn nn nn nn nn nn nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 16 nn nn nn
OBJ: Nursing Process Step: N/A
nn TOP: Critical Care Nursing
nn nn nn nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
8. Prayer, guided imagery, and massage are all examples of what type of treatment?
nn nn nn nn nn nn nn nn nn nn nn nn
a. Alternative therapy nn
b. Holistic care nn
c. Complementary care nn
d. Individualized care nn
nn ANS: C n n
4 | P a g
nn nn nn nn
e
nn nn nn nn
e
,Chapter 01: Critical Care Nursing Practice
nn nn nn nn nn
Urden: Critical Care Nursing, 9th Edition
nn nn nn nn nn nn
MULTIPLE CHOICE nn
1. During World War II, what types of wards were developed to care for critically
nn nn nn nn nn nn nn nn nn nn nn nn nn
injured patients?
nn nn
a. Intensive care nn
b. Triage
c. Shock
d. Postoperative
ANS: C n n
During World War II, shock wards were established to care for critically injured
nn nn nn nn nn nn nn nn nn nn nn nn
patients. Triage wards establish the order in which a patient is seen or treated upon
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
arrival to a hospital. Postoperative wards were developed in 1900 and later evolved
nn nn nn nn nn nn nn nn nn nn nn nn nn
into intensive care units.
nn nn nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 nn nn nn
OBJ: Nursing Process Step: N/A
nn TOP: Critical Care Nursing
nn nn nn nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
2. What type of practitioner has a broad depth of specialty knowledge and expertise
nn nn nn nn nn nn nn nn nn nn nn nn
and manages complex clinical and system issues?
nn nn nn nn nn nn nn
a. Registered nurses nn
b. Advanced practice nurses nn nn
c. Clinical nurse leaders nn nn
d. Intensivists
ANS: B n n
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in
nn nn nn nn nn nn nn nn nn nn nn nn
their specialty area and manage complex clinical and systems issues. Intensivists are
nn nn nn nn nn nn nn nn nn nn nn nn
medical practitioners who manage the critical ill patient. Registered nurses (RNs) are
nn nn nn nn nn nn nn nn nn nn nn nn
generally direct care providers. Clinical nurse leaders (CNLs) generally do not manage
nn nn nn nn nn nn nn nn nn nn nn nn
system issues.
nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5 nn nn nn
OBJ: Nursing Process Step: N/A
nn TOP: Critical Care Nursing
nn nn nn nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
3. What type of practitioner is instrumental in ensuring care that is evidence based and
nn nn nn nn nn nn nn nn nn nn nn nn nn
that safety programs are in place?
nn nn nn nn nn nn
a. Clinical nurse specialist nn nn
b. Advanced practice nurse nn nn
c. Registered nurses nn
d. Nurse practitioners nn
nn ANS: A n n
2 | P a g
nn nn nn nn
e
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical,
nn nn nn nn nn nn nn nn nn nn nn
teaching, research, leadership, and consultative abilities. They are instrumental in
nn nn nn nn nn nn nn nn nn nn
ensuring that care is evidence based and that safety programs are in place. Advanced
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
practice nurses (APNs) have a broad depth of knowledge and expertise in their
nn nn nn nn nn nn nn nn nn nn nn nn nn
specialty area and manage complex clinical and systems issues. Registered nurses are
nn nn nn nn nn nn nn nn nn nn nn nn
generally direct care providers. Nurse practitioners (NPs) manage direct clinical care
nn nn nn nn nn nn nn nn nn nn nn
of groups of patients.
nn nn nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 6 nn nn nn
OBJ: Nursing Process Step: N/A
nn TOP: Critical Care Nursing nn nn nn nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
4. Which professional organization administers critical care certification exams for
nn nn nn nn nn nn nn nn
registered nurses?
nn nn
a. State Board of Registered Nurses
nn nn nn nn
b. National Association of Clinical Nurse Specialistnn nn nn nn nn
c. Society of Critical Care Medicine nn nn nn nn
d. American Association of Critical-Care Nurses nn nn nn nn
ANS: D n n
American Association of Critical-Care Nurses (AACN) administers certification exams
nn nn nn nn nn nn nn nn
for registered nurses. The State Board of Registered Nurses (SBON) does not
nn nn nn nn nn nn nn nn nn nn nn nn
administer certification exams. National Association of Clinical Nurse Specialists
nn nn nn nn nn nn nn nn nn
(NACNS) does not administer certification exams. Society of Critical Care Medicine
nn nn nn nn nn nn nn nn nn nn nn
(SCCM) does not administer nursing certification exams for registered nurses.
