Test nBank n-nIntroductionnto nCriticalnCarenNursing n7en(Solen2016) 1
Table of Contents
n n
Tablenof n Contents 1
Chaptern 01:n Overviewn of n Criticaln Caren Nursing 2
Chaptern02:nPatientnandnFamily nResponsentonthenCriticalnCarenExperiencenC 14
haptern03:nEthicaln andnLegalnIssuesninnCriticalnCarenNursing 30
Chaptern04:nPalliativenandnEnd-of- 42
LifenCarenChaptern 05:n Comfortn andn Sedati 56
onnChaptern06:nNutritionalnTherapy 69
Chaptern07:nDysrhythmianInterpretationnandnManagementnChapte 83
rn08:nHemodynamic nMonitoring 117
Chaptern 09:n Ventilatory n Assistance 137
Chaptern10:nRapidnResponsenTeam snandnCodenManagementnCh 156
aptern11:nOrgannDonation 171
Chaptern12:nShock,nSepsis,nandnMultiplenOrgannDysfunctionnSyndromenCha 189
ptern13:nCardiovascularnAlterations 207
Chaptern14:nNervousnSystem nAlterationsn 225
Chaptern15:nAcutenRespiratory nFailurenCh 243
aptern 16:n Acuten Kidney n Injury nChaptern1 260
7:nGastrointestinalnAlterations 285
Chaptern17:nHematologicalnandnImmunenDisordersnCha 312
ptern19:nEndocrinenAlterations 341
Chaptern20:nTraumanandnSurgicalnManagementnChapte 361
rn21:nBurns 377
,Test nBank n-nIntroductionnto nCriticalnCarenNursing n7en(Solen2016) 2
Chapter 01: Overview of Critical Care Nursing
n n n n n n
MULTIPLEn CHOICE
1. Whichn ofn then followingn professionaln organizationsn bestn supportsn criticaln caren nursingn practice?
a. Americann Associationn ofn Critical-Caren Nurses
b. Americann Heartn Association
c. Americann Nursesn Association
d. Societyn ofn Criticaln Caren Medicine
ANS:n A
Then Americann Associationn ofn Critical-
Caren Nursesn isn then specialtyn organizationn thatn supportsn andn representsn criticaln caren nurses. n Then Americann Heartn
Associationn supportsn cardiovascular n initiatives. n Then Americann Nursesn Associationn supportsn alln nurses. n Then Soci
etyn ofn Criticaln Caren Medicinen representsn then multiprofessionaln criticaln carenteamn undernthendirectionn ofn annintens
ivist.
DIF:n Cognitiven Level:n Knowledgen REF:n p. n 4
OBJ:n Discussn then purposesn andn functionsn ofn then professionaln organizationsn thatn supportn criticaln caren practice. n T
OP:n Nursingn Processn Step:n N/A
MSC:n NCLEX:n Safen andn Effectiven Caren Environment
2. An nursen hasn beenn workingn asn an staffn nursen inn then surgicaln intensiven carenunitnforn2nyearsn andn isn interestedn inn ce
rtification. n Whichn credentialn wouldn ben mostn applicablen forn hern ton seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:n C
Then CCRNn certificationn isn appropriaten forn nursesn innbedsiden practicen whon carenforncriticallynillnpatients. nThen ACN
PCn certificationn isn forn acuten carennursen practitioners. nThen CCNSn certificationn isn forncriticalncaren clinicaln nursen spe
cialists. n Then PCCNn certificationn isn forn staffn nursesn workingn inn progressiven care, n intermediaten care, n orn step-
downn unitn settings.
DIF:n Cognitiven Level:n Applicationn REF:n p. n 5
OBJ:n Explainn certificationn optionsn forn criticaln caren nurses. n TOP:n Nursingn Processn Step:n N/An MS
C:n NCLEX:n Safen andn Effectiven Caren Environment
,Test nBank n-nIntroductionnto nCriticalnCarenNursing n7en(Solen2016) 3
3. Then mainn purposen ofn certificationn isn to:
a. assuren then consumern thatn youn willn notn maken an mistake.
b. preparen forn graduaten school.
c. promoten magnetn statusn forn yourn facility.
d. validaten knowledgen ofn criticaln caren nursing.
ANS:n D
Certificationn assistsn inn validatingn knowledgen ofn then field,n promotesn excellencen inn thenprofession, n andn helpsn nurs
esn ton maintainn theirn knowledgen ofncriticaln carennursing. nCertificationnhelpsn tonassuren then consumern thatnthen nurse
n hasn an minimum n leveln of n knowledge;n however, n itn doesn notn ensuren thatn caren willn ben mistake-free.
