Sole's Introduction to Critical Care Nursing 9th Edition
pm pm pm pm pm pm pm
1 Overview of Critical Care Nursing
pm pm pm pm
2 Patient and Family Response to the Critical Care Experience
pm pm pm pm pm pm pm pm
3 Ethical and Legal Issues in Critical Care Nursing
pm pm pm pm pm pm pm
4 Palliative and End-of-Life Care
pm pm pm
5 Organ Donation
pm
6 Comfort and Sedation
pm pm
7 Nutritional Therapy pm
8 Dysrhythmia Interpretation and Management
pm pm pm
9 Hemodynamic Monitoring pm
10 Ventilatory Assistance pm
11 Rapid Response Teams and Code Management
pm pm pm pm pm
12 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
pm pm pm pm pm pm
13 Cardiovascular Alterations pm
14 Nervous System Alterations
pm pm
15 Acute Respiratory Failure
pm pm
16 Acute Kidney Injury
pm pm
17 Hematological and Immune Disorders pm pm pm
18 Gastrointestinal Alterations pm
19 Endocrine Alterations pm
20 Trauma and Surgical Management
pm pm pm
21 Burns
,Chapter 01: Overview of Critical Care Nursing
pm pm pm pm pm pm
Sole’s Introduction to Critical Care Nursing 9th Edition
pm pm pm pm pm pm pm
MULTIPLE CHOICE pm
1. Which of the following professional organizations best supports critical care nursin
pm pm pm pm pm pm pm pm pm pm
g practice?
pm
a. American Association of Critical-Care Nurses pm pm pm pm
b. American Heart Association pm pm
c. American Nurses Association pm pm
d. Society of Critical Care Medicine pm pm pm pm
ANS: A p m
The American Association of Critical-
pm pm pm pm
Care Nurses is the specialty organization that supports and represents critical care nur
pm pm pm pm pm pm pm pm pm pm pm pm
ses. The American Heart Association supports cardiovascular initiatives. The America
pm pm pm pm pm pm pm pm pm
n Nurses Association supports all nurses. The Society of Critical Care Medicine repr
pm pm pm pm pm pm pm pm pm pm pm pm
esents the multiprofessional critical care team under the direction of an intensivist.
pm pm pm pm pm pm pm pm pm pm pm
DIF: Cognitive Level: Remember/Knowledge pm pm
OBJ: Discuss the purposes and functions of the professional organizations that support criti
p m pm pm pm pm pm pm pm pm pm pm pm
cal care practice.
pm TOP: Nursing Process Step: N/A
pm p m pm pm pm
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
p m pm pm pm pm pm pm pm pm
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 ye
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ars and is interested in certification. Which credential would be most applicable for
pm pm pm pm pm pm pm pm pm pm pm pm pm
the nurse to seek?
pm pm pm
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS: C p m
The CCRN certification is appropriate for nurses in bedside practice who care for cri
pm pm pm pm pm pm pm pm pm pm pm pm pm
tically ill patients. The ACNPC-
pm pm pm pm
AG certification is for acute care nurse practitioners. The CNML is for critical care n
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
urse managers or leaders. The PCCN certification is for staff nurses working in progr
pm pm pm pm pm pm pm pm pm pm pm pm pm
essive care, intermediate care, or step-down unit settings.
pm pm pm pm pm pm pm
DIF: Cognitive Level: Remember/Knowledge pm pm
OBJ: Explain certification options for critical care nurses.
p m pm pm pm pm pm pm
TOP: Nursing Process Ste p m pm pm
p: N/Apm
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
p m pm pm pm pm pm pm pm pm
3. The main purpose of certification is to
pm pm pm pm pm pm
a. assure the consumer that you will not make a mistak
pm pm pm pm pm pm pm pm pm
e.
b. prepare for graduate school. pm pm pm
c. promote magnet status for your facility. pm pm pm pm pm
d. validate knowledge of critical care nursing. pm pm pm pm pm
, ANS: D p m
Certification assists in validating knowledge of the field, promotes excellence in the p
pm pm pm pm pm pm pm pm pm pm pm pm
rofession, and helps nurses to maintain their knowledge of critical care nursing.
pm pm pm pm pm pm pm pm pm pm pm
Certification helps to assure the consumer that the nurse has a minimum level of kno
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
wledge; however, it does not ensure that care will be mistake-
pm pm pm pm pm pm pm pm pm pm
free. Certification does not prepare one for graduate school; however, achieving certifi
pm pm pm pm pm pm pm pm pm pm pm
cation demonstrates motivation for achievement and professionalism. Magnet facilities
pm pm pm pm pm pm pm pm p
mare rated on the number of certified nurses; however, that is not the purpose of certifi
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
cation.
