, TESTBANK FOR
Priorities in Critical Care Nursing 9th Edition Urden
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
Purchase Guarantee
If you believe you have purchased the wrong file, don’t worry. Contact us anytime and we
will gladly replace it with the correct version.
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,Chapter 01: Caring for the Critically Ill Patient
Urden: Priorities in Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. The chief nurse executive is organizing a team to address an organizational increase in
catheter-associated urinary tract infections. What type of practitioner would be appropriate
choice to lead this system-wide team?
a. Registered nurse
b. Advanced practice nurse
c. Clinical nurse leader
d. Intensivist
ANS: B
An advanced practice nurse (APN) manages complex clinical and systems issues and would
be an appropriate choice to lead the team. An intensivist is a medical practitioner who
manages critical ill patients. A registered nurse (RN) is generally a direct care provider. A
clinical nurse leader (CNL) generally does not manage system issues. An intensivist may be
asked to consult with the team and the RN and CNL may be asked to join the team but none of
them would be the most appropriate to lead the team.
PTS: 1 DIF: Cognitive Level: Applying OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential
2. An employee health practitioner is concerned about the increase in work-related injuries and
is organizing a team to address safe patient handling. What type of practitioner would be the
most appropriate choice to lead this team?
a. Clinical nurse specialist
b. Nurse anesthetist
c. Registered nurse
d. Nurse practitioner
ANS: A
A clinical nurse specialist (CNS) would be the most appropriate choice to lead this team.
CNSs make good team leaders as they can use their clinical, teaching, research, consultative
and leadership abilities to address the problem. Nurse anesthetists administer anesthesia and
would not be the most appropriate choice to lead the team. Registered nurses are generally
direct care providers and would be appropriate to include on the team but not the most
appropriate choice to lead the team. Nurse practitioners (NPs) manage direct clinical care of
groups of patients and would not be the most appropriate choice to lead the team.
PTS: 1 DIF: Cognitive Level: Evaluating OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential
3. A registered nurse working in the intensive care unit has decided to become certified as a
critical care nurse. Which professional organization should the nurse contact for more
information about the certification exam?
a. State Board of Registered Nurses
, b. National Association of Clinical Nurse Specialist
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses Certification Corporation
ANS: D
The American Association of Critical-Care Nurses (AACN) Certification Corporation
develops and administers many critical care specialty certification examinations for registered
nurses and advanced practice nurses. The State Board of Registered Nurses (SBON) does not
administer certification exams. National Association of Clinical Nurse Specialists (NACNS)
does not administer certification exams. Society of Critical Care Medicine (SCCM) does not
administer certification exams for registered nurses.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The American Association of Critical-Care Nurses (AACN) has developed short directives
that can be used as quick references for clinical use. What are these documents called?
a. Critical care protocols
b. Practice policies
c. Evidence-based research directives
d. Practice alerts
ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated several
evidence-based practice summaries in the form of “practice alerts.” Critical care protocols and
practice policies are established by individual organizations. Evidence-based research
directives are a generic name for several different types of documents.
PTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Planning TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. A patient has been diagnosed with cancer and has decided to stop chemotherapy as it is not
working. The patient asks the health care practitioner if there are any other therapies available.
The practitioner recommends the patient seek what type of therapy?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A
The term alternative denotes that a specific therapy is an option or alternative to what is
considered conventional treatment of a condition or state. The term complementary was
proposed to describe therapies that can be used to complement or support conventional
treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of
each patient’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Applying
OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
, MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
6. A patient with cancer receiving chemotherapy has incorporated guided imagery and massage
into their treatment plan. These therapies are examples of what type of treatment?
a. Alternative therapy
b. Holistic care
c. Complementary care
d. Individualized care
ANS: C
The term complementary was proposed to describe therapies that can be used to complement
or support conventional treatments. Guided imagery, massage, and animal-assisted therapy are
all examples of complementary care. The term alternative denotes that a specific therapy is an
option or alternative to what is considered conventional treatment of a condition or state.
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
interdependent and inseparable. Individualized care recognizes the uniqueness of each
patient’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Understanding
OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
7. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
assisting with monitoring and care of the patient from the closest major city. What is this type
of practice termed?
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical providers.
