Critical Care Exam 1
Which of the following professional organisations best supports critical care nursing
practice? - correct answer-American Association of Critical Care Nurses
The synergy model of practice focuses on: - correct answer-Needs of patients and their
families, which drives nursing competencies
The family of your critically ill patient tells you that they have not spoken w/ 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 w/
the family at 4:00PM in the conference room. Which competency of critical care nursing
does this represent? - correct answer-Collaboration w/ patients, families, and team members
The AACN Standards for Acute and Critical Care Nursing Practice use what framework to
guide critical care nursing practice? - correct answer-Nursing Process
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 w/ sepsis who
also requires continuous renal replacement therapy and mechanical ventilation. She assigns
the nurse w/ less than 1 year of experience to two patients who are more stable. This
assignment reflects the implementation of the: - correct answer-Synergy model of practice
Which of the following assists the critical care nurse in ensuring that care is appropriate and
based on research? - correct answer-Clinical Practice Guidelines
As part of nursing management of a critically ill patient, orders are written to keep the HOB
elevated at 30 Degrees, awaken the patient from sedation each morning to assess
readiness to wean form 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 called a: - correct
answer-Bundle of Care
Family members have a need for information. Which interventions best assist in meeting this
need? - correct answer-Providing a daily update of the patient's progress and facilitating
communication w/ the intensivist
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? - correct
answer-Tell the patient the day and time, and that you are bathing her. Reassure her that
you are there.
Critical Illness often results in family conflicts. Which scenario is most likely to result in the
greatest conflict? - correct answer-A 36-year old male admitted for a ruptured cerebral
aneurysm. He has been living w/ 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 used to make decisions about his health care. He hs not seen them in
over a year.
Which intervention is appropriate to assist the patient to cope w/ admission to the critical
care unit? - correct answer-Explaining all procedures in easy-to-understand terms
The constant noise of ventilator, monitor alarms, and infusion pumps predisposes the patient
to: - correct answer-Sensory Overload
The nurse is assigned to care for a patient who is non-native English speaker. What is the
best way to communicate w/ the patient and family to provide updates and explain
procedures? - correct answer-Contact the hospital's interpreter serve for someone to
translate
The wife of a patient who is hospitalized in the critical care unit following resuscitation for a
sudden cardiac arrest at work demands to meet with the nursing manager. She states, "I
want you to reassign my husband to another nurse. His current nurse is not in the room
enough to make sure he is okay." The nurse recognized that this response most likely is due
to the wife's: - correct answer-Sense of loss of control of the situation
Open visitation policies are expected by many professional organizations. Which statement
reflects adherence to current recommendations? - correct answer-Determine, in
collaboration with the patient and family, who can visit and when. Facilitate open visitation
policies.
A critically ill patient has a living will in his chart. His condition has deteriorated. His wife says
she wants "everything done", regardless of the patient's wishes. Which ethical principle is
the wife violating? - correct answer-Autonomy
Which of the following statements about resuscitation is true? - correct answer-Withholding
"extraordinary" resuscitation is legal and ethical if specified in advance directives and
physician orders.