DIF: Cognitive Level: Remember/Knowledge pm pm
OBJ: Explain certification options for critical care nurses.
p m pm pm pm pm pm pm
TOP: Nursing Process Ste p m pm pm
p: N/A
pm
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
p m pm pm pm pm pm pm pm pm
4. The synergy model of practice focuses on
pm pm pm pm pm pm
a. allowing unrestricted visiting for the patient 24 hours a day.
pm pm pm pm pm pm pm pm pm
b. holistic and alternative therapies. pm pm pm
c. the needs of patients and their families, which drive nursing competenc
pm pm pm pm pm pm pm pm pm pm
y.
d. patients’ needs for energy and support. pm pm pm pm pm
ANS: C p m
The synergy model of practice states that the needs of patients and families influence
pm pm pm pm pm pm pm pm pm pm pm pm pm p
and drive competencies of nurses. Nursing practice based on the synergy model woul
m pm pm pm pm pm pm pm pm pm pm pm pm
d involve tailored visiting to meet the patient’s and family’s needs and the application
pm pm pm pm pm pm pm pm pm pm pm pm pm p
of alternative therapies if desired by the patient, but that is not the primary focus of t
m pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
he model.pm
DIF: Cognitive Level: Remember/Knowledge pm pm
OBJ: p m Describe standards of professional practice for critical care nursing.
pm pm pm pm pm pm pm pm pm
TOP: p m Nursing Process Step: N/A pm pm pm
MSC: p m NCLEX Client Needs Category: Safe and Effective Care Environment
pm pm pm pm pm pm pm pm
5. The family of your critically ill patient tells you that they have not spoken with the ph
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ysician in over 24 hours and that they have some questions they want clarified. Durin
pm pm pm pm pm pm pm pm pm pm pm pm pm p m
g morning rounds, you convey this concern to the attending intensivist and arrange a
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
meeting with the family at 4:00 PM. Which competency of critical care nursing does t
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
his represent?
pm
a. Advocacy and moral agency in solving ethical issues pm pm pm pm pm pm pm
b. Clinical judgment and clinical reasoning skills pm pm pm pm pm
c. Collaboration with patients, families, and team members pm pm pm pm pm pm
d. Facilitation of learning for patients, families, and team member pm pm pm pm pm pm pm pm
s
ANS: C p m
Although one might consider that all of these competencies are being addressed, com
pm pm pm pm pm pm pm pm pm pm pm pm
munication and collaboration with the family and physician best exemplify the compe
pm pm pm pm pm pm pm pm pm pm pm
tency of collaboration. pm pm
DIF: Cognitive Level: Analyze/Analysis pm pm
, OBJ: Describe standards of professional practice for critical care nursing.
p m pm pm pm pm pm pm pm pm pm
TOP: Nursing Process Step: N/A
p m pm pm pm
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
p m pm pm pm pm pm pm pm pm
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framewor
pm pm pm pm pm pm pm pm pm pm pm pm
k to guide critical care nursing practice?
pm pm pm pm pm pm
a. Evidence-based practice pm
b. Healthy work environment pm pm
c. National Patient Safety Goals pm pm pm
d. Nursing process pm
ANS: D p m
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursin
pm pm pm pm pm pm pm pm pm pm pm pm
g process as applied to critically ill patients: collect data, determine diagnoses, identif
pm pm pm pm pm pm pm pm pm pm pm pm
y expected outcomes, develop a plan of care, implement interventions, and evaluate ca
pm pm pm pm pm pm pm pm pm pm pm pm
re. AACN promotes a healthy work environment, but this is not included in its standa
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
rds.