Currently, there are tele-ICUs in areas where there are limited resources on-site. However,
experts (critical care nurses, intensivists) are located in a central distant site.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
8. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
ANS: B
, Values and ethics for interprofessional practice mean working with individuals of other
professions to maintain a climate of mutual respect and shared values. Roles and
responsibilities for collaborative practice include using knowledge of one’s own role and the
roles of other professions to appropriately assess and address the health care needs of the
patients and populations served. Interprofessional communication includes communicating
with patients, families, communities, and other health professionals in a responsive and
responsible manner that supports a team approach to maintaining health and treatment of
disease. Interprofessional teamwork and team-based care means applying relationship-
building values and principles of team dynamics to perform effectively in different team roles
to plan and deliver patient population-centered care that is safe, timely, efficient, effective, and
equitable.
PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
9. The leadership team of the intensive care unit is reviewing the quality issues that have
occurred over the last six months. Which situation continues to be one of the most problem-
prone for critical care nurses?
a. Inappropriate care
b. Intimidating and disruptive clinician behavior
c. Injury to patients by falls
d. Medication errors
ANS: D
Medication errors continue to be one of the most problem-prone nursing interventions for
critical care nurses. Intimidating and disruptive clinician behaviors, inappropriate care, and
injury to patients by falls are also problems that can occur however, medication errors
continue to be the most prevalent.
PTS: 1 DIF: Cognitive Level: Understanding
OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
10. A nurse is performing an assessment on a patient being admitted to the hospital. The nurse
asks the patient about their inner sense of being male, female, or something else. What
information is the nurse trying to elicit from the patient?
a. Sex assigned at birth
b. Gender identity
c. Sexual orientation
d. Sexual preference
ANS: B
Gender identity refers to one’s inner sense of being male, female, or something else. Sexual
orientation refers to one’s physical and emotional attraction to others. Sex assigned at birth
refers to one’s external anatomy (male or female) at birth. The term sexual preference used to
refer to sexual orientation however, it is considered offensive in that it implies that a person
can choose who they are sexually or romantically attracted to.
PTS: 1 DIF: Cognitive Level: Applying
, OBJ: Nursing Process Step: Assessment TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Psychosocial Integrity
11. The safe patient handling team has been developing resource tools for the staff. They have
created a stepwise decision-making flowchart for determining what type of lift equipment to
employ in different situations. What is this type of document commonly called?
a. Protocol
b. Practice guideline
c. Algorithm
d. Order set
ANS: C
An algorithm is a stepwise decision-making flowchart for a specific care process or processes.
A practice guideline is usually created by an expert panel and developed by a professional
organization. Protocols are more directive and rigid than guidelines, and providers are not
supposed to vary from a protocol. An order set consists of preprinted provider orders that are
used to expedite the order process after a standard has been validated through analytic review
of practice and research.
PTS: 1 DIF: Cognitive Level: Applying
OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential
MULTIPLE RESPONSE
1. A clinical practice team is developing an evidence-based practice procedure for the
management of a patient with a cervical collar. What factors with regards to evidence-based
practice does the team need to consider while creating this document? (Select all that apply.)
a. Clinical expertise of the health care team
b. Availability of staff and facility equipment
c. Research evidence on the topic
d. Patient knowledge of the disease
e. Patient preference regarding care
ANS: A, C, E
Evidence-based practice considers the best research evidence on the care topic along with
clinical expertise of the health care team and patient preferences. Availability of staff and
facility equipment and the patient’s knowledge of the disease do not factor into evidence-
based practices.
PTS: 1 DIF: Cognitive Level: Applying
OBJ: Nursing Process Step: Planning TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. Which health care team members are demonstrating the characteristics of cultural diversity?
(Select all that apply.)
a. The nurse expresses sensitivity to ethnic differences.
b. The pharmacist shows openness to different lifestyles.
c. The respiratory therapist displays openness to different values.
d. The provider exhibits reticence to different beliefs.
, e. The dietician conveys a lack of concern regarding different opinions.
ANS: A, B, C
Cultural diversity includes not only ethnic sensitivity but also sensitivity to openness to
difference lifestyles, opinions, values, and beliefs. Reticence and lack of concern are not part
of the concept of diversity.
PTS: 1 DIF: Cognitive Level: Evaluating OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3. Using the CRISIS criteria, which situations would warrant activation of the rapid response
team (RRT)? (Select all that apply.)
a. A patient reporting lightheadedness with a heart rate of 46 beats/min
b. A patient reporting dyspnea with a respiratory rate of 32 breaths/min
c. A patient on 3 liters of oxygen with an oxygen saturation of 94%
d. A patient reporting gastric pain with sporadic vomiting
e. A nurse with the subjective feeling that something is not right with a patient
ANS: A, B, E
The CRISIS criteria for RRT activation includes heart rate less than 50 beats/min, respiratory
rate greater than 26 breaths/min, and subjective feelings that something is not right. Reports of
gastric pain and an oxygen saturation less than 94% are not included as part of the criteria.
