Test mBank m- 1
mIntroductionmto mCriticalmCaremNursing m7em(Solem2016)
Table of Contents
m m
Tablemof m Contents 1
Chapterm 01:m Overviewm of m Criticalm Carem Nursing 2
Chapterm02:mPatientmandmFam ily mResponsemtomthemCriticalmCaremExperience 14
mChapterm03:mEthicalmandmLegalmIssuesminmCriticalmCaremNursing 30
Chapterm04:mPalliativemandmEnd-of- 42
LifemCaremChapterm 05:m Comfortm andm Sedat 56
ionmChapterm06:mNutritionalmTherapy 69
Chapterm07:mDysrhythmiamInterpretationmandmManagem entmChapt 83
erm08:mHemodynamic mMonitoring 117
Chapterm 09:m Ventilatory m Assistance 137
Chapterm10:mRapidmResponsemTeamsmandmCodemManagementmC 156
hapterm11:mOrganmDonation 171
Chapterm12:mShock,mSepsis,mandmMultiplemOrganmDysfunctionmSyndrom emC 189
hapterm13:mCardiovascularmAlterations 207
Chapterm14:mNervousmSystem mAlterations 225
mChapterm15:mAcutemRespiratory mFailurem 243
Chapterm 16:m Acutem Kidney m Injury mChapt 260
erm17:mGastrointestinalmAlterations 285
Chapterm17:mHematologicalmandmImmunemDisordersmCh 312
apterm19:mEndocrinemAlterations 341
Chapterm20:mTraumamandmSurgicalmManagementmChapt 361
erm21:mBurns 377
,Test mBank m- 2
mIntroductionmto mCriticalmCaremNursing m7em(Solem2016)
Chapter 01: Overview of Critical Care Nursing
m m m m m m
MULTIPLEm CHOICE
1. Whichm ofm them followingm professionalm organizationsm bestm supportsm criticalm carem nursingm practice?
a. Americanm Associationm ofm Critical-Carem Nurses
b. Americanm Heartm Association
c. Americanm Nursesm Association
d. Societymofm CriticalmCarem Medicine
ANS:m A
ThemAmericanmAssociationmofmCritical-
CaremNursesmismthemspecialtymorganizationmthatmsupportsmandmrepresentsmcriticalmcare mnurses. m ThemAmericanmH
eartmAssociationmsupportsmcardiovascular minitiatives. mThemAmericanmNursesm Associationm supportsmallmnurses. m
ThemSocietymofmCriticalmCaremMedicinemrepresentsmthemmultiprofessionalmcriticalm caremteammundermthemdirectio
nmofmanmintensivist.
DIF:m Cognitivem Level:m Knowledgem REF:m p. m 4
OBJ:mDiscussmthempurposesmandmfunctionsmofmthemprofessionalmorganizationsmthatm supportmcriticalmcarempractice
. m TOP:mNursingmProcessmStep:mN/A
MSC:m NCLEX:m Safem andm Effectivem Carem Environment
2. Amnursemhasmbeenmworkingmasmamstaffmnurseminmthemsurgicalmintensivemcaremunitmform2myears mandmis mintereste
dminm certification. mWhichmcredentialmwouldmbemmostmapplicablemformhermtomseek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:m C
ThemCCRNmcertificationmismappropriatemformnursesminmbedsidempracticemwhomcare mformcriticallymillmpatients. mThe
m ACNPCmcertificationmismfor macutemcaremnursempractitioners. mThemCCNS mcertificationmismfor mcriticalmcaremclinica
lm nursemspecialists. mThemPCCNmcertificationmismformstaffmnursesmworkingminmprogressive mcare, mintermediatemcare,
mor m step-downmunitmsettings.