nn nn nn nn nn nn nn nn nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 7 nn nn nn
OBJ: Nursing Process Step: NW/ WAW.TBSM T. OW PS: Critical Care Nursing
nn nn nn nn n n n nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
5. Emphasis is on human integrity and stresses the theory that the body, mind, and
nn nn nn nn nn nn nn nn nn nn nn nn nn
spirit are interdependent and inseparable. This statement describes which
nn nn nn nn nn nn nn nn nn
methodology of care?
nn nn nn
a. Holistic care nn
b. Individualized care nn
c. Cultural care nn
d. Interdisciplinary care nn
ANS: A n n
Holistic care focuses on human integrity and stresses that the body, mind, and spirit
nn nn nn nn nn nn nn nn nn nn nn nn nn
are interdependent and inseparable. Individualized care recognizes the uniqueness of
nn nn nn nn nn nn nn nn nn nn
each patient’s preferences, condition, and physiologic and psychosocial status. Cultural
nn nn nn nn nn nn nn nn nn nn
diversity in health care is not a new topic, but it is gaining emphasis and importance
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
as the world becomes more accessible to all as the result of increasing technologies
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
and interfaces with places and peoples. Interdisciplinary care is care among a variety
nn nn nn nn nn nn nn nn nn nn nn nn nn
of health care professionals with the patient’s health as the common goal.
nn nn nn nn nn nn nn nn nn nn nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 12 nn nn nn
OBJ: Nursing Process Step: N/A
nn TOP: Critical Care Nursing nn nn nn nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
3 | P a g
nn nn nn nn
e
, 6. The American Association of Critical-Care Nurses (AACN) has developed short
nn nn nn nn nn nn nn nn nn
directives that can be used as quick references for clinical use that are known as
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
a. Critical Care Protocol. nn nn
b. Practice Policies. nn
c. Evidence-Based Research. nn
d. Practice Alerts. nn
ANS: D n n
The American Association of Critical-Care Nurses (AACN) has promulgated several
nn nn nn nn nn nn nn nn nn
evidence-based practice summaries in the form of ―Practice Alerts.‖ Evidence-based
nn nn nn nn nn nn nn nn nn nn
nursing practice considers the best research evidence on the care topic along with
nn nn nn nn nn nn nn nn nn nn nn nn nn
clinical expertise of the nurse and patient preferences. Critical care protocol and
nn nn nn nn nn nn nn nn nn nn nn nn
practice policies are established by individual institutions.
nn nn nn nn nn nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 9 nn nn nn
OBJ: Nursing Process Step: N/A
nn TOP: Critical Care Nursing
nn nn nn nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
7. What type of therapy is an option to conventional treatment?
nn nn nn nn nn nn nn nn nn
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A n n
The term alternative denotes that a specific therapy is an option or alternative to what is
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
considered conventional t reat mWenWt Wo .f aTcBoSnM
nn di.
tioWnSor state. The term complementary was
nn nn nn n nn nn nn nn nn nn
proposed to describe therapies that can be used to complement or support conventional
nn nn nn nn nn nn nn nn nn nn nn nn nn
treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness
nn nn nn nn nn nn nn nn nn
of each patient’s preferences, condition, and physiologic and psychosocial status.
nn nn nn nn nn nn nn nn nn nn
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 16 nn nn nn
OBJ: Nursing Process Step: N/A
nn TOP: Critical Care Nursing
nn nn nn nn nn
Practice MSC: NCLEX: Safe and Effective Care Environment
nn nn n n nn nn nn nn nn
8. Prayer, guided imagery, and massage are all examples of what type of treatment?
nn nn nn nn nn nn nn nn nn nn nn nn
a. Alternative therapy nn
b. Holistic care nn
c. Complementary care nn
d. Individualized care nn
nn ANS: C n n
4 | P a g
nn nn nn nn
e