However acute onset of chest pain and oxygen saturation less than 92% despite oxygen
administration are part of the criteria.
PTS: 1 DIF: Cognitive Level: Evaluating
OBJ: Nursing Process Step: Evaluation TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential
,Chapter 02: Ethical and Legal Issues
Urden: Priorities in Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. A nurse is giving a presentation about ethical dilemmas to a group of nursing students. One of
the students asks what the difference between ethics and morals. What is the nurse’s best
response?
a. Ethics is more concerned with the “why” of behavior.
b. Ethics provides a framework for evaluation of the behavior.
c. Ethics is broader in scope than morals.
d. Ethics focuses on the right or wrong behavior based on values.
ANS: A
The best response is that ethics is more concerned with the “why” of behavior. Ethics are
concerned with the basis of the action rather than whether the action is right or wrong, good or
bad.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: N/A
TOP: Ethical and Legal Issues
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. A patient’s wife has been informed by the practitioner that her spouse has permanent
quadriplegia. The wife states that she does not want anyone to tell the patient about his injury.
The patient asks the nurse about what has happened. The nurse has conflicting emotions about
how to handle the situation. What is the nurse experiencing?
a. Autonomy
b. Moral distress
c. Moral doubt
d. Moral courage
ANS: B
The nurse has been placed in a situation initially causing moral distress and is struggling with
determining the ethically appropriate action to take. Moral courage is the freedom to advocate
for oneself, patients, and peers. Autonomy is an ethical principle. Moral doubt is not part of
the American Association of Critical-Care Nurses (AACN) framework The 4A’s to Rise Above
Moral Distress.
PTS: 1 DIF: Cognitive Level: Applying OBJ: Nursing Process Step: N/A
TOP: Ethical and Legal Issues
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3. Critical care nurses can best enhance the principle of autonomy by performing which action?
a. Presenting only the information to prevent relapse in a patient
b. Assisting with only tasks that cannot be done by the patient
c. Providing the patient with all the information and facts
d. Guiding the patient toward the best choices for care
ANS: C
, Patients and families must have all the information about a certain situation to make an
autonomous decision that is best for them. They have the right to determine what is done to or
for them without coercion or undue interference from others. Autonomy is the foundation of
the legal and ethical requirement of informed consent and includes the right of patients with
decision-making capacity to refuse some or all treatments.
PTS: 1 DIF: Cognitive Level: Applying
OBJ: Nursing Process Step: Implementation TOP: Ethical and Legal Issues
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. In addition to autonomy, the principle of respect for persons incorporates which additional
concepts?
a. Confidentiality and privacy
b. Truth and reflection
c. Sovereignty and justice
d. Beneficence and nonmaleficence
ANS: A
Confidentiality of patient information and privacy in patient interactions must be protected
and honored by health care providers out of respect for persons. Confidentiality is a right
involving the sharing of patient information with only those involved in the patient’s care.
Privacy includes confidentiality but goes further to include the right to privacy of person and
personal space, such as ensuring that a patient is adequately covered during a procedure.
Truth, reflection, sovereignty, justice, beneficence, and nonmaleficence are not part of respect
for persons.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: N/A
TOP: Ethical and Legal Issues
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. The director of the critical care unit is meeting with the nursing staff regarding concerns about
patient privacy. The manager reminds the staff about the ANA Code of Ethics for Nurses.
Which statement by a nursing staff member indicates an understanding of this document?
a. The ANA Code of Ethics for Nurses is written into nursing regulations and state
and federal laws.
b. The ANA Code of Ethics for Nurses only focuses on the nurse’s ethical
responsibility to society.
c. The ANA Code of Ethics for Nurses only focuses on the nurse’s ethical
responsibility to a patient.
d. The ANA Code of Ethics for Nurses provides ethical guidance for the nursing
profession.
ANS: D
The ANA Code of Ethics for Nurses provides the major source of ethical guidance for the
nursing profession. It provides a framework for the nurse to follow in ethical decision making
and provides society with a set of expectations of the nursing profession. The ANA Code of
Ethics for Nurses is not written into nursing regulations or state or federal laws. However, the
document is considered part of nursing professional standards.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: N/A
TOP: Ethical and Legal Issues
Priorities in Critical Care Nursing 9th Edition Urden
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
Purchase Guarantee
If you believe you have purchased the wrong file, don’t worry. Contact us anytime and we
will gladly replace it with the correct version.
