Critical Care Nursing-Diagnosis and Management, 9th Edition (Urden, 2022),
Chapter 1-41 All Chapters.
Section 1: Foundations of Critical Care Nursing (Questions 1-20)
1. During World War II, what types of wards were developed to care for critically
injured patients?
a. Intensive care
b. Triage
c. Shock
d. Postoperative
Answer: c. Shock
Rationale: During World War II, "shock wards" were established to care for
critically injured soldiers. These wards were the precursors to modern intensive
care units (ICUs) .
2. What type of practitioner has a broad depth of specialty knowledge and
expertise and manages complex clinical and system issues?
a. Registered nurses
b. Advanced practice nurses
,c. Clinical nurse leaders
d. Intensivists
Answer: b. Advanced practice nurses
Rationale: Advanced Practice Nurses (APNs), such as Nurse Practitioners and
Clinical Nurse Specialists, are prepared with extensive specialty knowledge and
manage complex patient and system-level issues .
3. Which professional organization administers critical care certification exams for
registered nurses?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialists
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses
Answer: d. American Association of Critical-Care Nurses
Rationale: The American Association of Critical-Care Nurses (AACN) administers
the CCRN certification exam for registered nurses practicing in critical care .
,4. Emphasis is on human integrity and stresses that the body, mind, and spirit are
interdependent and inseparable. This statement describes which methodology of
care?
a. Holistic care
b. Individualized care
c. Cultural care
d. Interdisciplinary care
Answer: a. Holistic care
Rationale: Holistic care recognizes the interconnectedness of the body, mind, and
spirit. It focuses on the whole person rather than just the disease process .
5. Which stage of general anesthesia begins with the initiation of an anesthetic
agent and ends with loss of consciousness?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV
, Answer: a. Stage I
Rationale: Stage I (analgesia) begins with induction and ends with the loss of
consciousness. Stage III is the stage of surgical anesthesia .
6. A patient has a Do-Not-Resuscitate (DNR) order but develops severe respiratory
distress. What is the nurse's priority action?
a. Initiate bag-valve-mask ventilation immediately.
b. Call a code blue and begin chest compressions.
c. Provide comfort measures and oxygen as per DNR parameters.
d. Ask the family if they want to change the code status.
Answer: c. Provide comfort measures and oxygen as per DNR parameters.
Rationale: A DNR order means the patient does not wish to receive
cardiopulmonary resuscitation (CPR). However, comfort measures, including
oxygen, pain management, and non-invasive support, are still provided unless
otherwise specified in an advanced directive .
Chapter 1-41 All Chapters.
Section 1: Foundations of Critical Care Nursing (Questions 1-20)
1. During World War II, what types of wards were developed to care for critically
injured patients?
a. Intensive care
b. Triage
c. Shock
d. Postoperative
Answer: c. Shock
Rationale: During World War II, "shock wards" were established to care for
critically injured soldiers. These wards were the precursors to modern intensive
care units (ICUs) .
2. What type of practitioner has a broad depth of specialty knowledge and
expertise and manages complex clinical and system issues?
a. Registered nurses
b. Advanced practice nurses
,c. Clinical nurse leaders
d. Intensivists
Answer: b. Advanced practice nurses
Rationale: Advanced Practice Nurses (APNs), such as Nurse Practitioners and
Clinical Nurse Specialists, are prepared with extensive specialty knowledge and
manage complex patient and system-level issues .
3. Which professional organization administers critical care certification exams for
registered nurses?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialists
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses
Answer: d. American Association of Critical-Care Nurses
Rationale: The American Association of Critical-Care Nurses (AACN) administers
the CCRN certification exam for registered nurses practicing in critical care .
,4. Emphasis is on human integrity and stresses that the body, mind, and spirit are
interdependent and inseparable. This statement describes which methodology of
care?
a. Holistic care
b. Individualized care
c. Cultural care
d. Interdisciplinary care
Answer: a. Holistic care
Rationale: Holistic care recognizes the interconnectedness of the body, mind, and
spirit. It focuses on the whole person rather than just the disease process .
5. Which stage of general anesthesia begins with the initiation of an anesthetic
agent and ends with loss of consciousness?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV
, Answer: a. Stage I
Rationale: Stage I (analgesia) begins with induction and ends with the loss of
consciousness. Stage III is the stage of surgical anesthesia .
6. A patient has a Do-Not-Resuscitate (DNR) order but develops severe respiratory
distress. What is the nurse's priority action?
a. Initiate bag-valve-mask ventilation immediately.
b. Call a code blue and begin chest compressions.
c. Provide comfort measures and oxygen as per DNR parameters.
d. Ask the family if they want to change the code status.
Answer: c. Provide comfort measures and oxygen as per DNR parameters.
Rationale: A DNR order means the patient does not wish to receive
cardiopulmonary resuscitation (CPR). However, comfort measures, including
oxygen, pain management, and non-invasive support, are still provided unless
otherwise specified in an advanced directive .
