TABLEOFCONTENTS
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,UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
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1. Caring for the Critically Ill Patient
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2. Ethical and Legal Issues
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3. Facilitating Care Transitions vb vb
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
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4. Psychosocial and Spiritual Considerations vb vb vb
5. Nutritional Alterations and Management vb vb vb
6. The Older Adult
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7. Pain and Pain Management
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8. Sedation and Delirium Management
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9. Palliative and End-of-Life Care
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UNIT THREE: CARDIOVASCULAR ALTERATIONS
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10. Cardiovascular Clinical Assessment and Diagnostic Procedures vb vb vb vb vb
11. Cardiovascular Disorders vb
12. Cardiovascular Therapeutic Management vb vb
UNIT FOUR: PULMONARY ALTERATIONS
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13. Pulmonary Clinical Assessment and Diagnostic Procedures
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14. Pulmonary Disorders vb
15. Pulmonary Therapeutic Management vb vb
UNIT FIVE: NEUROLOGICAL ALTERATIONS
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16. Neurological Clinical Assessment and Diagnostic Procedures vb vb vb vb vb
17. Neurologic Disorders and Therapeutic Management vb vb vb vb
UNIT SIX: KIDNEY ALTERATIONS
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18. Kidney Clinical Assessment and Diagnostic Procedures
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19. Kidney Disorders and Therapeutic Management
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UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
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20. Gastrointestinal Clinical Assessment and Diagnostic Procedures vb vb vb vb vb
21. Gastrointestinal Disorders and Therapeutic Management vb vb vb vb
UNIT EIGHT: ENDOCRINE ALTERATIONS
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22. Endocrine Clinical Assessment and Diagnostic Procedures
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23. Endocrine Disorders and Therapeutic Management
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UNIT NINE: MULTISYSTEM ALTERATIONS
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24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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27. Hematological and Oncological Emergencies vb vb vb
,Chapter 01: Critical Care Nursing Practice Urd
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en: Critical Care Nursing, 10th
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MULTIPLE pc
CHOICE
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1. During World War II, what type of wards were developed to care for criticallyin j
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ured patients? vb
a. Intensive care vb
b. Triage
c. Shock
d. Postoperative
ANS: C vb
During World War II, shock wards were established to care for critically injured patients. Tr i
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age wards establish the order in which a patient is seen or treated upon arrival to a hospital
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. Postoperative wards were developed in 1900 and later evolved into intensive care units.
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PTS: v b 1
DIF: Cognitive Level: Remembering
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REF: p. 1 OBJ: Nursing Process Step: N/A vb vb vb vb vb vb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vb vb vb vb pc vb vb vb v
bnd Effective Care Environment
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2. What type of practitioner has a broad depth of specialty knowledge and expertise and
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manages complex clinical and system issues? vb vb vb vb vb
a. Registered nurses vb
b. Advanced practice nurses vb vb
c. Clinical nurse leaders vb vb
d. Intensivists
ANS: B vb
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in theirs
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pecialty area and manage complex clinical and systems issues. Intensivists are medical pract i
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tioners who manage the critical ill patient. Registered nurses (RNs) are generally direct car e
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providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
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PTS: v b 1
DIF: Cognitive Level: Remembering
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REF: p. 2 OBJ: Nursing Process Step: N/A vb vb vb vb vb vb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vb vb vb vb pc vb vb vb v
bnd Effective Care Environment
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3. What type of practitioner is instrumental in ensuring care that is evidence based and t
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hat safety programs are in place?
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a. Clinical nurse spec vb vb v
ialist b. Advanced pract
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ice nurse c.
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Registered nurses vb
d. Nurse practitioners
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ANS: A vb
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese arc
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h, leadership, and consultative abilities. They are instrumental in ensuring that care is evi dence
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based and that safety programs are in place. Advanced practice nurses (APNs)have
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a broad depth of knowledge and expertise in their specialty area and manage complex cli n
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ical and systems issues. Registered nurses are generally direct care providers. Nursepract iti
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oners (NPs) manage direct clinical care of groups of patients.
