, TESTBANK FOR
Sole’s Introduction to Critical Care Nursing, 9th Edition Makic
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:
, Test Bank – Chapter 01
Q1. Which of the following professional organizations best supports critical care nursing
practice?
A) American Association of Critical-Care Nurses
B) American Heart Association
C) American Nurses Association
D) Society of Critical Care Medicine
Q2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years
and is interested in certification. Which credential would be most applicable for her to seek?
A) ACNPC
B) CCRN-E
C) CCRN
D) PCCN
Q3. What is the main purpose of certification for critical care nursing?
A) To assure the consumer that critical nurses will not make a mistake.
B) To help prepare the critical care nurse for graduate school.
C) To assist in promoting magnet status for a facility.
D) To validate a nurse’s knowledge of critical care nursing.
Q4. What is the focus of the synergy model of practice?
A) Allowing unrestricted visiting for the patient 24 hours each day.
B) Providing holistic and alternative therapies.
C) Considering the needs of patients and their families, which drives nursing competency.
D) Addressing the patients’ needs for energy and support.
Q5. The family of your critically ill patient tells you that they have not spoken with the physician
in over 24 hours and they have some questions that they want clarified. During morning
rounds, you convey this concern to the attending intensivist and arrange for her to meet with
the family at 4:00 PM in the conference room. Which competency of critical care nursing does
this represent?
A) Advocacy and moral agency in solving ethical issues
B) Clinical judgment and clinical reasoning skills
C) Collaboration with patients, family members, and healthcare team members
D) Facilitation of learning for patients, family members, and healthcare team members
Q6. The AACN Competence Framework provides an initial competency for practice approach
that validates a core set of what?
A) Evidence-based practice guidelines
B) Healthy work environment recommendations
C) National Patient Safety Goals
D) Knowledge, skills, and abilities (KSAs)
Q7. The charge nurse is responsible for making the patient assignments on the critical care
unit. She assigns the experienced, certified nurse to care for the acutely ill patient diagnosed
with sepsis who also requires continuous renal replacement therapy and mechanical
ventilation. She assigns the nurse with less than 1 year of experience to two patients who are
more stable. This assignment reflects implementation of what guiding framework?
A) Crew resource management model
, B) National Patient Safety Goals
C) Quality and Safety Education for Nurses (QSEN) model
D) Synergy model of practice
Q8. The vision of the American Association of Critical-Care Nurses is a healthcare system
driven by achieving what goal?
A) Maintaining a healthy work environment.
B) Providing care from a multiprofessional team under the direction of a critical care physician.
C) Effectively meeting the needs of critically ill patients and families.
D) Creating respectful, healing, and humane environments.
Q9. What is the most important outcome of effective communication?
A) Demonstrating caring practices to family members.
B) Ensuring that patient teaching is provided
C) Meeting the diversity needs of patients.
D) Reducing patient errors.
Q10. The nurse is caring for a critically ill patient whose urine output has been low for 2
consecutive hours. After a thorough patient assessment, you call the primary care provider with
the following report. Dr. Smith, I’m calling about Mrs. P., your 65-year-old patient in CCU 10.
Her urine output for the past 2 hours totaled only 40 mL. She arrived from surgery to repair an
aortic aneurysm 4 hours ago and remains on mechanical ventilation. In the past 2 hours, her
heart rate has increased from 80 to 100 beats per minute and her blood pressure has
decreased from 128/82 to 100/70 mm Hg. She is being given an infusion of normal saline at
100 mL per hour. Her right atrial pressure through the subclavian central line is low at 3 mm
Hg. Her urine is concentrated. Her BUN and creatinine levels have been stable and in normal
range. Her abdominal dressing is dry with no indication of bleeding. My assessment suggests
that Mrs. P. is hypovolemic and I would like you to consider increasing her fluids or giving her a
fluid challenge. Using the SBAR model for communication, the information the nurse gives
about the patient’s history and vital signs is appropriate for what part of the model?
A) Situation
B) Background
C) Assessment
D) Recommendation
Q11. The family members of a critically ill, 90-year-old patient bring in a copy of the patient’s
living will to the hospital, which identifies the patient’s wishes regarding health care. The nurse
discusses the contents of the living will with the patient’s physician. This is an example of
implementation of which of the AACN Standards of Professional Performance?
A) Acquires and maintains current knowledge and competency in patient care
B) Acts ethically in all areas of practice
C) Considers factors related to safety, effectiveness, cost, and effect in planning and delivering care
D) Uses clinical inquiry and integrates research findings in practice
Q12. Which of the following assists the critical care nurse in ensuring that care is appropriate
and based on research?