The Joint Commission has established National Patient Safety Goals, but these are not
pm pm pm pm pm pm pm pm pm pm pm pm p
mthe AACN standards.
pm pm
DIF: Cognitive Level: Remember/Knowledge pm pm
OBJ: p m Describe standards of professional practice for critical care nursing.
pm pm pm pm pm pm pm pm pm
TOP: p m Nursing Process Step: N/A pm pm pm
MSC: p m NCLEX Client Needs Category: Safe and Effective Care Environment
pm pm pm pm pm pm pm pm
7. The charge nurse is responsible for making the patient assignments on the critical care
pm pm pm pm pm pm pm pm pm pm pm pm pm p
munit. An experienced, certified nurse is assigned to care for the acutely ill patient with
pm pm pm pm pm pm pm pm pm pm pm pm pm pm p
msepsis who also requires continuous renal replacement therapy and mechanical ventila
pm pm pm pm pm pm pm pm pm pm
tion. The nurse with less than 1 year of experience is assigned to two patients who are
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
more stable. This assignment reflects implementation of the
pm pm pm pm pm pm pm
a. crew resource management model. pm pm pm
b. National Patient Safety Goals. pm pm pm
c. Quality and Safety Education for Nurses (QSEN) model
pm pm pm pm pm pm pm
.
d. synergy model of practice. pm pm pm
ANS: D p m
This assignment demonstrates nursing care to meet the needs of the patient. The syner
pm pm pm pm pm pm pm pm pm pm pm pm pm
gy model notes that the nurse competencies are matched to the patient characteristics.
pm pm pm pm pm pm pm pm pm pm pm pm pm
Crew resource management concepts are related to team training; National Patient Saf
pm pm pm pm pm pm pm pm pm pm pm
ety Goals are specified by The Joint Commission to promote safe care but do not inco
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
rporate the synergy model. The Quality and Safety Education for Nurses initiative inv
pm pm pm pm pm pm pm pm pm pm pm pm
olves targeted education of undergraduate and graduate nursing students on quality an
pm pm pm pm pm pm pm pm pm pm pm
d safety concepts.
pm pm
DIF: Cognitive Level: Analyze/Analysis pm pm
OBJ: p m Describe standards of professional practice for critical care nursing.
pm pm pm pm pm pm pm pm pm
TOP: p m Nursing Process Step: N/A pm pm pm
MSC: p m NCLEX Client Needs Category: Safe and Effective Care Environment
pm pm pm pm pm pm pm pm
pm pm pm pm pm pm pm
1 Overview of Critical Care Nursing
pm pm pm pm
2 Patient and Family Response to the Critical Care Experience
pm pm pm pm pm pm pm pm
3 Ethical and Legal Issues in Critical Care Nursing
pm pm pm pm pm pm pm
4 Palliative and End-of-Life Care
pm pm pm
5 Organ Donation
pm
6 Comfort and Sedation
pm pm
7 Nutritional Therapy pm
8 Dysrhythmia Interpretation and Management
pm pm pm
9 Hemodynamic Monitoring pm
10 Ventilatory Assistance pm
11 Rapid Response Teams and Code Management
pm pm pm pm pm
12 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
pm pm pm pm pm pm
13 Cardiovascular Alterations pm
14 Nervous System Alterations
pm pm
15 Acute Respiratory Failure
pm pm
16 Acute Kidney Injury
pm pm
17 Hematological and Immune Disorders pm pm pm
18 Gastrointestinal Alterations pm
19 Endocrine Alterations pm
20 Trauma and Surgical Management
pm pm pm
21 Burns
,Chapter 01: Overview of Critical Care Nursing
pm pm pm pm pm pm
Sole’s Introduction to Critical Care Nursing 9th Edition
pm pm pm pm pm pm pm
MULTIPLE CHOICE pm
1. Which of the following professional organizations best supports critical care nursin
pm pm pm pm pm pm pm pm pm pm
g practice?
pm
a. American Association of Critical-Care Nurses pm pm pm pm
b. American Heart Association pm pm
c. American Nurses Association pm pm
d. Society of Critical Care Medicine pm pm pm pm
ANS: A p m
The American Association of Critical-
pm pm pm pm
Care Nurses is the specialty organization that supports and represents critical care nur
pm pm pm pm pm pm pm pm pm pm pm pm
ses. The American Heart Association supports cardiovascular initiatives. The America
pm pm pm pm pm pm pm pm pm
n Nurses Association supports all nurses. The Society of Critical Care Medicine repr
pm pm pm pm pm pm pm pm pm pm pm pm
esents the multiprofessional critical care team under the direction of an intensivist.