Contact Email:
,Chapter 01: Caring for the Critically Ill Patient
Urden: Priorities in Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. The chief nurse executive is organizing a team to address an organizational increase in
catheter-associated urinary tract infections. What type of practitioner would be appropriate
choice to lead this system-wide team?
a. Registered nurse
b. Advanced practice nurse
c. Clinical nurse leader
d. Intensivist
ANS: B
An advanced practice nurse (APN) manages complex clinical and systems issues and would
be an appropriate choice to lead the team. An intensivist is a medical practitioner who
manages critical ill patients. A registered nurse (RN) is generally a direct care provider. A
clinical nurse leader (CNL) generally does not manage system issues. An intensivist may be
asked to consult with the team and the RN and CNL may be asked to join the team but none of
them would be the most appropriate to lead the team.
PTS: 1 DIF: Cognitive Level: Applying OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential
2. An employee health practitioner is concerned about the increase in work-related injuries and
is organizing a team to address safe patient handling. What type of practitioner would be the
most appropriate choice to lead this team?
a. Clinical nurse specialist
b. Nurse anesthetist
c. Registered nurse
d. Nurse practitioner
ANS: A
A clinical nurse specialist (CNS) would be the most appropriate choice to lead this team.
CNSs make good team leaders as they can use their clinical, teaching, research, consultative
and leadership abilities to address the problem. Nurse anesthetists administer anesthesia and
would not be the most appropriate choice to lead the team. Registered nurses are generally
direct care providers and would be appropriate to include on the team but not the most
appropriate choice to lead the team. Nurse practitioners (NPs) manage direct clinical care of
groups of patients and would not be the most appropriate choice to lead the team.
PTS: 1 DIF: Cognitive Level: Evaluating OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential
3. A registered nurse working in the intensive care unit has decided to become certified as a
critical care nurse. Which professional organization should the nurse contact for more
information about the certification exam?
a. State Board of Registered Nurses
, b. National Association of Clinical Nurse Specialist
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses Certification Corporation
ANS: D
The American Association of Critical-Care Nurses (AACN) Certification Corporation
develops and administers many critical care specialty certification examinations for registered
nurses and advanced practice nurses. The State Board of Registered Nurses (SBON) does not
administer certification exams. National Association of Clinical Nurse Specialists (NACNS)
does not administer certification exams. Society of Critical Care Medicine (SCCM) does not
administer certification exams for registered nurses.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The American Association of Critical-Care Nurses (AACN) has developed short directives
that can be used as quick references for clinical use. What are these documents called?
a. Critical care protocols
b. Practice policies
c. Evidence-based research directives
d. Practice alerts
ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated several
evidence-based practice summaries in the form of “practice alerts.” Critical care protocols and
practice policies are established by individual organizations. Evidence-based research
directives are a generic name for several different types of documents.
PTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Planning TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. A patient has been diagnosed with cancer and has decided to stop chemotherapy as it is not
working. The patient asks the health care practitioner if there are any other therapies available.
The practitioner recommends the patient seek what type of therapy?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A
The term alternative denotes that a specific therapy is an option or alternative to what is
considered conventional treatment of a condition or state. The term complementary was
proposed to describe therapies that can be used to complement or support conventional
treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of
each patient’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Applying
OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
, MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
6. A patient with cancer receiving chemotherapy has incorporated guided imagery and massage
into their treatment plan. These therapies are examples of what type of treatment?
a. Alternative therapy
b. Holistic care
c. Complementary care
d. Individualized care
ANS: C
The term complementary was proposed to describe therapies that can be used to complement
or support conventional treatments. Guided imagery, massage, and animal-assisted therapy are
all examples of complementary care. The term alternative denotes that a specific therapy is an
option or alternative to what is considered conventional treatment of a condition or state.
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
interdependent and inseparable. Individualized care recognizes the uniqueness of each
patient’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Understanding
OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
7. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
assisting with monitoring and care of the patient from the closest major city. What is this type
of practice termed?
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical providers.
