Test Bank For
Priorities in Critical
Care Nursing 8th
Edition
BY URDEN
,Chapter 01: Caring for the Critically Ill Patient
Urden: Priorities in Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages comple
a. Registered nurses
b. Advanced practice nurses
c. Clinical nurse leaders
d. Intensivists
ANS: B
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their specialty are
clinical and systems issues. Intensivists are medical practitioners who manage the critical ill patient. Re
generally direct care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
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: Coordinated Care
2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety program
a. Clinical nurse specialist
b. Advanced practice nurse
c. Registered nurses
d. Nurse practitioners
ANS: A
Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, research, lead
abilities. They are instrumental in ensuring that care is evidence based and that safety programs are in p
nurses (APNs) have a broad depth of knowledge and expertise in their specialty area and manage comp
issues. Registered nurses are generally direct care providers. Nurse practitioners (NPs) manage direct c
patients.
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: Coordinated Care
3. Which professional organization administers critical care certification exams for registered nurses?
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
ANS: D
American Association of Critical-Care Nurses (AACN) administers certification exams for registered n
Registered Nurses (SBON) does not administer certification exams. National Association of Clinical N
does not administer certification exams. Society of Critical Care Medicine (SCCM) does not administe
for registered nurses.
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: Coordinated Care
4. The American Association of Critical-Care Nurses (AACN) has developed short directives that can be
clinical use that are known as:
a. critical care protocol.
b. practice policies.
c. evidence-based research.
d. practice alerts.
,5. What type of therapy is an option to conventional treatment?
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 con
condition or state. The term complementary was proposed to describe therapies that can be used to com
conventional treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
and inseparable. Individualized care recognizes the uniqueness of each patient’s preferences, condition
psychosocial status.
PTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
6. Guided imagery and massage are both 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 suppor
Guided imagery, massage, and animal-assisted therapy are all examples of complementary care. The te
specific therapy is an option or alternative to what is considered conventional treatment of a condition
focuses on human integrity and stresses that the body, mind, and spirit are interdependent and insepara
recognizes the uniqueness of each patient’s preferences, condition, and physiologic and psychosocial s
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 m
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 g
areas where there was a dearth of medical providers. Currently, there are tele-ICUs in areas where ther
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: Evaluation 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
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
, 9. Which nursing intervention continues to be one of the most error-prone for critical care nurses?
a. Inappropriate care
b. Intimidating and disruptive clinician behavior
c. Injury to patients by falls
d. Medication administration
ANS: D
Medication administration continues to be one of the most error-prone nursing interventions for critica
and disruptive clinician behaviors can lead to errors and preventable adverse patient outcomes. Patient
an ethical imperative and one that is inherent in health care professionals’ actions and interpersonal pro
inappropriate care and injury to patients by falls.
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 practitioner and nurse are performing a dressing change on an unresponsive patient in room 14. The
for an update on the patient in room 13. Which action should the nurse take next?
a. Give the update to the practitioner.
b. Refuse to give the update because of Health Insurance Portability and
Accountability Act (HIPAA) requirements.
c. Give the update because the patient is unconscious.
d. Refuse to give the update because of Occupational Safety and Health
Administration (OSHA) requirements.
ANS: B
Most specific to critical care clinicians is the privacy and confidentiality related to protection of health
implications when interacting with family members and others and the often very close work environm
and emergency situations. A patient’s unconscious state is not a reason for another patient’s care to be
presence. Research shows hearing is the last sense to deteriorate. Occupational Safety and Health Adm
with safety in the workplace, not privacy and confidentiality.
PTS: 1 DIF: Cognitive Level: Applying
OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
11. Which units can provide high-quality and cost-effective care for patients who are less complex, more s
need for physiologic monitoring?
a. Intensive care units
b. Triage units
c. Progressive care units
d. Medical surgical units
ANS: C
A growing trend in acute care settings is the designation of progressive care units, considered to be par
care. These units can serve as a bridge between intensive care units and medical-surgical units, while p
cost-effective care at the same time. Patients who are ideal candidates for progressive care are less com
decreased need for physiologic monitoring, and more self-care capabilities.