pm pm pm pm pm pm pm pm pm pm pm
DIF: Cognitive Level: Remember/Knowledge pm pm
OBJ: Discuss the purposes and functions of the professional organizations that support criti
p m pm pm pm pm pm pm pm pm pm pm pm
cal care practice.
pm TOP: Nursing Process Step: N/A
pm p m pm pm pm
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
p m pm pm pm pm pm pm pm pm
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 ye
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ars and is interested in certification. Which credential would be most applicable for
pm pm pm pm pm pm pm pm pm pm pm pm pm
the nurse to seek?
pm pm pm
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS: C p m
The CCRN certification is appropriate for nurses in bedside practice who care for cri
pm pm pm pm pm pm pm pm pm pm pm pm pm
tically ill patients. The ACNPC-
pm pm pm pm
AG certification is for acute care nurse practitioners. The CNML is for critical care n
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
urse managers or leaders. The PCCN certification is for staff nurses working in progr
pm pm pm pm pm pm pm pm pm pm pm pm pm
essive care, intermediate care, or step-down unit settings.
pm pm pm pm pm pm pm
DIF: Cognitive Level: Remember/Knowledge pm pm
OBJ: Explain certification options for critical care nurses.
p m pm pm pm pm pm pm
TOP: Nursing Process Ste p m pm pm
p: N/Apm
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
p m pm pm pm pm pm pm pm pm
3. The main purpose of certification is to
pm pm pm pm pm pm
a. assure the consumer that you will not make a mistak
pm pm pm pm pm pm pm pm pm
e.
b. prepare for graduate school. pm pm pm
c. promote magnet status for your facility. pm pm pm pm pm
d. validate knowledge of critical care nursing. pm pm pm pm pm
, ANS: D p m
Certification assists in validating knowledge of the field, promotes excellence in the p
pm pm pm pm pm pm pm pm pm pm pm pm
rofession, and helps nurses to maintain their knowledge of critical care nursing.
pm pm pm pm pm pm pm pm pm pm pm
Certification helps to assure the consumer that the nurse has a minimum level of kno
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
wledge; however, it does not ensure that care will be mistake-
pm pm pm pm pm pm pm pm pm pm
free. Certification does not prepare one for graduate school; however, achieving certifi
pm pm pm pm pm pm pm pm pm pm pm
cation demonstrates motivation for achievement and professionalism. Magnet facilities
pm pm pm pm pm pm pm pm p
mare rated on the number of certified nurses; however, that is not the purpose of certifi
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
cation.
DIF: Cognitive Level: Remember/Knowledge pm pm
OBJ: Explain certification options for critical care nurses.
p m pm pm pm pm pm pm
TOP: Nursing Process Ste p m pm pm
p: N/A
pm
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
p m pm pm pm pm pm pm pm pm
4. The synergy model of practice focuses on
pm pm pm pm pm pm
a. allowing unrestricted visiting for the patient 24 hours a day.
pm pm pm pm pm pm pm pm pm
b. holistic and alternative therapies. pm pm pm
c. the needs of patients and their families, which drive nursing competenc
pm pm pm pm pm pm pm pm pm pm
y.
d. patients’ needs for energy and support. pm pm pm pm pm
ANS: C p m
The synergy model of practice states that the needs of patients and families influence
pm pm pm pm pm pm pm pm pm pm pm pm pm p
and drive competencies of nurses. Nursing practice based on the synergy model woul
m pm pm pm pm pm pm pm pm pm pm pm pm
d involve tailored visiting to meet the patient’s and family’s needs and the application
pm pm pm pm pm pm pm pm pm pm pm pm pm p
of alternative therapies if desired by the patient, but that is not the primary focus of t
m pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
he model.pm
DIF: Cognitive Level: Remember/Knowledge pm pm
OBJ: p m Describe standards of professional practice for critical care nursing.
pm pm pm pm pm pm pm pm pm
TOP: p m Nursing Process Step: N/A pm pm pm
MSC: p m NCLEX Client Needs Category: Safe and Effective Care Environment
pm pm pm pm pm pm pm pm
5. The family of your critically ill patient tells you that they have not spoken with the ph
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
ysician in over 24 hours and that they have some questions they want clarified. Durin
pm pm pm pm pm pm pm pm pm pm pm pm pm p m
g morning rounds, you convey this concern to the attending intensivist and arrange a
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
meeting with the family at 4:00 PM. Which competency of critical care nursing does t
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
his represent?