A) Clinical practice guidelines
B) Computerized physician order entry
C) Consulting with advanced practice nurses
D) Implementing Joint Commission National Patient Safety Goals
Q13. Comparing the patient’s current (home) medications with those ordered during
hospitalization and communicating a complete list of medications to the next care provider
when the patient is transferred within an organization or to another setting are strategies
toward best achieving what patient related goal?
, A) Identify patients correctly.
B) Ensure the right information is provided to the right clinician.
C) Reconciling medications across the continuum of care.
D) Reducing harms associated with administration of anticoagulants.
Q14. As part of nursing management of a critically ill patient, orders are written to keep the
head of the bed elevated at 30 degrees, awaken the patient from sedation each morning to
assess readiness to wean from mechanical ventilation, and implement oral care protocols
every 4 hours. These interventions are done as a group to reduce the risk of
ventilator-associated pneumonia. This group of evidence-based interventions is often referred
to using what term?
A) Bundle of care.
B) Clinical practice guideline.
C) Patient safety goal.
D) Quality improvement initiative.
Q15. A nurse who works in an intermediate care unit that has experienced high nursing
turnover. There is a newly hired nurse manager who tells the staff that he is going to focus on
creating a healthy work environment as a way to address turnover. The manager asks the
nurse what her professional goals for the upcoming year are, and how he can help to support
her in achieving them and celebrating her successes. This situation in an example of what key
component of a healthy work environment?
A) Effective decision making
B) Meaningful recognition
C) Appropriate staffing
D) Promotion of nurse retention
Q16. Which of the following statements describes the core concept of the synergy model of
practice?
A) All nurses must be certified in order to have the synergy model implemented.
B) Family members must be included in daily interdisciplinary rounds.
C) Nurses and physicians must work collaboratively and synergistically to influence care.
D) Unique needs of patients and their families influence nursing competencies.
Q17. A nurse who plans care based on the patient’s gender, ethnicity, spirituality, and lifestyle
is said to demonstrate what focus?
A) Becoming a moral advocate.
B) Facilitating all forms of learning.
C) Responding to diversity.
D) Using effective clinical judgment.
Q18. Which of the following is a National Patient Safety Goal? (Select all that apply.)
A) Identify patients correctly.
B) Eliminate use of patient restraints.
C) Reconcile medications across the continuum of care.
D) Comply with guidelines for hand hygiene.
Answer inferred by assistant (no correct answer provided in source file).
Q19. Which of the following is (are) official journal(s) of the American Association of
Critical-Care Nurses? (Select all that apply.)
A) American Journal of Critical Care
B) Critical Care Clinics of North America
C) Critical Care Nurse
, D) Critical Care Nursing Quarterly
Answer inferred by assistant (no correct answer provided in source file).
Q20. What were identified as the first critical care units? (Select all that apply.)
A) Burn units.
B) Coronary care units
C) Recovery rooms.
D) Neonatal intensive care units.
E) High-risk OB units.
Answer inferred by assistant (no correct answer provided in source file).
Q21. Which of the following nursing activities demonstrates implementation of the AACN
Standards of Professional Performance? (Select all that apply.)
A) Attending a meeting of the local chapter of the American Association of Critical-Care Nurses in
which a continuing education program on sepsis is being taught
B) Collaborating with a pastoral services colleague to assist in meeting spiritual needs of the patient
and family
C) Participating on the unit’s nurse practice council
D) Reading an article from Critical Care Nurse on management of venous thromboembolism, and
hosting a journal club for your colleagues to make best practice recommendations and discuss
E) Using evidence-based strategies to prevent ventilator-associated pneumonia
Answer inferred by assistant (no correct answer provided in source file).
Q22. Which scenarios contribute to effective handoff communication at change of shift? (Select
all that apply.)
A) The nephrology consultant physician is making rounds and asks the nurse to provide an update
on the patient’s status and assist in placing a central line for hemodialysis.
B) The noise level is high because twice as many staff members are present and everyone is giving
report in the nurse’s station.
C) The unit has decided to use a standardized checklist/tool for change-of-shift reports and patient
transfers.
D) Both the off-going and the oncoming nurses conduct a standardized report at the patient’s
bedside and review key assessment findings.
E) The off-going nurse is giving the patient medications at the same time as giving handoff report to
the oncoming nurse.