DIF:m Cognitivem Level:m Applicationm REF:m p. m 5
OBJ:mExplainmcertificationmoptionsmformcriticalmcaremnurses. mTOP:mNursingmProcessmStep:mN/Am
MSC:mNCLEX:mSafemandmEffectivemCaremEnvironment
,Test mBank m- 3
mIntroductionmto mCriticalmCaremNursing m7em(Solem2016)
3. Themmainm purposem ofm certificationm ismto:
a. assuremthemconsumermthatm youmwillmnotmmakem a mmistake.
b. preparem form graduatem school.
c. promotem magnetm statusm form yourm facility.
d. validatem knowledgem ofm criticalm carem nursing.
ANS:m D
Certificationmassistsminmvalidatingmknowledgemofmthemfield, mpromotesmexcellenceminmthemprofession, mandmhelps m
nursesmtommaintainmtheirmknowledgemofmcriticalmcaremnursing. mCertificationmhelpsmtomassuremthemconsumer mthatm
them nursem hasm am minimumm levelm ofm knowledge;m however, m itm does m notm ensurem thatm carem willm bem mistake-
free.
Certificationmdoesmnotmpreparemonemformgraduatemschool;mhowever, machievingmcertificationmdemonstratesm moti
vationmformachievementmandmprofessionalism. mMagnetmfacilitiesmaremratedmonmthemnumbermofmcertifiedmnurses;m
however, mthatmismnotmthempurposemofmcertification.
DIF:m Cognitivem Level:m Analysism REF:m pp. m 4-5
OBJ:mExplainmcertificationmoptionsmformcriticalmcaremnurses. mTOP:mNursingmProcessmStep:mN/Am
MSC:mNCLEX:mSafemandmEffectivemCaremEnvironment
4. Them synergym modelm ofm practicem focusesm on:
a. allowingm unrestrictedm visitingm form them patientm 24m hoursm eachm day.
b. holisticm andm alternativem therapies.
c. needsm ofm patientsm andm theirm families, m whichm drivesm nursingm competency.
d. patientsm needsm form energym andm support.
ANS:m C
Them synergym modelm ofm practicem statesm thatm them needsm ofm patientsm andm familiesm influencem andm drivem competen
ciesmofmnurses. mNursingmpracticembasedmonmthemsynergymmodelmwouldminvolvemtailoredmvisitingmtommeet mthempatient
smandm familysm needsm andm applicationm ofm alternativem therapiesm ifm desiredm by m them patient, m but m thatm is m notm the m pri
marym focusmofmthemmodel.
DIF:m Cognitivem Level:m Applicationm REF:m p. m 5m |m Fig. m 1-3
OBJ:m Describem standardsm ofm professionalm practicem form criticalm carem nursing.
TOP:m Nursingm Processm Step:m N/Am MSC:m NCLEX:m Safem andm Effectivem Carem Environment
5. Them familym ofm yourm criticallym illm patientm tellsm you m thatm they m have m not m spoken m withm them physician m inm over
m 24mhoursm andm theym havem somem questionsm thatm theym want m clarified. m Duringm morningm rounds, m youm convey m this
m concernmtom them attendingm intensivist m andm arrange m for m her m to m meet m withm the m familym atm 4:00 m PMm inm the m conf
erencem room. mWhichmcompetencymofmcriticalmcaremnursingmdoesmthismrepresent?
, Test mBank m- 4
mIntroductionmto mCriticalmCaremNursing m7em(Solem2016)
a. Advocacym andm moralm agencym inm solvingm ethicalm issues
b. Clinicalm judgmentm andm clinicalm reasoningm skills
c. Collaborationm withm patients, m families, m andm teamm members
d. Facilitationm ofm learningm form patients, m families, m andm teamm members
ANS:m C
Althoughmonemmightmconsidermthatmallmofmthesemcompetenciesmarembeingmaddressed, mcommunicationm andmcollab
orationmwithmthemfamilymandmphysicianmbestmexemplifymthemcompetencymofmcollaboration.
DIF:m Cognitivem Level:m Analysism REF:m p. m 9
OBJ:m Describem standardsm ofm professionalm practicem form criticalm carem nursing.