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PTS: DIF: Cognitive Level: Remembering
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REF: p. 2 OBJ: Nursing Process Step: N/A vb vb vb vb vb vb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vb vb vb vb pc vb vb vb v
bnd Effective Care Environment
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4. Which professional organization administers critical care certification exams forre
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gistered nurses? vb
a. State Board of Registered Nurses vb vb vb vb
b. National Association of Clinical Nurse Specialist vb vb vb vb vb
c. Society of Critical Care Medicine vb vb vb vb
d. American Association of Critical-Care Nurses vb vb vb vb
ANS: D vb
American Association of Critical- vb vb vb
Care Nurses (AACN) administers certification exams for registered nurses. The State Boa r
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d of Registered Nurses (SBON) does not administercertification exams. National Associa t
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ion of Clinical Nurse Specialists (NACNS) does not administer certification exams. Socie t
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y of Critical Care Medicine (SCCM) does not administer nursing certification exams for r eg
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istered nurses. vb
PTS: DIF: Cognitive Level: Remembering
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REF: p. 3 OBJ: Nursing Process Step: N/A vb vb vb vb vb vb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vb vb vb vb pc vb vb vb v
bnd Effective Care Environment
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5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit
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are interdependent and inseparable. This statement describes which methodology of c a
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re?
a. Holistic care vb
b. Individualized care vb
c. Cultural care vb
d. Interdisciplinary care vb
ANS: A vb
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte rdepen
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dent and inseparable. Individualized care recognizes the uniqueness of each patient’s preferences, c
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ondition, and physiologic and psychosocial status. Cultural diversityin
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health care is not a new topic, but it is gaining emphasis and importance as the world beco
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mes more accessible to all as the result of increasing technologies and interfaces with places
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and peoples. Interdisciplinary care is care among a variety of health care professionals with t
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he patient’s health as the common goal.
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PTS: DIF: Cognitive Level: Remembering
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REF: p. 4 OBJ: Nursing Process Step: N/A vb vb vb vb vb vb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vb vb vb vb pc vb vb vb v
bnd Effective Care Environment
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vb vb
,UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
v b v b v b v b v b v b
1. Caring for the Critically Ill Patient
vb vb vb vb vb
2. Ethical and Legal Issues
vb vb vb
3. Facilitating Care Transitions vb vb
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
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4. Psychosocial and Spiritual Considerations vb vb vb
5. Nutritional Alterations and Management vb vb vb
6. The Older Adult
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7. Pain and Pain Management
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8. Sedation and Delirium Management
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9. Palliative and End-of-Life Care
vb vb vb
UNIT THREE: CARDIOVASCULAR ALTERATIONS
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10. Cardiovascular Clinical Assessment and Diagnostic Procedures vb vb vb vb vb
11. Cardiovascular Disorders vb
12. Cardiovascular Therapeutic Management vb vb
UNIT FOUR: PULMONARY ALTERATIONS
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13. Pulmonary Clinical Assessment and Diagnostic Procedures
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14. Pulmonary Disorders vb
15. Pulmonary Therapeutic Management vb vb
UNIT FIVE: NEUROLOGICAL ALTERATIONS
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16. Neurological Clinical Assessment and Diagnostic Procedures vb vb vb vb vb
17. Neurologic Disorders and Therapeutic Management vb vb vb vb
UNIT SIX: KIDNEY ALTERATIONS
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18. Kidney Clinical Assessment and Diagnostic Procedures
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19. Kidney Disorders and Therapeutic Management
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UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
v b v b v b
20. Gastrointestinal Clinical Assessment and Diagnostic Procedures vb vb vb vb vb
21. Gastrointestinal Disorders and Therapeutic Management vb vb vb vb
UNIT EIGHT: ENDOCRINE ALTERATIONS
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22. Endocrine Clinical Assessment and Diagnostic Procedures
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23. Endocrine Disorders and Therapeutic Management
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UNIT NINE: MULTISYSTEM ALTERATIONS
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24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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27. Hematological and Oncological Emergencies vb vb vb
,Chapter 01: Critical Care Nursing Practice Urd
vb vb vb vb vb vb
en: Critical Care Nursing, 10th
vb vb vb vb
MULTIPLE pc
CHOICE
v b
1. During World War II, what type of wards were developed to care for criticallyin j
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
ured patients? vb
a. Intensive care vb
b. Triage
c. Shock
d. Postoperative
ANS: C vb
During World War II, shock wards were established to care for critically injured patients. Tr i
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
age wards establish the order in which a patient is seen or treated upon arrival to a hospital
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
. Postoperative wards were developed in 1900 and later evolved into intensive care units.