Answer inferred by assistant (no correct answer provided in source file).
Q23. Which strategy is important to addressing issues associated with the aging workforce?
(Select all that apply.)
A) Allowing nurses to work flexible shift durations
B) Encouraging older nurses to transfer to an outpatient setting that is less stressful
C) Hiring nurse technicians that are available to assist with patient care, such as turning the patient
D) Developing a staffing model that accurately reflects the unit’s needs.
E) Remodeling patient care rooms to include devices to assist in patient lifting
Answer inferred by assistant (no correct answer provided in source file).
Q24. Which of the following strategies will assist in creating a healthy work environment for the
critical care nurse? (Select all that apply.)
A) Celebrating improved outcomes from a nurse-driven protocol with a pizza party
B) Implementing a medication safety program designed by pharmacists
C) Modifying the staffing pattern to ensure a 1:1 nurse/patient ratio
D) Offering quarterly joint nurse-physician workshops to discuss unit issues
,E) Using the Situation-Background-Assessment-Recommendation (SBAR) technique for handoff
communication
Answer inferred by assistant (no correct answer provided in source file).
,Chapter 2
Q1. Family members have a need for information. Which intervention best assists in
meeting this need?
1. Handing family members a pamphlet that explains all of the critical care equipment
2. Providing a daily update of the patient’s progress and facilitating communication with the
intensivist
3. Telling them that you are not permitted to give them a status report but that they can be
present at 4:00 PM for family rounds with the intensivist
4. Writing down a list of all new medications and doses and giving the list to family members
during visitation
Q2. The nurse is a member of a committee to design a critical care unit in a new building.
Which design trend would best be implemented to facilitate family-centered care?
1. Ensuring that the new unit has appropriate signage directing family members to rooms,
bathrooms, etc.
2. Including a diagnostic suite in close proximity to the unit so that the patient does not have to
travel far for testing.
3. Incorporating a large waiting room on the top floor of the hospital with a scenic view and
amenities such as coffee and tea.
4. Providing access to a scenic garden for meditation.
Q3. The nurse is caring for a patient who sustained a head injury and is unresponsive to
painful stimuli. Which intervention is most appropriate while bathing the patient?
1. Ask a family member to help you bathe the patient, and discuss the family structure with the
family member during the procedure.
2. Because the patient is unconscious, complete care as quickly and quietly as possible.
3. Inform the patient of the day and time, and what kind of care you are providing.
4. Turn the television on to the evening news so that you and the patient can be updated to
current events.
Q4. Sleep often is disrupted for critically ill patients. Which nursing intervention is most
appropriate to promote sleep and rest?
1. Consult with the pharmacist to adjust medication times to allow periods of sleep or rest
between intervals.
2. Encourage family members to talk with the patient whenever they are present in the room.
3. Keep the television on to provide “white” noise and distraction.
4. Leave the lights on in the room so that the patient is not frightened of his or her
surroundings.
Q5. Family assessment is essential in order to meet family needs. Which of the following
must be assessed first to assist the nurse in providing family-centered care?
1. Assessment of patient and family’s developmental stages and needs
2. Description of the patient’s home environment
3. Identification of immediate family, extended family, and decision makers
4. Observation and assessment of how family members function with each other
Q6. Critical illness often results in family conflicts. Which scenario is most likely to result in
the greatest conflict?
, 1. A 21-year-old college student of divorced parents hospitalized with multiple trauma. She
resides with her mother. The parents are amicable with each other and have similar values.
The father blames the daughter’s boyfriend for causing the accident.
2. A 36-year-old male admitted for a ruptured cerebral aneurysm. He has been living with his
34-year-old girlfriend for 8 years, and they have a 4-year-old daughter. He does not have
written advance directives. His parents arrive from out-of-state and are asked to make
decisions about his health care. He has not seen them in over a year.
3. A 58-year-old male admitted for coronary artery bypass surgery. He has been living with his
same-sex partner for 20 years in a committed relationship. He has designated his sister, a
registered nurse, as his healthcare proxy in a written advance directive.
4. A 78-year-old female admitted with gastrointestinal bleeding. Her hemoglobin is decreasing
to a critical level. She is a Jehovah’s Witness and refuses the treatment of a blood transfusion.
She is capable of making her own decisions and has a clearly written advance directive
declining any transfusions. Her son is upset with her and tells her she is “committing suicide.”
Q7. Which nursing interventions would best support the family of a critically ill patient?