Certificationn doesn notn preparen onen forngraduatenschool;n however, n achievingn certificationn demonstratesn motivati
onn forn achievementn andn professionalism. n Magnetn facilitiesn arenratedn onnthennumbern ofn certifiedn nurses;n however,
n thatn isn notn then purposen of n certification.
DIF:n Cognitiven Level:n Analysisn REF:n pp. n 4-5
OBJ:n Explainn certificationn optionsn forncriticalncaren nurses. n TOP:nNursingn Processn Step:n N/An MSC
:n NCLEX:n Safen andn Effectiven Caren Environment
4. Then synergyn modeln ofn practicen focusesn on:
a. allowingn unrestrictedn visitingn forn then patientn 24n hoursn eachn day.
b. holisticn andn alternativen therapies.
c. needsn ofn patientsn andn theirn families, n whichn drivesn nursingn competency.
d. patientsn needsn forn energyn andn support.
ANS:n C
Then synergyn modeln ofn practicen statesn thatn then needsn ofn patientsn andn familiesn influencen andn driven competenciesn o
fn nurses. n Nursingn practicen basedn onn then synergynmodeln wouldninvolventailoredn visitingn tonmeetn thenpatientsn andn fami
lysn needsn andn applicationn ofn alternativen therapiesn ifn desiredn byn then patient, n butn thatn isn notn then primaryn focusn ofnthe
n model.
DIF:n Cognitiven Level:n Applicationn REF:n p. n 5n |n Fig. n 1-3
OBJ:n Describen standardsn ofn professionaln practicen forn criticaln caren nursing.
TOP:n Nursingn Processn Step:n N/An MSC:n NCLEX:n Safen andn Effectiven Caren Environment
5. Then familyn ofn yourn criticallyn illn patientn tellsn youn thatn theyn haven notn spokenn withn then physiciann inn overn 24n ho
ursn andn theyn haven somen questionsn thatn theyn wantn clarified. n Duringn morningn rounds, n youn conveyn thisn concernnton
then attendingn intensivistn andn arrangen forn hern ton meetn withn then familyn atn 4:00n PMn inn then conferencen room.n Whic
hn competencyn ofn criticaln caren nursingn doesn thisn represent?
, Test nBank n-nIntroductionnto nCriticalnCarenNursing n7en(Solen2016) 4
a. Advocacyn andn moraln agencyn inn solvingn ethicaln issues
b. Clinicaln judgmentn andn clinicaln reasoningn skills
c. Collaborationn withn patients, n families, n andn teamn members
d. Facilitationn ofn learningn forn patients, n families, n andn teamn members
ANS:n C
Althoughn onen mightn considern thatn allnofnthesen competenciesn aren beingn addressed, n communicationnandn collaborati
onn withn then familyn andn physiciann bestn exemplifyn then competencyn ofn collaboration.
DIF:n Cognitiven Level:n Analysisn REF:n p. n 9
OBJ:n Describen standardsn ofn professionaln practicen forn criticaln caren nursing.
TOP:n Nursingn Processn Step:n N/An MSC:n NCLEX:n Safen andn Effectiven Caren Environment
6. Then AACNn Standardsn forn Acuten andn Criticaln Caren NursingnPracticen usen whatnframeworkntonguiden criticaln ca
ren nursingn practice?
a. Evidence-basedn practice
b. Healthyn workn environment
c. Nationaln Patientn Safetyn Goals
d. Nursingn process
ANS:n D
Then AACNn Standardsn forn Acuten andn Criticaln Caren NursingnPracticen delineaten thennursingnprocessn asn appliedn ton cri
ticallyn illn patients:n collectn data, n determinendiagnoses, n identifynexpectedn outcomes, n developn anplann ofn care, n implem
entn interventions, n andn evaluaten care. n AACNn promotesn anhealthyn worknenvironment,nbutn thisn isn notn includedn inn the
n Standards. n Then Jointn Commissionn hasn establishedn Nationaln Patientn Safetyn Goals, n butn thesen aren notnthen AACNn
Standards.
DIF:n Cognitiven Level:n Analysisn REF:n p. n 5n |n Boxn 1-2
OBJ:n Describen standardsn ofn professionaln practicen forn criticaln caren nursing.
