CCRN CRITICAL CARE REGISTERED NURSE EXAM LATEST
2023/2024 QUESTIONS AND 100% CORRECT ANSWERS
TEST BANK
what was the evolution of critical care nursing? - ANSWER: critical care units came
into existence in the 1970's. this lead to specialties.
what are the professional organizations of critical care? - ANSWER: American
associate of critical-care nurses- specifically for nurses
society of critical care medicine- for doctors, RT, nurses, etc.
quality and safety of critical care - ANSWER: national patient safety goals:
patient identification- 2 identifiers
improve communication- JACO requires report of critical lab/pt within 1 hour
improve medication safety- follow the lines at the beginning of the shift, label bags,
etc.
alarm safety- medications are LOUD in ICU (life saving drugs)--> high sound on pump
reduce risk of health care-associated infection- CAUDI and CLAPSI
identify safety risk- JACO requires we ask about suicide on admission
prevent complications associated with procedures- do "time outs"
what are "bundles"? - ANSWER: list of things to do to prevent something from
occurring (guide lines)
these come from the literature
healthy work environment has which two components? - ANSWER: communication
and collaboration
communication - ANSWER: nurses, doctors, patients, family, etc. talking with each
other
collaboration - ANSWER: in ICU, you will work with a multitude of different teams
and workers
trends and issues with the ICU - ANSWER: burn out is common
nurses are getting older
new technology
moving off ICU sooner w/ floor nurse coming to get the patient from ICU to help
eliminate anxiety about moving
we have new, more unexperienced nurses taking over/coming onto the floor
what should you do if a patient is in the ICU with many different lines, devices, etc.
and family wants to see them? - ANSWER: you need to do education by explaining
, what is happening, what to expect, what things do, etc.--> this helps to eliminate
people feeling scared
critical care environment - ANSWER: sensory overload
lighting
design
sensory overload in ICU - ANSWER: pumps going off, ventilators dinging,
BP/HR/RR/etc.
*high risk for delirium*
lighting in ICU - ANSWER: crappy, artificial
use natural lighting when possible
design of ICU - ANSWER: ideally:
huge rooms to accommodate lots of equipment, family, large windows (open them
during the day!)
critically ill patients - ANSWER: patient stressors
discharge from critical care
lifespan care
patient stressors with the critically ill patient - ANSWER: need to reorient the patient
once they start waking up, "hi my name is maddie i'm the nurse. you are at UIHC..."
scary situation for the patient to wake up to
*pain is a big stressor*
discharge form critical care - ANSWER: leaving the ICU can be scary because the
patient no longer has the same 1 nurse that is continuously monitoring them
lifespan considerations of the critically ill patient - ANSWER: 1/3 of all patients that
are >65 in ICU will die within 6 months.
always ask about what the patients wishes are or consult the family if patient cannot
voice this
true or false, a large portion of patients in the ICU leave with PTSD - ANSWER: true
family needs with a member in ICU - ANSWER: receiving assurance
remaining near the patient
receiving information
being comfortable
having support available
2023/2024 QUESTIONS AND 100% CORRECT ANSWERS
TEST BANK
what was the evolution of critical care nursing? - ANSWER: critical care units came
into existence in the 1970's. this lead to specialties.
what are the professional organizations of critical care? - ANSWER: American
associate of critical-care nurses- specifically for nurses
society of critical care medicine- for doctors, RT, nurses, etc.
quality and safety of critical care - ANSWER: national patient safety goals:
patient identification- 2 identifiers
improve communication- JACO requires report of critical lab/pt within 1 hour
improve medication safety- follow the lines at the beginning of the shift, label bags,
etc.
alarm safety- medications are LOUD in ICU (life saving drugs)--> high sound on pump
reduce risk of health care-associated infection- CAUDI and CLAPSI
identify safety risk- JACO requires we ask about suicide on admission
prevent complications associated with procedures- do "time outs"
what are "bundles"? - ANSWER: list of things to do to prevent something from
occurring (guide lines)
these come from the literature
healthy work environment has which two components? - ANSWER: communication
and collaboration
communication - ANSWER: nurses, doctors, patients, family, etc. talking with each
other
collaboration - ANSWER: in ICU, you will work with a multitude of different teams
and workers
trends and issues with the ICU - ANSWER: burn out is common
nurses are getting older
new technology
moving off ICU sooner w/ floor nurse coming to get the patient from ICU to help
eliminate anxiety about moving
we have new, more unexperienced nurses taking over/coming onto the floor
what should you do if a patient is in the ICU with many different lines, devices, etc.
and family wants to see them? - ANSWER: you need to do education by explaining
, what is happening, what to expect, what things do, etc.--> this helps to eliminate
people feeling scared
critical care environment - ANSWER: sensory overload
lighting
design
sensory overload in ICU - ANSWER: pumps going off, ventilators dinging,
BP/HR/RR/etc.
*high risk for delirium*
lighting in ICU - ANSWER: crappy, artificial
use natural lighting when possible
design of ICU - ANSWER: ideally:
huge rooms to accommodate lots of equipment, family, large windows (open them
during the day!)
critically ill patients - ANSWER: patient stressors
discharge from critical care
lifespan care
patient stressors with the critically ill patient - ANSWER: need to reorient the patient
once they start waking up, "hi my name is maddie i'm the nurse. you are at UIHC..."
scary situation for the patient to wake up to
*pain is a big stressor*
discharge form critical care - ANSWER: leaving the ICU can be scary because the
patient no longer has the same 1 nurse that is continuously monitoring them
lifespan considerations of the critically ill patient - ANSWER: 1/3 of all patients that
are >65 in ICU will die within 6 months.
always ask about what the patients wishes are or consult the family if patient cannot
voice this
true or false, a large portion of patients in the ICU leave with PTSD - ANSWER: true
family needs with a member in ICU - ANSWER: receiving assurance
remaining near the patient
receiving information
being comfortable
having support available