1. Encouraging family members to stay all night in case the patient needs them.
2. Giving a condition update each morning and whenever changes occur.
3. Limiting visitation from children into the critical care unit.
4. Providing beverages and snacks in the waiting room.
Q8. Which intervention is appropriate to assist the patient to cope with admission to the
critical care unit?
1. Allowing unrestricted visiting by several family members at one time
2. Explaining all procedures in easy-to-understand terms
3. Providing back massage and mouth care
4. Turning down the alarm volume on the cardiac monitor
Q9. The constant noise of a ventilator, monitor alarms, and infusion pumps predisposes
the patient to what form of stress?
1. Anxiety
2. Pain
3. Powerlessness
4. Sensory overload
Q10. Which statement about family assessment is false?
1. Assessment of structure (who comprises the family) is the last step in assessment.
2. Interaction among family members is assessed.
3. It is important to assess communication among family members to understand roles.
4. Ongoing assessment is important, because family functioning may change during the course
of illness.
Q11. Which intervention about visitation in the critical care unit is true?
1. The majority of critical care nurses implement restricted visiting hours to allow the patient to
rest.
2. Children should never be permitted to visit a critically ill family member.
3. Visitation that is individualized to the needs of patients and family members is ideal.
4. Visiting hours should always be unrestricted.
Q12. Assuming each of these patients was discharged from the hospital, which older adult
patient is at greatest risk for decreased functional status and quality of life, a constellation
of symptoms called post-intensive care syndrome (PICS)?
, 1. A 70-year-old who had coronary artery bypass surgery developed complications after
surgery and had difficulty being weaned from mechanical ventilation. The patient required a
tracheostomy and gastrostomy and is now being discharged to a long-term, acute care
hospital. The patient lost their significant other 3 years ago.
2. A 79-year-old admitted for exacerbation of heart failure manages health care independently
but needs diuretic medications adjusted. The patient states being compliant with prescribed
medications but sometimes forgets to take them. The patient and 82-year-old spouse consider
themselves to be independent and support each other.
3. A 90-year-old admitted for a carotid endarterectomy lives in an assisted living facility (ALF)
but is cognitively intact and claims to be the “social butterfly” at all of the events at the ALF. The
patient is hospitalized for 4 days and discharged to the ALF.
4. An 84-year-old who had stents placed to treat coronary artery occlusion has diabetes that
has been managed, lives alone since losing significant other 10 years ago, and was driving
prior to hospitalization. The patient was discharged home within 3 days of the procedure.
Q13. Which is likely the most common recollection from a patient who specifically required
prolonged endotracheal intubation and mechanical ventilation?
1. Difficulty communicating
2. Inability to get comfortable
3. Pain
4. Sleep disruption
Q14. Many critically ill patients experience anxiety. The nurse can reduce anxiety with
which approach?
1. Asking family members to limit their visitation to 2-hour periods in morning, afternoon, and
evening. You know that this is the best approach to ensure uninterrupted rest time for the
patient. Tell the patient, “Your family is in the waiting room. They will be permitted to come in at
2:00 PM after you take a short nap.”
2. Explaining the unit routine. “Assessments are done every 4 hours; patients are bathed on
the night shift around 5:00 AM; family members are permitted to visit you after the physicians
make their morning rounds. They can spend the day. Lights are out every night at 10:00 PM.”
3. Clearly explaining interventions to the patient before they are done, giving time for questions
if they have any. As an example, stating “It’s time to turn you. I am going to ask another nurse
to come in and help me. We will turn you to your left side. During the turn, I’m going to inspect
the skin on your back and rub some lotion on your back. This should help to make you feel
better.”
4. Suctioning the endotracheal tube immediately when the patient starts to cough. Sharing,
“Your tube needs suctioned; you should feel better after I’m done.”
Q15. Which statement is a likely response from someone who has survived a stay in the
critical care unit?
1. “I don’t remember much about being in the ICU, I just remember being so overwhelmed by
all of the noise so that I couldn’t focus on anything.”
2. “If I get that sick again, do not take me to the hospital. I would rather die than go through
having a breathing tube put in again.”
3. “My family is thrilled that I am home. I know I need some extra attention, but my children
have rearranged their schedules to help me out.”
4. “Since I have been transferred out of the ICU, I cannot get enough to eat. They didn’t let me
eat in the ICU, so I’m making up for it now.”
Q16. The nurse is assigned to care for a patient who is a non-native English speaker.
What is the best way to communicate with the patient and family to provide updates and
explain procedures?