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: Coordinated Care
MULTIPLE RESPONSE
1. What considerations are taken into account in evidence-based nursing practice? (Select all that apply.)
a. Clinical expertise of the nurse
b. Availability of staff and facility equipment
Priorities in Critical
Care Nursing 8th
Edition
BY URDEN
,Chapter 01: Caring for the Critically Ill Patient
Urden: Priorities in Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages comple
a. Registered nurses
b. Advanced practice nurses
c. Clinical nurse leaders
d. Intensivists
ANS: B
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their specialty are
clinical and systems issues. Intensivists are medical practitioners who manage the critical ill patient. Re
generally direct care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
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: Coordinated Care
2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety program
a. Clinical nurse specialist
b. Advanced practice nurse
c. Registered nurses
d. Nurse practitioners
ANS: A
Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, research, lead
abilities. They are instrumental in ensuring that care is evidence based and that safety programs are in p
nurses (APNs) have a broad depth of knowledge and expertise in their specialty area and manage comp
issues. Registered nurses are generally direct care providers. Nurse practitioners (NPs) manage direct c
patients.
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: Coordinated Care
3. Which professional organization administers critical care certification exams for registered nurses?
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
ANS: D
American Association of Critical-Care Nurses (AACN) administers certification exams for registered n
Registered Nurses (SBON) does not administer certification exams. National Association of Clinical N
does not administer certification exams. Society of Critical Care Medicine (SCCM) does not administe
for registered nurses.
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: Coordinated Care
4. The American Association of Critical-Care Nurses (AACN) has developed short directives that can be
clinical use that are known as:
a. critical care protocol.
b. practice policies.
c. evidence-based research.
d. practice alerts.
,5. What type of therapy is an option to conventional treatment?
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 con
condition or state. The term complementary was proposed to describe therapies that can be used to com
conventional treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
and inseparable. Individualized care recognizes the uniqueness of each patient’s preferences, condition
psychosocial status.
PTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
6. Guided imagery and massage are both 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 suppor
Guided imagery, massage, and animal-assisted therapy are all examples of complementary care. The te
specific therapy is an option or alternative to what is considered conventional treatment of a condition
focuses on human integrity and stresses that the body, mind, and spirit are interdependent and insepara
recognizes the uniqueness of each patient’s preferences, condition, and physiologic and psychosocial s
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 m
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 g
areas where there was a dearth of medical providers. Currently, there are tele-ICUs in areas where ther
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: Evaluation 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
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
, 9. Which nursing intervention continues to be one of the most error-prone for critical care nurses?
a. Inappropriate care
b. Intimidating and disruptive clinician behavior
c. Injury to patients by falls
d. Medication administration
ANS: D
Medication administration continues to be one of the most error-prone nursing interventions for critica
and disruptive clinician behaviors can lead to errors and preventable adverse patient outcomes. Patient
an ethical imperative and one that is inherent in health care professionals’ actions and interpersonal pro
inappropriate care and injury to patients by falls.
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 practitioner and nurse are performing a dressing change on an unresponsive patient in room 14. The
for an update on the patient in room 13. Which action should the nurse take next?
a. Give the update to the practitioner.
b. Refuse to give the update because of Health Insurance Portability and
Accountability Act (HIPAA) requirements.
c. Give the update because the patient is unconscious.
d. Refuse to give the update because of Occupational Safety and Health
Administration (OSHA) requirements.
ANS: B
Most specific to critical care clinicians is the privacy and confidentiality related to protection of health
implications when interacting with family members and others and the often very close work environm
and emergency situations. A patient’s unconscious state is not a reason for another patient’s care to be
presence. Research shows hearing is the last sense to deteriorate. Occupational Safety and Health Adm
with safety in the workplace, not privacy and confidentiality.
PTS: 1 DIF: Cognitive Level: Applying
OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
11. Which units can provide high-quality and cost-effective care for patients who are less complex, more s
need for physiologic monitoring?
a. Intensive care units
b. Triage units
c. Progressive care units
d. Medical surgical units
ANS: C
A growing trend in acute care settings is the designation of progressive care units, considered to be par
care. These units can serve as a bridge between intensive care units and medical-surgical units, while p
cost-effective care at the same time. Patients who are ideal candidates for progressive care are less com
decreased need for physiologic monitoring, and more self-care capabilities.
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: Coordinated Care
MULTIPLE RESPONSE
1. What considerations are taken into account in evidence-based nursing practice? (Select all that apply.)
a. Clinical expertise of the nurse
b. Availability of staff and facility equipment