TOP:m Nursingm Processm Step:m N/Am MSC:m NCLEX:m Safem andm Effectivem Carem Environment
6. ThemAACNmStandardsmformAcutemandmCriticalmCaremNursingmPracticemusemwhat mframeworkmtomguidemcritic
almcaremnursingmpractice?
a. Evidence-basedm practice
b. Healthym workm environment
c. Nationalm Patientm Safetym Goals
d. Nursingm process
ANS:m D
ThemAACNmStandardsmformAcutemandmCriticalmCaremNursingmPracticemdelineatemthemnursing mprocessmas mappliedmt
om criticallymillmpatients:mcollectmdata, mdeterminemdiagnoses, midentifymexpectedmoutcomes, mdevelopmamplanmofmcare
, m implementminterventions, mandmevaluatemcare. mAACNmpromotesmamhealthymworkmenvironment, mbutmthismismnotm i
ncludedm inm them Standards. m Them Jointm Commissionm hasm establishedm Nationalm Patientm Safetym Goals, m butm these
m aremnotmthemAACNmStandards.
DIF:m Cognitivem Level:m Analysism REF:m p. m 5m |m Boxm 1-2
OBJ:m Describem standardsm ofm professionalm practicem form criticalm carem nursing.
TOP:m Nursingm Processm Step:m N/Am MSC:m NCLEX:m Safem andm Effectivem Carem Environment
7. Themchargemnursemismresponsiblemformmakingmthempatientmassignments monmthemcriticalmcaremunit. mShemassignsmth
em experienced, mcertifiedmnursemtomcaremformthemacutelymillmpatientmwithmsepsismwhomalsomrequiresmcontinuousmren
alm replacementm therapym andm mechanicalm ventilation. m Shem assignsm them nursem withm lessm thanm 1m yearm ofm exper
iencem tomtwom patientsm whom arem morem stable. m Thism assignmentm reflectsm implementationm ofm the:
a. crewm resourcem managementm model
mIntroductionmto mCriticalmCaremNursing m7em(Solem2016)
Table of Contents
m m
Tablemof m Contents 1
Chapterm 01:m Overviewm of m Criticalm Carem Nursing 2
Chapterm02:mPatientmandmFam ily mResponsemtomthemCriticalmCaremExperience 14
mChapterm03:mEthicalmandmLegalmIssuesminmCriticalmCaremNursing 30
Chapterm04:mPalliativemandmEnd-of- 42
LifemCaremChapterm 05:m Comfortm andm Sedat 56
ionmChapterm06:mNutritionalmTherapy 69
Chapterm07:mDysrhythmiamInterpretationmandmManagem entmChapt 83
erm08:mHemodynamic mMonitoring 117
Chapterm 09:m Ventilatory m Assistance 137
Chapterm10:mRapidmResponsemTeamsmandmCodemManagementmC 156
hapterm11:mOrganmDonation 171
Chapterm12:mShock,mSepsis,mandmMultiplemOrganmDysfunctionmSyndrom emC 189
hapterm13:mCardiovascularmAlterations 207
Chapterm14:mNervousmSystem mAlterations 225
mChapterm15:mAcutemRespiratory mFailurem 243
Chapterm 16:m Acutem Kidney m Injury mChapt 260
erm17:mGastrointestinalmAlterations 285
Chapterm17:mHematologicalmandmImmunemDisordersmCh 312
apterm19:mEndocrinemAlterations 341
Chapterm20:mTraumamandmSurgicalmManagementmChapt 361
erm21:mBurns 377
,Test mBank m- 2
mIntroductionmto mCriticalmCaremNursing m7em(Solem2016)