Sole’s Introduction to Critical Care Nursing, 9th Edition Makic
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:
, Test Bank – Chapter 01
Q1. Which of the following professional organizations best supports critical care nursing
practice?
A) American Association of Critical-Care Nurses
B) American Heart Association
C) American Nurses Association
D) Society of Critical Care Medicine
Q2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years
and is interested in certification. Which credential would be most applicable for her to seek?
A) ACNPC
B) CCRN-E
C) CCRN
D) PCCN
Q3. What is the main purpose of certification for critical care nursing?
A) To assure the consumer that critical nurses will not make a mistake.
B) To help prepare the critical care nurse for graduate school.
C) To assist in promoting magnet status for a facility.
D) To validate a nurse’s knowledge of critical care nursing.
Q4. What is the focus of the synergy model of practice?
A) Allowing unrestricted visiting for the patient 24 hours each day.
B) Providing holistic and alternative therapies.
C) Considering the needs of patients and their families, which drives nursing competency.
D) Addressing the patients’ needs for energy and support.
Q5. The family of your critically ill patient tells you that they have not spoken with the physician
in over 24 hours and they have some questions that they want clarified. During morning
rounds, you convey this concern to the attending intensivist and arrange for her to meet with
the family at 4:00 PM in the conference room. Which competency of critical care nursing does
this represent?
A) Advocacy and moral agency in solving ethical issues
B) Clinical judgment and clinical reasoning skills
C) Collaboration with patients, family members, and healthcare team members
D) Facilitation of learning for patients, family members, and healthcare team members
Q6. The AACN Competence Framework provides an initial competency for practice approach
that validates a core set of what?
A) Evidence-based practice guidelines
B) Healthy work environment recommendations
C) National Patient Safety Goals
D) Knowledge, skills, and abilities (KSAs)
Q7. The charge nurse is responsible for making the patient assignments on the critical care
unit. She assigns the experienced, certified nurse to care for the acutely ill patient diagnosed
with sepsis who also requires continuous renal replacement therapy and mechanical
ventilation. She assigns the nurse with less than 1 year of experience to two patients who are
more stable. This assignment reflects implementation of what guiding framework?
A) Crew resource management model
, B) National Patient Safety Goals
C) Quality and Safety Education for Nurses (QSEN) model
D) Synergy model of practice
Q8. The vision of the American Association of Critical-Care Nurses is a healthcare system
driven by achieving what goal?
A) Maintaining a healthy work environment.
B) Providing care from a multiprofessional team under the direction of a critical care physician.
C) Effectively meeting the needs of critically ill patients and families.
D) Creating respectful, healing, and humane environments.
Q9. What is the most important outcome of effective communication?
A) Demonstrating caring practices to family members.
B) Ensuring that patient teaching is provided
C) Meeting the diversity needs of patients.
D) Reducing patient errors.
Q10. The nurse is caring for a critically ill patient whose urine output has been low for 2
consecutive hours. After a thorough patient assessment, you call the primary care provider with
the following report. Dr. Smith, I’m calling about Mrs. P., your 65-year-old patient in CCU 10.
Her urine output for the past 2 hours totaled only 40 mL. She arrived from surgery to repair an
aortic aneurysm 4 hours ago and remains on mechanical ventilation. In the past 2 hours, her
heart rate has increased from 80 to 100 beats per minute and her blood pressure has
decreased from 128/82 to 100/70 mm Hg. She is being given an infusion of normal saline at
100 mL per hour. Her right atrial pressure through the subclavian central line is low at 3 mm
Hg. Her urine is concentrated. Her BUN and creatinine levels have been stable and in normal
range. Her abdominal dressing is dry with no indication of bleeding. My assessment suggests
that Mrs. P. is hypovolemic and I would like you to consider increasing her fluids or giving her a
fluid challenge. Using the SBAR model for communication, the information the nurse gives
about the patient’s history and vital signs is appropriate for what part of the model?
A) Situation
B) Background
C) Assessment
D) Recommendation
Q11. The family members of a critically ill, 90-year-old patient bring in a copy of the patient’s
living will to the hospital, which identifies the patient’s wishes regarding health care. The nurse
discusses the contents of the living will with the patient’s physician. This is an example of
implementation of which of the AACN Standards of Professional Performance?
A) Acquires and maintains current knowledge and competency in patient care
B) Acts ethically in all areas of practice
C) Considers factors related to safety, effectiveness, cost, and effect in planning and delivering care
D) Uses clinical inquiry and integrates research findings in practice
Q12. Which of the following assists the critical care nurse in ensuring that care is appropriate
and based on research?
