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