CriticalCareNursing,10thEdition
b n
MULTIPLECHOICE
1. DuringWorldWarII,whattypesofwardsweredevelopedtocareforcriticallyinjured
n
patients?
b
a. Intensivecare
b. Triage
c. Shock
d. Postoperative
ANS: C
DuringWorldWarII,shockwardswereestablishedtocareforcriticallyinjuredpatients.Triagewards
n n n n b
establishtheorderinwhichapatientisseenortreateduponarrivaltoahospital.
b n n n n n n n
Postoperativewardsweredeveloped in1900 andlaterevolvedintointensivecareunits.
b n b b
PTS: 1 DIF: CognitiveLevel:Remembering REF: p.2
OBJ: NursingProcess Step:N/A
b b TOP: CriticalCareNursingPracticen
MSC: NCLEX:SafeandEffectiveCareEnvironment
b
2. Whattypeofpractitionerhasabroad depthofspecialtyknowledgeandexpertiseand n n b
managescomplexclinicalandsystemissues?
b n
a. Registered nurses n
b. Advancedpracticenurses
c. Clinicalnurseleaders
d. Intensivists
ANS: B
Advancedpracticenurses(APNs)haveabroaddepthofknowledgeandexpertiseintheirspecialtyarea
n n n n n n b
and managecomplexclinicaland systemsissues.Intensivists aremedicalpractitioners who
b n b n
managethecriticalillpatient.Registerednurses(RNs)aregenerallydirectcareproviders.Clinical
b
nurseleaders(CNLs)generallydonotmanagesystemissues.
b
PTS: 1 DIF: CognitiveLevel:Remembering
b REF: p.5
OBJ: Nursing ProcessStep:N/A
b TOP: CriticalCareNursingPractice
n
MSC: NCLEX:SafeandEffectiveCareEnvironment
b n
3. Whattypeofpractitionerisinstrumentalinensuringcarethatisevidencebasedandthat
safetyprograms areinplace?
b n
a. Clinicalnursespecialist
b. Advancedpracticenurse
c. Registered nurses n
d. Nursepractitioners
b ANS: A b
1|Page
n
, Clinicalnursespecialists(CNSs)serveinspecialtyrolesthatusetheirclinical,teaching,
n n n
research,leadership,andconsultativeabilities.Theyareinstrumentalin ensuring that careis
b n b n n n
evidencebasedandthatsafetyprogramsareinplace.Advancedpracticenurses(APNs)havea
b n n
broaddepthofknowledgeandexpertiseintheirspecialtyareaandmanagecomplexclinicaland
b n n n n n
systemsissues.Registerednursesaregenerallydirectcareproviders.Nursepractitioners(NPs)
b n
managedirectclinicalcareofgroupsofpatients.
b n
PTS: 1 DIF: CognitiveLevel:Remembering
b REF: p.6
OBJ: Nursing ProcessStep:N/A
b TOP: CriticalCareNursingPractice
n
MSC: NCLEX:SafeandEffectiveCareEnvironment
b n
4. Whichprofessionalorganizationadministerscriticalcarecertificationexamsforregistered
nurses?
b
a. StateBoardofRegistered Nurses b
b. NationalAssociationofClinicalNurseSpecialist n
c. SocietyofCriticalCare Medicine b
d. AmericanAssociationofCritical-CareNurses
ANS: D
AmericanAssociationofCritical-CareNurses(AACN)administerscertificationexamsfor
registerednurses.TheStateBoardofRegisteredNurses(SBON)doesnot administercertification
b n n n n b
exams.NationalAssociation ofClinical NurseSpecialists(NACNS)doesnotadminister
b n n n b
certification exams.SocietyofCriticalCareMedicine(SCCM)doesnotadministernursing
b n b
certificationexamsforregisterednurses.
b
PTS: 1 b DIF: CognitiveLevel:Remembering REF: p.7 b b b b b
bOBJ: NursingProcessStep:NW/ WA W . T BSMT.OWPS: Critical CareNursingPractice
b n b b n b n n n
MSC: NCLEX:SafeandEffectiveCareEnvironment
b b
5. Emphasisisonhumanintegrityandstressesthetheorythatthebody,mind,andspiritare
b b b
interdependentandinseparable.Thisstatementdescribeswhich methodologyofcare?
b n n n n
a. Holisticcare
b. Individualized care b
c. Culturalcare
d. Interdisciplinary care b
ANS: A b b
Holisticcarefocusesonhumanintegrityandstressesthatthebody,mind,andspirit are
n n n n n n
interdependentandinseparable.Individualized carerecognizestheuniquenessofeach
b n
bpatient’spreferences,condition,andphysiologicandpsychosocialstatus.Culturaldiversityin
healthcareisnotanewtopic,butitisgainingemphasisandimportanceastheworldbecomesmore
b n n n b
accessibleto allastheresultofincreasing technologiesandinterfaceswithplacesandpeoples.
b n n n n b
Interdisciplinarycareiscareamongavarietyofhealthcareprofessionalswiththepatient’shealth
n n n b
as thecommongoal.
b n
PTS: 1 DIF: CognitiveLevel:Remembering REF: p.12
OBJ: Nursing Process Step:N/A
b b TOP: CriticalCareNursingPractice
n n
MSC: NCLEX:SafeandEffectiveCareEnvironment
b n
2|Page
n
, 6. TheAmericanAssociationofCritical-CareNurses(AACN)hasdevelopedshortdirectivesthat b b n
can beused asquickreferences forclinicalusethatareknown as
b n n n n
a. CriticalCareProtocol. n
b. PracticePolicies. n
c. Evidence-Based Research. n
d. PracticeAlerts. n
ANS: D
TheAmerican AssociationofCritical-CareNurses(AACN)haspromulgatedseveralevidence-
n n n n
basedpracticesummariesintheformof“PracticeAlerts.”Evidence-based nursingpractice
b n
considersthebestresearchevidenceonthecaretopicalongwithclinicalexpertiseofthenurseand
b n n n b
patientpreferences.Criticalcareprotocoland practicepoliciesareestablished by
b n n n n
bindividualinstitutions.
PTS: 1 DIF: CognitiveLevel:Remembering
b REF: p.9
OBJ: Nursing ProcessStep:N/A
b n TOP: CriticalCareNursingPractice
MSC: NCLEX:SafeandEffectiveCareEnvironment
b n
7. Whattypeoftherapyisan optiontoconventionaltreatment? b
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A
Thetermalternativedenotesthataspecifictherapyisanoptionoralternativetowhatis n
consideredconventionaltreatmWenWt Wo .f T aBcoSnM
di.
tioWnSor state.Thetermcomplementarywasproposed
n n b b b b n n
to describe therapies that can be used to complement or support conventionaltreatments. Holistic
b b b b b b b b b b b b b
carefocusesonhumanintegrityandstressesthatthebody,mind,and
b
spiritareinterdependent andinseparable. Individualizedcarerecognizestheuniquenessof each
b b b
patient’spreferences,condition,andphysiologicand psychosocialstatus.
b n n
PTS: 1 DIF: CognitiveLevel:Remembering
b REF: p.16
OBJ: Nursing ProcessStep:N/A
b n TOP: CriticalCareNursingPractice
MSC: NCLEX:SafeandEffectiveCareEnvironment
b n
8. Prayer,guidedimagery,andmassageareallexamplesofwhattypeoftreatment?
b n
a. Alternativetherapy
b. Holisticcare
c. Complementarycare
d. Individualizedcare
ANS: C
b b
3|Page n