A) Clinical practice guidelines
B) Computerized physician order entry
C) Consulting with advanced practice nurses
D) Implementing Joint Commission National Patient Safety Goals
Q13. Comparing the patient’s current (home) medications with those ordered during
hospitalization and communicating a complete list of medications to the next care provider
when the patient is transferred within an organization or to another setting are strategies
toward best achieving what patient related goal?
, A) Identify patients correctly.
B) Ensure the right information is provided to the right clinician.
C) Reconciling medications across the continuum of care.
D) Reducing harms associated with administration of anticoagulants.
Q14. As part of nursing management of a critically ill patient, orders are written to keep the
head of the bed elevated at 30 degrees, awaken the patient from sedation each morning to
assess readiness to wean from mechanical ventilation, and implement oral care protocols
every 4 hours. These interventions are done as a group to reduce the risk of
ventilator-associated pneumonia. This group of evidence-based interventions is often referred
to using what term?
A) Bundle of care.
B) Clinical practice guideline.
C) Patient safety goal.
D) Quality improvement initiative.
Q15. A nurse who works in an intermediate care unit that has experienced high nursing
turnover. There is a newly hired nurse manager who tells the staff that he is going to focus on
creating a healthy work environment as a way to address turnover. The manager asks the
nurse what her professional goals for the upcoming year are, and how he can help to support
her in achieving them and celebrating her successes. This situation in an example of what key
component of a healthy work environment?
A) Effective decision making
B) Meaningful recognition
C) Appropriate staffing
D) Promotion of nurse retention
Q16. Which of the following statements describes the core concept of the synergy model of
practice?
A) All nurses must be certified in order to have the synergy model implemented.
B) Family members must be included in daily interdisciplinary rounds.
C) Nurses and physicians must work collaboratively and synergistically to influence care.
D) Unique needs of patients and their families influence nursing competencies.
Q17. A nurse who plans care based on the patient’s gender, ethnicity, spirituality, and lifestyle
is said to demonstrate what focus?
A) Becoming a moral advocate.
B) Facilitating all forms of learning.
C) Responding to diversity.
D) Using effective clinical judgment.
Q18. Which of the following is a National Patient Safety Goal? (Select all that apply.)
A) Identify patients correctly.
B) Eliminate use of patient restraints.
C) Reconcile medications across the continuum of care.
D) Comply with guidelines for hand hygiene.
Answer inferred by assistant (no correct answer provided in source file).
Q19. Which of the following is (are) official journal(s) of the American Association of
Critical-Care Nurses? (Select all that apply.)
A) American Journal of Critical Care
B) Critical Care Clinics of North America
C) Critical Care Nurse
, D) Critical Care Nursing Quarterly
Answer inferred by assistant (no correct answer provided in source file).
Q20. What were identified as the first critical care units? (Select all that apply.)
A) Burn units.
B) Coronary care units
C) Recovery rooms.
D) Neonatal intensive care units.
E) High-risk OB units.
Answer inferred by assistant (no correct answer provided in source file).
Q21. Which of the following nursing activities demonstrates implementation of the AACN
Standards of Professional Performance? (Select all that apply.)
A) Attending a meeting of the local chapter of the American Association of Critical-Care Nurses in
which a continuing education program on sepsis is being taught
B) Collaborating with a pastoral services colleague to assist in meeting spiritual needs of the patient
and family
C) Participating on the unit’s nurse practice council
D) Reading an article from Critical Care Nurse on management of venous thromboembolism, and
hosting a journal club for your colleagues to make best practice recommendations and discuss
E) Using evidence-based strategies to prevent ventilator-associated pneumonia
Answer inferred by assistant (no correct answer provided in source file).
Q22. Which scenarios contribute to effective handoff communication at change of shift? (Select
all that apply.)
A) The nephrology consultant physician is making rounds and asks the nurse to provide an update
on the patient’s status and assist in placing a central line for hemodialysis.
B) The noise level is high because twice as many staff members are present and everyone is giving
report in the nurse’s station.
C) The unit has decided to use a standardized checklist/tool for change-of-shift reports and patient
transfers.
D) Both the off-going and the oncoming nurses conduct a standardized report at the patient’s
bedside and review key assessment findings.
E) The off-going nurse is giving the patient medications at the same time as giving handoff report to
the oncoming nurse.
