NUR 4257 - Critical Care Exam 1 Questions Answered Correctly Rated A+
What is the AACN (American Association of Critical Care Nurses)? - Answers largest nursing specialty
organization with over 100,000 members; 235+ local chapters--offers continuing education, educational
scholarships, research grants, awards, and they publish journals: Critical Care Nurse, American Journal of
Critical Care, and AACN (Advanced Critical Care); holds the annual National Teaching Institute (NTI)
conference
What is the SCCM (Society of Critical Care Medicine)? - Answers largest critical care organization in the
world with 15,000+ members in 100 countries; multidisciplinary--offers continuing education, research
grants, awards, and publishes journals: Critical Care Medicine, Pediatric Critical Care Medicine, and
Critical Care Explorations; holds the annual SCCM Congress conference
What are the different certifications that critical care nurses are eligible for? - Answers CCRN (critical
care--direct care), CCRN-E (Tele-critical Care), PCCN (progressive care units like step-down or telemetry
units), CMC (cardiac medicine certification), CSC (cardiac surgery certification); others (NICU, trauma,
stroke, HF, perioperative, emergency, pediatric emergency)--by AACN
What are the purposes of the different critical care certifications? - Answers validates knowledge of
critical care nursing, promotes professional excellence; helps nurses maintain a current knowledge base;
$$$
Which of the following clinical findings are most relevant and suggest that the client is developing
sepsis? (Select all that apply)
A. Blood glucose of 186 mg/dL
B. Heart rate of 112 bpm
C. Temperature of 102.1°F
D. BUN of 32 mg/dL
E. Confusion
F. Blood pressure of 86/54 mmHg - Answers B. Heart rate of 112 bpm
C. Temperature of 102.1°F
E. Confusion
F. Blood pressure of 86/54 mmHg
Which of the following best explains the significance of the patient's elevated lactate level (3.2mmol/L)?
A. It suggests liver dysfunction.
B. It indicates adequate perfusion.
, C. It is a normal age-related change.
D. It reflects tissue hypoperfusion and anaerobic metabolism - Answers D. It reflects tissue
hypoperfusion and anaerobic metabolism
Based on the current clinical data (hypotension, altered mental status, elevated lactate, and infection
risk (Foley catheter)), which condition is the most likely cause of Mr. Simmons's deterioration?
A. Stroke
B. Hypoglycemia
C. Septic shock
D. Dehydration - Answers C. Septic shock
Which of the following interventions are priority actions for this patient? (Select all that apply)
A. Administer IV fluids
B. Apply oxygen
C. Start enteral nutrition
D. Obtain blood cultures
E. Administer broad-spectrum antibiotics - Answers A. Administer IV fluids
B. Apply oxygen
D. Obtain blood cultures
E. Administer broad-spectrum antibiotics
The provider orders a 30 mL/kg bolus of IV fluids. The patient weighs 70 kg. How many mL of IV fluid
should the nurse administer?
A. 1050 mL
B. 1500 mL
C. 2100 mL
D. 3000 mL - Answers C. 2100 mL
After 1 hour of treatment, which of the following findings would indicate the patient is responding
positively to interventions? (Select all that apply)
A. Blood pressure improves to 102/64 mmHg
What is the AACN (American Association of Critical Care Nurses)? - Answers largest nursing specialty
organization with over 100,000 members; 235+ local chapters--offers continuing education, educational
scholarships, research grants, awards, and they publish journals: Critical Care Nurse, American Journal of
Critical Care, and AACN (Advanced Critical Care); holds the annual National Teaching Institute (NTI)
conference
What is the SCCM (Society of Critical Care Medicine)? - Answers largest critical care organization in the
world with 15,000+ members in 100 countries; multidisciplinary--offers continuing education, research
grants, awards, and publishes journals: Critical Care Medicine, Pediatric Critical Care Medicine, and
Critical Care Explorations; holds the annual SCCM Congress conference
What are the different certifications that critical care nurses are eligible for? - Answers CCRN (critical
care--direct care), CCRN-E (Tele-critical Care), PCCN (progressive care units like step-down or telemetry
units), CMC (cardiac medicine certification), CSC (cardiac surgery certification); others (NICU, trauma,
stroke, HF, perioperative, emergency, pediatric emergency)--by AACN
What are the purposes of the different critical care certifications? - Answers validates knowledge of
critical care nursing, promotes professional excellence; helps nurses maintain a current knowledge base;
$$$
Which of the following clinical findings are most relevant and suggest that the client is developing
sepsis? (Select all that apply)
A. Blood glucose of 186 mg/dL
B. Heart rate of 112 bpm
C. Temperature of 102.1°F
D. BUN of 32 mg/dL
E. Confusion
F. Blood pressure of 86/54 mmHg - Answers B. Heart rate of 112 bpm
C. Temperature of 102.1°F
E. Confusion
F. Blood pressure of 86/54 mmHg
Which of the following best explains the significance of the patient's elevated lactate level (3.2mmol/L)?
A. It suggests liver dysfunction.
B. It indicates adequate perfusion.
, C. It is a normal age-related change.
D. It reflects tissue hypoperfusion and anaerobic metabolism - Answers D. It reflects tissue
hypoperfusion and anaerobic metabolism
Based on the current clinical data (hypotension, altered mental status, elevated lactate, and infection
risk (Foley catheter)), which condition is the most likely cause of Mr. Simmons's deterioration?
A. Stroke
B. Hypoglycemia
C. Septic shock
D. Dehydration - Answers C. Septic shock
Which of the following interventions are priority actions for this patient? (Select all that apply)
A. Administer IV fluids
B. Apply oxygen
C. Start enteral nutrition
D. Obtain blood cultures
E. Administer broad-spectrum antibiotics - Answers A. Administer IV fluids
B. Apply oxygen
D. Obtain blood cultures
E. Administer broad-spectrum antibiotics
The provider orders a 30 mL/kg bolus of IV fluids. The patient weighs 70 kg. How many mL of IV fluid
should the nurse administer?
A. 1050 mL
B. 1500 mL
C. 2100 mL
D. 3000 mL - Answers C. 2100 mL
After 1 hour of treatment, which of the following findings would indicate the patient is responding
positively to interventions? (Select all that apply)
A. Blood pressure improves to 102/64 mmHg