Chapter 01: Overview of Critical Care Nursing
m m m m m m
MULTIPLEm CHOICE
1. Whichm ofm them followingm professionalm organizationsm bestm supportsm criticalm carem nursingm practice?
a. Americanm Associationm ofm Critical-Carem Nurses
b. Americanm Heartm Association
c. Americanm Nursesm Association
d. Societymofm CriticalmCarem Medicine
ANS:m A
ThemAmericanmAssociationmofmCritical-
CaremNursesmismthemspecialtymorganizationmthatmsupportsmandmrepresentsmcriticalmcare mnurses. m ThemAmericanmH
eartmAssociationmsupportsmcardiovascular minitiatives. mThemAmericanmNursesm Associationm supportsmallmnurses. m
ThemSocietymofmCriticalmCaremMedicinemrepresentsmthemmultiprofessionalmcriticalm caremteammundermthemdirectio
nmofmanmintensivist.
DIF:m Cognitivem Level:m Knowledgem REF:m p. m 4
OBJ:mDiscussmthempurposesmandmfunctionsmofmthemprofessionalmorganizationsmthatm supportmcriticalmcarempractice
. m TOP:mNursingmProcessmStep:mN/A
MSC:m NCLEX:m Safem andm Effectivem Carem Environment
2. Amnursemhasmbeenmworkingmasmamstaffmnurseminmthemsurgicalmintensivemcaremunitmform2myears mandmis mintereste
dminm certification. mWhichmcredentialmwouldmbemmostmapplicablemformhermtomseek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:m C
ThemCCRNmcertificationmismappropriatemformnursesminmbedsidempracticemwhomcare mformcriticallymillmpatients. mThe
m ACNPCmcertificationmismfor macutemcaremnursempractitioners. mThemCCNS mcertificationmismfor mcriticalmcaremclinica
lm nursemspecialists. mThemPCCNmcertificationmismformstaffmnursesmworkingminmprogressive mcare, mintermediatemcare,
mor m step-downmunitmsettings.
DIF:m Cognitivem Level:m Applicationm REF:m p. m 5
OBJ:mExplainmcertificationmoptionsmformcriticalmcaremnurses. mTOP:mNursingmProcessmStep:mN/Am
MSC:mNCLEX:mSafemandmEffectivemCaremEnvironment
,Test mBank m- 3
mIntroductionmto mCriticalmCaremNursing m7em(Solem2016)
3. Themmainm purposem ofm certificationm ismto:
a. assuremthemconsumermthatm youmwillmnotmmakem a mmistake.
b. preparem form graduatem school.
c. promotem magnetm statusm form yourm facility.
d. validatem knowledgem ofm criticalm carem nursing.
ANS:m D
Certificationmassistsminmvalidatingmknowledgemofmthemfield, mpromotesmexcellenceminmthemprofession, mandmhelps m
nursesmtommaintainmtheirmknowledgemofmcriticalmcaremnursing. mCertificationmhelpsmtomassuremthemconsumer mthatm
them nursem hasm am minimumm levelm ofm knowledge;m however, m itm does m notm ensurem thatm carem willm bem mistake-
free.
Certificationmdoesmnotmpreparemonemformgraduatemschool;mhowever, machievingmcertificationmdemonstratesm moti
vationmformachievementmandmprofessionalism. mMagnetmfacilitiesmaremratedmonmthemnumbermofmcertifiedmnurses;m
however, mthatmismnotmthempurposemofmcertification.
DIF:m Cognitivem Level:m Analysism REF:m pp. m 4-5
OBJ:mExplainmcertificationmoptionsmformcriticalmcaremnurses. mTOP:mNursingmProcessmStep:mN/Am
MSC:mNCLEX:mSafemandmEffectivemCaremEnvironment
4. Them synergym modelm ofm practicem focusesm on:
a. allowingm unrestrictedm visitingm form them patientm 24m hoursm eachm day.
b. holisticm andm alternativem therapies.
c. needsm ofm patientsm andm theirm families, m whichm drivesm nursingm competency.
d. patientsm needsm form energym andm support.