Answer inferred by assistant (no correct answer provided in source file).
Q23. Which strategy is important to addressing issues associated with the aging workforce?
(Select all that apply.)
A) Allowing nurses to work flexible shift durations
B) Encouraging older nurses to transfer to an outpatient setting that is less stressful
C) Hiring nurse technicians that are available to assist with patient care, such as turning the patient
D) Developing a staffing model that accurately reflects the unit’s needs.
E) Remodeling patient care rooms to include devices to assist in patient lifting
Answer inferred by assistant (no correct answer provided in source file).
Q24. Which of the following strategies will assist in creating a healthy work environment for the
critical care nurse? (Select all that apply.)
A) Celebrating improved outcomes from a nurse-driven protocol with a pizza party
B) Implementing a medication safety program designed by pharmacists
C) Modifying the staffing pattern to ensure a 1:1 nurse/patient ratio
D) Offering quarterly joint nurse-physician workshops to discuss unit issues
,E) Using the Situation-Background-Assessment-Recommendation (SBAR) technique for handoff
communication
Answer inferred by assistant (no correct answer provided in source file).
,Chapter 2
Q1. Family members have a need for information. Which intervention best assists in
meeting this need?
1. Handing family members a pamphlet that explains all of the critical care equipment
2. Providing a daily update of the patient’s progress and facilitating communication with the
intensivist
3. Telling them that you are not permitted to give them a status report but that they can be
present at 4:00 PM for family rounds with the intensivist
4. Writing down a list of all new medications and doses and giving the list to family members
during visitation
Q2. The nurse is a member of a committee to design a critical care unit in a new building.
Which design trend would best be implemented to facilitate family-centered care?
1. Ensuring that the new unit has appropriate signage directing family members to rooms,
bathrooms, etc.
2. Including a diagnostic suite in close proximity to the unit so that the patient does not have to
travel far for testing.
3. Incorporating a large waiting room on the top floor of the hospital with a scenic view and
amenities such as coffee and tea.
4. Providing access to a scenic garden for meditation.
Q3. The nurse is caring for a patient who sustained a head injury and is unresponsive to
painful stimuli. Which intervention is most appropriate while bathing the patient?
1. Ask a family member to help you bathe the patient, and discuss the family structure with the
family member during the procedure.
2. Because the patient is unconscious, complete care as quickly and quietly as possible.
3. Inform the patient of the day and time, and what kind of care you are providing.
4. Turn the television on to the evening news so that you and the patient can be updated to
current events.
Q4. Sleep often is disrupted for critically ill patients. Which nursing intervention is most
appropriate to promote sleep and rest?
1. Consult with the pharmacist to adjust medication times to allow periods of sleep or rest
between intervals.
2. Encourage family members to talk with the patient whenever they are present in the room.
3. Keep the television on to provide “white” noise and distraction.
4. Leave the lights on in the room so that the patient is not frightened of his or her
surroundings.
Q5. Family assessment is essential in order to meet family needs. Which of the following
must be assessed first to assist the nurse in providing family-centered care?
1. Assessment of patient and family’s developmental stages and needs
2. Description of the patient’s home environment
3. Identification of immediate family, extended family, and decision makers
4. Observation and assessment of how family members function with each other
Q6. Critical illness often results in family conflicts. Which scenario is most likely to result in
the greatest conflict?
, 1. A 21-year-old college student of divorced parents hospitalized with multiple trauma. She
resides with her mother. The parents are amicable with each other and have similar values.
The father blames the daughter’s boyfriend for causing the accident.
2. A 36-year-old male admitted for a ruptured cerebral aneurysm. He has been living with his
34-year-old girlfriend for 8 years, and they have a 4-year-old daughter. He does not have
written advance directives. His parents arrive from out-of-state and are asked to make
decisions about his health care. He has not seen them in over a year.
3. A 58-year-old male admitted for coronary artery bypass surgery. He has been living with his
same-sex partner for 20 years in a committed relationship. He has designated his sister, a
registered nurse, as his healthcare proxy in a written advance directive.
4. A 78-year-old female admitted with gastrointestinal bleeding. Her hemoglobin is decreasing
to a critical level. She is a Jehovah’s Witness and refuses the treatment of a blood transfusion.
She is capable of making her own decisions and has a clearly written advance directive
declining any transfusions. Her son is upset with her and tells her she is “committing suicide.”
Q7. Which nursing interventions would best support the family of a critically ill patient?