pm
a. Advocacy and moral agency in solving ethical issues pm pm pm pm pm pm pm
b. Clinical judgment and clinical reasoning skills pm pm pm pm pm
c. Collaboration with patients, families, and team members pm pm pm pm pm pm
d. Facilitation of learning for patients, families, and team member pm pm pm pm pm pm pm pm
s
ANS: C p m
Although one might consider that all of these competencies are being addressed, com
pm pm pm pm pm pm pm pm pm pm pm pm
munication and collaboration with the family and physician best exemplify the compe
pm pm pm pm pm pm pm pm pm pm pm
tency of collaboration. pm pm
DIF: Cognitive Level: Analyze/Analysis pm pm
, OBJ: Describe standards of professional practice for critical care nursing.
p m pm pm pm pm pm pm pm pm pm
TOP: Nursing Process Step: N/A
p m pm pm pm
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
p m pm pm pm pm pm pm pm pm
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framewor
pm pm pm pm pm pm pm pm pm pm pm pm
k to guide critical care nursing practice?
pm pm pm pm pm pm
a. Evidence-based practice pm
b. Healthy work environment pm pm
c. National Patient Safety Goals pm pm pm
d. Nursing process pm
ANS: D p m
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursin
pm pm pm pm pm pm pm pm pm pm pm pm
g process as applied to critically ill patients: collect data, determine diagnoses, identif
pm pm pm pm pm pm pm pm pm pm pm pm
y expected outcomes, develop a plan of care, implement interventions, and evaluate ca
pm pm pm pm pm pm pm pm pm pm pm pm
re. AACN promotes a healthy work environment, but this is not included in its standa
pm pm pm pm pm pm pm pm pm pm pm pm pm pm
rds.
The Joint Commission has established National Patient Safety Goals, but these are not
pm pm pm pm pm pm pm pm pm pm pm pm p
mthe AACN standards.
pm pm
DIF: Cognitive Level: Remember/Knowledge pm pm
OBJ: p m Describe standards of professional practice for critical care nursing.
pm pm pm pm pm pm pm pm pm
TOP: p m Nursing Process Step: N/A pm pm pm
MSC: p m NCLEX Client Needs Category: Safe and Effective Care Environment
pm pm pm pm pm pm pm pm
7. The charge nurse is responsible for making the patient assignments on the critical care
pm pm pm pm pm pm pm pm pm pm pm pm pm p
munit. An experienced, certified nurse is assigned to care for the acutely ill patient with
pm pm pm pm pm pm pm pm pm pm pm pm pm pm p
msepsis who also requires continuous renal replacement therapy and mechanical ventila
pm pm pm pm pm pm pm pm pm pm
tion. The nurse with less than 1 year of experience is assigned to two patients who are
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
more stable. This assignment reflects implementation of the
pm pm pm pm pm pm pm
a. crew resource management model. pm pm pm
b. National Patient Safety Goals. pm pm pm
c. Quality and Safety Education for Nurses (QSEN) model
pm pm pm pm pm pm pm
.
d. synergy model of practice. pm pm pm
ANS: D p m
This assignment demonstrates nursing care to meet the needs of the patient. The syner
pm pm pm pm pm pm pm pm pm pm pm pm pm
gy model notes that the nurse competencies are matched to the patient characteristics.
pm pm pm pm pm pm pm pm pm pm pm pm pm
Crew resource management concepts are related to team training; National Patient Saf
pm pm pm pm pm pm pm pm pm pm pm
ety Goals are specified by The Joint Commission to promote safe care but do not inco
pm pm pm pm pm pm pm pm pm pm pm pm pm pm pm
rporate the synergy model. The Quality and Safety Education for Nurses initiative inv
pm pm pm pm pm pm pm pm pm pm pm pm
olves targeted education of undergraduate and graduate nursing students on quality an
pm pm pm pm pm pm pm pm pm pm pm
d safety concepts.
pm pm
DIF: Cognitive Level: Analyze/Analysis pm pm
OBJ: p m Describe standards of professional practice for critical care nursing.
pm pm pm pm pm pm pm pm pm
TOP: p m Nursing Process Step: N/A pm pm pm
MSC: p m NCLEX Client Needs Category: Safe and Effective Care Environment
pm pm pm pm pm pm pm pm