ANS:m C
Them synergym modelm ofm practicem statesm thatm them needsm ofm patientsm andm familiesm influencem andm drivem competen
ciesmofmnurses. mNursingmpracticembasedmonmthemsynergymmodelmwouldminvolvemtailoredmvisitingmtommeet mthempatient
smandm familysm needsm andm applicationm ofm alternativem therapiesm ifm desiredm by m them patient, m but m thatm is m notm the m pri
marym focusmofmthemmodel.
DIF:m Cognitivem Level:m Applicationm REF:m p. m 5m |m Fig. m 1-3
OBJ:m Describem standardsm ofm professionalm practicem form criticalm carem nursing.
TOP:m Nursingm Processm Step:m N/Am MSC:m NCLEX:m Safem andm Effectivem Carem Environment
5. Them familym ofm yourm criticallym illm patientm tellsm you m thatm they m have m not m spoken m withm them physician m inm over
m 24mhoursm andm theym havem somem questionsm thatm theym want m clarified. m Duringm morningm rounds, m youm convey m this
m concernmtom them attendingm intensivist m andm arrange m for m her m to m meet m withm the m familym atm 4:00 m PMm inm the m conf
erencem room. mWhichmcompetencymofmcriticalmcaremnursingmdoesmthismrepresent?
, Test mBank m- 4
mIntroductionmto mCriticalmCaremNursing m7em(Solem2016)
a. Advocacym andm moralm agencym inm solvingm ethicalm issues
b. Clinicalm judgmentm andm clinicalm reasoningm skills
c. Collaborationm withm patients, m families, m andm teamm members
d. Facilitationm ofm learningm form patients, m families, m andm teamm members
ANS:m C
Althoughmonemmightmconsidermthatmallmofmthesemcompetenciesmarembeingmaddressed, mcommunicationm andmcollab
orationmwithmthemfamilymandmphysicianmbestmexemplifymthemcompetencymofmcollaboration.
DIF:m Cognitivem Level:m Analysism REF:m p. m 9
OBJ:m Describem standardsm ofm professionalm practicem form criticalm carem nursing.
TOP:m Nursingm Processm Step:m N/Am MSC:m NCLEX:m Safem andm Effectivem Carem Environment
6. ThemAACNmStandardsmformAcutemandmCriticalmCaremNursingmPracticemusemwhat mframeworkmtomguidemcritic
almcaremnursingmpractice?
a. Evidence-basedm practice
b. Healthym workm environment
c. Nationalm Patientm Safetym Goals
d. Nursingm process
ANS:m D
ThemAACNmStandardsmformAcutemandmCriticalmCaremNursingmPracticemdelineatemthemnursing mprocessmas mappliedmt
om criticallymillmpatients:mcollectmdata, mdeterminemdiagnoses, midentifymexpectedmoutcomes, mdevelopmamplanmofmcare
, m implementminterventions, mandmevaluatemcare. mAACNmpromotesmamhealthymworkmenvironment, mbutmthismismnotm i
ncludedm inm them Standards. m Them Jointm Commissionm hasm establishedm Nationalm Patientm Safetym Goals, m butm these
m aremnotmthemAACNmStandards.
DIF:m Cognitivem Level:m Analysism REF:m p. m 5m |m Boxm 1-2
OBJ:m Describem standardsm ofm professionalm practicem form criticalm carem nursing.
TOP:m Nursingm Processm Step:m N/Am MSC:m NCLEX:m Safem andm Effectivem Carem Environment
7. Themchargemnursemismresponsiblemformmakingmthempatientmassignments monmthemcriticalmcaremunit. mShemassignsmth
em experienced, mcertifiedmnursemtomcaremformthemacutelymillmpatientmwithmsepsismwhomalsomrequiresmcontinuousmren
alm replacementm therapym andm mechanicalm ventilation. m Shem assignsm them nursem withm lessm thanm 1m yearm ofm exper
iencem tomtwom patientsm whom arem morem stable. m Thism assignmentm reflectsm implementationm ofm the:
a. crewm resourcem managementm model