1. Encouraging family members to stay all night in case the patient needs them.
2. Giving a condition update each morning and whenever changes occur.
3. Limiting visitation from children into the critical care unit.
4. Providing beverages and snacks in the waiting room.
Q8. Which intervention is appropriate to assist the patient to cope with admission to the
critical care unit?
1. Allowing unrestricted visiting by several family members at one time
2. Explaining all procedures in easy-to-understand terms
3. Providing back massage and mouth care
4. Turning down the alarm volume on the cardiac monitor
Q9. The constant noise of a ventilator, monitor alarms, and infusion pumps predisposes
the patient to what form of stress?
1. Anxiety
2. Pain
3. Powerlessness
4. Sensory overload
Q10. Which statement about family assessment is false?
1. Assessment of structure (who comprises the family) is the last step in assessment.
2. Interaction among family members is assessed.
3. It is important to assess communication among family members to understand roles.
4. Ongoing assessment is important, because family functioning may change during the course
of illness.
Q11. Which intervention about visitation in the critical care unit is true?
1. The majority of critical care nurses implement restricted visiting hours to allow the patient to
rest.
2. Children should never be permitted to visit a critically ill family member.
3. Visitation that is individualized to the needs of patients and family members is ideal.
4. Visiting hours should always be unrestricted.
Q12. Assuming each of these patients was discharged from the hospital, which older adult
patient is at greatest risk for decreased functional status and quality of life, a constellation
of symptoms called post-intensive care syndrome (PICS)?
, 1. A 70-year-old who had coronary artery bypass surgery developed complications after
surgery and had difficulty being weaned from mechanical ventilation. The patient required a
tracheostomy and gastrostomy and is now being discharged to a long-term, acute care
hospital. The patient lost their significant other 3 years ago.
2. A 79-year-old admitted for exacerbation of heart failure manages health care independently
but needs diuretic medications adjusted. The patient states being compliant with prescribed
medications but sometimes forgets to take them. The patient and 82-year-old spouse consider
themselves to be independent and support each other.
3. A 90-year-old admitted for a carotid endarterectomy lives in an assisted living facility (ALF)
but is cognitively intact and claims to be the “social butterfly” at all of the events at the ALF. The
patient is hospitalized for 4 days and discharged to the ALF.
4. An 84-year-old who had stents placed to treat coronary artery occlusion has diabetes that
has been managed, lives alone since losing significant other 10 years ago, and was driving
prior to hospitalization. The patient was discharged home within 3 days of the procedure.
Q13. Which is likely the most common recollection from a patient who specifically required
prolonged endotracheal intubation and mechanical ventilation?
1. Difficulty communicating
2. Inability to get comfortable
3. Pain
4. Sleep disruption
Q14. Many critically ill patients experience anxiety. The nurse can reduce anxiety with
which approach?
1. Asking family members to limit their visitation to 2-hour periods in morning, afternoon, and
evening. You know that this is the best approach to ensure uninterrupted rest time for the
patient. Tell the patient, “Your family is in the waiting room. They will be permitted to come in at
2:00 PM after you take a short nap.”
2. Explaining the unit routine. “Assessments are done every 4 hours; patients are bathed on
the night shift around 5:00 AM; family members are permitted to visit you after the physicians
make their morning rounds. They can spend the day. Lights are out every night at 10:00 PM.”
3. Clearly explaining interventions to the patient before they are done, giving time for questions
if they have any. As an example, stating “It’s time to turn you. I am going to ask another nurse
to come in and help me. We will turn you to your left side. During the turn, I’m going to inspect
the skin on your back and rub some lotion on your back. This should help to make you feel
better.”
4. Suctioning the endotracheal tube immediately when the patient starts to cough. Sharing,
“Your tube needs suctioned; you should feel better after I’m done.”
Q15. Which statement is a likely response from someone who has survived a stay in the
critical care unit?
1. “I don’t remember much about being in the ICU, I just remember being so overwhelmed by
all of the noise so that I couldn’t focus on anything.”
2. “If I get that sick again, do not take me to the hospital. I would rather die than go through
having a breathing tube put in again.”
3. “My family is thrilled that I am home. I know I need some extra attention, but my children
have rearranged their schedules to help me out.”
4. “Since I have been transferred out of the ICU, I cannot get enough to eat. They didn’t let me
eat in the ICU, so I’m making up for it now.”
Q16. The nurse is assigned to care for a patient who is a non-native English speaker.
What is the best way to communicate with the patient and family to provide updates and
explain procedures?