TOP:n Nursingn Processn Step:n N/An MSC:n NCLEX:n Safen andn Effectiven Caren Environment
7. Then chargen nursen isn responsiblen forn makingn then patientnassignmentsn onn then criticaln caren unit. n Shen assignsn then ex
perienced, n certifiedn nursen ton caren fornthen acutelyn illn patientnwithnsepsisn whon alson requiresn continuousn renaln replace
mentn therapyn andn mechanicaln ventilation. n Shen assignsn then nursen withn lessn thann 1n yearn ofn experiencen tontwon pa
tientsn whon aren moren stable. n Thisn assignmentn reflectsn implementationn ofn the:
a. crewn resourcen managementn model
Table of Contents
n n
Tablenof n Contents 1
Chaptern 01:n Overviewn of n Criticaln Caren Nursing 2
Chaptern02:nPatientnandnFamily nResponsentonthenCriticalnCarenExperiencenC 14
haptern03:nEthicaln andnLegalnIssuesninnCriticalnCarenNursing 30
Chaptern04:nPalliativenandnEnd-of- 42
LifenCarenChaptern 05:n Comfortn andn Sedati 56
onnChaptern06:nNutritionalnTherapy 69
Chaptern07:nDysrhythmianInterpretationnandnManagementnChapte 83
rn08:nHemodynamic nMonitoring 117
Chaptern 09:n Ventilatory n Assistance 137
Chaptern10:nRapidnResponsenTeam snandnCodenManagementnCh 156
aptern11:nOrgannDonation 171
Chaptern12:nShock,nSepsis,nandnMultiplenOrgannDysfunctionnSyndromenCha 189
ptern13:nCardiovascularnAlterations 207
Chaptern14:nNervousnSystem nAlterationsn 225
Chaptern15:nAcutenRespiratory nFailurenCh 243
aptern 16:n Acuten Kidney n Injury nChaptern1 260
7:nGastrointestinalnAlterations 285
Chaptern17:nHematologicalnandnImmunenDisordersnCha 312
ptern19:nEndocrinenAlterations 341
Chaptern20:nTraumanandnSurgicalnManagementnChapte 361
rn21:nBurns 377
,Test nBank n-nIntroductionnto nCriticalnCarenNursing n7en(Solen2016) 2
Chapter 01: Overview of Critical Care Nursing
n n n n n n
MULTIPLEn CHOICE
1. Whichn ofn then followingn professionaln organizationsn bestn supportsn criticaln caren nursingn practice?
a. Americann Associationn ofn Critical-Caren Nurses
b. Americann Heartn Association
c. Americann Nursesn Association
d. Societyn ofn Criticaln Caren Medicine
ANS:n A
Then Americann Associationn ofn Critical-
Caren Nursesn isn then specialtyn organizationn thatn supportsn andn representsn criticaln caren nurses. n Then Americann Heartn
Associationn supportsn cardiovascular n initiatives. n Then Americann Nursesn Associationn supportsn alln nurses. n Then Soci
etyn ofn Criticaln Caren Medicinen representsn then multiprofessionaln criticaln carenteamn undernthendirectionn ofn annintens
ivist.
DIF:n Cognitiven Level:n Knowledgen REF:n p. n 4
OBJ:n Discussn then purposesn andn functionsn ofn then professionaln organizationsn thatn supportn criticaln caren practice. n T
OP:n Nursingn Processn Step:n N/A
MSC:n NCLEX:n Safen andn Effectiven Caren Environment
2. An nursen hasn beenn workingn asn an staffn nursen inn then surgicaln intensiven carenunitnforn2nyearsn andn isn interestedn inn ce
rtification. n Whichn credentialn wouldn ben mostn applicablen forn hern ton seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:n C
Then CCRNn certificationn isn appropriaten forn nursesn innbedsiden practicen whon carenforncriticallynillnpatients. nThen ACN
PCn certificationn isn forn acuten carennursen practitioners. nThen CCNSn certificationn isn forncriticalncaren clinicaln nursen spe
cialists. n Then PCCNn certificationn isn forn staffn nursesn workingn inn progressiven care, n intermediaten care, n orn step-
downn unitn settings.
DIF:n Cognitiven Level:n Applicationn REF:n p. n 5
OBJ:n Explainn certificationn optionsn forn criticaln caren nurses. n TOP:n Nursingn Processn Step:n N/An MS
C:n NCLEX:n Safen andn Effectiven Caren Environment
,Test nBank n-nIntroductionnto nCriticalnCarenNursing n7en(Solen2016) 3
3. Then mainn purposen ofn certificationn isn to:
a. assuren then consumern thatn youn willn notn maken an mistake.
b. preparen forn graduaten school.
c. promoten magnetn statusn forn yourn facility.
d. validaten knowledgen ofn criticaln caren nursing.
ANS:n D
Certificationn assistsn inn validatingn knowledgen ofn then field,n promotesn excellencen inn thenprofession, n andn helpsn nurs
esn ton maintainn theirn knowledgen ofncriticaln carennursing. nCertificationnhelpsn tonassuren then consumern thatnthen nurse
n hasn an minimum n leveln of n knowledge;n however, n itn doesn notn ensuren thatn caren willn ben mistake-free.
Certificationn doesn notn preparen onen forngraduatenschool;n however, n achievingn certificationn demonstratesn motivati
onn forn achievementn andn professionalism. n Magnetn facilitiesn arenratedn onnthennumbern ofn certifiedn nurses;n however,
n thatn isn notn then purposen of n certification.