vb vb vb vb vb vb vb vb vb vb vb vb pc
PTS: v b 1
DIF: Cognitive Level: Remembering
v b v b vb vb
REF: p. 1 OBJ: Nursing Process Step: N/A vb vb vb vb vb vb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vb vb vb vb pc vb vb vb v
bnd Effective Care Environment
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2. What type of practitioner has a broad depth of specialty knowledge and expertise and
vb vb vb vb vb vb vb vb vb vb vb vb vb pcv b
manages complex clinical and system issues? vb vb vb vb vb
a. Registered nurses vb
b. Advanced practice nurses vb vb
c. Clinical nurse leaders vb vb
d. Intensivists
ANS: B vb
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in theirs
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
pecialty area and manage complex clinical and systems issues. Intensivists are medical pract i
vb vb vb vb vb vb vb vb vb vb vb vb vb
tioners who manage the critical ill patient. Registered nurses (RNs) are generally direct car e
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
vb vb vb vb vb vb vb vb vb vb
PTS: v b 1
DIF: Cognitive Level: Remembering
v b v b vb vb
REF: p. 2 OBJ: Nursing Process Step: N/A vb vb vb vb vb vb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vb vb vb vb pc vb vb vb v
bnd Effective Care Environment
vb vb vb
3. What type of practitioner is instrumental in ensuring care that is evidence based and t
vb vb vb vb vb vb vb vb vb pc vb vb vb pc vb
hat safety programs are in place?
pc vb vb vb vb
a. Clinical nurse spec vb vb v
ialist b. Advanced pract
b vb vb pc
ice nurse c.
vb vb vb
Registered nurses vb
d. Nurse practitioners
vb vb
ANS: A vb
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese arc
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
h, leadership, and consultative abilities. They are instrumental in ensuring that care is evi dence
vb vb vb vb vb vb vb vb vb vb vb pc vb vb
based and that safety programs are in place. Advanced practice nurses (APNs)have
vb vb vb vb vb vb vb vb vb vb vb vb
a broad depth of knowledge and expertise in their specialty area and manage complex cli n
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
ical and systems issues. Registered nurses are generally direct care providers. Nursepract iti
vb vb vb vb vb vb vb vb vb vb vb vb
oners (NPs) manage direct clinical care of groups of patients.
vb vb vb vb vb vb vb vb vb
PTS: DIF: Cognitive Level: Remembering
v b v b 1 v b vb vb
REF: p. 2 OBJ: Nursing Process Step: N/A vb vb vb vb vb vb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vb vb vb vb pc vb vb vb v
bnd Effective Care Environment
vb vb vb
4. Which professional organization administers critical care certification exams forre
vb vb vb vb vb vb vb vb vb
gistered nurses? vb
a. State Board of Registered Nurses vb vb vb vb
b. National Association of Clinical Nurse Specialist vb vb vb vb vb
c. Society of Critical Care Medicine vb vb vb vb
d. American Association of Critical-Care Nurses vb vb vb vb
ANS: D vb
American Association of Critical- vb vb vb
Care Nurses (AACN) administers certification exams for registered nurses. The State Boa r
vb vb vb vb vb vb vb vb vb vb vb vb
d of Registered Nurses (SBON) does not administercertification exams. National Associa t
vb vb vb vb vb vb pc vb vb vb vb
ion of Clinical Nurse Specialists (NACNS) does not administer certification exams. Socie t
vb vb vb vb vb vb vb vb vb vb vb vb
y of Critical Care Medicine (SCCM) does not administer nursing certification exams for r eg
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
istered nurses. vb
PTS: DIF: Cognitive Level: Remembering
v b v b 1 v b vb vb
REF: p. 3 OBJ: Nursing Process Step: N/A vb vb vb vb vb vb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vb vb vb vb pc vb vb vb v
bnd Effective Care Environment
vb vb vb
5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit
vb vb vb vb vb vb vb vb vb vb vb vb vb vb pcv b
are interdependent and inseparable. This statement describes which methodology of c a
vb vb vb vb vb vb vb vb vb vb vb
re?
a. Holistic care vb
b. Individualized care vb
c. Cultural care vb
d. Interdisciplinary care vb
ANS: A vb
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte rdepen
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
dent and inseparable. Individualized care recognizes the uniqueness of each patient’s preferences, c
vb vb vb vb vb vb vb vb vb vb vb vb
ondition, and physiologic and psychosocial status. Cultural diversityin
vb vb vb vb vb vb vb
health care is not a new topic, but it is gaining emphasis and importance as the world beco
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
mes more accessible to all as the result of increasing technologies and interfaces with places
vb vb vb vb vb vb vb vb vb vb vb vb vb pc vb
and peoples. Interdisciplinary care is care among a variety of health care professionals with t
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
he patient’s health as the common goal.
vb vb vb vb vb vb
PTS: DIF: Cognitive Level: Remembering
v b v b 1 v b vb vb
REF: p. 4 OBJ: Nursing Process Step: N/A vb vb vb vb vb vb
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vb vb vb vb pc vb vb vb v
bnd Effective Care Environment
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