The nurse is caring for an elderly patient who is in cariogenic shock. The patient has failed to
respond to medical treatment. The intesivist in charge of the patient conducts a conference
to explain that they have exhausted treatment options and suggest that the patient be made
a "do not resuscitate" status. This scenario illustrates the concept of: - correct answer-Futility
The nurse is caring for a patient admitted w/ a TBI following a motor vehicle accident. The
patient's GCS is 3 and intermittently withdraws when painful stimuli are introduced. The
patient is ventilator dependent and occasionally takes a spontaneous breath. The physician
explains to the family that the patient has severe neurological impairment and he does not
expect the patient to recover consciousness. The nurse recognizes that this patient is: -
correct answer-In a persistent vegetative state
The nurse is caring for a critically ill patient on mechanical ventilation. The physician
identifies the need for a bronchoscopy, which requires informed consent. If the physician
Which of the following professional organisations best supports critical care nursing
practice? - correct answer-American Association of Critical Care Nurses
The synergy model of practice focuses on: - correct answer-Needs of patients and their
families, which drives nursing competencies
The family of your critically ill patient tells you that they have not spoken w/ 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 w/
the family at 4:00PM in the conference room. Which competency of critical care nursing
does this represent? - correct answer-Collaboration w/ patients, families, and team members
The AACN Standards for Acute and Critical Care Nursing Practice use what framework to
guide critical care nursing practice? - correct answer-Nursing Process
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 w/ sepsis who
also requires continuous renal replacement therapy and mechanical ventilation. She assigns
the nurse w/ less than 1 year of experience to two patients who are more stable. This
assignment reflects the implementation of the: - correct answer-Synergy model of practice
Which of the following assists the critical care nurse in ensuring that care is appropriate and
based on research? - correct answer-Clinical Practice Guidelines
As part of nursing management of a critically ill patient, orders are written to keep the HOB
elevated at 30 Degrees, awaken the patient from sedation each morning to assess
readiness to wean form 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 called a: - correct
answer-Bundle of Care
Family members have a need for information. Which interventions best assist in meeting this
need? - correct answer-Providing a daily update of the patient's progress and facilitating
communication w/ the intensivist
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? - correct
answer-Tell the patient the day and time, and that you are bathing her. Reassure her that
you are there.
Critical Illness often results in family conflicts. Which scenario is most likely to result in the
greatest conflict? - correct answer-A 36-year old male admitted for a ruptured cerebral
aneurysm. He has been living w/ 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 used to make decisions about his health care. He hs not seen them in
over a year.
Which intervention is appropriate to assist the patient to cope w/ admission to the critical
care unit? - correct answer-Explaining all procedures in easy-to-understand terms
The constant noise of ventilator, monitor alarms, and infusion pumps predisposes the patient
to: - correct answer-Sensory Overload
The nurse is assigned to care for a patient who is non-native English speaker. What is the
best way to communicate w/ the patient and family to provide updates and explain
procedures? - correct answer-Contact the hospital's interpreter serve for someone to
translate
The wife of a patient who is hospitalized in the critical care unit following resuscitation for a
sudden cardiac arrest at work demands to meet with the nursing manager. She states, "I
want you to reassign my husband to another nurse. His current nurse is not in the room
enough to make sure he is okay." The nurse recognized that this response most likely is due
to the wife's: - correct answer-Sense of loss of control of the situation
Open visitation policies are expected by many professional organizations. Which statement
reflects adherence to current recommendations? - correct answer-Determine, in
collaboration with the patient and family, who can visit and when. Facilitate open visitation
policies.
A critically ill patient has a living will in his chart. His condition has deteriorated. His wife says
she wants "everything done", regardless of the patient's wishes. Which ethical principle is
the wife violating? - correct answer-Autonomy
Which of the following statements about resuscitation is true? - correct answer-Withholding
"extraordinary" resuscitation is legal and ethical if specified in advance directives and
physician orders.
The nurse is caring for an elderly patient who is in cariogenic shock. The patient has failed to
respond to medical treatment. The intesivist in charge of the patient conducts a conference
to explain that they have exhausted treatment options and suggest that the patient be made
a "do not resuscitate" status. This scenario illustrates the concept of: - correct answer-Futility
The nurse is caring for a patient admitted w/ a TBI following a motor vehicle accident. The
patient's GCS is 3 and intermittently withdraws when painful stimuli are introduced. The
patient is ventilator dependent and occasionally takes a spontaneous breath. The physician
explains to the family that the patient has severe neurological impairment and he does not
expect the patient to recover consciousness. The nurse recognizes that this patient is: -
correct answer-In a persistent vegetative state
The nurse is caring for a critically ill patient on mechanical ventilation. The physician
identifies the need for a bronchoscopy, which requires informed consent. If the physician