Currently, there are tele-ICUs in areas where there are limited resources on-site. However,
experts (critical care nurses, intensivists) are located in a central distant site.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
8. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
ANS: B
, Values and ethics for interprofessional practice mean working with individuals of other
professions to maintain a climate of mutual respect and shared values. Roles and
responsibilities for collaborative practice include using knowledge of one’s own role and the
roles of other professions to appropriately assess and address the health care needs of the
patients and populations served. Interprofessional communication includes communicating
with patients, families, communities, and other health professionals in a responsive and
responsible manner that supports a team approach to maintaining health and treatment of
disease. Interprofessional teamwork and team-based care means applying relationship-
building values and principles of team dynamics to perform effectively in different team roles
to plan and deliver patient population-centered care that is safe, timely, efficient, effective, and
equitable.
PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
9. The leadership team of the intensive care unit is reviewing the quality issues that have
occurred over the last six months. Which situation continues to be one of the most problem-
prone for critical care nurses?
a. Inappropriate care
b. Intimidating and disruptive clinician behavior
c. Injury to patients by falls
d. Medication errors
ANS: D
Medication errors continue to be one of the most problem-prone nursing interventions for
critical care nurses. Intimidating and disruptive clinician behaviors, inappropriate care, and
injury to patients by falls are also problems that can occur however, medication errors
continue to be the most prevalent.
PTS: 1 DIF: Cognitive Level: Understanding
OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
10. A nurse is performing an assessment on a patient being admitted to the hospital. The nurse
asks the patient about their inner sense of being male, female, or something else. What
information is the nurse trying to elicit from the patient?
a. Sex assigned at birth
b. Gender identity
c. Sexual orientation
d. Sexual preference
ANS: B
Gender identity refers to one’s inner sense of being male, female, or something else. Sexual
orientation refers to one’s physical and emotional attraction to others. Sex assigned at birth
refers to one’s external anatomy (male or female) at birth. The term sexual preference used to
refer to sexual orientation however, it is considered offensive in that it implies that a person
can choose who they are sexually or romantically attracted to.
PTS: 1 DIF: Cognitive Level: Applying
, OBJ: Nursing Process Step: Assessment TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Psychosocial Integrity
11. The safe patient handling team has been developing resource tools for the staff. They have
created a stepwise decision-making flowchart for determining what type of lift equipment to
employ in different situations. What is this type of document commonly called?
a. Protocol
b. Practice guideline
c. Algorithm
d. Order set
ANS: C
An algorithm is a stepwise decision-making flowchart for a specific care process or processes.
A practice guideline is usually created by an expert panel and developed by a professional
organization. Protocols are more directive and rigid than guidelines, and providers are not
supposed to vary from a protocol. An order set consists of preprinted provider orders that are
used to expedite the order process after a standard has been validated through analytic review
of practice and research.
PTS: 1 DIF: Cognitive Level: Applying
OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential
MULTIPLE RESPONSE
1. A clinical practice team is developing an evidence-based practice procedure for the
management of a patient with a cervical collar. What factors with regards to evidence-based
practice does the team need to consider while creating this document? (Select all that apply.)
a. Clinical expertise of the health care team
b. Availability of staff and facility equipment
c. Research evidence on the topic
d. Patient knowledge of the disease
e. Patient preference regarding care
ANS: A, C, E
Evidence-based practice considers the best research evidence on the care topic along with
clinical expertise of the health care team and patient preferences. Availability of staff and
facility equipment and the patient’s knowledge of the disease do not factor into evidence-
based practices.
PTS: 1 DIF: Cognitive Level: Applying
OBJ: Nursing Process Step: Planning TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. Which health care team members are demonstrating the characteristics of cultural diversity?
(Select all that apply.)
a. The nurse expresses sensitivity to ethnic differences.
b. The pharmacist shows openness to different lifestyles.
c. The respiratory therapist displays openness to different values.
d. The provider exhibits reticence to different beliefs.
, e. The dietician conveys a lack of concern regarding different opinions.
ANS: A, B, C
Cultural diversity includes not only ethnic sensitivity but also sensitivity to openness to
difference lifestyles, opinions, values, and beliefs. Reticence and lack of concern are not part
of the concept of diversity.
PTS: 1 DIF: Cognitive Level: Evaluating OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3. Using the CRISIS criteria, which situations would warrant activation of the rapid response
team (RRT)? (Select all that apply.)
a. A patient reporting lightheadedness with a heart rate of 46 beats/min
b. A patient reporting dyspnea with a respiratory rate of 32 breaths/min
c. A patient on 3 liters of oxygen with an oxygen saturation of 94%
d. A patient reporting gastric pain with sporadic vomiting
e. A nurse with the subjective feeling that something is not right with a patient
ANS: A, B, E
The CRISIS criteria for RRT activation includes heart rate less than 50 beats/min, respiratory
rate greater than 26 breaths/min, and subjective feelings that something is not right. Reports of
gastric pain and an oxygen saturation less than 94% are not included as part of the criteria.