DIF:n Cognitiven Level:n Analysisn REF:n pp. n 4-5
OBJ:n Explainn certificationn optionsn forncriticalncaren nurses. n TOP:nNursingn Processn Step:n N/An MSC
:n NCLEX:n Safen andn Effectiven Caren Environment
4. Then synergyn modeln ofn practicen focusesn on:
a. allowingn unrestrictedn visitingn forn then patientn 24n hoursn eachn day.
b. holisticn andn alternativen therapies.
c. needsn ofn patientsn andn theirn families, n whichn drivesn nursingn competency.
d. patientsn needsn forn energyn andn support.
ANS:n C
Then synergyn modeln ofn practicen statesn thatn then needsn ofn patientsn andn familiesn influencen andn driven competenciesn o
fn nurses. n Nursingn practicen basedn onn then synergynmodeln wouldninvolventailoredn visitingn tonmeetn thenpatientsn andn fami
lysn needsn andn applicationn ofn alternativen therapiesn ifn desiredn byn then patient, n butn thatn isn notn then primaryn focusn ofnthe
n model.
DIF:n Cognitiven Level:n Applicationn REF:n p. n 5n |n Fig. n 1-3
OBJ:n Describen standardsn ofn professionaln practicen forn criticaln caren nursing.
TOP:n Nursingn Processn Step:n N/An MSC:n NCLEX:n Safen andn Effectiven Caren Environment
5. Then familyn ofn yourn criticallyn illn patientn tellsn youn thatn theyn haven notn spokenn withn then physiciann inn overn 24n ho
ursn andn theyn haven somen questionsn thatn theyn wantn clarified. n Duringn morningn rounds, n youn conveyn thisn concernnton
then attendingn intensivistn andn arrangen forn hern ton meetn withn then familyn atn 4:00n PMn inn then conferencen room.n Whic
hn competencyn ofn criticaln caren nursingn doesn thisn represent?
, Test nBank n-nIntroductionnto nCriticalnCarenNursing n7en(Solen2016) 4
a. Advocacyn andn moraln agencyn inn solvingn ethicaln issues
b. Clinicaln judgmentn andn clinicaln reasoningn skills
c. Collaborationn withn patients, n families, n andn teamn members
d. Facilitationn ofn learningn forn patients, n families, n andn teamn members
ANS:n C
Althoughn onen mightn considern thatn allnofnthesen competenciesn aren beingn addressed, n communicationnandn collaborati
onn withn then familyn andn physiciann bestn exemplifyn then competencyn ofn collaboration.
DIF:n Cognitiven Level:n Analysisn REF:n p. n 9
OBJ:n Describen standardsn ofn professionaln practicen forn criticaln caren nursing.
TOP:n Nursingn Processn Step:n N/An MSC:n NCLEX:n Safen andn Effectiven Caren Environment
6. Then AACNn Standardsn forn Acuten andn Criticaln Caren NursingnPracticen usen whatnframeworkntonguiden criticaln ca
ren nursingn practice?
a. Evidence-basedn practice
b. Healthyn workn environment
c. Nationaln Patientn Safetyn Goals
d. Nursingn process
ANS:n D
Then AACNn Standardsn forn Acuten andn Criticaln Caren NursingnPracticen delineaten thennursingnprocessn asn appliedn ton cri
ticallyn illn patients:n collectn data, n determinendiagnoses, n identifynexpectedn outcomes, n developn anplann ofn care, n implem
entn interventions, n andn evaluaten care. n AACNn promotesn anhealthyn worknenvironment,nbutn thisn isn notn includedn inn the
n Standards. n Then Jointn Commissionn hasn establishedn Nationaln Patientn Safetyn Goals, n butn thesen aren notnthen AACNn
Standards.
DIF:n Cognitiven Level:n Analysisn REF:n p. n 5n |n Boxn 1-2
OBJ:n Describen standardsn ofn professionaln practicen forn criticaln caren nursing.
TOP:n Nursingn Processn Step:n N/An MSC:n NCLEX:n Safen andn Effectiven Caren Environment
7. Then chargen nursen isn responsiblen forn makingn then patientnassignmentsn onn then criticaln caren unit. n Shen assignsn then ex
perienced, n certifiedn nursen ton caren fornthen acutelyn illn patientnwithnsepsisn whon alson requiresn continuousn renaln replace
mentn therapyn andn mechanicaln ventilation. n Shen assignsn then nursen withn lessn thann 1n yearn ofn experiencen tontwon pa
tientsn whon aren moren stable. n Thisn assignmentn reflectsn implementationn ofn the:
a. crewn resourcen managementn model