However acute onset of chest pain and oxygen saturation less than 92% despite oxygen
administration are part of the criteria.
PTS: 1 DIF: Cognitive Level: Evaluating
OBJ: Nursing Process Step: Evaluation TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential
,Chapter 02: Ethical and Legal Issues
Urden: Priorities in Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. A nurse is giving a presentation about ethical dilemmas to a group of nursing students. One of
the students asks what the difference between ethics and morals. What is the nurse’s best
response?
a. Ethics is more concerned with the “why” of behavior.
b. Ethics provides a framework for evaluation of the behavior.
c. Ethics is broader in scope than morals.
d. Ethics focuses on the right or wrong behavior based on values.
ANS: A
The best response is that ethics is more concerned with the “why” of behavior. Ethics are
concerned with the basis of the action rather than whether the action is right or wrong, good or
bad.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: N/A
TOP: Ethical and Legal Issues
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. A patient’s wife has been informed by the practitioner that her spouse has permanent
quadriplegia. The wife states that she does not want anyone to tell the patient about his injury.
The patient asks the nurse about what has happened. The nurse has conflicting emotions about
how to handle the situation. What is the nurse experiencing?
a. Autonomy
b. Moral distress
c. Moral doubt
d. Moral courage
ANS: B
The nurse has been placed in a situation initially causing moral distress and is struggling with
determining the ethically appropriate action to take. Moral courage is the freedom to advocate
for oneself, patients, and peers. Autonomy is an ethical principle. Moral doubt is not part of
the American Association of Critical-Care Nurses (AACN) framework The 4A’s to Rise Above
Moral Distress.
PTS: 1 DIF: Cognitive Level: Applying OBJ: Nursing Process Step: N/A
TOP: Ethical and Legal Issues
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3. Critical care nurses can best enhance the principle of autonomy by performing which action?
a. Presenting only the information to prevent relapse in a patient
b. Assisting with only tasks that cannot be done by the patient
c. Providing the patient with all the information and facts
d. Guiding the patient toward the best choices for care
ANS: C
, Patients and families must have all the information about a certain situation to make an
autonomous decision that is best for them. They have the right to determine what is done to or
for them without coercion or undue interference from others. Autonomy is the foundation of
the legal and ethical requirement of informed consent and includes the right of patients with
decision-making capacity to refuse some or all treatments.
PTS: 1 DIF: Cognitive Level: Applying
OBJ: Nursing Process Step: Implementation TOP: Ethical and Legal Issues
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. In addition to autonomy, the principle of respect for persons incorporates which additional
concepts?
a. Confidentiality and privacy
b. Truth and reflection
c. Sovereignty and justice
d. Beneficence and nonmaleficence
ANS: A
Confidentiality of patient information and privacy in patient interactions must be protected
and honored by health care providers out of respect for persons. Confidentiality is a right
involving the sharing of patient information with only those involved in the patient’s care.
Privacy includes confidentiality but goes further to include the right to privacy of person and
personal space, such as ensuring that a patient is adequately covered during a procedure.
Truth, reflection, sovereignty, justice, beneficence, and nonmaleficence are not part of respect
for persons.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: N/A
TOP: Ethical and Legal Issues
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. The director of the critical care unit is meeting with the nursing staff regarding concerns about
patient privacy. The manager reminds the staff about the ANA Code of Ethics for Nurses.
Which statement by a nursing staff member indicates an understanding of this document?
a. The ANA Code of Ethics for Nurses is written into nursing regulations and state
and federal laws.
b. The ANA Code of Ethics for Nurses only focuses on the nurse’s ethical
responsibility to society.
c. The ANA Code of Ethics for Nurses only focuses on the nurse’s ethical
responsibility to a patient.
d. The ANA Code of Ethics for Nurses provides ethical guidance for the nursing
profession.
ANS: D
The ANA Code of Ethics for Nurses provides the major source of ethical guidance for the
nursing profession. It provides a framework for the nurse to follow in ethical decision making
and provides society with a set of expectations of the nursing profession. The ANA Code of
Ethics for Nurses is not written into nursing regulations or state or federal laws. However, the
document is considered part of nursing professional standards.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: N/A
TOP: Ethical and Legal Issues
